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CompletedNCT02762019LAMPOUpdated May 4, 2016

Laser for Oral Mucositis in Pediatric Onco-hematology

A Phase 3 interventional study of Laser therapy and Sham therapy in Stomatitis, sponsored by IRCCS Burlo Garofolo. Completed at 8 sites in Italy. Open to participants aged 3 Years to 18 Years. Per ClinicalTrials.gov, last updated 2016-05-04.

Sponsored by IRCCS Burlo Garofolo · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
101
Allocation
Randomized
Ages
3 Years to 18 Years
Sex
All
01

Study summary

Children with cancer undergoing intensive chemotherapy (CT) regimens experience many side effects among which oral mucositis (OM) is one of the most debilitating. Modifications of CT's schedule and prolonged hospitalization may be necessary in presence of OM, causing poor general conditions and debilitation. Moreover, the use of narcotic analgesics and total parenteral nutrition may be required, triggering not only a physical deficit but also an economic burden. Despite the frequency and impact of OM among children with cancer, there is no consensus on standard therapy for this condition. Previous studies demonstrated that high power laser therapy can help the maintenance of nutritional status in patients with OM and can remarkably reduce costs/resources needed. Laser therapy has evidence of efficacy in reducing symptoms and in preventing the onset of OM in adult cancer patients but only one randomized controlled trial, with a limited number of children enrolled, supports its use in children for treatment of OM induced by chemotherapy.

This multicenter double-blind randomized controlled trial evaluates the efficacy of laser for treatment of oral mucositis secondary to chemotherapy in children aged 3-17 years.

The study involves 8 italian hospitals.

02

Conditions studied

  • Stomatitis

Keywords

  • Stomatitis
  • Laser
  • Children
  • Chemotherapy
  • Treatment
03

In context

Mucositis

488 studies on the registry are indexed under Mucositis; 70 are open to participants now.

This study's enrollment of 101 is above the median of 50 across 394 interventional studies indexed under Mucositis.

Browse Mucositis studies →

Lead sponsor

IRCCS Burlo Garofolo is the lead sponsor of 87 studies on the registry; 32 are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children aged 3-18 years
  • Oral mucositis of grade 3 or 4 at enrollment (CTC - WHO scale)
  • Antiblastic chemotherapy in the in the previous three weeks
  • Willingness to undergo treatment for 4 consecutive days and to return for evaluation 7 and 11 days after enrollment.

Exclusion criteria

Exclusion Criteria:

  • Previous treatment with laser therapy for stomatitis
  • Presence of dysplastic oral lesions
  • Reduction of mouth opening (\<1 cm)
  • Localized head and/or neck radiation treatment in the previous 4 weeks
  • Use of keratinocyte growth factor (KGF)
  • Previous enrollment in the study
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
101 participants (actual)

Study arms

  • Experimental
    Laser therapy

    Children are allocated to receive Laser therapy

    Device: Laser therapy

  • Sham comparator
    Sham therapy

    Children are allocated to receive Sham therapy

    Device: Sham therapy

Interventions

  • DeviceLaser therapy

    Treatment with K-Laser Cube3 during 4 consecutive days, with the following protocol: 660-970 nm wavelength, 3,2W mean power (6.4W pulsating at 50%), 3'51'' duration, 1-20000 Hz frequency, and 1 cm2 spot size. Laser application was performed all over the oral cavity.

  • DeviceSham therapy

    Only the laser pointer movement, without laser activation, during 4 consecutive days, all over the oral cavity.

06

What researchers measure

Primary outcomes

  1. Reduction of the grade of oral mucositis

    Reduction of stomatitis' grade (from grade 3 or 4 to a lower grade). The grade of stomatitis is defined using the World Health Organization (WHO) evaluation scale

    Time frame: 7 days after enrollment

Secondary outcomes

  1. Reduction of the grade of oral mucositis

    Reduction of stomatitis' grade (from grade 3 or 4 to a lower grade). The grade of stomatitis is defined using the WHO evaluation scale

    Time frame: 3 days after enrollment

  2. Reduction of the grade of oral mucositis

    Reduction of stomatitis' grade (from grade 3 or 4 to a lower grade). The grade of stomatitis is defined using the WHO evaluation scale

    Time frame: 11 days after enrollment

  3. Reduction of pain, age 4-7 years

    Reduction of self-reported pain recorded with the Faces Pain Scale-Revised (FPS-R)

    Time frame: 3 days after enrollment

  4. Reduction of pain, age 8-18 years

    Reduction of self-reported pain recorded with a numeric rating scale

    Time frame: 3 days after enrollment

  5. Reduction of pain, age 4-7 years

    Reduction of self-reported pain recorded with the Faces Pain Scale-Revised (FPS-R)

    Time frame: 7 days after enrollment

  6. Reduction of pain, age 8-18 years

    Reduction of self-reported pain recorded with a numeric rating scale

    Time frame: 7 days after enrollment

  7. Reduction of pain, age 4-7 years

    Reduction of self-reported pain recorded with the Faces Pain Scale-Revised (FPS-R)

    Time frame: 11 days after enrollment

  8. Reduction of pain, age 8-18 years

    Reduction of self-reported pain recorded with a numeric rating scale

    Time frame: 11 days after enrollment

  9. Reduction of need for analgesics

    Time frame: at day 7

  10. Adverse events

    Time frame: at day 11

07

Study locations

8 sites
  • Policlinico Sant'Orsola Malpighi
    Bologna, Italy
  • Spedali civili Ospedale dei Bambini
    Brescia, Italy
  • Ospedale Pediatrico Microcitemico "Antonio Cao"
    Cagliari, Italy
  • Azienda Ospedaliera di Padova
    Padova, Italy
  • Azienda Ospedaliero universitaria di Parma
    Parma, Italy
  • Fondazione IRCCS, Policlinico San Matteo
    Pavia, Italy
  • A.O.U. Città della Salute e della Scienza di Torino
    Torino, Italy
  • IRCCS Burlo Garofolo
    Trieste, Italy
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02762019
Lead sponsor
IRCCS Burlo Garofolo
Responsible party
Ronfani Luca (MD, PhD, IRCCS Burlo Garofolo) — Principal investigator
First posted
May 4, 2016
Start date
Sep 2013
Primary completion
Oct 2015
Completion
Oct 2015
Last update
May 4, 2016

Study contacts

Giulio Andrea Zanazzo, MD
study chair · IRCCS Burlo Garofolo, Trieste
Matteo Biasotto, DDS
study chair · Azienda Ospedaliero Universitaria "Ospedali Riuniti", Trieste

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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