Management Radiodermatitis in Patients With Breast or Head and Neck Cancer

NCT ID: NCT02247830

Last Updated: 2020-10-08

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

PHASE3

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2017-07-31

Brief Summary

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It aims to evaluate the efficacy of the chamomile recutita gel and urea cream in the prevention of radiodermatitis in patients with breast cancer or head and neck cancer undergoing radiotherapy.

Prophylactic Trial will consist of a control group and two experimental groups, namely control group (usual care), Experimental Group 01 (usual care + topical application of the gel C. recutita) and Experimental Group 02 (usual care + topical application of Urea based cream).

The doses used in the different compounds are being in test since february 2014 by a dose-response curve study, using 6 groups with three doses of urea cream and three doses of C. recutita gel.

The study will be conducted at the Center for High Complexity Oncology at University Hospital of Brasília (CACON/HUB), Brazil. The degree of radiodermatitis is evaluated weekly, according to established criteria to classify the effects of radiotherapy, which identifies grades 0, 1, 2 , 3 and 4, according to the score of the Radiation Therapy Oncology Group - RTOG. To evaluate the skin reaction will also be applied scale Common Terminology Criteria for Adverse Events (CTCAE) and Radiation-Induced Skin Reaction Assessment Scale (RISRAS).

Detailed Description

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It is considered that patients undergoing radiotherapy in use gel based on C. recutita or use of cream based urea three times a day, concomitant radiotherapy, would present the following hypotheses:

* Null: equal incidence and severity of radiodermatitis when compared to the control group (usual care);
* Alternative 1: low incidence and severity of radiodermatitis when compared to patients who comprised the control group (usual care).
* Alternative 2: lower incidence and severity of radiodermatitis between the experimental groups (urea and chamomile).

Conditions

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Radiodermatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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1 Chamomilla recutita gel

Experimental Group 01: usual care + topical application of the gel recutita chamomile. Such intervention will be characterized by topical application of the gel C. recutita, concomitantly to the initiation of radiotherapy, should be applied on the irradiated three times daily throughout the period of realization of radiotherapy sessions area, and nursing consultations with equipment instructional (usual care).

Group Type EXPERIMENTAL

Chamomilla recutita gel

Intervention Type OTHER

Such intervention will be characterized by topical application of C. recutita gel, concomitantly to the initiation of radiotherapy, should be applied on the irradiated region three times daily throughout the period of realization of radiotherapy sessions area, and nursing consultations with equipment instructional (usual care).

2 Urea cream

Experimental Group 02: usual care + Topical Application of Urea cream. The intervention will be characterized by topical application of urea-based cream on the area irradiated three times daily throughout the period of realization of radiotherapy sessions, in addition to nursing consultation with instructional material (usual care).

Group Type EXPERIMENTAL

Urea cream

Intervention Type DRUG

Experimental Group 02: usual care + Topical Application of Urea cream. The intervention will be characterized by topical application of urea-based cream on the irradiated region three times daily throughout the period of realization of radiotherapy sessions, in addition to nursing consultation with instructional material (usual care).

Control Group (Usual Care)

The usual care consists of nursing consultation with instructional material (Manual guidelines) that is already done systematically in service. This query is made with all patients starting radiotherapy. Here, guidelines are provided about skin care and hydration, using topical moisturizing soap solution over the bath. Such information is contained in the manual that is provided to the patient during the consultation.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Chamomilla recutita gel

Such intervention will be characterized by topical application of C. recutita gel, concomitantly to the initiation of radiotherapy, should be applied on the irradiated region three times daily throughout the period of realization of radiotherapy sessions area, and nursing consultations with equipment instructional (usual care).

Intervention Type OTHER

Urea cream

Experimental Group 02: usual care + Topical Application of Urea cream. The intervention will be characterized by topical application of urea-based cream on the irradiated region three times daily throughout the period of realization of radiotherapy sessions, in addition to nursing consultation with instructional material (usual care).

Intervention Type DRUG

Other Intervention Names

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matricaria gel chamomilla gel chamomile gel Urea cream based

Eligibility Criteria

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Inclusion Criteria

* Being an adult, over the age of 18 years old;
* Owning diagnosis of malignant breast or head and neck;
* Being first referred to the radiotherapy protocol;
* Agree to participate, expressing his acceptance by signing the Informed Consent Form (ICF);
* Present absence of dermatitis to initiation of radiotherapy;
* Demonstrate understanding of and conditions to continue the intervention in their home environment when needed.

Exclusion Criteria

* Reports of previous hypersensitivity reaction or presentation, during the research, adverse reaction to chamomile or any plant of the Asteraceae or compositae family, or urea;
* Medical prescription for the procedure of data collection, some kind of intervention to prevent radiodermatitis;
* Withdrawal of the patient to remain in the study, independent of time.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Brasilia

OTHER

Sponsor Role lead

Responsible Party

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Elaine Barros Ferreira

Nurse

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elaine Barros Ferreira, RN

Role: PRINCIPAL_INVESTIGATOR

University of Brasilia

Paula Elaine Diniz dos Reis, RN, PhD

Role: STUDY_DIRECTOR

University of Brasilia

Marcia A Ciol, PhD

Role: STUDY_DIRECTOR

University of Washington

Locations

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University Hospital of Brasília

Brasília, , Brazil

Site Status

Countries

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Brazil

Other Identifiers

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radiodermatite01

Identifier Type: -

Identifier Source: org_study_id

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