Candidiasis, Oral
Conditions
Keywords
Oral Candidiasis, Thrush, Oral Moniliasis
Brief summary
CelAgace™ OraRinse (silver citrate complex and acemannan) Solution is planned to be evaluated for safety and effectiveness as a potential treatment for candidiasis, a yeast infection, commonly known as thrush, which is associated with mouth sores.
Detailed description
CelAgace™ contains two active ingredients, a silver citrate complex salt (0.01mg/ml) that has demonstrated laboratory effectiveness against yeast organisms and acemannan (4.0mg/ml), a purified extract isolated from the inner leaf gel of the Aloe vera plant that has been used as a key ingredient in other oral care products. Patients will swish and spit the product 4 times daily (after meals and at bedtime) for 14 days. Following an initial office visit, patients will be evaluated on days 7 and 14 to determine response to the product.
Interventions
Oral rinse solution with each dose containing 100μg silver citrate complex and 40mg acemannan
Sponsors
Study design
Eligibility
Inclusion criteria
* Radiation induced oral mucositis with resulting candidiasis * Chemotherapy induced oral mucositis with resulting candidiasis * Oral mucositis due to being immunocompromised with resulting candidiasis * Stomatitis due to other causes with resulting candidiasis * Currently have mild to moderate mucositis
Exclusion criteria
Patient: * under the age of 18 * pregnant or breastfeeding * inability to use an oral rinse * hypersensitivity to Aloe Vera and/or Silver * whose candida rinse culture was performed greater than 10 days prior to study entry. * has any sort of removable dental appliance * with previous or current history of any cancer of the oral cavity * who received therapy for candidiasis within the past 30 days * who used antifungal medication in the last 30 days * who has severe to life threatening oral muositis (Grade III-IV) oral mucositis * with impaired renal or hepatic function * receiving high dose chemotherapy and total body irradiation in preparation for Hemopoietic Stem Cell Transplant (HSCT) or Concomitant use of Kepivance® (palifermin or rhKGF)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical cure as demonstrated by change and reduction from baseline in typical candida lesions and a negative candida rinse culture | Days 1(Baseline), 3, 7 and 14 | Rinse culture will be taken on Days 1, 7 and 14 to quantify Candidal Colony Forming Units and observational assessment will be done at study entry, Day 1, Days 3, 7, 14 using the WHO grading scale for response evaluation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in Pain | Days 1, 3, 7, 14 | Patients will complete a pain quality assessment rating scale (PQAS) during the course of the study. |
Countries
United States