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Not yet recruitingNCT06530524Updated Jul 31, 2024

Pretreatment Botulinum Toxin in Head and Neck Cancer Surgery

A Phase 2 interventional study of OnabotulinumtoxinA and Placebo in Head Neck Cancer and Xerostomia Following Radiotherapy, sponsored by Sir Mortimer B. Davis - Jewish General Hospital. Not yet recruiting at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-31.

Sponsored by Sir Mortimer B. Davis - Jewish General Hospital · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Head and neck cancer care, including tumors of the mouth, nose, throat and voice box, often requires radiation for cure to be achieved. Despite advances in radiation, 40% to 60% of patients experience a significant dry mouth (xerostomia) following radiotherapy. Several factors are associated with severe xerostomia including older age, advanced stage disease and tumor location. Currently, no pragmatic treatment strategy exists to reduce the risk of radiation-related xerostomia in patients with head and neck cancer. The investigators propose the use of a botulinum neurotoxin injected into the at-risk salivary glands before radiation as a strategy to preserve salivary gland function during radiation treatments and reduce xerostomia.

02

Conditions studied

  • Head Neck Cancer
  • Xerostomia Following Radiotherapy

Keywords

  • Head and Neck Cancer
  • Radiation induce xerostoma
  • botulinum toxin
  • salivary glands
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In context

Head and Neck Neoplasms

2,344 studies on the registry are indexed under Head and Neck Neoplasms; 551 are open to participants now.

This study's planned enrollment of 50 is close to the median of 47 across 1,751 interventional studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Sir Mortimer B. Davis - Jewish General Hospital is the lead sponsor of 61 studies on the registry; 21 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Newly diagnosis AJCC 8th edition Stage III/IVa mucosal head and neck squamous cell carcinoma requiring definitive radiotherapy (with or without chemotherapy).

Exclusion criteria

Exclusion Criteria:

  • Previous radiation to the head and neck
  • Previous treatment for head and neck cancer
  • Personal history of xerostomia
  • Hypersensitivity to onabotulinumtoxinA
  • Previous major salivary gland surgery
  • Previous exposure to radioactive iodine therapy
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Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Placebo comparator
    Placebo

    The treating physician will perform the injection of normal saline under ultrasound guidance using a 30-gauge needle introduced into the salivary gland tissue. 30 units of normal saline will be infiltrated the major salivary glands at-risk.

    Drug: Placebo

  • Experimental
    onabotulinumtoxinA

    The treating physician will perform the injection of onabotulinumtoxinA under ultrasound guidance using a 30-gauge needle introduced into the salivary gland tissue. 30 units of onabotulinumtoxinA will be infiltrated the major salivary glands at-risk.

    Drug: OnabotulinumtoxinA

Interventions

  • DrugOnabotulinumtoxinA

    Injection of onabotulinumtoxinA into the at-risk major salivary glands

  • DrugPlacebo

    Injection of normal saline into the at-risk major salivary glands

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What researchers measure

Primary outcomes

  1. Xerostomia-related quality of life

    University of Washington Quality of Life questionnaire (higher score is better)

    Time frame: Pretreatment, 6 and 12 months from treatment completion

Secondary outcomes

  1. Unstimulated salivary function using salivary gland scintigraphy

    Measurement of unstimulated salivary gland flow prior to initiation of therapy and at 12 months from completion of therapy

    Time frame: Pretreatment and 12 months from treatment completion

07

Study locations

1 site
  • McGill University
    Montreal, Quebec, Canada
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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 Jul 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06530524
Lead sponsor
Sir Mortimer B. Davis - Jewish General Hospital
Collaborators
Lady Davis Institute, McGill University Health Centre/Research Institute of the McGill University Health Centre
Responsible party
Marco Mascarella (Principal Investigator, Sir Mortimer B. Davis - Jewish General Hospital) — Principal investigator
First posted
Jul 31, 2024
Start date
Oct 1, 2024 (estimated)
Primary completion
Oct 1, 2026 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Jul 31, 2024

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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