Trial Comparing Best Supportive Care to Aloe Vera Gel

NCT00876642 | Completed Phase 3 DMC

• 1 other identifier: Oncoclinica-2009-02
• Study Type: interventional
• Target: 137
• Locations: 1 country
• Sites: 1

Brief Summary

Radiation therapy (RT) has been a component of breast cancer treatment for almost 100 years. Although initially used for the treatment of chest wall recurrences after mastectomy and for advanced inoperable disease, RT has evolved into a critical component of early therapy for women with an intact breast following lumpectomy and for mastectomized women who are at high risk for local failure. Currently breast cancer patients need a multidisciplinary management including surgery, chemotherapy and radiotherapy, radiotherapy has a significant role in loco regional control of the disease. It is estimated that 87% of these women will develop some degree of radiation-induced dermatitis, varying from mild to brisk erythema or even moist desquamation. Topical agents, such as corticosteroid creams and other products including Aquaphor (Beirsdorf Inc, Wilton, CT), and trolamine (Biafine; Genmedix Ltd, France), are commonly prescribed at the onset of radiation dermatitis or, in some institutions, at the beginning of radiotherapy. The aim of this randomized phase III study was to assess the effectiveness of aloe vera cream for the prevention of acute radiation-induced dermatitis of grade 2 or higher during postoperative radiotherapy for breast cancer, compared to best supportive care. The secondary objectives were to assess pain, treatment interruption as a result of skin reactions, and the quantity of life during the treatment.

Conditions

Radiation Dermatitis

Keywords

Radiation dermatitis; best supportive care; Aloe vera gel; phase III study was to assess the effectiveness of aloe vera and vitamin E.

Outcome Measures

Primary Outcomes (1)

• Acute radiation-induced dermatitis of grade 2 or higher during postoperative radiotherapy for breast cancer.

Secondary Outcomes (1)

• quality of life,interruptions of treatment and pain.

Study Arms (2)

1

EXPERIMENTAL

Drug: Aloe vera gel

2

NO INTERVENTION

Interventions

Aloe vera gel DRUG

The aloe vera gel which was commercially available, contained water, aloe vera, D-panthenol, triethanolamine, carbomer 934P, hyaluronic acid, potassium sorbate, diazolidinyl urea, methylparaben, and propylparaben.

1

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• The women had to be 18 to 75 years of age with a nonmetastatic breast adenocarcinoma treated by either lumpectomy or mastectomy with or without adjuvant postoperative chemotherapy or hormonal treatment, and referred to the Department of Radiotherapy for postoperative radiotherapy. Concomitant chemotherapy was allowed.

You may not qualify if:

• Women with bilateral cancer, patients who were allergic to either of the two agents, and pregnant women were excluded.
• No rash, ulceration, bleeding, or unhealed scar was allowed in the treatment area.
• Patients were excluded for: prior radiation therapy (RT), mastectomy, skin involvement by tumor, history of, or current connective tissue disorder, medical contraindication (allergy or sensitivity) to Aloevera or planned BSC, and inability to comply with treatment regime. The use of bolus was prohibited.

Sponsors & Collaborators

• Marilia Medicine School: lead

Study Sites (1)

Gustavo Viani

Marília, Sao Paulo\brazil, 17501570, Brazil

Location

MeSH Terms

Conditions

Radiodermatitis

Interventions

Aloe vera gel

Condition Hierarchy (Ancestors)

Dermatitis; Skin Diseases; Skin and Connective Tissue Diseases; Radiation Injuries; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 5, 2009
• First Posted: April 7, 2009
• Study Start: March 1, 2007
• Primary Completion: September 1, 2008
• Study Completion: December 1, 2008
• Last Updated: April 7, 2009

Record last verified: 2009-04

Locations

BR (1)