ClinicalTrials.gg
RecruitingNCT07173270OHHNCUpdated Sep 3, 2026

Improved Oral Health in Head and Neck Cancer Survivors

An interventional study of Oral health support in Head and Neck Cancer Squamous Cell Carcinoma and Head and Neck Cancer, sponsored by Uppsala University. Recruiting at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by Uppsala University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.

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Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 34 studies in Head and Neck Neoplasms with a site in Sweden — 10 open to participants now, 13 under way, 2 of them phase 3. Head and Neck Neoplasms · Sweden.

Planned enrollment
7th of 26
300 · median 187
Started
2025
with 1 other
No phase
9 of 34
3 open now
Primary completion
2035-05
later than 12 of 12 live
Registered
31st of 34
by date
Lead sponsor
4 of 34
Uppsala University

Among the 34 studies in Head and Neck Neoplasms with a site in Sweden, this one is the 7th largest by planned enrollment of the 26 interventional ones that give a count, is one of 2 that started in 2025, is one of 9 with no phase, reaches primary completion later than 12 of the 12 other live ones, 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

10 of the 34 studies in Head and Neck Neoplasms with a site in Sweden are open now. Recruiting first, the newest first:

4 more — sign in →

All 10 open studies →

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

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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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 34 studies in Head and Neck Neoplasms with a site in Sweden, or all of them as a file.
02

Study summary

The goal of this clinical trial is to learn if an oral care programme, designed as a multicentre two-armed randomised controlled trial (RCT), can prevent or mitigate late oral sequalae following completion of head and neck cancer (HNC) treatment, and assessing its impact on health-related quality of life (HRQoL), oral health, work ability, nutritional status, psychological well-being, and healthcare-related economic costs. The intervention consists of an oral care programme given to the intervention group (HNC survivors) from six months after the end of treatment and every three months for three years.

The main questions it aims to answer are:

  • Does the intervention improve oral health, nutritional status, HRQoL, and reduce stress and anxiety compared with standard care?
  • Does the intervention reduce the duration of sick leave and improve return-to-work outcomes compared with standard care?
  • Is the intervention cost-effective from a health economic perspective?
  • Does the intervention improve patients' self-efficacy in managing their oral health and related challenges compared with standard care?
  • Does the intervention influence self-reported oral health, oral health-related behaviours, and oral health knowledge over time compared with standard care?
  • Do the effects of the intervention differ according to age, sex and sociodemographic factors?
  • Does the intervention affect salivary composition and salivary biomarkers over time compared with standard care?
Read the detailed description

In Sweden, approximately 1,800 individuals are diagnosed with head and neck cancer (HNC) each year. Treatment includes radiotherapy or surgery, sometimes combined with systemic anti-cancer therapy (SACT). The five-year survival rate for the entire group is now approximately 70%. Despite improved five-year survival during the last two decades, side effects such as decreased salivation, difficulty swallowing, pain and radiation-induced caries are common, which negatively affect quality of life. Thus, therapeutic improvements that support oral health are highly demanded among the large group surviving HNC. The research project is a multicentre randomised controlled trial evaluating the effectiveness of an oral care programme in preventing or reducing late oral side effects in patients with HNC following treatment. Through a collaborative effort across five healthcare regions, this study aims to provide robust evidence of the efficacy of interventions designed to improve oral health outcomes and enhance the overall quality of life among HNC survivors. The intervention group will visit a dental hygienist every 3 months for oral health examination and treatment, whereas the control group will receive standard care (i.e., they will contact dental care on their own, if needed). Data collection will include patient-reported outcome measures, nutritional status, oral and dental assessments, as well as saliva and blood samples. The goal is to enhance the understanding of how oral health and quality of life can be improved in this vulnerable group, as well as how health economic costs can be reduced.

03

Conditions studied

  • Head and Neck Cancer Squamous Cell Carcinoma
  • Head and Neck Cancer

Keywords

  • Head and neck cancer
  • Nutrition
  • Oral health
  • cancer survivors
  • Quality of Life
  • healthcare costs
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

  • patients (≥ 18 years)
  • diagnosed with HNC
  • scheduled for treatment with curative intent, including RT or CRT with or without surgery

Exclusion criteria

Exclusion Criteria:

  • severe alcoholism
  • cognitive impairment
  • inability to understand the Swedish language
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Other
    Oral health intervention

    The intervention group will receive examination and treatment by a dental hygienist every 3 months starting 6 months after completion of RT/CRT up to 3 years.

    Other: Oral health support

Interventions

  • OtherOral health support

    The intervention group will receive examination and treatment by a dental hygienist every 3 months starting 6 months after completion of RT/CRT up to 3 years. During visits to the dental hygienist, they will be asked about oral hygiene habits, fluoride use, dry mouth problems, and dietary habits (including intake of easily degradable carbohydrates). Oral dryness will be assessed using the Clinical Oral Dryness Scale. The stimulated salivary secretion and buffering capacity will be assessed, and the ability to open the mouth, cariological and periodontal status and registered plaque. Based on the results of the clinical examination, the patient will get individually tailored advice and recommendations on oral hygiene, fluoride use, dry mouth relief, and support in reducing the intake of food items and drinks with high sugar content. Professional oral care will be given, and fluoride applications when indicated.

06

What researchers measure

Primary outcomes

  1. Health-related quality of life

    European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Cancer Module (EORTC QLQ-HN43) EORTC QLQ-HN43 scores are linearly transformed to a 0-100 scale. Higher scores indicate greater symptom burden and more severe disease- or treatment-related problems, corresponding to poorer health-related quality of life.

    Time frame: Data will be collected before RT/CRT begins (baseline), at 6 months after the completion of RT/CRT (randomisation, start of intervention), and at one, two and three years.

Secondary outcomes

  1. Quantitative oral health indicators

    Number of remaining teeth, mouth opening ability, presence of caries, periodontitis, salivary composition and osteoradionecrosis

    Time frame: Data will be collected before RT/CRT begins (baseline), at 6 months after the completion of RT/CRT (randomisation, start of intervention), and at one, two and three years

  2. Generic cancer-related HRQoL

    European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30). Scores are linearly transformed to a 0-100 scale. Higher scores indicate better functioning and quality of life for the functional and global health status scales, whereas higher scores indicate more severe symptoms for the symptom scales and single-item measures.

    Time frame: Data will be collected before RT/CRT begins (baseline), at 6 months after the completion of RT/CRT (randomisation, start of intervention), and at one, two and three years.

  3. Return to work

    Return to work and sick leave patterns.

    Time frame: Data will be collected before RT/CRT begins (baseline), at 6 months after the completion of RT/CRT (randomisation, start of intervention), and at one, two and three years History taking from research and clinical nurses.

  4. Nutritional status

    Malnutrition according to the Global Leadership Initiative on Malnutrition (GLIM) criteria

    Time frame: Data will be collected before RT/CRT begins (baseline), at 6 months after the completion of RT/CRT (randomisation, start of intervention), and at one, two and three years

  5. Healthcare-related economic costs

    Time frame: Register data will cover the period from one year prior to diagnosis to five years after the completion of treatment

  6. Patient-reported outcome measures (PROMs)

    Self-reported oral health, psychological well-being (depression, anxiety and stress), and self-efficacy

    Time frame: Data will be collected before RT/CRT begins (baseline), at 6 months after the completion of RT/CRT (randomisation, start of intervention), and at one, two and three years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Einarsson S, Almstahl A, Gyllensten H, Sjostrom M, Marell L, Bjor O, Marklund L, Farnebo L, Laurell G, Tiblom Ehrsson Y. Improved oral health in head and neck cancer survivors (OHHNC study): a study protocol for a multicentre two-armed randomised controlled trial. BMC Cancer. 2026 Sep 7;26(1):1075. doi: 10.1186/s12885-026-16865-8. PubMed 42717322 ↗

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

Started Sep 2025 (actual). Primary completion is estimated for May 2035, 116 months after the start.

Of 437 non-industry interventional studies with no phase under Head and Neck Neoplasms, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 71. This study's planned 116 months is above that.

Counting every sponsor, half of 455 studies reached it within 33 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
Aug 26, 2025
First posted
Sep 15, 2025
StartActual
Sep 25, 2025
Primary completionEst.
May 31, 2035
CompletionEst.
Sep 23, 2045
Last update
Sep 3, 2026
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 Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07173270
Lead sponsor
Uppsala University
Collaborators
Region Västerbotten, Region Östergötland, The Sjöberg Foundation, The Stig & Ragna Gorthon Foundation, Helsingborg, Swedish Cancer Society, Region Uppsala Public Health and Care, Region Skane, Laryngfonden
Responsible party
Sponsor
First posted
Sep 15, 2025
Start date
Sep 25, 2025
Primary completion
May 31, 2035 (estimated)
Completion
Sep 23, 2045 (estimated)
Last update
Sep 3, 2026

Study contacts

Ylva Tiblom Ehrsson, Assoc professor, RN
Contact
ylva.tiblom.ehrsson@uu.se
+46707747712

Oversight

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

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