Mucositis, Transplant-Related Disorder
Conditions
Brief summary
Oral mucositis (OM) is a major source of morbidity in patients undergoing hematopoietic cell transplantation (HCT). N-acetyl cysteine (NAC) is an antioxidant, widely used as mucolytic agent or antidote of acetaminophen overdose hepatotoxicity. we intend to explore the safety and efficacy of NAC in the prevention of OM after high-dose chemotherapy and autologous HCT in a phase III, randomized, open label and multi-center study.
Interventions
N acetyl cysteine dissolved in water at a dose of 600 mg three times daily from day of transplant until neutrophil engraftment, or upon resolution of OM, whichever appears later.
Sponsors
Study design
Intervention model description
Phase III, randomized, open label and multi-center study.
Eligibility
Inclusion criteria
* Patients with multiple myeloma and lymphoma in partial response and complete remission. * Undergoing high-dose chemotherapy with autologous transplantation.
Exclusion criteria
• Known sensitivity to NAC
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with grade 3-4 OM | day 14 | Proportion of patients with grade 3-4 OM |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with grade 1-4 OM | 14 days | Proportion of patients with grade 1-4 OM |
| Time from transplantation to first hospital discharge | 30 days | Time from transplantation to first hospital discharge |
| Non-relapse mortality | day 50 | Non-relapse mortality |