UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042927
Receipt number R000049002
Scientific Title The effect of telemedicine intevention on oral function in head and neck tumor patients
Date of disclosure of the study information 2021/12/31
Last modified on 2023/03/12 16:11:06

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

The effect of telemedicine intevention on oral function in head and neck tumor patients

Acronym

ETIOFHNTP

Scientific Title

The effect of telemedicine intevention on oral function in head and neck tumor patients

Scientific Title:Acronym

ETIOFHNTP

Region

Asia(except Japan)


Condition

Condition

Finished

Classification by specialty

Oral surgery Rehabilitation medicine Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The effect of telemedicine intevention on oral function in head and neck tumor patients

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

At the beginning of training (T0) and 1 month (T1), 3 months (T2) and 6 months (T3) after training, patients' masticatory ability (mastication efficiency, maximum bite force and mouth opening) and swallowing ability (water swallowing test) was measured. Modified Sato questionnaire and MD Anderson dysphagia inventory (MDADI) were used for self-evaluation of chewing and swallowing ability.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Oral rehabilitation training guidance by telemedicine intevention

Interventions/Control_2

Self-tratining

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients with primary oral and maxillofacial tumor receiving surgical treatment; 2. Agree with the content of this clinical study and be able to return visit regularly after operation; 3. Be able to carry out corresponding rehabilitation training independently; 4. Patients without other central nervous system diseases or other diseases affecting oral function.

Key exclusion criteria

1. Recurrence of oral and maxillofacial tumor, or distant lymph node metastasis confirmed by pathology; 2. Patients with oral trauma history or temporomandibular joint disorders that may affect chewing and swallowing function; 3. Patients with serious systemic diseases, unable to cooperate with oral function detection or unable to carry out self-training; 4. Patients who were not competent to oral feeding postoperatively including patients with long-term nasogastric feeding tube.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Changfu
Middle name
Last name Sun

Organization

Stomatology hospital of China Medical University

Division name

Department of oral and maxillofacial surgery

Zip code

110002

Address

No. 117, Nanjing North Street, Heping District

TEL

+86-24-31927872

Email

changfusun@hotmail.com


Public contact

Name of contact person

1st name Pai
Middle name
Last name Pang

Organization

Stomatology hospital of China Medical University

Division name

Department of oral and maxillofacial surgery

Zip code

110002

Address

No. 117, Nanjing North Street, Heping District

TEL

+86-24-31927739

Homepage URL


Email

pangpai@163.com


Sponsor or person

Institute

Stomatology hospital of China Medical University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor

None

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Stomatology hospital of China Medical University

Address

No. 117, Nanjing North Street, Heping District

Tel

+86-24-13700022978

Email

413959283@qq.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 12 Month 31 Day


Related information

URL releasing protocol

None

Publication of results

Unpublished


Result

URL related to results and publications

None

Number of participants that the trial has enrolled

64

Results

A total of 64 participants were included. The masticatory efficiency scores of the TMI group were significantly better than those of the control group at T2 and T3, and maximum mouth opening was better at T2 and T3. In water swallowing test, the TMI group had better scores at T2 and T3. The scores of MDADI scale in TMI group were better than those in the control group after 3 months of training.

Results date posted

2021 Year 01 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Among the patients who received masticatory rehabilitation training, 5 patients with benign tumors were included, including 3 cases of ameloblastoma (2 cases in TMI group and 1 case in control group), 1 case of oral lichen planus (TMI group) and 1 case of myofibroblastoma (control group). Among the malignant tumor patients included, 1 verrucous carcinoma was included in TMI group, and the other patients were diagnosed as SCC. The patients receiving swallowing rehabilitation training were all malignant, including 1 case of pleomorphic adenocarcinoma (TMI group), 1 case of myoepithelial carcinoma (control group) and 1 case of adenoid cystic carcinoma (TMI group), and the rest patients were SCC. No patients underwent secondary operation during peri-operative stage and the period of postoperative rehabilitation training.

Participant flow

Nine patients were lost to follow-up, 1 patient dropped out of the project, and 1 patient passed away before the end of the study. Finally, 26 patients received masticatory function rehabilitation training and evaluation (TMI group 13 cases, control group 13 cases), 38 patients received swallowing function rehabilitation training and evaluation (TMI group 20 cases, control group 18 cases).

Adverse events

None

Outcome measures

Patients' masticatory ability (mastication efficiency, maximum bite force and mouth opening) and swallowing ability (water swallowing test) was measured. Modified Sato questionnaire and MD Anderson dysphagia inventory (MDADI) were used for self-evaluation of chewing and swallowing ability.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2018 Year 05 Month 01 Day

Date of IRB

2018 Year 08 Month 01 Day

Anticipated trial start date

2019 Year 02 Month 01 Day

Last follow-up date

2020 Year 07 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 01 Month 06 Day

Last modified on

2023 Year 03 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049002


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name