Oral Care Program for Head and Neck Cancer
(OSEM Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
People having radiation therapy to the head and neck often develop painful mouth problems - mouth sores, dry mouth, mouth pain, trouble eating and drinking, and changes in taste. These problems can become severe enough to interrupt radiation treatment or lead to an emergency room visit or a hospital stay.
This study is testing whether an oral care program called OSEM (Oral Side-Effect Management) reduces how severe those mouth problems become.
Fifty adults starting radiation to a head and neck site at Premier Cancer Center will take part. Each person will be assigned by chance, like a coin toss, to one of two groups:
One group receives the Peace of Mouth Kit - everyday mouth care products including dry mouth candies, ginger candies for nausea, a mouth rinse, a sensitivity toothpaste, a soft toothbrush and a lip balm - together with a short check-in each week with a member of the Premier team right after their radiation treatment.
The other group receives their usual care at Premier, unchanged.
Everyone in the study fills out the same short questionnaire about their mouth each week during radiation, and once more about four weeks after their last treatment. Everyone continues to see their radiation doctor every week, exactly as they would if they were not in the study.
Taking part lasts about 11 weeks in all.
The items in the kit are everyday consumer mouth care products. They are not medicines of any kind, and the U.S. Food and Drug Administration has not approved them to treat or prevent any disease.
Who Is on the Research Team?
ABIDA TAHER
Principal Investigator
UNCANCER LLC
Are You a Good Fit for This Trial?
This trial is for adults starting radiation therapy to the head or neck at Premier Cancer Center. Participants must be able to use mouth care products and complete weekly questionnaires. People with allergies to kit ingredients or unable to follow study instructions may not join.Inclusion Criteria
Exclusion Criteria
What Are the Treatments Tested in This Trial?
Interventions
- ORAL CARE PRODUCT KIT
Trial Overview
The study compares a special oral care program (Peace of Mouth Kit plus weekly check-ins) against usual care, to see if it helps reduce mouth problems during and after head and neck radiation treatment. Participants are randomly assigned to one group.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants receive the Peace of Mouth Kit at enrollment, at approximately week 5, and at the final treatment visit in week 7 - three kits in total - together with a structured review by the Premier clinical coordinator each week, immediately after radiation treatment. The weekly review consists of a fixed set of safety-flag questions, review of the participant's weekly symptom band and red-flag status, and assessment of kit use. Where the band or a red-flag criterion indicates it, the coordinator escalates directly to the on-call Premier radiation oncologist, who determines clinical management. The study does not direct clinical management. Premier standard of care continues unchanged, including the weekly radiation oncologist assessment and the after-hours on-call service.
Participants receive Premier standard of care without modification, including the weekly radiation oncologist assessment, the after-hours on-call service, and any supportive-care measure the treating team judges appropriate. Participants complete the same baseline and weekly symptom questionnaire as the intervention arm, for research purposes only. The resulting symptom band is computed and retained for analysis but is not reviewed for escalation, is not returned to anyone, and does not generate any contact. There is no kit, no clinical coordinator review and no safety-flag questions. Kit components and equivalent products remain commercially available, and nothing is withheld from participants in this arm.
Find a Clinic Near You
Who Is Running the Clinical Trial?
UNCANCER LLC
Lead Sponsor
PREMIER CANCER CENTER
Collaborator
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