About this trial
This 2-arm phase II study proposes to determine the efficacy of ketamine oral rinse in pain relief from mucositis in head and neck cancer patients undergoing radiation treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Written informed consent signed and dated by the patient prior to the performance of the study-specific procedure.
At least 18 years-of-age at the time of signature of the informed consent form (ICF).
Patients with histologically proven HNSCC undergoing radiation of concurrent chemoradiation as part of their treatment plan.
Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0, 1, or 2.
Disqualifiers
Inability to sign an informed consent form.
Any other malignancy diagnosed or treated within 10 years prior to enrollment.
Any documented hypersensitivity to ketamine.
Contraindication for ketamine use, including allergy.
Trial design
Parallel
Treatments tested in this trial
Placebo
DrugPatients in this arm will receive unmedicated syrup solution dispensed as 20mg/5ml 4 times a day in addition to receiving one of the following standard treatments; Magic Mouthwash, saliva substitute rinses, over-the-counter remedies including honey or salt and soda rinses, non-steroidal anti-inflammatory drugs (NSAIDS), or opioid medications.
Ketamine Topical
DrugPatients in this arm will receive ketamine oral rinse dispensed as 20mg/5ml 4 times a day in addition to receiving one of the following standard treatments; Magic Mouthwash, saliva substitute rinses, over-the-counter remedies including honey or salt and soda rinses, non-steroidal anti-inflammatory drugs (NSAIDS), or opioid medications.
Treatment groups
Trial outcomes
Primary outcomes
Number of patients who have altered pain response from mucositis in head and neck cancer undergoing radiation treatment from using ketamine oral rinse.
Review weekly questionnaires of patients who received ketamine oral rinse to assess if it helped with the pain of mucositis caused by the radiation in head and neck cancer patients.
Secondary outcomes
Number of patients whose dysphagia was decreased by the use of ketamine oral rinse among head and neck cancer patients undergoing radiation therapy.
Dysphagia as assessed by MDADI.
Number of patients whose quality-of-life increased after the use of ketamine oral rinse among head and neck cancer patients undergoing radiation therapy.
Quality of life as assessed by FACT-HN.
Number of patients who need morphine prescription equivalent reductions as a result of using ketamine oral rinse.
Pain medication requirement measured in morphine equivalents.
Sponsors and contacts
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