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NCT Number: NCT06623305

A Clinical Trial of the Administration of Light Therapy to Prevent Mouth Sores in Children With Cancer

The goal of this clinical trial is to learn if light therapy can prevent mouth sores in children with cancer. The main questions it aims to answer are:

Is it reasonable and acceptable to provide light therapy for children with cancer?

Does light therapy prevent mouth sores related to medical treatment?

Researchers will compare children who do not receive light therapy to children who do receive light therapy during the clinical trial to see if light therapy helps to prevent mucositis.

Participants will:

* Complete a survey. * Have picture taken of their mouth to look for mouth sores. * Receive light therapy every day while admitted to the hospital on the cancer unit or while admitted to an alternate unit, and continue to receive light therapy in the home setting until they reach 8 days after the start of their chemotherapy cycle.

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Key information

Age range

Up to 30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location contact

Amberley Kemic, BSN

SUB_INVESTIGATOR

Amy Pan, PhD

SUB_INVESTIGATOR

Ashley Hain, BSN

SUB_INVESTIGATOR

Elissa Shulta, DNP

CONTACT

[email protected]

414-266-5407

Elissa Shulta, DNP

PRINCIPAL_INVESTIGATOR

Meredith Beversdorf, BSN

SUB_INVESTIGATOR

Peter Shaw, MD

CONTACT

[email protected]

414-955-4086

Peter Shaw, MD

SUB_INVESTIGATOR

Sarah Joost, MSN

SUB_INVESTIGATOR

Valerie Lohse, MSN

SUB_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Current and new diagnosis patients consented upon admission if deemed eligible
  • Ages 0-30
  • Admitted to CW oncology/BMT inpatient unit, PICU, or West 5
  • Chemotherapy regimen: Methotrexate ≥5 g/m2 (or ≥1 g/m2 if Trisomy 21) OR Anthracycline ≥60 mg/m2
  • Able to speak and understand English or Spanish

Exclusion criteria

  • Patients admitted on BMT service
  • Patients currently experiencing mucositis with a CTCAE grade 4 oral mucositis or higher

Treatment and study plan

Photobiomodulation for prevention arm

Device

Light therapy will be administered using the cluster probe on the external cheeks bilaterally and intraorally using the lollipop probe for patients ≥7 years of age. Patients <7 years of age will not receive intraoral treatment with the lollipop. Instead, they will be asked to open their mouth while the covered cluster probe is held externally to treat their intraoral membranes. Each treatment (both external cheeks and intraoral buccal region) will be administered over 1 min with a Modulation Frequency 2.5Hz, Skin Conduction nS 001, and Beam Power mW 000, for a total treatment time of 3 minutes.

Patients will continue to receive light therapy in the home setting through day +8 of their chemotherapy cycle using the Luminance Device.

Other names: PBM, Light therapy

Photobiomodulation for exploratory arm

Device

Light therapy will be administered using the cluster probe on the external cheeks bilaterally and intraorally using the lollipop probe for patients ≥7 years of age. Patients <7 years of age will not receive intraoral treatment with the lollipop. Instead, they will be asked to open their mouth while the covered cluster probe is held externally to treat their intraoral membranes. Each treatment (both external cheeks and intraoral buccal region) will be administered over 1 min with a Modulation Frequency 2.5Hz, Skin Conduction nS 001, and Beam Power mW 000, for a total treatment time of 3 minutes.

Patients will continue to receive light therapy in the home setting through day +8 of their chemotherapy cycle using the Luminance Device.

Other names: PBM, Light therapy

Primary outcomes

  1. Evaluate the feasibility of using PBM in pediatric oncology patients.

    Time frame: From date of enrollment until date of last PBM treatment, assessed up to 2 years.

    Feasibility of PBM will be assessed by the RN completing a survey using a 5-point Likert scale (5 being strongly agree and 1 being strongly disagree) to evaluate the ease of delivery of PBM therapy. A score of ≥3 indicates that the PBM therapy was feasible.

  2. Evaluate the acceptability of using PBM in pediatric oncology patients.

    Time frame: From date of enrollment until date of last PBM treatment, assessed up to 2 years.

    Acceptability of PBM will be assessed by the patient/caregiver completing a survey using a 5-point Likert scale (5 being strongly agree and 1 being strongly disagree) to evaluate the patient's tolerance of the treatment. A score of ≥3 indicates acceptability of PBM therapy.

Secondary outcomes

  1. Evaluate the effectiveness of using PBM in reducing the incidence and severity of mucositis in pediatric oncology patients receiving chemotherapy.

    Time frame: From date of enrollment until date of last PBM treatment, assessed up to 2 years.

    This will be assessed by the study team through analysis of retrospective and prospective data entered into the electronic health record based on the number of unique patients with the value of "mucositis/stomatitis" in the oral mucosa flowsheet row. Additionally, mucositis onset, severity, and grade will be measured using the CTCAE grading scale and the ChIMES patient/caregiver survey

  2. Evaluate the effectiveness of using PBM based on MBI CLABSI rate.

    Time frame: From date of enrollment until date of last PBM treatment, assessed up to 2 years.

    This will be assessed by the study team through analysis of retrospective and prospective data entered into the electronic health record, defined as the rate of MBI CLABSIs per 1,000 line days.

Study contacts

Contact information is provided by the study sponsor or research team.

Elissa Shulta, DNP

CONTACT

[email protected]

414-266-5407

Peter Shaw, MD

CONTACT

[email protected]

414-955-4086

Sponsors and collaborators

Lead sponsor

Medical College of Wisconsin

Other

Registry information

Official study title

Photobiomodulation Therapy for the Prevention of Mucositis in Pediatric Oncology Patients

Acronym: PBM

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Oct 2, 2024
Registry last updated
Jun 22, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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