Chlorhexidine spray to prevent radiation skin damage during nasopharyngeal cancer treatment
Official title: Topical Chlorhexidine Spray for the Prevention of Acute Radiation Dermatitis in Patients With Nasopharyngeal Carcinoma: A Phase III Randomized Double-Blind Single-Center Trial
Run by Jiangxi Provincial Cancer Hospital · NCT07559877 · Data updated 2026-11-12
This trial will test whether applying a 2% chlorhexidine spray during chemoradiotherapy reduces skin irritation and improves quality of life for people with stage II–III nasopharyngeal cancer.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 148 (estimated) |
| Sponsor | Jiangxi Provincial Cancer Hospital Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Nanchang, Jiangxi) |
| Status | Recruiting |
| Started | April 1, 2026 |
| Main results expected | June 30, 2027 |
| Study ends | September 30, 2027 |
| Registry record updated | April 30, 2026 |
| Trial ID | NCT07559877 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically confirmed stage II–III nasopharyngeal carcinoma (N≥1) scheduled for first-course definitive chemoradiotherapy to 60–70 Gy, able to provide consent, and without known chlorhexidine allergy are ideal candidates.
✕Probably not a fit
Patients with pre-existing skin disease, known hypersensitivity to chlorhexidine, other active malignancies, prior prophylactic interventions for radiation dermatitis, or inability to complete planned chemoradiotherapy may not receive benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 randomized interventional trial compares topical 2% chlorhexidine spray versus sterile water applied to the head and neck skin during definitive chemoradiotherapy for stage II–III nasopharyngeal carcinoma with N≥1. Patients receive standard radiotherapy (60–70 Gy) with concurrent chemotherapy and are followed for incidence and severity of acute radiation dermatitis and patient-reported quality of life. Key eligibility includes histologically confirmed disease, planned first-course definitive chemoradiotherapy, ability to consent, and no prior prophylactic skin interventions or known chlorhexidine allergy. The trial is conducted at Jiangxi Cancer Hospital with regular on-treatment skin assessments using standardized grading.
Why it matters
Potential benefit: If successful, chlorhexidine spray could reduce how often and how severely patients develop radiation skin reactions and make treatment more comfortable.
How similar studies have gone: Topical antiseptics and barrier treatments have produced mixed results in smaller studies, and the use of chlorhexidine spray specifically for radiation dermatitis is relatively novel with limited large-scale evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Histologically or cytologically confirmed nasopharyngeal carcinoma. Clinical stage II-III disease with N≥1, according to the UICC/AJCC 9th edition. Planned to receive first-course definitive chemoradiotherapy, with a total radiotherapy dose of 60-70 Gy. Able to communicate and complete study assessments. Willing to participate and able to provide written informed consent. Eligible based on baseline assessments performed before chemoradiotherapy. Exclusion Criteria: * History of or current psychiatric disorder, cognitive impairment, or other severe organic disease. Presence of another concomitant malignancy. Receipt of any other prophylactic intervention for radiation dermatitis. Pre-existing skin disease before chemoradiotherapy. Known hypersensitivity or allergy to chlorhexidine.
Where it's running
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Jiangxi Cancer Hospital
Nanchang, Jiangxi, China Recruiting
Study contacts
- Study coordinator: Tianzhu Lu, PhD
- Email: lutianzhu2008@163.com
- Phone: +8615270186250
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.