Breast Cancer
Conditions
Keywords
Skin care, Radiotherapy
Brief summary
This study has patients using two different moisturising creams during radiation therapy after mastectomy. These are Cavilon and sorbolene. It is hypothesised that skin reactions may be reduced by the Cavilon cream compared to sorbolene.
Detailed description
Skin reactions are a common and undesirable result of radiation treatment. Preventative measures are often used although there are few controlled trials. Commonly employed agents for established reactions have included sorbolene (10% Glycerine), silver sulphadiazine, hydrocolloid dressings, topical steroids, salt water or bicarbonate of soda water solution bathing and hydrogen peroxide. One trial found that Cavilon No-Sting Barrier film reduced Grade 3 skin reaction compared to sorbolene, although this film did not contain any moisturising agents. General Hypothesis: That in a paired double blind randomised study peak and overall skin reactions experienced by post mastectomy breast cancer patients receiving radiotherapy may be reduced by Cavilon Durable Barrier Cream (CDBC) compared to Sorbolene. Alternative Hypothesis of primary outcome: the frequency of grade 3 or more skin reaction will be reduced from 35% to 25% for skin care using sorbolene or CDBC respectively. Alternative Hypothesis of secondary outcome: the mean area under the curve (AUC) of total skin reaction will be reduced from 9 to 8 for skin care using sorbolene or CDBC respectively.
Interventions
Cavilon (TM) Durable Barrier Cream will be applied to either the medial or the lateral side of the treated breast. Side will depend on randomisation.
Sorbolene will be applied to either the medial or the lateral side of the treated breast. Side will be determined by randomisation
Minimum prescribed dose to the chest wall is 45Gy in 25 fractions. Planning and Treatment is per the study protocol
Sponsors
Study design
Eligibility
Inclusion criteria
* Ages 18 or more years * Post total mastectomy * Planned dose at least 45 Gy in 25 fractions * ECOG 0-2 * Able to attend weekly during treatment for review and photo and for up to 6 weeks after radiotherapy * Patients capable of childbearing using adequate contraception * Written informed consent
Exclusion criteria
* Previous radiotherapy to the chest wall to be treated * Macroscopic cutaneous involvement by malignancy at time of radiotherapy * Known allergy to product contents * Patients who are pregnant or lactating.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of moist desquamation (grade 3) acute skin reaction scored as worst reaction within allocated skin care area | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Skin toxicity area under the curve (AUC) being sum of maximum skin reaction per week over 12 weeks | 12 weeks |
Countries
Australia