Evidence map›Paper›PMID 40604730›Full record

Trial reportBMC oral health2025

Oral microbiome diversity and composition before and after chemotherapy treatment in pediatric oncology patients.

Egle Immonen, Lauri Paulamäki, Hannaleena Piippo, Atte Nikkilä, Liisa Aine, Timo Peltomäki, Olli Lohi, Mataleena Parikka

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02807337 (Supersaturated Calcium Phosphate Oral Rinse), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT02807337 phase2completednot on this map

Supersaturated Calcium Phosphate Oral Rinse (Caphosol®) For the Prevention of Oral Mucositis in Children Undergoing Chemotherapeutic Treatments

TypeinterventionalSponsorTampere University HospitalRan2016 to 2019Enrolled47ConditionsCancerArmsCaphosol, 0,9% NaCl
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Human Oral-AssociatedMicroorganisms · 2026
    Review
  2. Review
  3. Article
  4. Impact ofToxins · 2026
    Article
  5. 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

8 authors.

Egle Immonen *Tampere Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland. egle.immonen@tuni.fi.ORCID http://orcid.org/0000-0001-6234-3509
Lauri Paulamäki *Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Hannaleena PiippoFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Atte NikkiläTampere Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Liisa AineFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Timo PeltomäkiFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Olli LohiTampere Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Mataleena ParikkaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study investigated the impact of anticancer treatment on the oral microbiome in pediatric patients and its association with oral mucositis (OM). MATERIALS AND

methodsA double-blind, randomized trial involving 34 pediatric cancer patients (ages 2-17.99) with solid or hematological malignancies. Mucosal swab samples were collected before and after chemotherapy. Patients underwent two 7-day rinse cycles-one with Caphosol and one with saline-in a randomized order. Bacterial DNA from 110 mucosal swabs was analyzed using 16S rRNA sequencing.

resultsChemotherapy altered bacterial composition. No life-threatening OM cases (WHO grade 4) were observed, but mild to severe OM (grades 1-3) occurred in three patients. In patients without oral lesions, Bergeyella genus was more abundant prior to treatment while Alloprevotella was more abundant in the post-treatment samples, compared to patients with lesions. OM was linked to distinct microbiome profiles, including Stenotrophomonas, Leptotrichia sp., Serratia sp.,Capnocytophaga sputigena, Sphingomonas sp., Parapusillimonas sp., Staphylococcus sp., and Turicibacter genera. Additionally, Burkholderia-Caballeronia-Paraburkholderia (p = 0.013) were more prevalent in the Caphosol group compared to the saline group.

conclusionsThese findings indicate that chemotherapy-induced microbiome shifts associate with OM risk, highlighting the potential for microbial markers to predict high-risk patients and support protective strategies.

trial registrationThe trial titled "Supersaturated Calcium Phosphate Oral Rinse (Caphosol®) for the Prevention of Oral Mucositis in Children Undergoing Chemotherapeutic Treatments" was registered on ClinicalTrials.gov (ID NCT02807337), with the first submission date 2016-06-07.

Indexed as

Antineoplastic AgentsMicrobiotaNeoplasmsStomatitisAdolescentChildChild, PreschoolDouble-Blind MethodFemaleHumansMaleMouth MucosaMouthwashesRNA, Ribosomal, 16SAntineoplastic AgentsMouthwashesRNA, Ribosomal, 16SChemotherapyDiversityMucositisOral microbiomePediatricRandomized

Identifiers

PMID40604730
PMCPMC12220142

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Registered trials

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.