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TerminatedNCT00989820Updated Sep 15, 2025

Efficacy of Hyperbaric Oxygen Therapy in the Treatment of Osteoradionecrosis

A Phase 2/3 interventional study of hyperbaric oxygen in Osteoradionecrosis, sponsored by Radboud University Medical Center. Terminated at 8 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-15.

Sponsored by Radboud University Medical Center · Phase 2/3, Interventional, and Treatment

Why this study was terminated
Recruitment problems, patients refused to participate
Phase
Phase 2/3
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether hyperbaric oxygen therapy is effective in the treatment of osteoradionecrosis (late complication of radiation therapy) of the jaw.

Read the detailed description

Damage to the lower jaw as a late complication of radiation therapy (osteoradionecrosis (ORN)) is often seen in patients treated with radiation therapy for a tumor in the head and neck region. Part of the lower jaw becomes non-vital and has to be treated. ORN proofs to be a condition difficult to treat and the treatment for this condition varies.

In many countries hyperbaric oxygen therapy (HBOT) is added to the surgical treatment of ORN. Unfortunately there is no consensus whether the addition of hyperbaric oxygen therapy to the treatment of ORN is beneficial or not. This study has the aim to investigate the efficacy and cost-effectiveness of HBOT in the treatment of ORN.

02

Conditions studied

  • Osteoradionecrosis

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Keywords

  • osteoradionecrosis
  • mandible
  • radiotherapy
  • hyperbaric oxygen therapy
03

In context

Osteoradionecrosis

24 studies on the registry are indexed under Osteoradionecrosis; 8 are open to participants now.

This study's enrollment of 20 is below the median of 60 across 13 interventional studies indexed under Osteoradionecrosis.

Browse Osteoradionecrosis studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 986 studies on the registry; 136 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 jr
  • 0-2
  • Last radiation treatment ≥ 6 month ago radiotherapy with curative intention and > 55 Gy. The affected part of the jaw must be in the target volume area of the radiotherapy field.
  • Local recurrence must be ruled out
  • Necrosis of the jaw with at least one of the following symptoms for over 3 month present:

    • Bone exposition which measures at least 1 cm
    • Evident bone lesions at radiologic evaluation (panorex) that fits the diagnosis ORN.
    • Non-healing extraction socket

Exclusion criteria

Exclusion Criteria:

  • Former HBO treatment
  • Contra indication for HBO treatment (pneumothorax)
  • Bisphosphonate treatment in the medical history
  • reirradiation in the medical history
  • Osteosynthesis material in the affected area
  • Distant
  • Primary or recurrent tumor in the affected area
  • elsewhere
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • No intervention
    Surgery

    This is the standard arm. Surgery without hyperbaric oxygen treatment

  • Experimental
    Hyperbaric oxygen therapy with surgery

    Intervention arm. Hyperbaric oxygen therapy with surgery.

    Drug: hyperbaric oxygen

Interventions

  • 30 session inhalation of 100% oxygen in a pressure chamber under 2.4 ATA for 90 minutes a day before surgery and 10 session hyperbaric oxygen therapy (as mentioned before) after surgery

    Also known as: Linde Gas Therapeutics Benelux B.V., RVG 30355, ATC code V03AN012

06

What researchers measure

Primary outcomes

  1. absence of exposed bone, fistulae or ulceration.

    Number of patients with complete healing

    Time frame: 12 months after finishing therapy in the arm assigned to

Secondary outcomes

  1. Pain score

    VAS 0-10 (0 absence of pain, 10 unbearable pain)

    Time frame: one year after therapy in the arm assigned to.

  2. Clinical and radiological assessment of the treatment response

    Light photography and X-rays to assess the amount of patients without mucosal or bone lesions one year after therapy. The measurements between the start and finish of the inclusion are used to assess increase or decline of the lesions during therapy

    Time frame: one year after therapy in the arm assigned to.

  3. Completion of the therapy in the arm for which patient has been randomized; if someone drops out of this study the reason will be scored.

    Drop out rate of included patients and scoring of the reason for termination before completing the study.

    Time frame: one year after therapy in the arm assigned to.

  4. Use of pain medication

    type and quantity

    Time frame: one year after therapy in the arm assigned to.

  5. Type of surgical intervention

    For each individual patient the type of surgery is scored: sequestrectomy, marginal mandibula resection, segment resection

    Time frame: one year after therapy in the arm assigned to.

  6. Quality of life

    Quality of life questionnaires EORTC-QoL-C30, Head and Neck-C35. These QoL questionaires are for general QoL for oncology patients (C-30) with a specific part for head and neck oncology (C-35)

    Time frame: one year after therapy in the arm assigned to.

  7. Cost effectiveness

    Questionnaire EQ-5D

    Time frame: one year after therapy in the arm assigned to.

07

Study locations

8 sites
  • NKI/AvL
    Amsterdam, 1066CX, Netherlands
  • VU University Medical centre
    Amsterdam, Netherlands
  • University Medical Center Groningen
    Groningen, Netherlands
  • Leiden University Medical Center
    Leiden, 2333ZA, Netherlands
  • Maastricht Universitary Medical Centre
    Maastricht, 6229HX, Netherlands
  • Radboud University Nijmegen Medical Centre
    Nijmegen, 6525GA, Netherlands
  • Erasmus University Medical Center
    Rotterdam, 3015CE, Netherlands
  • University Medical Center Utrecht
    Utrecht, 3584CX, Netherlands
08

References and documents

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2009 to primary completion in May 2017, 91 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 5, 2009
First posted
Oct 6, 2009
StartActual
Oct 2009
Primary completionActual
May 1, 2017
CompletionActual
Mar 1, 2020
Last update
Sep 15, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00989820
Responsible party
Sponsor
First posted
Oct 6, 2009
Start date
Oct 2009
Primary completion
May 1, 2017
Completion
Mar 1, 2020
Last update
Sep 15, 2025

Study contacts

Francois Dieleman, MD DMD
principal investigator · Radboud University Medical Center
Thijs Merkx, MD DMD PhD
study director · Radboud University Medical Center
Hans Kaanders, MD PhD
study director · Raboud University Medical Centre

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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