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CompletedNCT03879252UP-TIPUpdated Dec 30, 2025

Tolerance of Teeth Brushing During Prolonged Aplasia

A Phase 3 interventional study of Toothbrush and Mouthwashes in Aplasia, sponsored by University Hospital, Angers. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-30.

Sponsored by University Hospital, Angers · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
76
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

It is currently not allowed for patients with prolonged aplasia, following intensive chemotherapy, to brush teeth due to the risk of damaging the oral mucosa with risk of haemorrhage and infectious entrance door. Mouthwash is currently prescribed to prevent these complications. Many patients, however, ask to brush their teeth for greater comfort and a feeling of well-being.

Some haematology services allow tooth brushing while others prohibit tooth brushing without study.

Investigators wanted to conduct a study to assess the feasibility, the safety of tooth brushing for aplastic patient comfort, hemopathy and/or chemotherapies causing mucous membrane alteration that increases infectious risk and the risk of gingivorragia.

02

Conditions studied

  • Aplasia
03

In context

Lead sponsor

University Hospital, Angers is the lead sponsor of 464 studies on the registry; 116 are open to participants now.

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

Inclusion criteria

  • Hospitalized Patients in protected area of the Blood Disease Service with predictable prolonged aplasia and risk of mucite
  • Acute myeloblastic leukemia undergoing induction or consolidation treatment
  • Acute lymphoblastic leukemia under induction treatment
  • Patients affiliated or beneficiaries of a social security
  • Written inform consent

Exclusion criteria

Exclusion Criteria:

  • Patients with removable complete dentures
  • Constitutional disorder of coagulation
  • Hematopoietic stem cell allogreffe
  • Therapeutic intensification with autograft of haematopoietic stem cells
  • Patient unable to provide oral care alone (brushing teeth or mouthwash)
  • Already included in the study
  • Pregnant women, lactating mothers
  • Persons deprived of liberty by an administrative or judicial decision
  • Persons undergoing psychiatric care under duress
  • Adults who are subject to a legal or non-state protection measure to express their consent
05

Study design

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

Study arms

  • Experimental
    Tooth brushing

    Device: Toothbrush

  • Active comparator
    Mouthwash

    Drug: Mouthwashes

Interventions

  • DeviceToothbrush

    Brushing teeth three times a day (extra-soft toothbrush) with a 1.4% baking mouthwash solution.

  • DrugMouthwashes

    Mouthwashes three times a day with a 1.4% baking mouthwash solution.

06

What researchers measure

Primary outcomes

  1. Highest score obtained at the OAG (Oral Assessment Guide) scale during the observation period

    Assess the effect of the "teeth brushing" versus "mouth bath" strategy on the oral condition of patients hospitalized in the protected area of the Blood Disease Service with predictable prolonged aplasia and risk of mucite

    Time frame: 1 month

Secondary outcomes

  1. Number of septicemia

    Estimate the effect of the strategy in terms of Infectious risks

    Time frame: 1 month

  2. Incidence of intra-oral hemorrhage

    Estimate the effect of the strategy in terms of Hemorrhagic risk

    Time frame: 1 month

  3. Number of days with intra-oral hemorrhage

    Estimate the effect of the strategy in terms of Hemorrhagic risk

    Time frame: 1 month

  4. Number of days with fever

    Estimate the effect of the strategy in terms of Infectious risks

    Time frame: 1 month

  5. Incidence of bacterial infections during hospitalization

    Estimate the effect of the strategy in terms of Infectious risks

    Time frame: 1 month

  6. Incidence of fungal infections during hospitalization

    Estimate the effect of the strategy in terms of appearance of mucite

    Time frame: 1 month

  7. Percentage of patients receiving morphinics during hospitalization

    Estimate the effect of the strategy in terms of pain

    Time frame: 1 month

  8. Number of days with morphinic treatment

    Estimate the effect of the strategy in terms of pain

    Time frame: 1 month

  9. Percentage of patients receiving parenteral nutrition during hospitalization

    Estimate the effect of the strategy in terms of patient's tolerance to oral care

    Time frame: 1 month

  10. Number of days with parenteral nutrition

    Estimate the effect of the strategy in terms of patient's tolerance to oral care

    Time frame: 1 month

  11. Percentage of patients who had to discontinue treatment on medical advice

    Estimate the effect of the strategy in terms of patient's tolerance to oral care

    Time frame: 1 month

07

Study locations

1 site
  • CHU Angers
    Angers, France
08

References and documents

Individual participant data

Plan to share: No

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 Dec 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03879252
Lead sponsor
University Hospital, Angers
Responsible party
Sponsor
First posted
Mar 18, 2019
Start date
Jul 22, 2019
Primary completion
Feb 1, 2023
Completion
Feb 1, 2023
Last update
Dec 30, 2025

Oversight

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 Dec 2025. You cannot join it, but the record below documents what was studied.

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