UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061997
Receipt number R000070518
Scientific Title An Exploratory Randomized, Assessor-Blinded, Placebo-Controlled, Parallel-Group Trial to Evaluate the Effects of Deep Ocean Water Mouthwash on Oral Dryness Symptoms (Dry Mouth)
Date of disclosure of the study information 2026/06/22
Last modified on 2026/06/22 08:52:38

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Basic information

Public title

An Exploratory Randomized Controlled Trial of the Effects of Deep Ocean Water on Oral Dryness Symptoms (Dry Mouth)

Acronym

DSW Dry Mouth Trial

Scientific Title

An Exploratory Randomized, Assessor-Blinded, Placebo-Controlled, Parallel-Group Trial to Evaluate the Effects of Deep Ocean Water Mouthwash on Oral Dryness Symptoms (Dry Mouth)

Scientific Title:Acronym

DSW-DM RCT

Region

Japan


Condition

Condition

Xerostomia (Dry Mouth)

Classification by specialty

Medicine in general Clinical immunology Oto-rhino-laryngology
Oral surgery Laboratory medicine Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to exploratorily evaluate the effects of 4-week use of a deep ocean water mouthwash, compared with placebo, on oral dryness symptoms, salivary flow, oral mucositis, oral health-related quality of life, and salivary inflammatory biomarkers in patients with xerostomia (dry mouth).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change from baseline in the xerostomia visual analog scale (VAS) score (0to100 mm) at 4 weeks after the start of intervention

Key secondary outcomes

Secondary outcomes include unstimulated salivary flow, stimulated salivary flow, oral mucositis score based on the modified WHO scale, oral health-related quality of life assessed using the Japanese version of OHIP-14, salivary biomarkers, and the frequency and details of adverse events at 4 and 6 weeks after the start of intervention. Exploratory subgroup analyses will also be performed according to the presence or absence of a history of radiation therapy.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Food Other

Interventions/Control_1

Deep ocean water group: Participants will use a deep ocean water-based mouthwash three times daily, 20 mL per use, for 4 weeks. The mouthwash will be held in the oral cavity for 30 seconds and then expectorated. Participants will be followed for 2 weeks after the intervention, for a total observation period of 6 weeks.

Interventions/Control_2

Placebo group: Participants will use a placebo mouthwash three times daily, 20 mL per use, for 4 weeks. The mouthwash will be held in the oral cavity for 30 seconds and then expectorated. Participants will be followed for 2 weeks after the intervention, for a total observation period of 6 weeks. After completion of the 6-week assessment, participants who wish to receive the deep ocean water mouthwash program will be offered the same regimen; data obtained after this post-trial provision will not be included in the primary analysis.

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

100 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients who are outpatients or inpatients at the Department of Otorhinolaryngology, Head and Neck Surgery, or Internal Medicine of Toyama University Hospital, or the Department of Oral and Maxillofacial Surgery of Toyama City Hospital
2. Adult patients aged 18 years or older
3. Patients with subjective oral dryness and a xerostomia VAS score of 40 mm or higher
4. Patients with an unstimulated salivary flow rate of less than 0.2 mL/min or a Saxon test result of less than 2 g/2 min
5. Patients who are able to comply with the intervention and assessment schedule during the study period
6. Patients who have received an explanation of the purpose and methods of the study and have provided written informed consent

Key exclusion criteria

1. Patients with highly active inflammatory autoimmune diseases, such as Sjogren's syndrome, systemic lupus erythematosus, or rheumatoid arthritis.
2. Patients undergoing intensive chemotherapy who have oral mucositis of Grade 3 or higher according to CTCAE v5.0.
3. Patients with renal failure, defined as an estimated glomerular filtration rate of less than 30 mL/min/1.73 m2, or heart failure of NYHA class III or higher.
4. Patients with electrolyte abnormalities, defined as serum sodium less than 135 mEq/L or serum potassium 5.5 mEq/L or higher.
5. Patients with a history of allergy to seafood or mineral components.
6. Pregnant or lactating women.
7. Patients judged by the principal investigator to be inappropriate for participation in the study.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name YOSUKE
Middle name
Last name TAJIKA

Organization

Toyama University Hospital

Division name

Laboratory of Anatomic Pathology

Zip code

930-0194

Address

2630 Sugitani, Toyama, Toyama 930-0194, Japan

TEL

076-434-7745

Email

tajika@med.u-toyama.ac.jp


Public contact

Name of contact person

1st name YOSUKE
Middle name
Last name TAJIKA

Organization

Toyama University Hospital

Division name

Laboratory of Anatomic Pathology

Zip code

9300194

Address

2630 Sugitani, Toyama, Toyama 930-0194, Japan

TEL

076-434-7745

Homepage URL


Email

tajika@med.u-toyama.ac.jp


Sponsor or person

Institute

Toyama University Hospital

Institute

Department

Personal name



Funding Source

Organization

Toyama Prefecture

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical and Epidemiological Research Ethics Review Committee, University of Toyama

Address

2630 Sugitani, Toyama, Toyama 930-0194, Japan

Tel

076-415-8857

Email

kenrinri@adm.u-toyama.ac.jp


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

2026 Year 06 Month 22 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 06 Month 01 Day

Date of IRB

2026 Year 03 Month 23 Day

Anticipated trial start date

2026 Year 07 Month 01 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 06 Month 22 Day

Last modified on

2026 Year 06 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070518