A Study of GR1014 Cutaneous Gel for the Prevention of Skin Reactions Caused by Radiation Therapy for Breast Cancer
GuARD
A Randomised, Double-Blind, Vehicle-Controlled, Multi-Centre, Parallel-Group Study to Investigate the Safety, Tolerability, and Efficacy of GR1014 Cutaneous Gel as a Topical Radioprotector in the Prevention of the Radiodermatitis Occurring With Adjuvant Radiotherapy for Localised Breast Cancer After Lumpectomy
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
October 30, 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Brief Summary
This clinical trial is testing a new skin gel called GR1014-CG to evaluate its safety and see if it can help prevent or reduce skin irritation (such as redness, soreness, etc.) caused by radiation therapy (RT) after breast-conserving surgery for early-stage breast cancer. The study is for women aged 18 and older who have had surgery to remove a breast tumor and need radiation therapy. The main goals of the study are to find out:
If GR1014-CG is safe to use
If the gel can prevent or lower the severity of skin irritation caused by RT. During the study participants will,
Be randomly assigned to use one of two strengths of GR1014-CG (4.7% or 2.4%) or a placebo gel (a gel with no active drug).
Apply the gel to the breast before each radiation session for 5 days.
Visit the clinic once a week for 4 weeks to check their skin and overall health. At the end of the 4th week, if there are still signs of irritation participants will come to the clinic for a checkup 2 weeks after, and then again 2 weeks after if the irritation is still observed.
Keep a diary to record any pain or itching they may feel.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
active not recruiting
Estimated enrollment
273 participants
Study completion date
October 30, 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
2 countries · 4 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
July 26, 2024
Actual (reported)
First Submitted
September 11, 2025
Actual (reported)
First Posted
September 25, 2025
Actual (reported)
Primary Completion
September 30, 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
October 30, 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Percentage of Participants with No Radiation Dermatitis as Assessed by CTCAE Latest Version (LV) (Grade of 0)
As per CTCAE - Radiation Dermatitis: A finding of cutaneous inflammatory reaction occurring as a result of exposure to biologically effective levels of ionizing radiation.
Grade 1: Faint erythema or dry desquamation; Grade 2: Moderate to brisk erythema; patchy moist desquamation, mostly confined to skin folds and creases; moderate edema; Grade 3: Moist desquamation in areas other than skin folds and creases; bleeding induced by minor trauma or abrasion; Grade 4: Life-threatening consequences; skin necrosis or ulceration of full thickness dermis; spontaneous bleeding from involved site; skin graft indicated; Grade 5: Death
At any time between the first radiotherapy session and 4 weeks after the last one
Secondary Outcomes (11)
Percentage of Participants with a Radiodermatitis grade ≥2 (CTCAE LV)
At any time between the first radiotherapy session and 4 weeks after the last one
Study Arms (3)
GR1014-CG 4.7%
EXPERIMENTAL
GR1014-CG 4.7% will be applied topically on the breast skin surface to be irradiated 15-30 min each day of the radiotherapy, 15-30 min before irradiation
Radiation: Radiation TherapyDrug: GR1014-CG 4.7%
GR1014-CG 2.4%
EXPERIMENTAL
GR1014-CG 2.4% will be applied topically on the breast skin surface to be irradiated 15-30 min each day of the radiotherapy, 15-30 min before irradiation
Drug: GR1014-CG 2.4%Radiation: Radiation Therapy
Vehicle Gel
PLACEBO COMPARATOR
Interventions
GR1014-CG 2.4%Drug
Topical gel formulation of amifostine thiol (GR1014) at 25 mg/mL
GR1014-CG 2.4%
Vehicle GelDrug
The same topical formulation as GR1014-CG without the active ingredient amifostine thiol
Vehicle Gel
Eligibility Criteria
Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Female patients with age ≥18 years. Those of childbearing potential must be using highly effective contraception methods during the study and for 30 days after the last administration of the study treatment and have a negative pregnancy test at screening and no more than 10 days prior to the administration of the first dose of study treatment
Percentage of Participants with No Radiation Dermatitis (CTCAE LV)
4 weeks after the last radiotherapy session (at Visit 10)
Maximum Grade of Radiodermatitis (CTCAE LV) Reached in each Participant
Between the first radiotherapy session and 4 weeks after the last one
Assessments of Radiodermatitis Grade (CTCAE LV)
Between the first radiotherapy session and up to 8 weeks after the last one
Time to Onset of Radiodermatitis Grade ≥2 (CTCAE LV).
From the first radiotherapy session and up to 8 weeks after the last one
+6 more secondary outcomes
Vehicle Gel will be applied topically on the breast skin surface to be irradiated 15-30 min each day of the radiotherapy, 15-30 min before irradiation
Drug: Vehicle GelRadiation: Radiation Therapy
Radiation TherapyRadiation
Ultra hypofractionated RT, 26 Gy in 5 daily fractions (5.2 Gy) given over 1 week on the whole breast
GR1014-CG 2.4%GR1014-CG 4.7%Vehicle Gel
GR1014-CG 4.7%Drug
Topical gel formulation of amifostine thiol (GR1014) at 50 mg/mL
GR1014-CG 4.7%
GR1014 Cutaneous GelType not reported
The placebo ingredients are identical to those of GR1014-CG with the exception that the drug
substance (amifostine) and hydrochloric acid (used at the hydrolysis step to convert amifostine
in the active substance, amifostine thiol) are omitted.Type not reported
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Patients with primary, localized breast cancer without metastases pTis, T1-3, pN0-N1mi, M0, who have undergone breast-conserving surgical excision and require adjuvant RT. The patients should be randomized after having recovered from the last surgery and, if delivered, the adjuvant chemotherapy. The patients can be included no matter the status of estrogen and progesterone receptors, malignancy grade, or HER2 status.
ECOG performance status 0-2
Patients to be treated with ultra hypofractionated RT, 26 Gy in 5 fractions (5.2 Gy) on whole breast (EQD2 \> 42.6 Gy for α/β of 3)
Patients with no signs of dermatitis in the breast area to be irradiated, i.e., assessed Grade 0 as per CTCAE radiation dermatitis grading
Patients whom the investigator has deemed able to comply with the RT and investigational treatment done under the supervision of the medical personnel throughout the study period
Patients who have completed the appropriate washout period for any prior interventions or treatments
You may not qualify if:
Pregnant and breastfeeding women
Patients under any treatment concomitant to radiotherapy tested in another clinical study
Allergies to any of the ingredients in GR1014-CG
Patients protected by law (legal guardianship or protection)
Patients unable to adhere to the requirements of the study
History of thoracic RT
Participants with the presence of skin rash, ulceration, unhealed surgical wounds, biopsy sites, or open wound in the breast or chest area at visit 2
Patients suffering from scleroderma, auto-immune disease, micro-vascular diseases, collagen tissue diseases, lupus, pre-existing loss of skin integrity, active eczema in the region to be treated or with a history of any of the following: drug-induced severe cutaneous adverse reaction (SCAR; including, but not limited to Stevens-Johnson syndrome/toxic epidermal necrolysis \[SJS/TEN\], or drug reaction with eosinophilia and systemic symptoms)
Contact the study team to confirm eligibility.
Industrycollaborator
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
October 30, 2026
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
September 25, 2025
Record last verified: 2025-09
Data Sharing
IPD Sharing
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