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Trial registered on ANZCTR
Registration number
ACTRN12608000180314
Ethics application status
Approved
Date submitted
5/04/2008
Date registered
9/04/2008
Date last updated
30/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of Mepilex dressings on radiation-induced skin reactions in women with breast cancer
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Scientific title
The effect of mepilex lite dressings on the management of radiation-induced skin reactions in women with breast cancer
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Secondary ID [1]
288030
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NIL
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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-induced skin reactions in women that receive radiation therapy for breast cancer.
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Condition category
Condition code
Skin
3150
3150
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Mepilex Lite dressings consist of a thin flexible foam with silicon webbing which does not react with chemicals in and on the skin. The dressings will be used to cover parts of skin that shows signs of radiation-induced skin reactions (mild erythema). Progression from mild to severe erythema and to dry desquamation will be monitored and compared to parts of the irradiated skin that is treated with standard skin care (in-patient controls).
The dressings will be applied from the moment erythema is seen (usually 2 weeks into the 5 week treatment). They will be replaced weekly for the duration of the treatment and for four weeks after treatment has been completed.
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Intervention code [1]
2742
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Treatment: Other
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Comparator / control treatment
Standard care for radiation-induced skin reactions in Dunedin Hospital is an emollient aquaous cream. The cream will be applied to the skin (topically) daily from the moment radiation treatment starts till 4 week after completion of treatment.
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Control group
Active
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Outcomes
Primary outcome [1]
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Slower progression from mild to severe erythema and lack of progression to dry desquamation in areas of skin that are covered with the dressing compared to standard treatment. Erythema will be assesses by a standard Radiation Induced Skin Reaction Assessment Scale (RISRAS) and by digital photographs (Canon, with customized setting and photoshop software)
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Assessment method [1]
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Timepoint [1]
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Three times a week from the moment erythema is seen (usually in week 2 of treatment) till end of treatment (which is 5 weeks). Further time points are 1 week and 4 weeks after completion of treatment.
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Secondary outcome [1]
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Mepliex Lite dressings decrease erythema by a cooling effect of the skin. This will be assessed by skin temperature measurements using a Derma Temp infrared surface skin scanner (Exergen).
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Assessment method [1]
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Timepoint [1]
6799
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Three times a week from the moment erythema is seen (usually in week 2 of treatment) till end of treatment (which is 5 weeks). Further time points are 1 week and 4 weeks after completion of treatment.
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Eligibility
Key inclusion criteria
All women that are having radiation therapy for breast cancer and have not had a previous radical mastectomy at Dunedin Hospital;, Department of Oncology (Radiation Therapy)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women who have had a previous radical mastectomy are excluded from this trial
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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?
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Intervention assignment
Other
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Other design features
Patients act as their own controls. Parts of the skin that show erythema will be covered with dressings and part will receive standard care. If the dressings prove to stop progression to dry desquamation and the standard treatment does not, all affected skin areas will be covered by dressing. If there is an adverse reaction to the dressings, all skin will be treated with standard skin care.
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
25/05/2008
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Actual
2/06/2008
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Date of last participant enrolment
Anticipated
1/05/2009
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Actual
10/05/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
28
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Recruitment outside Australia
Country [1]
858
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New Zealand
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State/province [1]
858
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South Island, Dunedin
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Otago, Wellington
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Address [1]
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Mein Street,
PO Box 7343
Wellington South
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Country [1]
3262
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New Zealand
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Primary sponsor type
University
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Name
University of Otago, Wellington
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Address
Mein Street,
PO Box 7343
Wellington South
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Country
New Zealand
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Otago Distric Health Board (Dunedin Hospital
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Address [1]
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201 Great King Street
PO Box 1921
Dunedin
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Lower South Island Ethics Committee
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Ethics committee address [1]
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229 Morray Place PO Box 5849 Dunedin
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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31/03/2008
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Approval date [1]
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05/05/2008
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Ethics approval number [1]
5258
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Summary
Brief summary
Radiation therapy of the breast aims to eradicate all possible remaining tumour cells and, in addition, can cause skin reactions, varying from a slight reddening of the skin to itching, cracking, blistering or peeling, leaving the underlying tissues exposed. Although there are several ways to manage radiation-induced skin reactions, there is currently no standard protocol in New Zealand. A promising new range of Swedish silicon-foam skin dressings, (Mepilex Lite, Molnlycke), is currently in use in many hospitals in New Zealand for the treatment of burns. This project aims to investigate the cooling effects of the dressings on radiation-induced skin reactions in 40 women undergoing radiation treatment for breast cancer in Dunedin Hospital. When reddening of the skin is seen, several parts of the irradiated breast area will be covered with dressings, whilst the other parts will be treated with a moisturizing cream. Skin condition will be assessed three times a week for the duration of treatment, as well as 1 and 4 weeks after treatment has been completed, using an established skin assessment scale, digital photographs and heat measurements.
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Trial website
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Trial related presentations / publications
Diggelmann, K.V., Zytkovicz, A.E., Tuaine, J.M., Bennett, N.C., Kelly, L.E., Herst, P.M. Mepilex Lite dressings for the management of radiation-induced erythema: a systematic inpatient controlled clinical trial. Br J Radiol. 83(995): 971-934 (2010).
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Public notes
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Attachments [1]
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/AnzctrAttachments/82725-Diggelmann, BJR 2010.pdf
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Contacts
Principal investigator
Name
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Dr Patries Herst
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Address
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Department of radiation Therapy
University of Otago, Wellington
POBox 7343
Wellington South
Postcode 6242
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Country
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New Zealand
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Phone
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+64-4-3855475
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Noelle Bennett
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Address
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Department of Oncology (Radiation Therapy)
Dunedin Hospital
201 Great King Street
PO Box 1921
Dunedin
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Country
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New Zealand
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Phone
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phone:+64-3-4747047
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Fax
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fax:+64-3-4747656
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Patries Herst
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Address
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Department of Radiation Therapy
University of Otago, Wellington
Mein Street
PO Box 7343
Wellington South 6242
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Country
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New Zealand
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Phone
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+64-4-3855475 ext 4753
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Fax
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+64-4-3855375
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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