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CTRI Number  CTRI/2026/02/102711 [Registered on: 02/02/2026] Trial Registered Prospectively
Last Modified On: 31/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   COMPARATIVE ASSESSMENT OF MOUTHWASH CONTAINING POMEGRANATE AND GRAPEFRUIT SEED EXTRACT WITH POVIDONE IODINE IN MANAGEMENT OF RADIATION INDUCED ORAL MUCOSITIS IN PATIENTS UNDERGOING RADIOTHERAPY. 
Scientific Title of Study   COMPARATIVE ASSESSMENT OF POMEGRANATE AND GRAPEFRUIT SEED EXTRACT WITH POVIDONE IODINE IN MANAGEMENT OF RADIATION INDUCED ORAL MUCOSITIS. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr ZEENA GUPTA 
Designation  POST GRADUATE STUDENT 
Affiliation  GOVERNMENT DENTAL COLLEGE, RAIPUR 
Address  DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY GOVERNMENT DENTAL COLLEGE, RAIPUR (C.G.) 492001

Raipur
CHHATTISGARH
492001
India 
Phone  9584722199  
Fax    
Email  dr.zeena29@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr ZEENA GUPTA 
Designation  POST GRADUATE STUDENT 
Affiliation  GOVERNMENT DENTAL COLLEGE, RAIPUR 
Address  DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY GOVERNMENT DENTAL COLLEGE, RAIPUR (C.G.) 492001

Raipur
CHHATTISGARH
492001
India 
Phone  9584722199  
Fax    
Email  dr.zeena29@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr ZEENA GUPTA 
Designation  POST GRADUATE STUDENT 
Affiliation  GOVERNMENT DENTAL COLLEGE, RAIPUR 
Address  DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY GOVERNMENT DENTAL COLLEGE, RAIPUR (C.G.) 492001

Raipur
CHHATTISGARH
492001
India 
Phone  9584722199  
Fax    
Email  dr.zeena29@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr ZEENA GUPTA 
Address  DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY GOVERNMENT DENTAL COLLEGE, RAIPUR (C.G.) 492001 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
DR SHILPA K JAIN  DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY GOVERNMENT DENTAL COLLEGE, RAIPUR (C.G.) 492001 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Zeena Gupta  Dr. B. R. A. M. HOSPITAL, RAIPUR, CHHATTISGARH  DEPARMENT OF RADIOTHERAPY, ROOM NUMBER 43 AND 46 REGIONAL CANCER CENTER, RAIPURDr. B. R. A. M. HOSPITAL, RAIPUR, CHHATTISGARH
Raipur
CHHATTISGARH 
9584722199

dr.zeena29@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITEE Pt. J. N. M. MEDICAL COLLEGE, RAIPUR (C.G.)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M968||Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  POMEGRANATE AND GRAPEFRUIT SEED EXTRACT CONTAINING MOUTHWASH.  PATIENTS WILL BE ADVISED TO RINSE WITH MOUTHWASH CONTAINING POMEGRANATE AND GRAPEFRUIT SEED EXTRACT FROM DAY ONE OF RADIOTHERAPY THRICE A DAY FOR SIX WEEKS. 
Comparator Agent  POVIDONE IODINE CONTAINING MOUTHWASH.  PATIENTS WILL BE ADVISED TO RINSE WITH MOUTHWASH CONTAINING POVIDONE IODINE FROM DAY ONE OF RADIOTHERAPY THRICE A DAY FOR SIX WEEKS. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients who are willing to participate in the study and sign the written consent.
Patients who are diagnosed with histopathologically proven malignancy of oral cavity.
Patients who have been scheduled for postoperative external beam radiation therapy.
The patients who are receiving radiation therapy for the first time.
The patients who are scheduled to receive a total radiation dose ranging between 60 and 70 Gy.
The total duration of external beam radiation therapy should be not less than 6 weeks period delivered at 30 fractions.
Patients who are willing to come for weekly evaluation. 
 
ExclusionCriteria 
Details  Patients not willing to participate in the study.
Patients with prior history of radiotherapy for any malignancy.
Patients who have received prior chemotherapy for the management of any past or present malignancy.
Patients diagnosed with Oral Submucous Fibrosis.
Patients having any systemic illnesses and taking medications for the same especially diabetes mellitus, hypertension, renal disorders, hepatic disorders, haematological disorders, immunological disorders, gastrointestinal disorders, etc.
Patients experiencing xerostomia and oral sores due to ill fitting dentures.
Patients taking analgesics for other medical conditions. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Primary outcome of the Study: -
The result of the study will help to determine whether extracts of pomegranate and grapefruit seed can be considered as effective
prophylactic and preventive measure for radiation induced oral mucositis. 
Six weeks 
 
Secondary Outcome  
Outcome  TimePoints 
It will also help reduce the medications which are currently being used for
palliative care among patients with radiation induced oral mucositis.
It will also reduce the hospitalization duration, and overall increase the
patient’s quality of life by preventing or reducing RIOM. 
Six weeks 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The present study aims to compare and evaluate the efficacy of pomegranate and grapefruit seed extracts with povidone iodine mouthwash for prophylaxis and treatment of RIOM. Two groups of 30 patients each, who are scheduled to receive Radiotherapy involving oral cavity, shall be randomly assigned to either treatment or control groups.

The study design involves administering the designated mouthwash to the respective groups and monitoring the patients health of  oral mucosa over a specified period. Key parameters for evaluation include inflammation levels and severity of mucositis (if any) assessed by OMAS, symptoms of burning sensation with VAS and ease of swallowing, during radiation therapy.

By comparing the outcomes between the two groups, the study aims to provide insights into the potential benefits of using pomegranate and grapefruit seed extracts as mouthwash for prophylaxis or treatment of RIOM.

Such findings could contribute to enhancing RIOM treatment protocols and optimizing patient outcome during radiotherapy.

 

 
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