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Hyperbaric Oxygen for the Treatment of a Dry Mouth Which Occurred After Radiotherapy

Primary Purpose

Radiation-induced Xerostomia

Status
Terminated
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
Hyperbaric oxygen
Sponsored by
Thomas Kuhnt
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Radiation-induced Xerostomia focused on measuring xerostomia, hyperbaric oxygenation, radiotherapy

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • complaints of xerostomia (visual analogue scale)
  • at least 6 months after radiotherapy of the head and neck region including all salivary glands with at least 50 Gy
  • objective hyposalivation / xerostomia (at rest < 0,25 ml saliva per minute, stimulated < 0,1 ml saliva per minute)
  • patient must have given written informed consent

Exclusion Criteria:

  • prior radiotherapy was an intensity modulated radiotherapy
  • prior hyperbaric oxygen therapy after radiotherapy
  • conditions which might be an additional risk for the treatment with hyperbaric oxygen such as spontaneous pneumothorax within the last two years, surgery of the eardrum or the middle ear, acute infection of the upper airways, not adequately treated epilepsy, concurrent radio- or chemotherapy, hereditary spherocytosis, psychosis, lung emphysema, asthma, severe COPD, prior surgery of the thorax, pace maker
  • myocardial infarction within the last 6 months
  • drug therapy which might induce xerostomia
  • known intolerance or hypersensitivity to Wrigley's Freident®
  • pregnancy or breast-feeding women (for women aged less than 60 years a pregnancy test is mandatory)
  • women of childbearing potential with unclear contraception. The following contraceptive methods are recommended: combined oral contraceptives or progesterone-only pill, hormone-dispensing or copper intra-uterine system, hormone patches, long-acting injections, vaginal ring
  • treatment with other investigational drugs or participation in another clinical trial within 30 days prior to enrollment
  • refusal of cooperation or consent

Sites / Locations

  • Martin Luther University Halle-Wittenberg, Clinic for Radiotherapy
  • Druckkammerzentrum Traunstein

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

HBO

non HBO

Arm Description

40 treatments with hyperbaric oxygen once per day, five days per week, 2.4 ATA, 100 % oxygen (10-15 minutes compression with air, 90 min of oxygen breathing - two 10 minutes break for breathing air after each 30 minutes of oxygen, 10 minutes decompression with oxygen)

Outcomes

Primary Outcome Measures

change of overall salivation (millilitre per minute over 5 minutes measured at rest and after provocation) in percentages

Secondary Outcome Measures

Number of Adverse Events in all patients as a Measure of Safety and Tolerability
Xerostomia scores assessed by investigator according to Eisbruch et.al.
Improvement of symptoms/discomfort due to xerestomia assessed by the patient on a visual analogue scale
quality of life measures (EORTC QLQ-H&N 35)

Full Information

First Posted
May 16, 2008
Last Updated
October 26, 2016
Sponsor
Thomas Kuhnt
Collaborators
Verband Deutscher Druckkammerzentren
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1. Study Identification

Unique Protocol Identification Number
NCT00682747
Brief Title
Hyperbaric Oxygen for the Treatment of a Dry Mouth Which Occurred After Radiotherapy
Official Title
Randomized Phase II Trial of Hyperbaric Oxygen for the Treatment of Radiation-induced Xerostomia
Study Type
Interventional

2. Study Status

Record Verification Date
October 2016
Overall Recruitment Status
Terminated
Why Stopped
poor recruitment
Study Start Date
May 2008 (undefined)
Primary Completion Date
March 2011 (Actual)
Study Completion Date
March 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Thomas Kuhnt
Collaborators
Verband Deutscher Druckkammerzentren

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether hyperbaric oxygen is effective in the treatment of a dry mouth that occured after radiotherapy for head and neck tumours.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Radiation-induced Xerostomia
Keywords
xerostomia, hyperbaric oxygenation, radiotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
13 (Actual)

8. Arms, Groups, and Interventions

Arm Title
HBO
Arm Type
Experimental
Arm Description
40 treatments with hyperbaric oxygen once per day, five days per week, 2.4 ATA, 100 % oxygen (10-15 minutes compression with air, 90 min of oxygen breathing - two 10 minutes break for breathing air after each 30 minutes of oxygen, 10 minutes decompression with oxygen)
Arm Title
non HBO
Arm Type
No Intervention
Intervention Type
Drug
Intervention Name(s)
Hyperbaric oxygen
Intervention Description
40 treatments with hyperbaric oxygen once per day, five days per week, 2.4 ATA, 100 % oxygen (10-15 minutes compression with air, 90 min of oxygen breathing - two 10 minutes break for breathing air after each 30 minutes of oxygen, 10 minutes decompression with oxygen
Primary Outcome Measure Information:
Title
change of overall salivation (millilitre per minute over 5 minutes measured at rest and after provocation) in percentages
Time Frame
baseline compared with measures on day 28, 56 and 146
Secondary Outcome Measure Information:
Title
Number of Adverse Events in all patients as a Measure of Safety and Tolerability
Time Frame
baseline until 4 weeks after end of study treatment
Title
Xerostomia scores assessed by investigator according to Eisbruch et.al.
Time Frame
baseline compared with measures on day 28, 56 and 146
Title
Improvement of symptoms/discomfort due to xerestomia assessed by the patient on a visual analogue scale
Time Frame
baseline compared with measures on day 28, 56 and 146
Title
quality of life measures (EORTC QLQ-H&N 35)
Time Frame
baseline compared with measures on day 28, 56 and 146

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: complaints of xerostomia (visual analogue scale) at least 6 months after radiotherapy of the head and neck region including all salivary glands with at least 50 Gy objective hyposalivation / xerostomia (at rest < 0,25 ml saliva per minute, stimulated < 0,1 ml saliva per minute) patient must have given written informed consent Exclusion Criteria: prior radiotherapy was an intensity modulated radiotherapy prior hyperbaric oxygen therapy after radiotherapy conditions which might be an additional risk for the treatment with hyperbaric oxygen such as spontaneous pneumothorax within the last two years, surgery of the eardrum or the middle ear, acute infection of the upper airways, not adequately treated epilepsy, concurrent radio- or chemotherapy, hereditary spherocytosis, psychosis, lung emphysema, asthma, severe COPD, prior surgery of the thorax, pace maker myocardial infarction within the last 6 months drug therapy which might induce xerostomia known intolerance or hypersensitivity to Wrigley's Freident® pregnancy or breast-feeding women (for women aged less than 60 years a pregnancy test is mandatory) women of childbearing potential with unclear contraception. The following contraceptive methods are recommended: combined oral contraceptives or progesterone-only pill, hormone-dispensing or copper intra-uterine system, hormone patches, long-acting injections, vaginal ring treatment with other investigational drugs or participation in another clinical trial within 30 days prior to enrollment refusal of cooperation or consent
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thomas Kuhnt, MD
Organizational Affiliation
University Hospital Rostock, Clinic for Radiotherapy
Official's Role
Principal Investigator
Facility Information:
Facility Name
Martin Luther University Halle-Wittenberg, Clinic for Radiotherapy
City
Halle
ZIP/Postal Code
06120
Country
Germany
Facility Name
Druckkammerzentrum Traunstein
City
Traunstein
ZIP/Postal Code
83278
Country
Germany

12. IPD Sharing Statement

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Hyperbaric Oxygen for the Treatment of a Dry Mouth Which Occurred After Radiotherapy

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