Oral or Topical Catechins for Radiation Dermatitis

NCT ID: NCT07149506

Last Updated: 2025-09-08

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

ENROLLING_BY_INVITATION

Clinical Phase

PHASE3

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-01

Study Completion Date

2027-03-01

Brief Summary

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Introduction Radiation-induced dermatitis (RID), which includes both acute and chronic forms, affects up to 95% of patients undergoing radiation therapy. Despite its high incidence, there are currently no validated prevention and management recommendations specifically for the mexican population. Catechins, particularly epigallocatechin gallate and epicatechin, are emerging as a promising and readily accessible therapeutic option for radiation damage in skin and other organs, including conditions like esophagitis, intestinal injury, and mucositis.

Objective This study aims to evaluate the utility of oral or topical catechins in preventing and managing acute and chronic radiation-induced dermatitis in cancer patients, comparing their effectiveness against standard treatment.

Material and Methods

This will be a randomized, double-blind, phase III clinical trial with a longitudinal and comparative design. Patients will be allocated into two primary study groups: prevention (n=81) and treatment (n=81). Each group will be further divided into four treatment arms:

Epigallocatechin gallate (experimental aerosol)

Epicatechin (experimental capsule)

Saline control arm (aerosol)

Microcrystalline cellulose excipient control arm (capsule)

All participants across all groups will receive standard care. Study endpoints will include the assessment of utility, toxicity, quality of life, and cosmesis, using various validated scales and scores.

Ethics This study adheres to the principles outlined in the Helsinki Declaration (2024), the Nuremberg Code, and Mexico's General Health Law on health research. Given the wide therapeutic margin of the interventions, the study is classified as minimal risk.

Statistical Analysis To evaluate the efficacy of the intervention (specifically, the change in the risk of dermatitis and fibrosis), we will calculate the hazard ratio using Cox regression and compare it with the Log-Rank test. Additionally, both fixed and random effects models will be performed and compared using the likelihood ratio test.

Detailed Description

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Conditions

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Radiation Dermatitis Acute Radiation Dermatitis Fibrosis; Skin

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Oral epicatechin prevention group

Oral epicatechin at a dose of 50 mg orally every 12 hours, starting from the start of radiotherapy, considering that one dose should be taken 2.5 hours before radiotherapy.

Group Type EXPERIMENTAL

Epicatechin

Intervention Type OTHER

A comparison will be made between oral catechin (epicatechin) from two approaches: a preventive approach and a therapeutic approach.

Oral placebo prevention group

Microcrystalline cellulose at a dose of 50 mg orally every 12 hours, starting from the start of radiotherapy, considering that one dose should be taken 2.5 hours before radiotherapy.

Group Type PLACEBO_COMPARATOR

Microcrystalline Cellulose NF (placebo)

Intervention Type OTHER

A comparison will be made between oral placebo (microcrystalline cellulose) from two approaches: a preventive approach and a therapeutic approach.

Topical epigallocatechin-3 gallate (EGCG) prevention group

EGCG 660 μmol/L solution will be applied 0.5mL/cm2, 3 times a day in the treatment area from the start of radiotherapy and up to 2 weeks after the end of radiotherapy.

Group Type EXPERIMENTAL

Epigallocatechin Gallate (EGCG)

Intervention Type OTHER

A comparison will be made between topical catechin (EGCG) from two approaches: a preventive approach and a therapeutic approach.

Topical placebo prevention group

Application of 0.5 mL/cm2 of 0.9% saline solution to the treatment area, three times per day. This regimen should be followed from the onset of radiotherapy until two weeks post-radiotherapy.

Group Type PLACEBO_COMPARATOR

Saline (0.9% NaCl)

Intervention Type OTHER

A comparison will be made between topical placebo (0.9% saline solution) from two approaches: a preventive approach and a therapeutic approach.

Oral epicatechin treatment group

Oral epicatechin at a dose of 50 mg orally every 12 hours from the development of grade 1 radiodermatitis, considering that one should be taken 2.5 hours before radiotherapy.

Group Type EXPERIMENTAL

Epicatechin

Intervention Type OTHER

A comparison will be made between oral catechin (epicatechin) from two approaches: a preventive approach and a therapeutic approach.

Oral placebo treatment group

Microcrystalline cellulose at a dose of 50 mg orally every 12 hours, starting from the development of grade 1 radiodermatitis, considering that a dose should be taken 2.5 hours before radiotherapy.

Group Type PLACEBO_COMPARATOR

Microcrystalline Cellulose NF (placebo)

Intervention Type OTHER

A comparison will be made between oral placebo (microcrystalline cellulose) from two approaches: a preventive approach and a therapeutic approach.

Topical EGCG treatment group

A solution of epigallocatechin-3 gallate (EGCG) 660 μmol/L, 0.5 mL/cm2, will be applied 3 times a day to the area to be treated from the development of grade 1 radiodermatitis and up to 2 weeks after the end of radiotherapy.

Group Type EXPERIMENTAL

Epigallocatechin Gallate (EGCG)

Intervention Type OTHER

A comparison will be made between topical catechin (EGCG) from two approaches: a preventive approach and a therapeutic approach.

Topical placebo treatment group

Application of 0.5 mL/cm2 of 0.9% saline solution to the treatment area, three times per day. This regimen should be followed from the development of grade 1 radiodermatitis until two weeks post-radiotherapy.

Group Type PLACEBO_COMPARATOR

Saline (0.9% NaCl)

Intervention Type OTHER

A comparison will be made between topical placebo (0.9% saline solution) from two approaches: a preventive approach and a therapeutic approach.

Interventions

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Epicatechin

A comparison will be made between oral catechin (epicatechin) from two approaches: a preventive approach and a therapeutic approach.

Intervention Type OTHER

Epigallocatechin Gallate (EGCG)

A comparison will be made between topical catechin (EGCG) from two approaches: a preventive approach and a therapeutic approach.

Intervention Type OTHER

Microcrystalline Cellulose NF (placebo)

A comparison will be made between oral placebo (microcrystalline cellulose) from two approaches: a preventive approach and a therapeutic approach.

Intervention Type OTHER

Saline (0.9% NaCl)

A comparison will be made between topical placebo (0.9% saline solution) from two approaches: a preventive approach and a therapeutic approach.

Intervention Type OTHER

Other Intervention Names

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Epigallocatechin-3 Gallate Placebo Placebo

Eligibility Criteria

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Inclusion Criteria

* Histopathologically confirmed diagnosis of cancer.
* Complete blood count, blood chemistry, and liver function tests within normal ranges.
* Availability of an anatomopathological report.
* Aged between 18 and 75 years.
* Karnofsky performance status (KPS) score \> 60 or an Eastern Cooperative Oncology Group (ECOG) performance status score \< 3.
* Candidate for radiotherapy with a prescribed dose of ≥40 Gy or its biological equivalent (EQD2).
* Must provide written informed consent to participate in the study.
* Must be able to swallow capsules.
* Must meet one of the following cohort-specific criteria:

1. Prevention cohort: No clinical evidence of dermatitis at the initiation of radiotherapy.
2. Treatment cohort: Development of grade 1 dermatitis during radiotherapy, with symptom onset within the last 3 days.

Exclusion Criteria

* Pregnant or lactating.
* Immunocompromised or on chronic therapy with immunosuppressive or immunomodulatory medications.
* History of chemical burns or unhealed wounds in the intended radiotherapy treatment area.
* Current diagnosis of skin cancer or a known diagnosis of a DNA repair gene defect.
* Prior radiotherapy to the area currently being treated.
* Known allergy to any of the study compounds.
* Currently receiving treatment with bortezomib, sunitinib, ticagrelor, or other antithrombotic agents.

Withdrawal Criteria:

* Adherence to the study intervention is less than 80%.
* Withdrawal of consent.
* Suspension of their radiotherapy sessions secondary to an acute infectious disease or the need for hospitalization
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad de Guanajuato

OTHER

Sponsor Role collaborator

Hospital Regional de Alta Especialidad del Bajio

OTHER

Sponsor Role collaborator

CARLOS FRANCISCO SAAVEDRA GARCIA

OTHER

Sponsor Role lead

Responsible Party

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CARLOS FRANCISCO SAAVEDRA GARCIA

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Carmen Palacios, MD; PhD; MMSc; genetics

Role: STUDY_DIRECTOR

Locations

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HRAEB

León, Guanajuato, Mexico

Site Status

Countries

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Mexico

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Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

CI/HRAEB/024/2025

Identifier Type: OTHER

Identifier Source: secondary_id

CEI-038-2025

Identifier Type: -

Identifier Source: org_study_id

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