Sparing Parotid Ducts Via MRI Sialography for Reduced Patient Reported Xerostomia
NCT06276946 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2025-09-05
Summary
Radiation-induced xerostomia (dry mouth) is one of the most common and severe toxicities experienced by patients undergoing radiation treatment for head and neck cancer. Radiation-induced dry mouth is a frequently experienced symptom and persists after treatment, potentially indefinitely. Current practice does not specifically attempt to spare the parotid ducts, where stem/progenitor cells are believed to preferentially reside, and considers the entire salivary gland to have equal function. New radiation therapy planning and conducting strategies are needed to reduce this toxicity and maximize patient quality of life post-treatment.
This randomized Phase II study explores the contribution of magnetic resonance imaging (MRI) guided salivary gland duct definition to decrease patient-reported xerostomia in patients with oropharynx cancer receiving radiation therapy. The severity of xerostomia will be measured by patient-reported (PRO) symptoms, saliva secretion, saliva pH, and buffering.
Conditions
- Oropharynx Cancer
- Head and Neck Cancer
- Xerostomia
Interventions
- RADIATION
-
standard radiotherapy
radiotherapy planning goal is to restrict the mean parotid dose is equal to or less than 14Gy.
- RADIATION
-
experimental radiotherapy
radiotherapy planning goal is to restrict the parotid duct dose is equal to or less than 14Gy
Sponsors & Collaborators
-
UNC Lineberger Comprehensive Cancer Center
lead OTHER
Principal Investigators
-
Colette Shen, MD · UNC Lineberger Comprehensive Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-08
- Primary Completion
- 2028-07-31
- Completion
- 2029-01-31
- FDA Device
- Yes
Countries
- United States
Study Locations
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