Complete restoration of refractory mandibular osteoradionecrosis by prolonged treatment with a pentoxifylline-tocopherol-clodronate combination (PENTOCLO): a phase II trial. | Canada Hyperbarics Skip to main content
RCT International journal of radiation oncology, biology, physics 2011

Complete restoration of refractory mandibular osteoradionecrosis by prolonged treatment with a pentoxifylline-tocopherol-clodronate combination (PENTOCLO): a phase II trial.

Delanian S, Chatel C, Porcher R, Depondt J, Lefaix JL — International journal of radiation oncology, biology, physics, 2011

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers conducted a phase II trial to evaluate the effectiveness of a pentoxifylline-tocopherol-clodronate (PENTOCLO) combination in 54 patients with refractory mandibular osteoradionecrosis.

What They Found

All 54 patients showed improvement, with a significant reduction in exposed bone (p < 0.0001). The exposed bone length decreased by 42% at 2 months, 77% at 6 months, and 96% at 18 months. The prolonged treatment, averaging 16 months, was also found to be safe and well tolerated.

What This Means for Canadian Patients

This study suggests that the PENTOCLO combination could offer a highly effective and well-tolerated treatment option for Canadian patients suffering from refractory mandibular osteoradionecrosis. This could potentially reduce the need for invasive surgeries and improve quality of life for those with this challenging condition.

Canadian Relevance

This study has no direct Canadian connection as it was not conducted in Canada or with Canadian participants.

Study Limitations

A key limitation is that this was a single-arm phase II trial without a control group, which limits the ability to definitively compare PENTOCLO's effectiveness against other treatments or placebo.

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Study Details

Study Type RCT
Category Wound Care
Source Pubmed
PubMed ID 20638190
Year Published 2011
Journal International journal of radiation oncology, biology, physics
MeSH Terms Adult; Aged; Aged, 80 and over; Bone Density Conservation Agents; Ciprofloxacin; Clodronic Acid; Drug Administration Schedule; Drug Combinations; Female; Head and Neck Neoplasms; Humans; Male; Mandibular Diseases; Middle Aged; Osteoradionecrosis

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.