About this trial
This clinical trial evaluates the feasibility and effectiveness of a post-transplant dental cleaning for the prevention of chronic graft versus host disease (GVHD) in patients undergoing an allogeneic hematopoietic cell transplant (HCT). HCT is the only curative treatment for some types of blood cancer. Unfortunately, this approach can lead to the development of GVHD, which is a disease caused when cells from a donated stem cell graft attack the normal tissue of the transplant patient. Some research has shown that the bacteria that is present in the dental plaque soon after transplant may affect the development of chronic GVHD. Dental cleanings prior to transplant are part of the normal standard of care for patients undergoing HCT. Adding an additional cleaning shortly after HCT may be effective for preventing the development of chronic GVHD.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years old
T-replete allogeneic hematopoietic cell transplantation for any indication. History of prior transplantation is allowed. Any conditioning regimen is allowed
9/10 or 10/10 human leukocyte antigen (HLA)-matched unrelated donor
Cord blood
Disqualifiers
Edentulous state
Bone marrow as graft source
Use of post-transplantation cyclophosphamide (PTCy) or ruxolitinib as GVHD prophylaxis
Use of anti-thymocyte globulin (ATG) in conditioning
Trial design
Single group
Treatments tested in this trial
Dental Cleaning
Procedure/SurgeryDental cleaning
Dental Plaque sampling
Procedure/SurgeryAncillary studies
Treatment groups
Trial outcomes
Primary outcomes
Probability of moderate-to-severe chronic graft versus host disease
Secondary outcomes
Probability of grade III-IV acute graft versus host disease
Proportion of eligible patients approached who consent (feasibility)
Proportion of enrolled patients who receive the intervention (feasibility)
Sponsors and contacts
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