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Crisaborole Ointment for Skin Toxicity Induced by Cetuximab

Phase 2
Recruiting
Conditions
Metastatic Colorectal Cancer
Cetuximab
Skin Toxicity
Interventions
Registration Number
NCT06118047
Lead Sponsor
Sun Yat-sen University
Brief Summary

This is a prospective, single-arm, phase II clinical trial that will enroll metastatic colorectal cancer patients with Cetuximab-Related Skin Toxicity, who will receive crisaborole ointment twice daily.

Detailed Description

The efficacy of cetuximab has been demonstrated in treating metastatic colorectal cancer (mCRC). Skin toxicities, especially acneiform eruption, are the major side effects associated with cetuximab, which affect patients' quality of life and can lead to treatment discontinuation and cetuximab dose reduction.

This prospective, single-arm, phase II clinical trial aims to explore the efficacy and safety of crisaborole ointment in Cetuximab-Related Skin Toxicity. A total of 33 mCRC patients with acneiform eruption will be enrolled. All of the participants will receive crisaborole ointment twice daily. The total follow-up time is 12 weeks.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
33
Inclusion Criteria
  1. Diagnosed mCRC and undergoing Cetuximab treatment;
  2. ≥2 grade EGFR inhibitor-related acneiform eruption, evaluated by National Cancer Institute (NCI) Common Terminology Criteria Adverse Events (CTCAE)5.0;
  3. Age 18 years and older;
  4. ECOG performance status 0-2.;
  5. Bone marrow ,brain, heart, kidney and other organ function well;;
  6. Expected survival time more than 3 months;
Exclusion Criteria
  1. The presence of any active skin disease;
  2. Undergoing any current hormone therapy for any other disease;
  3. Prior allergic reaction or severe intolerance to crisaborole ointment

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Intervention groupCrisaborole Ointmentcrisaborole ointment
Intervention groupCetuximabcrisaborole ointment
Primary Outcome Measures
NameTimeMethod
Remission rate of EGFR inhibitor-related acneiform eruptionFrom date of randomization until the date of remission,assessed up to 8 weeks.

Grading of acneiform eruption would be assessed according to National Cancer Institute (NCI) Common Terminology Criteria Adverse Events (CTCAE) 5.0. Remission was defined as a reduction in acneiform eruption from grade 2 to grade 1 or grade 3 to grade 2 sustained for at least 2 weeks.

Secondary Outcome Measures
NameTimeMethod
Remission time of EGFR inhibitor-related acneiform eruptionFrom date of randomization until the date of remission,assessed up to 8 weeks.

Grading of acneiform eruption would be assessed according to NCI-CTCAE 5.0. Remission was defined as a reduction in acneiform eruption from grade 2 to grade 1 or grade 3 to grade 2 sustained for at least 2 weeks

Cetuximab dose reduction rate8 weeks from randomization.

Rate of Cetuximab dose reduction due to skin toxicity

Cetuximab treatment discontinuation rate8 weeks from randomization.

Rate of Cetuximab treatment discontinuation due to skin toxicity

Level of paronychia, xeroderma and pruritus8 weeks from randomization.

Grading of paronychia, xeroderma and pruritus would be assessed according to NCI-CTCAE 5.0.

Quality of life (FACT-EGFRI-18)The 0,2,4,6,8,10,12 weeks from randomization.

Functional Assessment of Cancer Therapy (FACT)questionnaire to assess dermatologic symptoms associated with epidermal growth factor receptor inhibitors (FACT-EGFRI-18)

Quality of life(EORTC QLQ-C30)The 0,2,4,6,8,10,12 weeks from randomization.

Questionnaire of the European Organisation for Research and Treatment of Cancer quality of life (EORTC QLQ-C30)

Trial Locations

Locations (1)

WeiWei Xiao

🇨🇳

Guangzhou, Guangdong, China

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