A Mouthwash Medicine for the Reduction or Prevention of Mouth Ulceration Caused by Radiotherapy for Head and Neck Cancer

Prior treatment

• A known clinically significant abnormal ECG, such as arrhythmia and active ischemia,within 6 months prior to treatment;
• Receiving monoamine oxidase (MAO) inhibitors or antidepressants (triptyline or imipramine types); Use of MAO inhibitor in the 14 days prior to treatment, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine;
• Patient is, at the time of signing informed consent, a regular user of any illicit drugs, which would interfere with cooperation with the requirements of the trial;

Other illness

• Uncontrolled Hypertension, defined as blood pressure in adults \>150/100mm Hg at screening;
• Known allergy or intolerance to sympathomimetic drugs (e.g., pseudoephedrine, epinephrine), alcohol, or any NG11-2 excipient;
• Any other condition which, in the opinion of the Investigator, means that the patient is not a good candidate for study enrolment

Lab values

• History or current evidence of clinically significant laboratory abnormality or any disease condition that might confound the results of the study, or interfere with the patient's participation for the full duration of the study

Other

• Tumour of the larynx
• Mentally or legally incapacitated, in the opinion of the PI, which could interfere with the ability of the patient to understand or adhere to the requirements of the study;
• Open or unhealed non-cancerous wounds or ulcers in the oral cavity;
• WHO Oral Mucositis grade of 2 or more
• Xerostomia or hyposalivation;
• Current participation in any other oral mucositis studies or completion/ withdrawal from any other oral mucositis studies within the last 3 months
• Patient is pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the study;

• Male or female head and neck cancer patients scheduled for radiotherapy, aged 18 or over on day of signing informed consent;
• Histologically confirmed head and neck cancer with or without previous resective surgery, having not been previously treated with radiation therapy
• Scheduled to receive a mean radiation dose of no less than 30 Gy on either (a) Extended Oral Cavity, or (b) Buccal Mucosa, or (c) Lips, according to CT-based delineation of Organ-At-Risk (OAR) Guideline, with or without concurrent chemotherapy (Section 13.8 for guidance);
• Rendered dentally fit for radiotherapy;
• Have a Performance Status \>60 on the Karnofsky scale
• No evidence of active systemic infections at the time of screening;
• No oral fungal infection by visual examination or swab test;
• Body Mass Index \>=18.5 kg/m²
• Normalcy of diet evaluated with the Performance Status Scale for Head and Neck cancer patients (PSSHN) \>=30;
• Ability to retain and swill liquid inside the oral cavity for at least 90 seconds;
• Female patients of childbearing potential must have a negative urine or serum pregnancy test during the 2 week Screening period
• Provide written informed consent for the trial.
• Consent to utilize medically acceptable methods of contraception throughout the study period if of child-bearing potential;
• Be able to comply with protocol procedures (such as Oral Mucositis assessment and swish/spit) and study schedule