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| Name | Class |
|---|---|
| University of Washington | OTHER |
| Conselho Nacional de Desenvolvimento CientÃfico e Tecnológico | OTHER_GOV |
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This study aims to evaluate therapeutics interventions in radiodermatitis in patients with breast or head and neck cancer. The data collect is going to begin after determining the better dose in a dose-response curve that is being conduct now in the same institution. To evaluate the skin reaction will be applied scale of the Radiation Therapy Oncology Group (RTOG) - Acute Radiation Morbidity Scoring Criteria, Common Terminology Criteria for Adverse Events (CTCAE) and Radiation-Induced Skin Reaction Assessment Scale (RISRAS).
Hypothesis:
Chamomila gel is more effective than urea (usual care); Chamomila infuse is more effective than urea (usual care); Chamomila gel is more effective than chamomila infuse; Chamomila infuse is more effective than chamomila gel; Chamomila gel is as effective than urea (usual care); Chamomila infuse is as effective than urea (usual care); Chamomila gel is as effective than chamomila infuse; Chamomila infuse is as effective than chamomila gel.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chamomila recutita Gel | Experimental | Experimental Group 1 - patients will apply the gel since the begging of radiodermatitis, three times a day. The dose is being determined in a Phase II study that is being conducted. Topical application of gel is going to occur concomitantly to the initiation of radiodermatitis and will be follow up until the cure of it. |
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| Chamomila recutita Infuse 2,5% | Experimental | Experimental Group 2 - patients will apply the infuse since the begging of radiodermatitis, three times a day. The dose of 2,5% was determined before in a Phase II study. Radiodermatitis grade and intensity is going to be evaluated. Topical application of the infuse is going to occur concomitantly to the initiation of radiodermatitis and will be follow up until the cure of it. |
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| Urea cream based | Active Comparator | Control Group - usual care to treat radiodermatitis, patients will apply the infuse since the begging of radiodermatitis, three times a day. Radiodermatitis grade and intensity is going to be evaluated. Topical application of urea is going to occur concomitantly to the initiation of radiodermatitis and will be follow up until the cure of it. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chamomila recutita Gel | Other | Gel formulated with active principles from Chamomilla recutita which dose is being determined in a dose-response curve |
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| Measure | Description | Time Frame |
|---|---|---|
| Reduction of the severity of radiodermatitis, according to the RTOG score. | This outcome is going to be evaluated weekly by the analisys of the signs and symptoms of radiodermititis ant the RTOG score | 5 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Radiation Dose | radiation total dose and fraction | 5 weeks |
| Radiodermititis Cure | The time that pacient don´t have more the radiodermititis |
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Inclusion Criteria:
Being an adult, over the age of 18 years old; Owning diagnosis of breast or head and neck cancer; Being first referred to the radiotherapy protocol; Presenting radiodermatitis grades 1 or 2, second RTOG score, in the place where is receiving radiation therapy; No history of previous hypersensitivity reaction to chamomile or any plant of the Asteraceae or Compositae family or Urea; Demonstrate understanding to continue the intervention in their home environment when necessary.
Exclusion Criteria:
Medical prescription, during the process of data collection, some kind of intervention to prevent radiodermatitis
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| Name | Affiliation | Role |
|---|---|---|
| Elaine B Ferreira, Nurse | University of Brasilia | Principal Investigator |
| Priscila MS Bontempo, Nurse | University Hospital of Brasilia | Principal Investigator |
| Marcia A Ciol, Biostatistcs | University of Washington | Study Director |
| Karine RM Silva, Nurse | University of Brasilia | Study Chair |
| Carlos J Sacramento, Nurse | University of Brasilia | Study Chair |
| Paula ED Reis, PhD, Nurse | University of Brasilia | Study Director |
| Samuel R Avelino, MP | University Hospital of Brasilia | Principal Investigator |
| Leandro X Cardoso, Physics | University of Brasilia | Study Chair |
| Luis FO Silva, MP | University Hospital of Brasilia | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21412623 | Background | Reis PE, Carvalho EC, Bueno PC, Bastos JK. Clinical application of Chamomilla recutita in phlebitis: dose response curve study. Rev Lat Am Enfermagem. 2011 Jan-Feb;19(1):3-10. doi: 10.1590/s0104-11692011000100002. |
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| ID | Term |
|---|---|
| D011855 | Radiodermatitis |
| D001943 | Breast Neoplasms |
| D006258 | Head and Neck Neoplasms |
| ID | Term |
|---|---|
| D003872 | Dermatitis |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D011832 | Radiation Injuries |
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| Chamomila recutita Infuse | Other | chamomila infuse in a concentration of 2,5% already determined in a dose response curve |
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| Urea cream based | Drug | Urea is already using to treat radiodermatitis when it starts to occur, so it will be the usual care |
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| 8 weeks |
| Time to reduce the severity of radiodermatitis | This outcome is going to be evaluated weekly by the analisys of the time of reduce the signs and symptoms of radiodermititis ant the RTOG score | 5 weeks |
| D014947 |
| Wounds and Injuries |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |