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NCT04870762PHASE2Recruiting

Customized 3D Printed Oral Stents During Head and Neck Radiotherapy

M.D. Anderson Cancer Center

Start Date

5/26/2021

Completion Date

12/31/2026

Summary

This clinical trial studies the effect of customized 3 dimensional (3D) printed oral tents on patients with head and neck cancer who are receiving radiotherapy. Oral stents are made from the impression of patients' mouth and cover patients' teeth and gums during radiation therapy. A customized, 3D-printed oral stent may help to reduce mouth blisters and/or sores that may develop in patients while receiving head and neck radiation therapy.

Detailed Description

PRIMARY OBJECTIVE: I. To evaluate the acute mucositis rates in non-target mucosa of patients who receive head and neck radiation with or without a customized 3D printed oral stent. SECONDARY OBJECTIVES: I. To record patient reported outcomes during radiotherapy. II. To evaluate patient narcotic use during radiotherapy. III. To evaluate the imaging and dosimetric differences in head and neck radiotherapy with and without a customized 3D printed oral stent. OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients wear 3D printed oral stent during standard of care radiotherapy. ARM II: Patients receive standard of care during treatment.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Participant is dispositioned to receive 5-7 weeks of definitive or adjuvant radiotherapy for treatment of a diagnosed head and neck malignancy * Age 18 or older * ECOG PS 0-2 * The participant will receive either (a) radiation alone or (b) radiation with concurrent chemotherapy of any kind(s) * Signed study-specific consent form Exclusion Criteria: * Prior head and neck radiotherapy * Participants is unable to fit a tongue-lateralizing or tongue-depressing stent * Severe trismus with an incisal opening of \<10 mm * Inability to comply with the study procedures * Participants younger than 18 years of age * Participants must not be pregnant * Cognitively impaired subjects

Interventions

OTHER

Best Practice

OTHER

Medical Device Usage and Evaluation

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Conditions

Head and Neck CarcinomaMalignant Parotid Gland NeoplasmMaxillary Sinus CarcinomaNasal Cavity CarcinomaOral Cavity CarcinomaTongue CarcinomaTonsillar Carcinoma

Locations

Banner Health/Banner Research

Phoenix, Arizona 85234

United States

Baptist MD Anderson Cancer Center

Jacksonville, Florida 32207

United States

Community MD Anderson Cancer Center East

Indianapolis, Indiana 46219

United States

Community MD Anderson Cancer Center South

Indianapolis, Indiana 46227

United States

Community MD Anderson Cancer Center North

Indianapolis, Indiana 46250

United States

Cooper Hospital University Medical Center

Camden, New Jersey 08103

United States

M D Anderson Cancer Center

Houston, Texas 77030

United States