Comparison on Radiotherapy Permanent Skin Marking With Lancets and an Electric Marking Device
COMFORTATTOO
Research Study: Tattooing of Skin Landmarks in Radiotherapy: Comparison Between the System Traditional and Comfort Marker 2.0® (COMFORTATTOO)
1 other identifier
interventional
100
1 country
1
Brief Summary
Comparison on radiotherapy skin set-up markings with lancets versus Comfort Marker 2.0®
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Oct 2021
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 18, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 11, 2022
CompletedFirst Submitted
Initial submission to the registry
April 26, 2022
CompletedFirst Posted
Study publicly available on registry
May 12, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2022
CompletedJune 10, 2022
June 1, 2022
5 months
April 26, 2022
June 7, 2022
Conditions
Outcome Measures
Primary Outcomes (2)
Patients' comfort
Comfort is verbally assessed on the 11-point numeric pain scale. As more than one reference point is tattooed, the patients are asked to give an overall score to the procedure.
Day 1
Effectiveness
Effectiveness is assessed by the RTT team that delivered the daily fractions. Skin markings are individually evaluated at several periods, specifically at the first fraction, then every 5 fractions, and one last time in the last fraction of RT. These evaluations are scored on a 4-point graded scale (corresponding to bad, reasonable, good, and excellent).
up to 7 weeks
Secondary Outcomes (2)
RTTs' satisfaction
Day 1
Cosmesis
one of the last three days of irradiation
Other Outcomes (1)
Tattoo fading
6 months from the end of irradiation
Study Arms (2)
Lancets
ACTIVE COMPARATORComfort Marker 2.0
EXPERIMENTALInterventions
The set-up markings are created during the simulation session, after the CT simulation is acquired. For the experimental group, patients' markings are tattooed using an electric marking device developed for set-up marking, the Comfort Marker 2.0® (CM), designed by CIVCO medical solutions, using the 0.2mm deep application depth and the brand-included black pigment. After cleaning the excess ink, if the tattooing was considered unsuccessful, the process was repeated. Markings arrangement followed our departmental protocol. No limit on the maximum number of cutaneous reference points is specified.
The set-up markings are created during the simulation session, after the CT simulation is acquired. For the control group, patients' markings are tattooed using a 28-gauge disposable lancet and india ink. After cleaning the excess ink, if the tattooing was considered unsuccessful, the process was repeated. Markings arrangement followed our departmental protocol. No limit on the maximum number of cutaneous reference points is specified.
Eligibility Criteria
You may qualify if:
- Age at least 18 years old.
- Patients referred to our department to receive external beam radiation therapy.
- Eastern Cooperative Oncology Group performance status of 0 to 1.
- Estimated fractionating schedule of at least 13 once-daily fractions.
- Written informed consent.
You may not qualify if:
- Patients requiring either immobilisation thermoplastic masks (for head or head and shoulders) or vacuum cushion.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Instituto Português de Oncologia do Porto Francisco Genti
Porto, 4200-072, Portugal
Related Publications (1)
Pires AM, Carvalho L, Santos AC, Vilaca AM, Coelho AR, Oliveira C, Costa C, Fernandes F, Moreira L, Lima J, Vieira R, Ferraz MJ, Silva M, Silva P, Matias R, Zorro S, Costa S, Sarandao S, Barros AF. Radiation Therapy Skin Marking with Lancets Versus Electric Marking Pen (COMFORTATTOO)-6 Months Results on Cosmesis, Fading, and Patients' Satisfaction From a Randomized, Double-Blind Trial. Adv Radiat Oncol. 2023 Nov 5;9(3):101404. doi: 10.1016/j.adro.2023.101404. eCollection 2024 Mar.
PMID: 38292889DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
April 26, 2022
First Posted
May 12, 2022
Study Start
October 18, 2021
Primary Completion
March 11, 2022
Study Completion
September 1, 2022
Last Updated
June 10, 2022
Record last verified: 2022-06
Data Sharing
- IPD Sharing
- Will not share