Evidence map›Paper›PMID 32764634›Full record

Trial reportScientific reports2020

Randomised, double-blind, placebo-controlled trial of oral probiotic Streptococcus salivarius M18 on head and neck cancer patients post-radiotherapy: a pilot study.

Anna Vesty, Kim Gear, Sharon Boutell, Michael W Taylor, Richard G Douglas, Kristi Biswas

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Effectiveness ofFrontiers in immunology · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Frontiers in cellular and infection microbiology · 2025
    Review
  11. A Three-Month Probiotic (theDentistry journal · 2024
    Article
  12. Review
  13. Review
  14. Article
  15. [Probiotics' Ameliorating Effect on Side Effects of Cancer Treatment: Reflections and Prospects].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Review
  16. Review
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anna VestyDepartment of Surgery, The University of Auckland, Auckland, New Zealand.
Kim GearDepartment of Otorhinolaryngology, Auckland District Health Board, Auckland, New Zealand.
Sharon BoutellOral Health, Auckland University of Technology, Auckland, New Zealand.
Michael W TaylorSchool of Biological Sciences, The University of Auckland, Auckland, New Zealand.
Richard G DouglasDepartment of Surgery, The University of Auckland, Auckland, New Zealand.
Kristi BiswasDepartment of Surgery, The University of Auckland, Auckland, New Zealand. k.biswas@auckland.ac.nz.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Xerostomia detrimentally affects the oral health of many head and neck cancer patients who undergo radiotherapy. Its sequelae become an ongoing burden for patients that often manifest as periodontal disease and dental decay. Bacteria play a major role in the pathogenesis of these conditions and here we explore the use of an oral probiotic to beneficially modulate the oral bacterial community post-radiotherapy. In this pilot study, a four-week intervention with oral probiotic lozenges containing Streptococcus salivarius M18 was trialled in seven patients. Post-intervention changes in oral health and in the composition of the plaque and saliva bacterial communities were compared with six patients in a placebo group. An improvement in periodontal screening and plaque index scores was observed in both groups after the intervention period. The oral probiotic lozenges did not significantly impact bacterial community composition or diversity, nor did the probiotic lozenges increase the relative sequence abundance of ZOTU_1 (the probiotic-associated sequence assigned to S. salivarius) detected in the samples. Network analyses suggest negative interactions occurred between ZOTU_1 and species from the periopathogenic genera Campylobacter, Fretibacterium, Selenomonas and Treponema but further investigation is required to more fully understand the beneficial properties of this oral probiotic.

Indexed as

Administration, OralBiodiversityCohort StudiesDouble-Blind MethodFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedPilot ProjectsProbioticsStreptococcus salivarius

Identifiers

PMID32764634
PMCPMC7411050

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.