Dental Cleaning to Prevent Chronic Graft-Versus-Host Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorFred Hutchinson Cancer Center

About this trial

This clinical trial evaluates the feasibility and effectiveness of a post-transplant dental cleaning for the prevention of chronic graft versus host disease (GVHD) in patients undergoing an allogeneic hematopoietic cell transplant (HCT). HCT is the only curative treatment for some types of blood cancer. Unfortunately, this approach can lead to the development of GVHD, which is a disease caused when cells from a donated stem cell graft attack the normal tissue of the transplant patient. Some research has shown that the bacteria that is present in the dental plaque soon after transplant may affect the development of chronic GVHD. Dental cleanings prior to transplant are part of the normal standard of care for patients undergoing HCT. Adding an additional cleaning shortly after HCT may be effective for preventing the development of chronic GVHD.

Eligibility criteria

Qualifiers

Age ≥ 18 years old

T-replete allogeneic hematopoietic cell transplantation for any indication. History of prior transplantation is allowed. Any conditioning regimen is allowed

9/10 or 10/10 human leukocyte antigen (HLA)-matched unrelated donor

Cord blood

Disqualifiers

Edentulous state

Bone marrow as graft source

Use of post-transplantation cyclophosphamide (PTCy) or ruxolitinib as GVHD prophylaxis

Use of anti-thymocyte globulin (ATG) in conditioning

Trial design

Treatments tested in this trial

  • Dental Cleaning
  • Dental Plaque sampling

Treatment groups

45 Participants
are divided into 1 treatment group

Sponsors and collaborators