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After signing the informed consent, the participant will be allocated to either intervention or control group, then each participant will use either 0.15% benzydamine (Comparator) or 4% tulsi (Intervention) four times a day and also once half an hour before each radiotherapy session.
the primary outcome is the severity of oral mucositis will assess by Oral Mucositis Assessment Scale (OMAS) and secondary outcomes are pain will assess Numerical rating scale (NRS), Oral Assessment Guide (OAG), and Patient-Reported Oral Mucositis( PROMS scale) All outcomes will be recorded at baseline, and 8, 15 days
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| tulsi extract | Experimental | 4% tulsi extract as intervention |
|
| benzydamine hydrochloride | Active Comparator | 0.15% benzydamine hydrochloride |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tulsi extract | Drug | 4% topical oral spray |
| |
| Benzydamine Hydrochloride |
| Measure | Description | Time Frame |
|---|---|---|
| Severity of mucositis | Oral Mucositis Assessment Scale (OMAS) | up to 15 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pain and burning sensation | assess by numerical rating scale (NRS) (10 points scale) | up to 15 days |
| Measure | Description | Time Frame |
|---|---|---|
| Oral Assessment Guide (OAG) | Assessment of patient speech, salivary function and quality, gingival health, swallowing, lips, and oral hygiene. | up to 15 days |
| Patient-Reported Oral Mucositis( PROMS scale) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Karima AbdAllah Kamel, PhD | Contact | +201014875386 | karima.kamel@dentistry.cu.edu.eg |
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| ID | Term |
|---|---|
| D013280 | Stomatitis |
| ID | Term |
|---|---|
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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| ID | Term |
|---|---|
| C000713370 | holy basil leaf extract |
| D001591 | Benzydamine |
| ID | Term |
|---|---|
| D007191 | Indazoles |
| D011720 | Pyrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
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Allocation ratio (1:1)
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The principal investigator and participant will be blinded as the treatment preparations will be identical in color, odor, and consistency and they will be placed in identical bottles
| Drug |
0.15% topical oral spray |
|
Quality of life
| up to 15 days |
| D006571 |
| Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |