Xylitol Dental Wipes for the Reduction of Bloodstream Infection Risk in Children With Acute Myeloid Leukemia
NCT07022678 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 556
Last updated 2026-05-22
Summary
This phase III trial compares the effect of xylitol dental wipes to dental wipes without xylitol for the reduction of bloodstream infection in children with acute myeloid leukemia (AML). Xylitol is a naturally occurring sugar compound found in fruits and vegetables. Xylitol has been shown to limit the growth of bacteria in the mouth, and to reduce cavities, plaque on the teeth, and inflammation of the gums. Treatment for AML includes chemotherapy. Patients receiving chemotherapy for AML have a risk of developing bloodstream infections. Bloodstream infections can make patients very sick, can contribute to delays in treatment, and can even cause death. In AML patients, bacteria or fungus (yeast) can sometimes enter the bloodstream from the mouth. Using xylitol dental wipes may help to reduce bloodstream infections in children being treated for AML.
Conditions
- Acute Myeloid Leukemia
- Recurrent Acute Myeloid Leukemia
Interventions
- OTHER
-
Best Practice
Given standard chemotherapy
- PROCEDURE
-
Biospecimen Collection
Undergo saliva sample collection
- DRUG
-
Given IV
- OTHER
-
Electronic Health Record Review
Ancillary studies
- DRUG
-
Placebo Administration
Given intraorally
- OTHER
-
Xylitol-containing Oral Wipe
Given intraorally
Sponsors & Collaborators
-
Children's Oncology Group
lead NETWORK
Principal Investigators
-
Jennifer J Wilkes · Children's Oncology Group
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 25 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-10-25
- Primary Completion
- 2032-01-15
- Completion
- 2033-01-15
- FDA Drug
- Yes
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