RecruitingPhase 2NCT06354712

Efficacy of N-acetylcysteine in Preventing Radiotherapy-Induced Oral Mucositis in Head and Neck Cancer Patients.

Clinical Study Evaluating the Efficacy and Safety of N-acetylcysteine in Preventing Radiotherapy-Induced Oral Mucositis in Head and Neck Cancer Patients.


Sponsor

Mansoura University

Enrollment

50 participants

Start Date

Apr 4, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

A prospective, randomized, controlled, parallel clinical trial will be conducted at Clinical Oncology and Nuclear Medicine Center at Mansoura University Hospital to assess the efficacy of N-acetylcysteine in the prevention of radiotherapy induced oral mucositis in Head and Neck cancer patients.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria4

  • Adults \>18 years diagnosed with squamous cell carcinoma of the head and neck scheduled to receive curative radiotherapy (Primary or postoperative) of at least 50 Gy with or without concurrent chemotherapy.
  • Individuals with healthy mucosa.
  • Adequate bone marrow function (Hemoglobin level ≥10 g/dL, platelet count ≥75 × 103/microliter, and absolute neutrophil count ≥1.5 × 103/microliter).
  • Patients with ECOG performance ≤2

Exclusion Criteria6

  • History of chemotherapy or radiotherapy.
  • Signs of systemic infections.
  • Pregnant and lactating women.
  • Individuals receiving systemic analgesics.
  • Liver disorders and renal failure with eGFR \<30 ml/min/1.73m2 (by the MDRD equation).
  • Inability to follow instructions and complete the questionnaires.

Interventions

DRUGN-Acetyl-Cysteine with Institutional standard care

A potent antioxidant and anti-inflammatory drug (A precursor of the endogenous antioxidant glutathione)

DRUGInstitutional standard care

Benzydamine Mouthwash


Locations(1)

Clinical Oncology and Nuclear Medicine of Mansoura University Hospital

Al Mansurah, Egypt

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NCT06354712