Rice Bran Supplementation for Radiation-Induced Oral Mucositis in Head and Neck Cancer

Radiation-induced oral mucositis is a common and debilitating side effect experienced by patients undergoing radiation therapy for head and neck cancer. This condition causes painful inflammation and ulceration of the mucous membranes in the mouth, significantly impacting patients' ability to eat, speak, and maintain oral hygiene, thereby reducing their quality of life.

This study investigates the therapeutic potential of rice bran, a natural byproduct of rice milling rich in antioxidants and anti-inflammatory compounds, as a dietary supplement to mitigate the severity of oral mucositis. Participants will be adult patients diagnosed with head and neck cancer who are scheduled to receive radiation therapy.

The intervention involves administering rice bran supplements concurrently with radiation treatment. The study aims to evaluate the effects of rice bran on the incidence, duration, and severity of oral mucositis, as well as its overall impact on patients' quality of life during and after treatment.

By assessing clinical outcomes and patient-reported measures, this trial seeks to provide evidence on whether rice bran can serve as an effective, low-cost, and accessible supportive care option for managing radiation-induced oral mucositis.

Inclusion criteria

• Male or female patients of age 18 years old tor more
• Patients with squamous cell carcinomas without metastases of other non-head and non-neck tumors.
• Patients undergoing radiotherapy with an ECOG performance status of 0, 1, or 2
• Patients who will receive IMRT delivered as radical or adjuvant therapy with or without concurrent chemotherapy
• Ready to provide written informed consent

Exclusion criteria

• Receiving any other approved or investigational anti-cancer agent than those specified in this study.
• Pregnant or breastfeeding female patients
• Patients who have oral lesions unrelated to treatment or cancer,
• Patients who are on drugs that could cause oral lesions or are using anticoagulants.