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RadiodermatitisPhase 1NCT01263366

Exploratory Study of Norepinephrine to Prevent Radiodermatitis in Breast Cancer Patients

A Phase 1 study testing Norepinephrine in people with Radiodermatitis, run by ProCertus BioPharm, Inc at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study, a nonrandomized open-label Phase I safety and exploratory study, will evaluate the safety of topical norepinephrine in post-surgical breast cancer patients who are undergoing radiation therapy. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Radiodermatitis
What is being tested?
Norepinephrine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteUnited States
Study dates
Jan 2011to Apr 2013
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • Subjects:
  • with unhealed surgical wounds or scars in the study treatment area (axilla).
  • with underlying active untreated cardiac disease (e.g. arrhythmia).
  • with generalized skin disorders that have required treatment within the past 6 months.
  • with connective tissue disorders.
  • with rashes, ulcerations, or poorly healed scars in the study drug application area (axilla).
Show all 17Show fewer
  • with a known allergy to norepinephrine.
  • with known uncontrolled hypertension (repeatedly elevated BP; systolic BP >139 or diastolic BP >89).
  • with a known clinically significant abnormal ECG within the past 6 months.
  • receiving MAO inhibitors or antidepressants (triptyline or imipramine types).
  • who are pregnant or breastfeeding.
  • with lymphovascular space invasion on pathology.
  • with dermal lymphatic invasion on pathology.
  • with proximity of the tumor to the overlying skin as evidenced by a distance of less than 5 mm on US or MRI (if performed) and within 2 cm of the anticipated application field
  • diagnosis of inflammatory breast cancer.
  • receiving chemotherapy other than Herceptin concurrent with the radiation.
  • with previous radiation to the breast to be treated.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Wisconsin Carbone Cancer Center

    Madison, Wisconsin, 53792

Other trials in United States

About this study

Official title: Exploratory Study of Topical Norepinephrine in Post-Surgical Breast Cancer Patients Receiving Radiotherapy

This study, a nonrandomized open-label Phase I safety and exploratory study, will evaluate the safety of topical norepinephrine in post-surgical breast cancer patients who are undergoing radiation therapy.

The study will also provide information about whether topical norepinephrine can prevent or decrease the severity of the radiation dermatitis experienced by these patients.

Conditions
Radiodermatitis
Being tested
Norepinephrine
Keywords
Radiodermatitis, Prevention, Radiotherapy, Breast, Radiation Dermatitis
Medical subject headings
Radiodermatitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NorepinephrineDrug

    Also called Noradrenaline

    Approximately 1.6 or 4.6 mL of a 400 mM norepinephrine solution will be applied topically to a portion of the radiation treatment field prior to each radiation treatment (20-33 treatments)

Study groups in NCT01263366
Study groupRoleWhat they receive
NorepinephrineExperimentalNot described
Receives: Drug: Norepinephrine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety of daily topical application of norepinephrine to the radiation field

    The primary safety hypothesis is that there will be little or no skin irritation associated with the application of the topical norepinephrine and no systemic effects secondary to transdermal absorption.

    Measured: Safety will be assessed during the study (5-7 weeks) and at follow-up visits approximately 1, 2 and 4 weeks after the end of the treatment period.

Secondary outcomes (1)
  1. Efficacy of daily topical application of norepinephrine to the radiation field

    The primary efficacy hypothesis is that the portion of the radiation site that is treated with topical norepinephrine immediately prior to daily radiotherapy will have less severe radiation dermatitis than the adjacent untreated portion of the radiation site.

    Measured: Efficacy will be assessed during the study (5-7 weeks) and at follow-up visits approximately 1, 2 and 4 weeks after the end of the treatment period.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Dec 2010 (estimated)
  2. Study startJan 2011
  3. Primary completionApr 2013
  4. Study completionApr 2013

Why it stopped: Enrollment issues

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01263366
Sponsor's protocol ID
PC-4
Status last verified
Apr 2013
First submitted
16 Dec 2010
Last updated
19 Apr 2013
Results posted
No
Data monitoring committee
No

Publications

  • Cleary JF, Anderson BM, Eickhoff JC, Khuntia D, Fahl WE. Significant suppression of radiation dermatitis in breast cancer patients using a topically applied adrenergic vasoconstrictor. Radiat Oncol. 2017 Dec 22;12(1):201. doi: 10.1186/s13014-017-0940-7.

    PubMed 29273054

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Norepinephrine in people with Radiodermatitis, run by ProCertus BioPharm, Inc at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 19 Apr 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Enrollment issues). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety of daily topical application of norepinephrine to the radiation field (time frame: Safety will be assessed during the study (5-7 weeks) and at follow-up visits approximately 1, 2 and 4 weeks after the end of the treatment period.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01263366, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Apr 2013.

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