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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04005521
Other study ID # 00
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date June 13, 2019
Est. completion date July 31, 2028

Study information

Verified date September 2023
Source Sahlgrenska University Hospital, Sweden
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The study includes patients with tumors of the oropharynx, larynx and hypopharynx scheduled to receive radiotherapy with curative intent (+/- chemotherapy). The patients will be randomized into either an intervention group (performing a preventive jaw- and swallowing exercise protocol before and during radiotherapy) or a control group no performing a exercise protocol. All patients will be encouraged to eat or drink for as long as possible during the therapy. All patients will meet with a speech-language therapist weekly during radiotherapy.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 80
Est. completion date July 31, 2028
Est. primary completion date July 31, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Head and neck cancer (tumors of the oropharynx, pharynx, hypopharynx and larynx) - Receiving radiohterpay (+/- chemotherapy) with curative intent - No previous trismus or dysphagia Exclusion Criteria: - Surgery due to head and neck cancer - Previous treatment for head and neck cancer - Tracheostomized patients - No teeth - Inability to perform exercise intervention - Inability to independently fill out questionnaires in Swedish - Previous neurologic or neuromuscular disease

Study Design


Intervention

Behavioral:
Preventive intervention
Preventive, structured exercise protocol

Locations

Country Name City State
Sweden Sahlgrenska University Hospital Gothenburg

Sponsors (1)

Lead Sponsor Collaborator
Sahlgrenska University Hospital, Sweden

Country where clinical trial is conducted

Sweden, 

Outcome

Type Measure Description Time frame Safety issue
Other Cost The cost of intervention compared to usual care. Costs in Swedish crowns (SEK) for the intervention and all visits to healthcare during 5 years will be recorded. Up to 5 years post radiotherapy
Other Quality of life for cost-effectiveness analysis The outcomes of intervention compared to usual care using European Quality of life 5 dimensions (EQ5D). Up to 5 years post radiotherapy
Other Quality Adjusted Life Years (QALY) QALY is a measurement that combines health-related quality of life (HRQL) and life expectancy in one index. The index range between 0 and 1, where 0 equals death and 1 represents perfect health. Thus, 1 QALY corresponds to 1 year of perfect health. This is calculated using the EQ-5D. Up to 5 years post radiotherapy
Other Incremental Cost Effectiveness Ratio (ICER) Incremental cost for each QALY for the intervention group will be calculated using a Markov model which combines the costs and EQ-5D. The ICER will then be compared to the maximum willingness to pay level which is SEK 500,000 (€55,000) according to the Swedish National Board of Health and Welfare. Up to 5 years post radiotherapy
Primary Maximal Interincisal opening (MIO) Jaw opening measured in millimeters. A MIO <36 mm is considered as trismus. i.e. limited jaw-opening. 1 month post radiotherapy
Primary Swallowing ability Swallowing ability measured with Functional Endoscopic Examination of Swallowing (FEES) 1 month after radiotherapy
Secondary Trismus and jaw related symptoms Patient Reported Outcomes (PRO) measured with Gothenburg Trismus Questionnaire (GTQ). The GTQ consists of 21 items divided into 3 domains; Jaw related problems, Eating limitations and Muscular tension and eight single items concerning facial pain, limitations in mouth opening and inabilities to function on social and working contexts. The GTQ domains range from 0-100 where 0 equals to absence of symtoms and 100 equals worst possible symptoms. Up to 5 years post radiotherapy
Secondary Dysphagia related symtoms PRO measured with M.D Anderson Dysphagia Inventory (MDADI). This is a cancer-specific instrument measuring dysphagia, social function and quality of life in head and neck cancer patients. It consists of 19 items in four domains; emotional, physical, functional and global quality of life. The range for each subscale is 20-100 where 100 indicates best possible swallowing, i.e. better outcome. Up to 5 years post radiotherapy
Secondary Health related quality of life (HRQL) Measured with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) core questionnaire (c30). Consists of 30 items divided into six functional domains (Physical, Role, Cognitive, Emotional, and Social Functioning and Global Quality of life), three symptom scales (Fatigue, Pain, and Nausea/Vomiting) and six single items (Constipation, Diarrhea, Insomnia, Dyspnea, Appetite Loss, and Financial Difficulties). All domains range from 0-100. For the functional domains a higher score indicates good function, while for all other domains a high score indicates a high prevalence of symtoms, i.e. worse HRQL. Up to 5 years post radiotherapy
Secondary Health related quality of life (HRQL) Measured with the EORTC QLQ Head and neck module (HN35). It consists of 35 questions regarding symptoms more specific to the head and neck cancer population, and domain scores range from 0-100, where a higher score represents the prevalence of more symtoms, i.e. worse HRQL. Up to 5 years post radiotherapy
Secondary Swallowing ability Swallowing ability measured with FEES Up to 5 years post radiotherapy
Secondary Maximal Interincisal opening (MIO) Jaw opening measured in millimeters Up to 5 years post radiotherapy
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