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NCT Number: NCT06934733

The Efficacy of Oral Cryotherapy in Preventing TROP2-ADC-Induced Oral Mucositis in Patients With Advanced Breast Cancer

The incidence of oral mucositis associated with TROP2-ADC therapy in patients with advanced breast cancer is notably high. Identifying effective preventive and therapeutic strategies is essential for enhancing patient quality of life and optimizing treatment outcomes. Oral cryotherapy has been demonstrated to be efficacious in mitigating oral mucositis induced by radiotherapy and chemotherapy. Consequently, this study seeks to investigate the potential preventive efficacy of oral cryotherapy on TROP2-ADC-induced oral mucositis in patients with advanced breast cancer

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Henan Cancer Hospital

Zhengzhou, Henan, China

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participants voluntarily enrolled in the study, signed the informed consent form, and demonstrated good compliance.
  • Age ≥ 18 years at the time of informed consent signing.
  • Patients with locally advanced or recurrent/metastatic breast cancer receiving TROP2-ADC treatment for the first time.
  • ECOG PS: 0-2 points;
  • The expected survival time was more than 3 months;
  • Adequate organ and bone marrow function, with no transfusions or treatments with recombinant human thrombopoietin or colony-stimulating factors within 1 week before the first dose, is defined as follows:
  • Blood routine: Neutrophil count (NEUT#) ≥ 1.5×109/L; Platelet (PLT) ≥ 75×109/L; Hemoglobin ≥ 90g/L
  • Liver function: AST and ALT ≤ 3 × ULN; for patients with liver metastasis, AST and ALT ≤ 5 × ULN.
  • Renal function: Creatinine ≤ 1.5 × ULN or Ccr ≥ 60 ml/min (Cockcroft-Gault formula provided).
  • Cardiac function: LVEF ≥ 50% by ECHO or MUGA scan.
  • Patients with a negative pregnancy test and reproductive potential must agree to use effective non-hormonal contraception during treatment and for at least 3 months after the last dose of the investigational drug.
  • Voluntary participants who sign informed consent, demonstrate good compliance, and agree to follow-up.

Exclusion criteria

  • Prior TROP2-targeted treatment was administered.
  • Patients with active oral mucositis or oral ulcers were excluded.
  • Patients with serious concomitant diseases, as judged by researchers, that threaten safety or impede study completion, including uncontrolled hypertension, severe diabetes, and active infections, were excluded.
  • Other conditions where the investigator determines the patient is unsuitable for study participation.

Treatment and study plan

oral cryotherapy

Other

Patients randomly assigned to the experimental group underwent TROP2-ADC treatment. They continuously held ice cubes and ice water from 15 minutes before the infusion, throughout the infusion process, and for 15 minutes after the infusion. Ice cubes were promptly replaced with fresh ones as they melted. Patients were instructed not to consume any food or liquids orally for 1 hour following the completion of the ice therapy.

Routine oral care

Other

Patients in the control group did not receive oral cryotherapy during the TROP2-ADC infusion but only received routine oral care.

Primary outcomes

  1. The incidence and severity of oral mucositis within 8 weeks (scored according to the CECAE 5.0 standard)

    Time frame: From the start of TROP2-ADC treatment to the 8th week

    The incidence and severity of oral mucositis at week 8

Secondary outcomes

  1. The incidence and severity of oral mucositis at week 12 and week 24

    Time frame: From the start of TROP2-ADC treatment to the 12th and 24th week

    The incidence and severity of oral mucositis at week 12and week 24

  2. Progression-free survival(PFS)

    Time frame: Up to approximately 28 weeks

    The Time from randomization to tumor progression or death due to any cause

  3. Treatment interruption rate

    Time frame: Up to approximately 28 weeks

    Time from the initial administration of TROP2-ADC to treatment interruption

Study contacts

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

Sponsors and collaborators

Lead sponsor

Henan Cancer Hospital

Other Gov

Registry information

Official study title

The Efficacy of Oral Cryotherapy in Preventing TROP2-ADC-Induced Oral Mucositis in Patients With Advanced Breast Cancer: A Randomized, Controlled, Multicenter Clinical Study

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Apr 18, 2025
Registry last updated
Apr 18, 2025

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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