ClinicalTrials.gg
CompletedNCT03302676Updated Mar 14, 2019

The Use of Chewing Gum for Xerostomia and Hyposalivation After Radiotherapy for Oral and Oropharyngeal Tumors

An interventional study of Chewing gum in Head and Neck Cancer, Radiation Therapy Complication and Xerostomia, sponsored by Odense University Hospital. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-14.

Sponsored by Odense University Hospital · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Sep 2016, registered Oct 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
109
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 62 studies in Head and Neck Neoplasms with a site in Denmark — 13 open to participants now, 18 under way, 1 of them phase 3. Head and Neck Neoplasms · Denmark.

Enrollment
22nd of 52
109 · median 67
Started
2016
with 5 others
No phase
26 of 62
6 open now
Registered
31st of 62
by date
Lead sponsor
3 of 62
Odense University Hospital

Among the 62 studies in Head and Neck Neoplasms with a site in Denmark, this one is the 22nd largest by enrollment of the 52 interventional ones that give a count, is one of 6 that started in 2016, is one of 26 with no phase, and was the 31st registered.

Head and Neck Neoplasms

2,713 studies on the registry are indexed under Head and Neck Neoplasms; 596 are open to participants now.

Browse Head and Neck Neoplasms studies →

Open to participants now

13 of the 62 studies in Head and Neck Neoplasms with a site in Denmark are open now. Recruiting first, the newest first:

8 more — sign in →

All 13 open studies →

A study can be open while its sites in Denmark have not opened yet or have stopped. Only those recruiting at a site in Denmark →

Who these studies take

Of the 453 Head and Neck Neoplasms studies recruiting now, 345 (76%) set no upper age limit and 51 (11%) stop at 75 or younger; 21 take children under 18; 27 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This study evaluates the possible benefits of a tasteless and sugar free chewing gum as a salivary stimulant for head and neck cancer patients treated with curative intended radiotherapy.

Read the detailed description

Radiation-induced xerostomia and hyposalivation are frequent side effects after completed treatment for oral and oropharyngeal cancers. This may induce eating and swallowing difficulties, compromised oral hygiene, pain in the mouth, or speech deficiencies. As a consequence, quality of life is often impaired for this group of patients even after completing treatment.

This study hypothesize that chewing gum can stimulate salivary flow from the residual functional salivary glands and thereby improving the patient's oral well-being.

Primary endpoint:

  • To assess whether the difference between the unstimulated and stimulated salivary flow after a one-month period of using chewing gum will result in improved oral well-being.

Secondary endpoint:

  • To assess if unstimulated and stimulated salivary flow differs between the two groups of patients
  • To evaluate changes in quality of life with EORTC QLQ H\&N-35 for patients using chewing gum
  • To evaluate differences in quality of life with EORTC QLQ H\&N-35 between the two groups of patients.

All patients who have received curative intended treatment for oral or oropharyngeal carcinomas at the Department of Oncology, Odense University Hospital, will be invited to participate in the study. If the eligibility criteria are met the patient will be randomized 2:1 to either the intervention arm with chewing gum or the control arm with standard oral care. The study intends to include 210 patients in total. Of these, 140 patients in the intervention arm and 70 in the control arm. Recruitment to the study was initiated in September 2016 and is expected to be completed in July 2018.

The duration of the study is one month from inclusion and randomization to final follow up. For all included patients, saliva samples are collected (unstimulated and stimulated sialometry) and the EORTC QLQ H\&N-35 questionnaire and a xerostomia specific questionnaire are completed. The patients in the control arm are only introduced to chewing gum at the last follow up visit. In the intervention arm, all patients are instructed to use the chewing gum on a daily basis (preferably 5 times a day) and to make notes in a patient diary to document compliance.

03

Conditions studied

  • Head and Neck Cancer
  • Radiation Therapy Complication
  • Xerostomia
  • Hyposalivation

Keywords

  • Saliva substitute
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

  • Over 18 years of age
  • Diagnosed with oral or oropharyngeal carcinoma
  • Received curative intended radiation therapy (primary or postoperative), 60-66Gy including concurrent chemotherapy
  • Within 6 to 60 months after radiation therapy
  • Complains of xerostomia level 1 (according to Danish Head and Neck Cancer group)
  • Written

Exclusion criteria

Exclusion Criteria:

  • Poor teeth condition or full set of dentures
  • Recurrence of cancer or palliative treatment
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
109 participants (actual)

Study arms

  • Active comparator
    Intervention

    Patients use tasteless and sugar free chewing gum up to 5 times a day for 1 month. Daily registrations in a patient dairy.

    Dietary Supplement: Chewing gum

  • No intervention
    Control

    Patients continue with daily routine to relieve oral discomfort. No chewing gum allowed.

Interventions

06

What researchers measure

Primary outcomes

  1. Salivary flow (intervention arm)

    Patients in the intervention arm will experience increase in stimulated salivary flow at follow up as compared to unstimulated salivary flow at baseline.

    Time frame: 1 month

Secondary outcomes

  1. Salivary flow (both groups of patients)

    The difference between unstimulated and stimulated salivary flow will be higher for patients in the intervention arm as compared to the difference in salivary flow for patients in the control arm.

    Time frame: 1 month

07

Study locations

1 site
  • Odense University Hospital
    Odense, Danmark 5000, Denmark
08

References and documents

Publications

  • Kaae JK, Stenfeldt L, Hyrup B, Brink C, Eriksen JG. A randomized phase III trial for alleviating radiation-induced xerostomia with chewing gum. Radiother Oncol. 2020 Jan;142:72-78. doi: 10.1016/j.radonc.2019.09.013. Epub 2019 Oct 9. PubMed 31606226 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2016 to primary completion in Sep 2018, 24 months.

Of 437 non-industry interventional studies with no phase under Head and Neck Neoplasms, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 71. This study's 24 months is below that.

Counting every sponsor, half of 455 studies reached it within 32 months; a quarter within 18 and three quarters within 70.

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

Registered
Oct 2, 2017
First posted
Oct 5, 2017
StartActual
Sep 2016
Primary completionActual
Sep 2018
CompletionActual
Jan 2019
Last update
Mar 14, 2019
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 Mar 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03302676
Collaborators
Danish Cancer Society, Odense Patient Data Explorative Network
Responsible party
Julie Killerup Kaae (M.D., Odense University Hospital) — Principal investigator
First posted
Oct 5, 2017
Start date
Sep 2016
Primary completion
Sep 2018
Completion
Jan 2019
Last update
Mar 14, 2019

Study contacts

Julie K Kaae, MD
principal investigator · Odense University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Chewing Gum

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