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NCT05340673 | RECRUITING | Breast Ductal Carcinoma In Situ


Comparing Supplemental Topical Agents for the Treatment of Acute Radiation Dermatitis in Patients With Breast Cancer
Sponsor:

City of Hope Medical Center

Brief Summary:

This clinical trial compares two supplemental topical agents (Aquaphor and Miaderm) for the treatment of acute radiation dermatitis in patients with breast cancer undergoing radiation therapy. Radiation dermatitis is a radiation-induced skin reaction which can cause itching, swelling, pain, and general discomfort. Aquaphor is a commonly available, inexpensive, petrolatum-based multi-purpose ointment designed to protect and sooth extremely dry skin, chapped lips, cracked hands and feet, minor cuts and burns, and many other skin irritations. Miaderm is a water-based cream and contains ingredients like calendula, hyaluronate, and aloe vera which may help reduce occurrence and severity of radiation dermatitis. Both are commonly recommended and used by breast cancer patients undergoing external beam radiation therapy (EBRT). However, it is not known whether one is better than the other in treating or preventing radiation dermatitis.

Condition or disease

Breast Ductal Carcinoma In Situ

Invasive Breast Carcinoma

Intervention/treatment

Agent Affecting Integumentary System

Petrolatum-Mineral Oil-Lanolin-Ceresin Ointment

Quality-of-Life Assessment

Questionnaire Administration

Phase

PHASE1

Detailed Description:

PRIMARY OBJECTIVE: I. Determine the efficacy of Miaderm compared to Aquaphor in the treatment and/or prevention of radiation dermatitis caused by EBRT in breast cancer patients undergoing EBRT to the breast/chest wall. SECONDARY OBJECTIVE: I. Determine quality of life (QoL) and need for additional concomitant therapies to address dermatitis in breast cancer patients undergoing EBRT to the breast/chest wall using Miaderm compared to Aquaphor. OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Beginning on day 1 of radiation therapy, patients apply Aquaphor twice daily (BID), but not within the four hours before EBRT, to the irradiated field until 2 weeks following completion of EBRT. ARM II: Beginning on day 1 of radiation therapy, patients apply Miaderm BID, but not within the four hours before EBRT, to the irradiated field until 2 weeks following completion of EBRT. After completion of study treatment, patients are followed up at 2 weeks and then at 90-120 days.

Study Type : INTERVENTIONAL
Estimated Enrollment : 200 participants
Masking : NONE
Primary Purpose : SUPPORTIVE_CARE
Official Title : A Randomized Clinical Trial Comparing Supplemental Topical Treatments for Acute Radiation Dermatitis in Breast Cancer Patients
Actual Study Start Date : 2022-06-21
Estimated Primary Completion Date : 2025-12-21
Estimated Study Completion Date : 2025-12-21

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: FEMALE
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * Documented informed consent of the participant and/or legally authorized representative.
  • * Age \> 18 years.
  • * Undergoing external beam radiation therapy (EBRT) to the breast or chest wall following surgical resection (lumpectomy or mastectomy) for ductal carcinoma in situ (DCIS) or invasive breast cancer using either conventional fractionation or hypofractionation.
Exclusion Criteria
  • * Partial breast irradiation.
  • * Prior radiation overlapping with the intended radiotherapy field.
  • * History of systemic radiation sensitivity diseases (xeroderma pigmentosum, ataxia telangiectasia).
  • * Extreme hypofractionation (less than 15 fractions of radiation).
  • * Palliative treatment.
  • * Patient intention to use topical product other than Aquaphor or Miaderm.
  • * Inflammatory breast cancer, skin involvement, planned use of bolus.

Comparing Supplemental Topical Agents for the Treatment of Acute Radiation Dermatitis in Patients With Breast Cancer

Location Details

NCT05340673


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Locations


RECRUITING

United States, California

City of Hope Medical Center

Duarte, California, United States, 91010

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