Purpose

Radiation therapy to the head and neck region is known to cause taste dysfunction. Preliminary studies showed that cooling normal structures may lower damage caused by radiation. The purpose of this research study is to see if it is feasible to use an intraoral cooling device during radiation treatments to preserve or lower the decline of taste function.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patients being treated with combination radiation therapy and chemotherapy (definitive) for locally advanced (AJCC 8th cT3-4 or cN+) squamous cell carcinoma of the larynx. - Age ≥ 18. - Eastern Cooperative Oncology Group (ECOG) performance status 0-1. - Patients will engage in the informed consent process and provide study-specific informed consent prior to study entry and must be able to fill out toxicity and quality of life related questionnaires. - Patients should be concurrently treated with any of the following chemotherapy drugs: cisplatin, carboplatin, and cetuximab.

Exclusion Criteria

  • Patients receiving other forms of therapy intended to reduce taste dysfunction. - Patients with metastatic disease. - Patient with allergies or hypersensitivity to materials in the intraoral bolus. - Patients who have received prior chemotherapy or radiation therapy for head and neck cancer. - Patients who decline to use or cannot tolerate the intraoral device. - Patients who are current or recent (within 3 months of treatment initiation) cigarette smokers. - Patients who are unable to complete the required forms; however, verbal completion is adequate if recorded on the form daily. - Patients with uncontrolled serious illness including, but not limited to, ongoing or serious active infection requiring IV antibiotics for over 30 days, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia other than chronic, stable atrial fibrillation, immunocompromised state, significant hepatic insufficiency, significant hematological disease, and any serious or unstable psychological condition. - Patients who are on any of the following medication that cannot find a suitable substitute during the study period: acetazolamide, maribavir (TAK-620, Phase 3 trial drug), eszopiclone, topiramate, captopril, lithium, procainamide, terbinafine, and amiodarone. - Patients who have taste loss at baseline, assessed subjectively and objectively at the first encounter, will be excluded from the study and all analysis. They will be replaced with a new patient. - Patients who have tested positive for COVID-19 during the study period.

Study Design

Phase
Early Phase 1
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Other
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Intraoral Hypothermia Device
An intraoral hypothermia device will be used to cool the oral cavity while subject's receive radiation therapy.
  • Device: Intraoral Device
    Device that circulates cooled water through the oral cavity.

Recruiting Locations

Henry Ford Health System
Detroit, Michigan 48202-2689
Contact:
Marissa Gilbert, BSBME
313-556-8422
mgilber6@hfhs.org

More Details

NCT ID
NCT06579248
Status
Recruiting
Sponsor
Henry Ford Health System

Study Contact

Marissa Gilbert, BSBME
313-556-8422
mgilber6@hfhs.org

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.