Reciprocal interactions between cancer and Schwann cells contribute to oral cancer progression and pain.
Elizabeth Salvo, Prakaimuk Saraithong, Jared G Curtin...
https://pubmed.ncbi.nlm.nih.gov/30815600/Actively Recruiting
Led by New York University · Updated on 2025-11-21
80
Participants Needed
1
Research Sites
26 weeks
Total Duration
Researchers are studying oral cancer pain, focusing on squamous cell carcinoma SCC, which makes up nearly 90% of head and neck cancers. Many oral cancer patients experience pain caused by pressure and stretching at the cancer site, affecting activities like talking and swallowing. There is currently no effective treatment for this pain. The study aims to understand how specific ion channels, especially TRPV4 on Schwann cells, contribute to this pain by comparing oral cancer patients and healthy subjects. The study involves measuring pressure and stretch sensitivity using a digital pressure algometer and visual analog scale VAS pain scores. Oral cancer patients will have pressure sensitivity tested at the cancer site and stretch sensitivity assessed through tongue movements. Healthy volunteers will undergo similar tests on their tongues. The study will compare these sensitivity measures between the two groups to explore the role of TRPV4 in oral cancer pain. Participants will undergo pressure and stretch sensitivity tests, with pressure measured by applying gradual pressure and stretch evaluated by rating pain during specific tongue movements. Researchers will assess correlations between pressure pain thresholds and stretch pain scores. The study includes 40 oral cancer patients and 40 healthy volunteers, with ongoing monitoring of pain responses and safety. Participation is expected to last through baseline testing and assessments.
CONDITIONS
Defining TRPV4 Contribution of Schwann Cells to Oral Cancer Pain
Y
Yatendra Mulpuri, PhD
M
Mariana Bucovsky, MHA
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New York University
Lead Sponsor
National Institute of Dental and Craniofacial Research (NIDCR)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | People with Oral Cancer | Healthy Volunteers |
|---|---|---|
| What it is | Testing pressure and stretch pain sensitivity on the tongue of patients with oral squamous cell carcinoma before surgery. | Testing tongue pressure and stretch pain sensitivity in adults without oral cancer, serving as controls. |
| Role in the trial | Evaluates how oral cancer affects mechanical pain sensitivity prior to surgery. | Provides a reference baseline for mechanical pain sensitivity in people without oral disease. |
| Primary use | Assesses correlations between oral cancer, sensory nerve function, and mechanical pain to better understand oral cancer pain mechanisms. | Defines normal sensory thresholds using matched measurements for comparison with oral cancer patients. |
| How it is performed | Pressure sensitivity is measured with a digital algometer at the tongue cancer site and contralateral side; stretch sensitivity is tested through tongue movements with pain ratings recorded on a visual analog scale. | Pressure is tested at both sides of the lateral tongue and stretch sensitivity is rated after tongue movements, using the same procedure as the cancer group. |
| Evidence status | The role of Schwann cells and TRPV4 in oral cancer pain is supported by preclinical and early clinical findings, but pressure and stretch sensitivity measurements in this exact context are still being investigated. | Healthy control data provide baseline sensory thresholds. No disease or tissue injury is present in these subjects. |
| Important limitations | This is an experimental study with a small sample; test results may be influenced by individual differences in pain perception and by the specific stage or site of the cancer. The findings are not directly generalizable to treatment or pain management outcomes. | Healthy subject data do not represent the presence of oral cancer or surgical intervention, and individual sensitivity can vary for reasons unrelated to oral health. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Single session
Participants undergo pressure and stretch sensitivity testing to evaluate pain associated with oral cancer or to establish baseline sensitivity in healthy subjects.
1 visit (in-person)
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
BASIC_SCIENCE
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/30305456/New York University
Lead Sponsor
National Institute of Dental and Craniofacial Research (NIDCR)
Collaborating Sponsor