The Effect of RadiaAce Gel in the Prevention and Treatment of Radiation Dermatitis in Breast Cancer Patients

Study Overview
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Brief Summary
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Radiation dermatitis (RD) is one of the most common side effects of Radiation therapy (RT) and 95% of patients receiving RT may experience some form of radiation dermatitis. A wide variety of topical, oral, and intravenous agents are used to prevent/treat Radiation dermatitis but currently there is no gold standard in the prevention and management of this condition and no treatment can be explicitly recommended. RadiaAce Gel is a wound dressing Hydrogel (Acemannan Hydrogel) for the management of RD which provides optimal moist wound environment necessary to the healing process. Based on its composition as well as the supporting data on safety and performance of the functional ingredient Acemannan in wound healing, RadiaAce may well be suited to complement the prevention and therapy of radiation dermatitis. The primary aim of the study is to evaluate the safety and performance of RadiaAce as compare to Biafine in reducing the proportion of breast cancer patients that experience grade 2 or higher RD as measured by the RTOG scoring system

Official Title
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The Effect of RadiaAce Gel Versus Biafine in the Prevention and Treatment of Radiation Dermatitis in Breast Cancer Patients

Conditions
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Breast Cancer, Radiation Dermatitis

Intervention / Treatment
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* Device: RadiaAce gel
* Device: Biafine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female patients Age > 18 Patients with histologically-confirmed diagnosis of breast cancer Patients after breast lumpectomy and that scheduled to receive radiotherapy Patients to receive minimum of 40.05 Gy to primary field Must be able to comply with treatment schedule Study-specific signed informed consent prior to randomization Exclusion Criteria: Inflammatory or connective tissue disorders of the skin Mental incompetence, including psychological or addictive disorders which would preclude completion of questionnaires Previous radiation therapy to the breast Tumour involvement of the skin Rash, ulceration or open wound in treatment field Known skin allergy or sensitivity to Aloe Vera or Biafine Current lactation Pregnancy Any other reason that, in the opinion of the investigator, prevents the subject from

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 120 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: RadiaAce gel<br>RadiaAce Gel is a clear, non-oily Hydrogel wound dressing for the management of Radiation Dermatitis which provides optimal moist wound environment necessary to the healing process. RadiaAce gel contains Acemannan, a high molecular polysaccharide obtained from the inner gel of Aloe Vera leaves and it is considered the main functional component of Aloe vera (Sahu et al. 2013). | Device: RadiaAce gel<br>* Patients will apply the RadiaAce to the treatment area starting 5 days before radiation treatment. The Hydrogel/cream will be applied three times a day with a minimum of four hours between applications. Treatments will be used through the course of RT and for 6 days after the last fraction of radiation.<br>* Other names: Acemannan hydrogel;|
| Active Comparator: Biafine<br>one of the standard skin care in radiation oncology, this treatment was chosen as the comparator. | Device: Biafine<br>* Patients will apply the Biafine to the treatment area starting 5 days before radiation treatment. The Hydrogel/cream will be applied three times a day with a minimum of four hours between applications. Treatments will be used through the course of RT and for 6 days after the last fraction of radiation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Skin assessment (RD grade) | Skin condition (grade of RD) in the radiation area will be measured by the Radiation Therapy Oncology Group (RTOG) scoring | 10 weeks | 
| Pain (VAS) | Dermatitis-related pain is assessed with a visual analogue scale (VAS) self-assessment | 10 weeks | 
| Patient's assessment of the skin condition (DLQI questioner) | The Patients perspective is captured by the Dermatology Life Quality Index (DLQI) | 10 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Radiation dermatitis, breast cancer