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Oral Mucositis
Author Bios
Introduction
Etiology of Oral Mucositis
Prevalence
Diagnosis
Treatment
Biological Mechanisms of Mucositis
Assessment Scale
Clinical Trial Design
Currently selected section: Population Selection and Randomization
Data Collection and Assessment Measures
Quality Control Techniques
Anaysis and Presentation
Conclusion


Chapter 17: Oral Mucositis: Clinical Trial Design for Mucositis: Population Selection and Randomization
        

A key step in any clinical trial is to carefully delimit the study population by formulating clear inclusion and exclusion criteria. In this hypothetical study we will evaluate ambulatory adult patients with colorectal cancer receiving continuous infusion chemotherapy for at least 4 cycles. Cycles are repeated every 5 weeks. Not all patients receiving chemotherapy will develop mucositis-related oral and throat pain. We will be including only those patients in cycle 1 that develop mouth and throat pain. The specific inclusion and exclusion criteria follow.

Inclusion Criteria
To be eligible for inclusion in this clinical trial, the patient must:

  • Be willing and able to provide written informed consent for study participation;
  • Be eligible for and scheduled to receive continuous chemotherapy for at least 4 cycles;
  • Be older than 18 years of age; and
  • Be willing to complete protocol-specific evaluations and diary entries.

Exclusion Criteria
Patients ineligible for this clinical trial include those with any of the following conditions:

  • Presence of any mucositis or oral and throat pain prior to starting chemotherapy;
  • Pregnancy or breastfeeding;
  • Use of any unapproved agent for the prevention and/or treatment of mucositis within 30 days prior to Study Day 1 and throughout the duration of the Study Period; and
  • Participation in a clinical research study for mucositis within the last 30 days prior to enrollment.

Multiple sites will be used to recruit patients in order to enroll enough patients to make the study results significant. The number of patients that need to be enrolled needs to be predetermined, especially for a phase III study, because the goal is to assess efficacy for a larger population. Whether or not you are familiar with statistics for medical research, consulting with a statistician would be the best way to determine the number of patients needed.

 

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