Investigation of the Effect of Vitamin K3-lotion for the Treatment of Cetuximab Induced Folliculitis

NCT ID: NCT01094444

Last Updated: 2020-11-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2014-11-30

Brief Summary

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The study aims to explore the benefit of topical vitamin K3 lotion for the reactivation/rephosphorylation of EGF-receptor in the skin and the possible reduction in cutaneous side effects of EGFr-inhibition.

Primary aim: The possible reduction of cutaneous side effects: folliculitis, dryness and redness of the skin.

Secondary aim: To explore any possible side effects of topical vitamin K3 lotion.

Methods: 36 patients with metastatic colorectal cancer or metastatic head and neck cancer allocated to treatment with chemotherapy and biweekly cetuximab. Two equally sized areas of at least 10x10 cm on the back or chest of the patient is marked. Patients receive in a double blinded procedure placebo lotion on one side and vitamin K3 lotion on the other side. The treatment may last for a maximum of two months and the patients are followed biweekly with photos, VAS-scores, questionnaires and CTCAE estimations. The patient will be able to take weekly photos at home during the weeks they are not seen at the outpatient clinic. During the treatment all other skin products or antibiotics is allowed and will be carefully registered by the health care professionals in the outpatient clinic.

The patient may enter the trial in two different ways: 18 patients start treatment with study lotions at the time they start treatment with cetuximab. The other 18 patients start treatment with study lotions when folliculitis appears.

Patients are asked for 1.5 mm skin biopsies of both study areas of the skin before start of treatment and after 4 weeks of treatment with placebo lotion and vitamin K3 lotion. These biopsies will be investigated for EGFr, phosphorylated EGFr and other central downstream mechanisms. The biopsy part of the study is optional for the patient.

Detailed Description

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Conditions

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Folliculitis

Keywords

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Vitamin K3 lotion Cetuximab induced folliculitis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Vitamin K3-lotion

A lotion containing 1.5 mM Vitamin K3.

Group Type EXPERIMENTAL

Vitamin K3

Intervention Type OTHER

Lotion containing 1.5 mM Vitamin K3

B

Standard lotion without Vitamin K3

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Vitamin K3

Lotion containing 1.5 mM Vitamin K3

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Planned or ongoing treatment with cetuximab
* Age at least 18 years
* Informed written consent according to local and national legislation

Exclusion Criteria

* Known disease that can influence either treatment, evaluation and the outcome of the current disease and treatment, including chronic dermatology
* Known hypersensitivity to menadion
* Concomitant treatment with Vitamin K or Vitamin K-antagonists
* Known psychological, family, sociological or geographic conditions which potentially can influence planned study treatment or follow-up
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Per Pfeiffer

OTHER

Sponsor Role lead

Responsible Party

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Per Pfeiffer

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jesper G. Eriksen, MD

Role: PRINCIPAL_INVESTIGATOR

Odense University Hospital

Locations

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Odense University Hospital

Odense C, , Denmark

Site Status

Countries

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Denmark

References

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Eriksen JG, Kaalund I, Clemmensen O, Overgaard J, Pfeiffer P. Placebo-controlled phase II study of vitamin K3 cream for the treatment of cetuximab-induced rash. Support Care Cancer. 2017 Jul;25(7):2179-2185. doi: 10.1007/s00520-017-3623-x. Epub 2017 Feb 15.

Reference Type BACKGROUND
PMID: 28197850 (View on PubMed)

Other Identifiers

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09.15

Identifier Type: -

Identifier Source: org_study_id