Clinical trial · Interventional
Oral Herpesviruses and Oral Mucositis in Patients Receiving Head and Neck Radiotherapy
Characterization of the Herpesviridae Family in the Oral Cavity and Its Association With Oral Mucositis in Adult Patients Undergoing Head and Neck Radiotherapy: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial of Prophylactic Valacyclovir
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Patients receiving radiotherapy for head and neck cancer often develop oral mucositis, a painful condition that causes redness and sores in the mouth. Oral mucositis can make it difficult to eat, drink, and speak, and may interfere with cancer treatment. Some viruses from the herpesvirus family, which commonly remain inactive in the body, may become active during cancer treatment and worsen mouth sores. However, the role of these viruses in oral mucositis is not fully understood. This study aims to understand whether herpesviruses present in the mouth are associated with the development and severity of oral mucositis in adults receiving radiotherapy for head and neck cancer. The study also evaluates whether taking an antiviral medication (valacyclovir) can reduce viral activity and improve mouth symptoms during treatment. Participants are randomly assigned to receive either valacyclovir or a placebo while undergoing radiotherapy. Samples from the mouth and saliva are collected at different time points before, during, and after radiotherapy to detect herpesviruses. Mouth sores are regularly examined, and pain levels are recorded throughout treatment. The results of this study may help clarify the role of herpesviruses in oral mucositis and support better strategies to prevent or manage this condition in patients receiving radiotherapy for head and neck cancer.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Head and Neck Cancer (H&N) | Malignant Head and Neck Neoplasm | ALIAS | 0.85 |
| Oral Mucositis | — | UNRESOLVED | — |
| Radiotherapy Side Effects | — | UNRESOLVED | — |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Placebo | Drug | — | UNRESOLVED |
| Valacyclovir | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Valacyclovir
- description
- Participants in this arm receive oral valacyclovir during radiotherapy for head and neck cancer to evaluate its effect on oral herpesvirus detection and oral mucositis outcomes.
- interventionNames
- Drug: Valacyclovir
- type
- PLACEBO_COMPARATOR
- label
- Placebo
- description
- Participants in this arm receive a matching placebo during radiotherapy for head and neck cancer for comparison with the valacyclovir group.
- interventionNames
- Drug: Placebo
Primary outcomes (1)
- measure
- Severity of Oral Mucositis
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Adults aged 18 years or older. * Diagnosis of head and neck cancer. * Planned to receive curative or definitive radiotherapy to the head and neck region. * Ability to swallow oral medication. * Adequate clinical condition to participate in study procedures. * Ability to provide written informed consent. Exclusion Criteria: * Known hypersensitivity or contraindication to valacyclovir or related antiviral agents. * Current or recent use of systemic antiviral therapy. * Severe renal impairment requiring dose adjustment or contraindicating valacyclovir use. * Active oral infection requiring systemic antimicrobial treatment at baseline. * Pregnant or breastfeeding individuals. * Participation in another interventional clinical trial that may interfere with study outcomes.
References
Publications (0)
Data not yet available