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Active, not recruitingNCT04870762Updated Oct 6, 2026

Customized 3D Printed Oral Stents During Head and Neck Radiotherapy

A Phase 2 interventional study of Best Practice and Medical Device Usage and Evaluation in Head and Neck Carcinoma, Malignant Parotid Gland Neoplasm and Maxillary Sinus Carcinoma, sponsored by M.D. Anderson Cancer Center. Active, not recruiting at 7 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by M.D. Anderson Cancer Center · Phase 2, Interventional, and Treatment

Updated Oct 6, 2026Now Active, not recruitingEnrollment updatedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This clinical trial studies the effect of customized 3 dimensional (3D) printed oral tents on patients with head and neck cancer who are receiving radiotherapy. Oral stents are made from the impression of patients' mouth and cover patients' teeth and gums during radiation therapy. A customized, 3D-printed oral stent may help to reduce mouth blisters and/or sores that may develop in patients while receiving head and neck radiation therapy.

Read the detailed description

PRIMARY OBJECTIVE:

I. To evaluate the acute mucositis rates in non-target mucosa of patients who receive head and neck radiation with or without a customized 3D printed oral stent.

SECONDARY OBJECTIVES:

I. To record patient reported outcomes during radiotherapy. II. To evaluate patient narcotic use during radiotherapy. III. To evaluate the imaging and dosimetric differences in head and neck radiotherapy with and without a customized 3D printed oral stent.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients wear 3D printed oral stent during standard of care radiotherapy.

ARM II: Patients receive standard of care during treatment.

02

Conditions studied

  • Head and Neck Carcinoma
  • Malignant Parotid Gland Neoplasm
  • Maxillary Sinus Carcinoma
  • Nasal Cavity Carcinoma
  • Oral Cavity Carcinoma
  • Tongue Carcinoma
  • Tonsillar Carcinoma
03

In context

Parotid Neoplasms

27 studies on the registry are indexed under Parotid Neoplasms; 7 are open to participants now.

This study's enrollment of 88 is above the median of 55 across 20 interventional studies indexed under Parotid Neoplasms.

Browse Parotid Neoplasms studies →

Lead sponsor

M.D. Anderson Cancer Center is the lead sponsor of 2,999 studies on the registry; 581 are open to participants now.

Of its 599 completed or terminated interventional studies of FDA-regulated products, 402 (67%) 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

Inclusion criteria

  • Participant is dispositioned to receive 5-7 weeks of definitive or adjuvant radiotherapy for treatment of a diagnosed head and neck malignancy
  • Age 18 or older
  • ECOG PS 0-2
  • The participant will receive either (a) radiation alone or (b) radiation with concurrent chemotherapy of any kind(s)
  • Signed study-specific consent form

Exclusion criteria

Exclusion Criteria:

  • Prior head and neck radiotherapy
  • Participants is unable to fit a tongue-lateralizing or tongue-depressing stent
  • Severe trismus with an incisal opening of \<10 mm
  • Inability to comply with the study procedures
  • Participants younger than 18 years of age
  • Participants must not be pregnant
  • Cognitively impaired subjects
05

Study design

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

Study arms

  • Experimental
    Arm I (3D printed oral stent)

    Patients wear 3D printed oral stent during standard of care radiotherapy.

    Other: Best Practice · Other: Medical Device Usage and Evaluation

  • Active comparator
    Arm II (standard of care)

    Patients receive standard of care during treatment.

    Other: Best Practice · Other: Medical Device Usage and Evaluation

Interventions

  • OtherBest Practice

    Receive standard of care

    Also known as: standard of care, standard therapy

  • OtherMedical Device Usage and Evaluation

    Wear 3D printed oral stent

06

What researchers measure

Primary outcomes

  1. Mucositis toxicity rates

    Rate of non-target mucose will be estimated along with the corresponding 95% confidence interval. Cochran-Mantel-Haenszel (CHM) test will be applied to compare mucositis rates between the two treatment arms. Logistic regression will be used to compare occurrence of mucositis between two arms, adjusting for the effects of stratification factors as well as other covariates. T test or Wilcoxon rank sum test will be used to compare three Olerud-Molander Ankle Score between two arms: a mean mucositis score, an extent of mucositis score, and a worst site score.

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. Patient reported outcomes

    Will be assessed using the MD Anderson Symptom Inventory Head and Neck questionnaire. T test or Wilcoxon rank sum test will be used to compare scores of each item per time point or sums of scores across all items at each time point or sums across three time point per item between the two arms. Multivariate analyses such as linear regression model adjusting for the effects of covariates might be performed to compare patients reported outcomes. Appropriate data transformation will be performed if necessary for assumption of normality.

    Time frame: Through study completion, an average of 1 year

  2. Patients narcotics diaries

    Will record the worst, the least, the average pain score and pain score at present for each day. Will calculate the average of these 4 scores as a composite daily pain score.

    Time frame: Through study completion, an average of 1 year

  3. Imaging difference

    The set up error during radiation will be measured in each treatment arm.

    Time frame: Through study completion, an average of 1 year

  4. Dosimetric difference

    The radiation dose to healthy tissue will be measured in each treatment arm.

    Time frame: Through study completion, an average of 1 year

  5. Composite pain scores

    An area under curve of pain scores over two weeks (AUC2wks) will be calculated for each patient, and the t test or Wilcoxon rank sum test will be used to compare the AUC2wks of pain scores between the two arms, and between patients with and without occurrence of mucositis in their non-target mucosa. Will also fit linear mixed models including patients as random effects to compare the composite pain scores over two weeks between treatment arms. The linear mixed models will also be fitted to evaluate the association of composite pain scores with occurrence of their non-target mucosa.

    Time frame: Through study completion, an average of 1 year

  6. Number of narcotic pills used

    An AUC2wks will be calculated for each patient, and the t test or Wilcoxon rank sum test will be used to compare the AUC2wks of pain scores between the two arms, and between patients with and without occurrence of mucositis in their non-target mucosa. Will also fit linear mixed models including patients as random effects to compare the composite pain scores over two weeks between treatment arms.

    Time frame: Through study completion, an average of 1 year

07

Study locations

7 sites
  • Banner Health/Banner Research
    Phoenix, Arizona 85234, United States
  • Baptist MD Anderson Cancer Center
    Jacksonville, Florida 32207, United States
  • Community MD Anderson Cancer Center East
    Indianapolis, Indiana 46219, United States
  • Community MD Anderson Cancer Center South
    Indianapolis, Indiana 46227, United States
  • Community MD Anderson Cancer Center North
    Indianapolis, Indiana 46250, United States
  • Cooper Hospital University Medical Center
    Camden, New Jersey 08103, United States
  • M D Anderson Cancer Center
    Houston, Texas 77030, United States
08

References and documents

09

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Active, not recruiting
changed Oct 6, 2026
Enrollment
119 (estimated)→88 (actual)
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    Recruiting→Active, not recruiting
    Enrollment 119 (estimated)→88 (actual)
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04870762
Lead sponsor
M.D. Anderson Cancer Center
Responsible party
Sponsor
First posted
May 3, 2021
Start date
May 26, 2021
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Oct 6, 2026

Study contacts

Anna Lee
principal investigator · M.D. Anderson Cancer Center

Oversight

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

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This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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