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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05450848
Registration number
NCT05450848
Ethics application status
Date submitted
22/06/2022
Date registered
11/07/2022
Date last updated
12/07/2023
Titles & IDs
Public title
StrataXRT vs. Standard Clinical Practice in the Prevention and Treatment of Radiation Dermatitis
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Scientific title
A Randomised Comparison of StrataXRT to Standard Clinical Practice in the Prevention and Treatment of Radiation Dermatitis
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Secondary ID [1]
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SPASX01AU002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Radiation Dermatitis
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Condition category
Condition code
Skin
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Dermatological conditions
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Skin
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Other skin conditions
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Injuries and Accidents
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - StrataXRT
Other interventions - Sorbolene
Experimental: StrataXRT - Patients allocated to receive StrataXRT will be provided with StrataXRT gel to apply twice daily to the irradiated area until any radiation dermatitis that may occur has resolved. In case the patient develops radiation dermatitis that results in moist desquamation, IntraSiteTM gel (Smith and Nephew, UK) and secondary dressings will be provided.
Active comparator: Standard of care - Patients allocated to receive standard care will be provided with aqueous cream to apply daily to the irradiated area until any radiation dermatitis that may occur has resolved. In case the patient develops radiation dermatitis that results in moist desquamation, IntraSiteTM gel (Smith and Nephew, UK) and secondary dressings will be provided.
Treatment: Devices: StrataXRT
StrataXRT is a flexible wound dressing for the prevention and treatment of radiation dermatitis. It is in the form of a gel which, when applied, creates a protective film that maintains skin integrity. The product is used to relieve low grade inflammatory radiation changes such as dry, itching, flaking, peeling and irritated skin. For more severe inflammatory changes with open wound components, StrataXRT reduces pain, redness and heat and helps soothe the exposed skin areas. StrataXRT can be applied where skin integrity has been compromised and may also be used in conjunction with other adjunctive treatments to improve overall results. StrataXRT contains Polydimethylsiloxanes, Siloxanes and Alkylmethyl Silicones and is transparent and odourless. It does not contain alcohols, parabens or fragrances. StrataXRT can be used with or without a secondary protective dressing. It is suitable for children and people with sensitive skin.
Other interventions: Sorbolene
Aqueous cream (moisturizer) that soothes itchiness and dryness of the skin, and aids skin hydration. It is non-greasy, fragrance free, colour free, GMO free, paraben free and pH balanced.
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Intervention code [1]
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Treatment: Devices
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Common Terminology Criteria for Adverse Events (CTCAE) v4.0
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Assessment method [1]
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Radiation dermatitis reaction as assessed by blinded assessment of digital photographs using the CTCAE v4.0 radiation dermatitis grades. CTCAE v4.0 severity grades are categorical with 5 possible categories (1, 2, 3, 4, 5). Grade 1 represents the weakest form of radiation dermatitis. Higher CTCAE Grades represent increasing radiation dermatitis severity.
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Timepoint [1]
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From radiotherapy start, until to 4 weeks post radiation therapy; up to 3 months
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Primary outcome [2]
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Radiation induced skin reaction assessment scale (RISRAS)
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Assessment method [2]
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Radiation dermatitis reaction as assessed by the clinician during patient consultations using the eviQ RISRAS form. RISRAS scale is continuous scale from 0 to 36, with higher RISRAS scores representing higher severity of radiation dermatitis.
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Timepoint [2]
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From radiotherapy start, until to 4 weeks post radiation therapy; up to 3 months
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Secondary outcome [1]
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Onset of radiation dermatitis
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Assessment method [1]
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Timepoint of onset of CTCAE v4.0 radiation dermatitis Grades 2 and/or 3 during or after radiotherapy.
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Timepoint [1]
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From radiotherapy start, until to 4 weeks post radiation therapy; up to 3 months
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Secondary outcome [2]
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Length of time until resolution of radiation dermatitis
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Assessment method [2]
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Length of time from peak incidence to resolution of radiation dermatitis.
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Timepoint [2]
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From onset of radiation dermatitis, until radiation dermatitis resolution, up to 3 months
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Secondary outcome [3]
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Patient reported symptoms treatment
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Assessment method [3]
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Patient reported comfort scale obtained using the eviQ RISRAS form.
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Timepoint [3]
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From onset of radiation dermatitis, until radiation dermatitis resolution, up to 3 months
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Secondary outcome [4]
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Cost-effectiveness
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Assessment method [4]
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The mean total cost of skin care per patient.
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Timepoint [4]
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From radiotherapy start, until to 4 weeks post radiation therapy; up to 3 months
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Secondary outcome [5]
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Incidence of late-effects skin toxicity
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Assessment method [5]
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The late skin toxicity post-radiotherapy assessed using the Radiation Therapy Oncology Group (RTOG) grading definitions:
Grade 0: No change over baseline Grade I: Follicular, faint or dull erythema, epilation, dry desquamation, decreased sweating Grade II: Tender or bright erythema, patchy moist desquamation, moderate oedema Grade III: Confluent, moist desquamation other than skin folds, pitting oedema Grade IV: Ulceration haemorrhage, necrosis
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Timepoint [5]
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3 - 12 months post radiation treatment
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Eligibility
Key inclusion criteria
* Patients with cancer undergoing a curative course of radiation therapy using standard protocols to the following cancer sites:
* Head and neck cancers receiving >= 60Gy who are not receiving concurrent Cetuximab
* Intact breast receiving >= 40Gy (includes patients receiving boost fields using photon or elections)
* Post-mastectomy chest wall (breast cancer diagnosis only) receiving >= 50Gy
* Gynaecological cancers requiring whole pelvis irradiation receiving >= 45Gy
* Skin cancers to the axilla/groin regions receiving >= 40Gy
* Male and female patients >18 years of age
* Patients who do not have a known allergy to silicon
* Patients who are able to attend the four post-treatment weekly skin assessment appointments
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Ineligible participants are patients undergoing a course of curative radiation therapy:
* Who are participating in another interventional study
* With an allergy to product content (standard or StrataXRT)
* With an existing skin rash, ulceration or open wound in the treatment area
* With a pre-existing systemic skin disease (dermatological conditions, connective tissue disorders)
* Who have had previous radiation therapy to the current treatment area
* Who are on immuno-suppression drugs
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
31/03/2023
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Sample size
Target
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Accrual to date
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Final
105
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Townsville Cancer Center, Townsville Hospital and Health Service - Douglas
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Recruitment hospital [2]
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Princess Alexandra Hospital - South Brisbane
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Recruitment postcode(s) [1]
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4814 - Douglas
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Recruitment postcode(s) [2]
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4101 - South Brisbane
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Stratpharma AG
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Current clinical practice for preventing and treating radiation dermatitis across Queensland (QLD) Health Radiation Oncology departments involves the application of aqueous cream daily to the skin of the treatment site, commencing from Day 1 of EBRT. The primary aim of this study is to assess the efficacy of StrataXRT when compared to current clinical practice in preventing and managing radiation dermatitis.
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Trial website
https://clinicaltrials.gov/study/NCT05450848
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Fax
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05450848
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