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Breast CancerTRANSDERMISNCT02443493

Laser Therapy for the Prevention of Radiodermatitis in Breast Cancer Patients

A study testing Low-level laser and radiotherapy in people with Breast Cancer, run by Hasselt University at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Up to 90% of the radiotherapy patients will develop a certain degree of skin reaction at the treated area, also known as radiodermatitis (RD). Currently, there is a wide variety of strategies to manage RD, including creams, gels, ointments, wound dressings. Read more about this study

Who is it for?
Any age, women only
Conditions the study is for
Breast Cancer
What is being tested?
Low-level laser and radiotherapy
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
139 participants
Where
1 siteBelgium
Study dates
Apr 2015to Jun 2017
Phase
Interventional
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 Any age
  • Women only
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of non-invasive (stage 0) or invasive (stage 1, 2 and 3A) breast adenocarcinoma
  • Treatment with primary breast-sparing surgery (lumpectomy) and/or neoadjuvant (preoperative) or adjuvant (postoperative) chemotherapy or hormonal therapy
  • Scheduled for postoperative radiotherapy with standard technique (isocentric) and fractionation regime (i.e. 25 daily fractions of 2 Gray to the whole breast followed by a boost of 8 fractions of 2 Gray to the tumor bed, 5/week)
  • Signed informed consent

Who cannot join

  • Previous irradiation to the same breast
  • Metastatic disease
  • Concurrent chemotherapy
  • Required use of bolus material to deliver radiotherapy (i.e. material placed on the to- be-irradiated zone to modulate the delivered dose in order the ensure an optimal distribution of the radiation dose; mostly used for treatment of superficial tumors)

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Jessa Hospital - Oncology department

    Hasselt, 3500

Other trials in Belgium

About this study

Official title: Low-level Laser Therapy as a Tool for the Prevention of Radiodermatitis in Breast Cancer Patients

Up to 90% of the radiotherapy patients will develop a certain degree of skin reaction at the treated area, also known as radiodermatitis (RD).

Currently, there is a wide variety of strategies to manage RD, including creams, gels, ointments, wound dressings. However, up to now, there is still no comprehensive, evidence-based consensus for the treatment of RD. Low-level laser therapy (LLLT) is a promising, non-invasive technique for treating RD. In a recent pilot study conducted in our research group, LLLT prevented the aggravation of RD and provided symptomatic relief in patients undergoing radiotherapy for breast cancer after breast-sparing surgery. This pilot study was the first prospective study investigating the potential of LLLT for RD. In the current study, we want to investigate the efficacy of LLLT as a tool for the prevention of radiodermatitis in breast cancer patients.

Conditions
Breast Cancer
Being tested
Low-level laser, sham laser, radiotherapy
Medical subject headings
Breast Neoplasms

What participants receive

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

  • Low-level laserDevice

    Also called LLLT

    Low-Level Laser Therapy will be applied, twice a week, from the start of radiotherapy treatment (14 sessions in total) in combination with the standard skin care.

  • sham laserDevice

    Sham Laser Therapy will be applied, twice a week, from the start of radiotherapy treatment (14 sessions in total) in combination with the standard skin care.

  • radiotherapyRadiation

Study groups in NCT02443493
Study groupRoleWhat they receive
Treatment groupExperimentalTreatment group (receives low-level laser therapy (2x/week) in combination with standard skin care starting from day 1 of radiotherapy)
Receives: Device: Low-level laser; Radiation: radiotherapy
Control groupSham comparatorControl group (receives sham laser (2x/week) in combination with standard skin care starting from day 1 of radiotherapy)
Receives: Device: sham laser; Radiation: radiotherapy

What is being measured

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

  1. Radiation Dermatitis Grade

    objective scoring of the severity of radiation dermatitis using the grading system of the Radiation Therapy Oncology Group/ European Organization for Research and Treatment of Cancer (RTOG/ EORTC)

    Measured: day 1

  2. Radiation Dermatitis Grade

    objective scoring of the severity of radiation dermatitis using the grading system of the Radiation Therapy Oncology Group/ European Organization for Research and Treatment of Cancer (RTOG/ EORTC)

    Measured: day 20

  3. Radiation Dermatitis Grade

    objective scoring of the severity of radiation dermatitis using the grading system of the Radiation Therapy Oncology Group/ European Organization for Research and Treatment of Cancer (RTOG/ EORTC)

    Measured: day 33

  4. Radiation Dermatitis Grade

    objective scoring of the severity of radiation dermatitis using the grading system of the Radiation Therapy Oncology Group/ European Organization for Research and Treatment of Cancer (RTOG/ EORTC)

    Measured: day 40

  5. Radiation Dermatitis Grade

    objective scoring of the severity of radiation dermatitis using the grading system of the Radiation Therapy Oncology Group/ European Organization for Research and Treatment of Cancer (RTOG/ EORTC)

    Measured: day 54

  6. Radiation Dermatitis Assessment

    radiation dermatitis assessment scale (Radiation-Induced Skin Reaction Assessment Scale, RISRAS)

    Measured: day 1

  7. Radiation Dermatitis Assessment

    radiation dermatitis assessment scale (Radiation-Induced Skin Reaction Assessment Scale, RISRAS)

    Measured: day 20

  8. Radiation Dermatitis Assessment

    radiation dermatitis assessment scale (Radiation-Induced Skin Reaction Assessment Scale, RISRAS)

    Measured: day 33

  9. Radiation Dermatitis Assessment

    radiation dermatitis assessment scale (Radiation-Induced Skin Reaction Assessment Scale, RISRAS)

    Measured: day 40

  10. Radiation Dermatitis Assessment

    radiation dermatitis assessment scale (Radiation-Induced Skin Reaction Assessment Scale, RISRAS)

    Measured: day 54

  11. Objective measurement of trans epidermal water loss of the skin

    Tewa meter TM 300 will be used to objectively assess the skin barrier function by measuring the trans epidermal water loss of the skin

    Measured: day 1

  12. Objective measurement of trans epidermal water loss of the skin

    Tewa meter TM 300 will be used to objectively assess the skin barrier function by measuring the trans epidermal water loss of the skin

    Measured: day 20

  13. Objective measurement of trans epidermal water loss of the skin

    Tewa meter TM 300 will be used to objectively assess the skin barrier function by measuring the trans epidermal water loss of the skin

    Measured: day 33

  14. Objective measurement of trans epidermal water loss of the skin

    Tewa meter TM 300 will be used to objectively assess the skin barrier function by measuring the trans epidermal water loss of the skin

    Measured: day 40

  15. Objective measurement of trans epidermal water loss of the skin

    Tewa meter TM 300 will be used to objectively assess the skin barrier function by measuring the trans epidermal water loss of the skin

    Measured: day 54

  16. Objective measurement of the skin hydration

    Corneo meter CM825 will be used to objectively assess the skin barrier function by measuring the skin hydration

    Measured: day 1

  17. Objective measurement of the skin hydration

    Corneo meter CM825 will be used to objectively assess the skin barrier function by measuring the skin hydration

    Measured: day 20

  18. Objective measurement of the skin hydration

    Corneo meter CM825 will be used to objectively assess the skin barrier function by measuring the skin hydration

    Measured: day 33

  19. Objective measurement of the skin hydration

    Corneo meter CM825 will be used to objectively assess the skin barrier function by measuring the skin hydration

    Measured: day 40

  20. Objective measurement of trans epidermal water loss of the skin

    Corneo meter CM825 will be used to objectively assess the skin barrier function by measuring the skin hydration

    Measured: day 54

  21. Objective measurement of degree of erythema of the skin

    Mexa meter MX18 will be used to objectively measure the degree of erythema of the skin

    Measured: day 1

  22. Objective measurement of degree of erythema of the skin

    Mexa meter MX18 will be used to objectively measure the degree of erythema of the skin

    Measured: day 20

  23. Objective measurement of degree of erythema of the skin

    Mexa meter MX18 will be used to objectively measure the degree of erythema of the skin

    Measured: day 33

  24. Objective measurement of degree of erythema of the skin

    Mexa meter MX18 will be used to objectively measure the degree of erythema of the skin

    Measured: day 40

  25. Objective measurement of degree of erythema of the skin

    Mexa meter MX18 will be used to objectively measure the degree of erythema of the skin

    Measured: day 54

  26. Analyze the skin cytokine content of the irradiated and non-irradiated breast

    Collect skin tape samples of the irradiated and non-irradiated breast in order to analyze these samples on cytokines by ELISA

    Measured: day 1

  27. Analyze the skin cytokine content of the irradiated and non-irradiated breast

    Collect skin tape samples of the irradiated and non-irradiated breast in order to analyze these samples on cytokines by ELISA

    Measured: day 20

  28. Analyze the skin cytokine content of the irradiated and non-irradiated breast

    Collect skin tape samples of the irradiated and non-irradiated breast in order to analyze these samples on cytokines by ELISA

    Measured: day 33

  29. Analyze the skin cytokine content of the irradiated and non-irradiated breast

    Collect skin tape samples of the irradiated and non-irradiated breast in order to analyze these samples on cytokines by ELISA

    Measured: day 40

  30. Analyze the skin cytokine content of the irradiated and non-irradiated breast

    Collect skin tape samples of the irradiated and non-irradiated breast in order to analyze these samples on cytokines by ELISA

    Measured: day 54

Secondary outcomes (20)
  1. Pain

    Evaluation of pain using a Visual Analogue Scale (VAS)

    Measured: day 1

  2. Pain

    Evaluation of pain using a Visual Analogue Scale (VAS)

    Measured: day 20

  3. Pain

    Evaluation of pain using a Visual Analogue Scale (VAS)

    Measured: day 33

  4. Pain

    Evaluation of pain using a Visual Analogue Scale (VAS)

    Measured: day 40

  5. Pain

    Evaluation of pain using a Visual Analogue Scale (VAS)

    Measured: day 54

  6. Quality of life

    Health-related quality of life measure specific to skin diseases

    Measured: day 1

  7. Quality of life

    Health-related quality of life measure specific to skin diseases

    Measured: day 20

  8. Quality of life

    Health-related quality of life measure specific to skin diseases

    Measured: day 33

  9. Quality of life

    Health-related quality of life measure specific to skin diseases

    Measured: day 40

  10. Quality of life

    Health-related quality of life measure specific to skin diseases

    Measured: day 54

  11. Satisfaction with therapy

    Self-report on the efficacy of and the global satisfaction with the management of radiodermatitis

    Measured: day 1

  12. Satisfaction with therapy

    Self-report on the efficacy of and the global satisfaction with the management of radiodermatitis

    Measured: day 20

  13. Satisfaction with therapy

    Self-report on the efficacy of and the global satisfaction with the management of radiodermatitis

    Measured: day 33

  14. Satisfaction with therapy

    Self-report on the efficacy of and the global satisfaction with the management of radiodermatitis

    Measured: day 40

  15. Satisfaction with therapy

    Self-report on the efficacy of and the global satisfaction with the management of radiodermatitis

    Measured: day 54

  16. moist desquamation

    3 months (during radiotherapy + 1 month after radiotherapy) Description: Onset time of moist desquamation

    Measured: day 1

  17. moist desquamation

    3 months (during radiotherapy + 1 month after radiotherapy) Description: Onset time of moist desquamation

    Measured: day 20

  18. moist desquamation

    3 months (during radiotherapy + 1 month after radiotherapy) Description: Onset time of moist desquamation

    Measured: day 33

  19. moist desquamation

    3 months (during radiotherapy + 1 month after radiotherapy) Description: Onset time of moist desquamation

    Measured: day 40

  20. moist desquamation

    3 months (during radiotherapy + 1 month after radiotherapy) Description: Onset time of moist desquamation

    Measured: day 54

Timeline

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

  1. First posted13 May 2015 (estimated)
  2. Study startApr 2015
  3. Primary completionJun 2017
  4. Study completionJun 2017

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 N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
139 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02443493
Sponsor's protocol ID
15.38/onco15.06
Acronym
TRANSDERMIS
Status last verified
Jul 2019
First submitted
11 May 2015
Last updated
26 Jul 2019
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Low-level laser and radiotherapy in people with Breast Cancer, run by Hasselt University at 1 site in Belgium.

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 4 inclusion and 4 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: finished, as of the sponsor's last update on 26 Jul 2019. 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 Belgium. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Radiation Dermatitis Grade (time frame: day 1). The study lists 30 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Jul 2019.

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