Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07535008

Dental Cleaning to Prevent Chronic Graft-Versus-Host Disease

Led by Fred Hutchinson Cancer Center · Updated on 2026-05-26

45

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to evaluate the feasibility and effectiveness of an additional dental cleaning after an allogeneic hematopoietic cell transplant (HCT) to prevent chronic graft versus host disease (GVHD). GVHD occurs when donated stem cell graft cells attack the patient's normal tissues, and it is a common complication after HCT, which is used to treat certain blood cancers. The study explores whether bacteria in dental plaque shortly after transplant influence chronic GVHD development and whether post-transplant dental cleaning can help reduce this risk. Participants who have not had a dental cleaning within three months before the baseline visit will receive a dental cleaning before starting transplant conditioning, following standard care. Then, all patients will undergo a simplified dental cleaning on day 28 after the transplant. After these procedures, patients will be monitored with follow-up visits on days 84 and 180 and again at one year to assess outcomes. During the study, researchers will collect data on the occurrence of moderate-to-severe chronic GVHD at one year post-transplant, as well as the incidence of severe acute GVHD at six months. They will also track how many eligible patients consent to participate and how many complete the dental cleaning intervention. Participants will have follow-up assessments including oral medicine visits at one year, supporting long-term monitoring of their health and transplant outcomes.

CONDITIONS

Brief Title

Dental Cleaning to Prevent Chronic Graft-Versus-Host Disease

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Undergoing T-replete allogeneic hematopoietic cell transplantation for any reason, including those with prior transplants
  • Transplant donor type must be either 9/10 or 10/10 HLA-matched unrelated donor or cord blood
  • Willing to attend an in-person one-year long-term follow-up visit including oral medicine at Fred Hutchinson Cancer Center
  • Ability to understand and sign informed consent (or have a legal representative do so)
Not Eligible

You will not qualify if you...

  • Having no teeth (edentulous state)
  • Bone marrow as graft source
  • Use of post-transplant cyclophosphamide (PTCy) or ruxolitinib as GVHD prevention
  • Use of anti-thymocyte globulin (ATG) in conditioning

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - From baseline to day 28 post-HCT

Participants undergo dental cleaning at baseline if they have not had a cleaning within the prior 3 months. All participants receive simplified dental cleaning on day 28 after hematopoietic cell transplantation (HCT).

1 baseline visit and 1 visit on day 28 (in-person)

Follow-up

Duration - Up to 1 year post-transplant

Participants are followed up for health assessments on days 84, 180, and at 1 year after HCT.

3 follow-up visits (in-person)

Trial Site Locations

Total: 1 location

1

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States, 98109

Actively Recruiting

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Research Team

A

Armin Rashidi, MD, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

PREVENTION

Number of Arms

1

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