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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01305200
Registration number
NCT01305200
Ethics application status
Date submitted
25/02/2011
Date registered
28/02/2011
Date last updated
17/09/2019
Titles & IDs
Public title
Supersaturated Calcium Phosphate Rinse in Preventing Oral Mucositis in Young Patients Undergoing Autologous or Donor Stem Cell Transplant
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Scientific title
A Randomized Double Blinded Trial of Topical Caphosol to Prevent Oral Mucositis in Children Undergoing Hematopoietic Stem Cell Transplantation
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Secondary ID [1]
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NCI-2011-02635
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Secondary ID [2]
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ACCL1031
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Childhood Acute Lymphoblastic Leukemia in Remission
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Childhood Acute Myeloid Leukemia in Remission
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Childhood Chronic Myelogenous Leukemia
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Childhood Myelodysplastic Syndromes
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Chronic Eosinophilic Leukemia
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0
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Chronic Myelomonocytic Leukemia
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Chronic Neutrophilic Leukemia
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de Novo Myelodysplastic Syndromes
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Disseminated Neuroblastoma
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Juvenile Myelomonocytic Leukemia
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Mucositis
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Myelodysplastic/Myeloproliferative Neoplasm, Unclassifiable
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Previously Treated Childhood Rhabdomyosarcoma
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Previously Treated Myelodysplastic Syndromes
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Recurrent Childhood Acute Lymphoblastic Leukemia
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Recurrent Childhood Acute Myeloid Leukemia
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Recurrent Childhood Large Cell Lymphoma
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Recurrent Childhood Lymphoblastic Lymphoma
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Recurrent Childhood Rhabdomyosarcoma
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Recurrent Childhood Small Noncleaved Cell Lymphoma
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Recurrent Malignant Testicular Germ Cell Tumor
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Recurrent Wilms Tumor and Other Childhood Kidney Tumors
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Recurrent/Refractory Childhood Hodgkin Lymphoma
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Relapsing Chronic Myelogenous Leukemia
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Secondary Acute Myeloid Leukemia
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Secondary Myelodysplastic Syndromes
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Unspecified Childhood Solid Tumor, Protocol Specific
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Condition category
Condition code
Cancer
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0
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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0
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0
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Cancer
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0
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0
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Leukaemia - Acute leukaemia
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Cancer
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0
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Leukaemia - Chronic leukaemia
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Cancer
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0
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0
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Children's - Leukaemia & Lymphoma
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Blood
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0
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Haematological diseases
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Cancer
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Neuroendocrine tumour (NET)
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Cancer
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Children's - Other
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Cancer
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Sarcoma (also see 'Bone') - soft tissue
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Cancer
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Bone
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Cancer
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Kidney
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Cancer
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Testicular
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Blood
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Other blood disorders
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - supersaturated calcium phosphate rinse
Other interventions - placebo
Other interventions - questionnaire administration
Treatment: Surgery - quality-of-life assessment
Placebo comparator: Arm I (placebo) - Patients rinse and gargle with placebo over 1 minute QID beginning the first day (about day -7) of the conditioning regimen. Treatment continues until day 20 post-transplantation.
Experimental: Arm II (supersaturated calcium phosphate rinse) - Patients rinse and gargle with supersaturated calcium phosphate rinse over 1 minute QID beginning on the first day (about day -7) of the conditioning regimen. Treatment continues until day 20 post-transplantation.
Treatment: Drugs: supersaturated calcium phosphate rinse
Mouth rinse
Other interventions: placebo
Mouth rinse
Other interventions: questionnaire administration
Ancillary studies
Treatment: Surgery: quality-of-life assessment
Ancillary studies
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Intervention code [3]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Duration of Severe Oral Mucositis (WHO Grade 3 or 4)
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Assessment method [1]
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Mean days of severe (WHO Grade 3 or 4) Mucositis.
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Timepoint [1]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [1]
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Incidence of Severe Oral Mucositis
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Assessment method [1]
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Percentage of patients with Severe Oral Mucositis (WHO Grade 3 or 4) per arm.
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Timepoint [1]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [2]
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Oral Mucositis Daily Questionnaire (OMDQ)
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Assessment method [2]
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Area under the curve (AUC) of the Oral Mucositis Daily Questionnaire (OMDQ) subscales
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Timepoint [2]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation
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Secondary outcome [3]
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Incidence of Parenteral Opioid Analgesic Use (Morphine Equivalents).
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Assessment method [3]
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Opioid Administration = yes
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Timepoint [3]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [4]
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Duration of Parenteral Opioid Analgesic Use (Morphine Equivalents).
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Assessment method [4]
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Mean days of parenteral opioid analgesic use.
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Timepoint [4]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [5]
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Total Dose of Parenteral Opioid Analgesic Used (Morphine Equivalents).
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Assessment method [5]
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Morphine equivalent dose in mg/kg/day
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Timepoint [5]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [6]
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Incidence of Total Parenteral Nutrition (TPN) Administration.
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Assessment method [6]
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Total Parenteral Nutrition = yes
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Timepoint [6]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [7]
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Duration of Total Parenteral Nutrition (TPN) Administration.
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Assessment method [7]
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Mean days of total parenteral nutrition (TPN) administration.
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Timepoint [7]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [8]
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Incidence of Febrile Neutropenia
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Assessment method [8]
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Fever and Neutropenia = yes
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Timepoint [8]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [9]
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Incidence of Invasive Bacterial Infections
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Assessment method [9]
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Invasive Bacterial Infection = yes
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Timepoint [9]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation.
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Secondary outcome [10]
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Severity of Mucositis
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Assessment method [10]
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Area Under the Curve of Severity of Mucositis. According to mouth pain categorical rating scale ranges 0-10 with higher scores reflecting more severe pain.
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Timepoint [10]
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Day -1 (day prior to stem cell infusion) to Day 20 following transplantation
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Eligibility
Key inclusion criteria
* Patients undergoing myeloablative autologous or allogeneic hematopoietic stem cell transplantation (HSCT) for any indication
* One or more of the following donor stem cell sources (autologous or allogeneic):
* Bone marrow
* Placental blood (umbilical cord blood)
* Cytokine-mobilized peripheral blood
* Patients eligible for allogeneic HSCT must have one of the following types of donor stem cells:
* Human leukocyte antigen (HLA)-matched sibling or parent
* Partially matched family donor (mismatched for a single HLA locus [Class I])
* Fully matched unrelated marrow or peripheral blood stem cell donor
* HLA-matched or partially mismatched (at least 4 of 6 match) cord blood (Class I or II)
* Patients expecting to receive any type of myeloablative HSCT conditioning regimen are eligible
* No non-myeloablative or reduced-intensity conditioning regimens
* Eligible patients must not have received palifermin within 30 days prior to enrollment
* Eligible patients must not have received prior treatment with Caphosol
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Minimum age
4
Years
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Maximum age
21
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Females of childbearing potential must have a negative pregnancy test; patients must agree to use an effective birth control method; lactating patients must agree not to nurse a child while on this trial
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2011
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
30/06/2015
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Sample size
Target
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Accrual to date
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Final
226
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Recruitment in Australia
Recruitment state(s)
QLD,WA
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Recruitment hospital [1]
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Royal Childrens Hospital - Herston
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Recruitment hospital [2]
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Princess Margaret Hospital for Children - Perth
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Recruitment postcode(s) [1]
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4029 - Herston
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Recruitment postcode(s) [2]
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6008 - Perth
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Delaware
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Country [3]
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United States of America
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State/province [3]
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District of Columbia
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Country [4]
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United States of America
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State/province [4]
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Florida
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Country [5]
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United States of America
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Georgia
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Country [6]
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United States of America
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State/province [6]
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Illinois
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Country [7]
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United States of America
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State/province [7]
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Indiana
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Country [8]
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United States of America
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State/province [8]
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Kentucky
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Country [9]
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United States of America
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State/province [9]
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Louisiana
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United States of America
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Massachusetts
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United States of America
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Michigan
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United States of America
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Minnesota
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United States of America
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Mississippi
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United States of America
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Missouri
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Country [15]
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United States of America
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Nebraska
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United States of America
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New York
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United States of America
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Ohio
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United States of America
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Oklahoma
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United States of America
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Pennsylvania
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United States of America
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Texas
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United States of America
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Wisconsin
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Canada
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Ontario
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Country [23]
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Canada
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State/province [23]
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Quebec
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Funding & Sponsors
Primary sponsor type
Other
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Name
Children's Oncology Group
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Address
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Country
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Other collaborator category [1]
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Government body
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Name [1]
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National Cancer Institute (NCI)
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This randomized phase III trial is studying how well Caphosol rinse works in preventing mucositis in young patients undergoing autologous or donor stem cell transplant. Supersaturated calcium phosphate (Caphosol) rinse may be able to prevent mucositis, or mouth sores, in patients undergoing stem cell transplant.
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Trial website
https://clinicaltrials.gov/study/NCT01305200
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Trial related presentations / publications
Treister N, Nieder M, Baggott C, Olson E, Chen L, Dang H, Krailo M, August A, Sung L. Caphosol for prevention of oral mucositis in pediatric myeloablative haematopoietic cell transplantation. Br J Cancer. 2017 Jan 3;116(1):21-27. doi: 10.1038/bjc.2016.380. Epub 2016 Nov 22.
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Public notes
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Contacts
Principal investigator
Name
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Nathaniel Treister, MD
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Address
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Children's Oncology Group
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01305200
Download to PDF