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Cavilon Breast Trial: Comparison of Cavilon Durable Barrier Cream to Glycerine ("Sorbolene") Cream

Phase 3
Completed
Conditions
Breast Cancer
Interventions
Drug: Cavilon (TM) Durable Barrier Cream
Drug: Sorbolene
Radiation: Radiotherapy
Registration Number
NCT00193908
Lead Sponsor
Trans Tasman Radiation Oncology Group
Brief Summary

This study has patients using two different moisturising creams during radiation therapy after mastectomy. These are Cavilon and sorbolene. It is hypothesised that skin reactions may be reduced by the Cavilon cream compared to sorbolene.

Detailed Description

Skin reactions are a common and undesirable result of radiation treatment. Preventative measures are often used although there are few controlled trials. Commonly employed agents for established reactions have included sorbolene (10% Glycerine), silver sulphadiazine, hydrocolloid dressings, topical steroids, salt water or bicarbonate of soda water solution bathing and hydrogen peroxide. One trial found that Cavilon No-Sting Barrier film reduced Grade 3 skin reaction compared to sorbolene, although this film did not contain any moisturising agents.

General Hypothesis: That in a paired double blind randomised study peak and overall skin reactions experienced by post mastectomy breast cancer patients receiving radiotherapy may be reduced by Cavilon Durable Barrier Cream (CDBC) compared to Sorbolene.

Alternative Hypothesis of primary outcome: the frequency of grade 3 or more skin reaction will be reduced from 35% to 25% for skin care using sorbolene or CDBC respectively.

Alternative Hypothesis of secondary outcome: the mean area under the curve (AUC) of total skin reaction will be reduced from 9 to 8 for skin care using sorbolene or CDBC respectively.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
333
Inclusion Criteria
  • Ages 18 or more years
  • Post total mastectomy
  • Planned dose at least 45 Gy in 25 fractions
  • ECOG 0-2
  • Able to attend weekly during treatment for review and photo and for up to 6 weeks after radiotherapy
  • Patients capable of childbearing using adequate contraception
  • Written informed consent
Exclusion Criteria
  • Previous radiotherapy to the chest wall to be treated
  • Macroscopic cutaneous involvement by malignancy at time of radiotherapy
  • Known allergy to product contents
  • Patients who are pregnant or lactating.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Cavilon (TM) Durable Barrier Cream-
1Sorbolene-
1Radiotherapy-
2Cavilon (TM) Durable Barrier Cream-
2Sorbolene-
2Radiotherapy-
Primary Outcome Measures
NameTimeMethod
Frequency of moist desquamation (grade 3) acute skin reaction scored as worst reaction within allocated skin care area12 weeks
Secondary Outcome Measures
NameTimeMethod
Skin toxicity area under the curve (AUC) being sum of maximum skin reaction per week over 12 weeks12 weeks

Trial Locations

Locations (12)

Wollongong Hospital

🇦🇺

Wollongong, New South Wales, Australia

Andrew Love Cancer Care Centre, Geelong Hospital

🇦🇺

Geelong, Victoria, Australia

St George Hospital

🇦🇺

Kogarah, New South Wales, Australia

Royal Perth Hospital

🇦🇺

Perth, Western Australia, Australia

Mater QRI

🇦🇺

South Brisbane, Queensland, Australia

Royal Brisbane Hospital

🇦🇺

Herston, Queensland, Australia

Liverpool Hospital

🇦🇺

Liverpool, New South Wales, Australia

Royal Adelaide Hospital

🇦🇺

Adelaide, South Australia, Australia

Calvary Mater Newcastle

🇦🇺

Newcastle, New South Wales, Australia

Westmead Hospital

🇦🇺

Wentworthville, New South Wales, Australia

Prince of Wales Hospital

🇦🇺

Randwick, New South Wales, Australia

Princess Alexandra Hospital

🇦🇺

Woolloongabba, Queensland, Australia

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