Oral Curcumin for Radiation Dermatitis
Primary Purpose
Radiation-induced Dermatitis
Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Curcumin
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Radiation-induced Dermatitis focused on measuring Oral Curcumin, Radiation Dermatitis, Breast Cancer Patients
Eligibility Criteria
Inclusion Criteria:
- a diagnosis of non-inflammatory breast adenocarcinoma (including in situ and bilateral)
- scheduled to begin radiotherapy without concurrent chemotherapy; concurrent hormone or Herceptin® (trastuzumab)treatment is okay
- can have been treated by lumpectomy or mastectomy with or without adjuvant or neoadjuvant chemotherapy or hormonal treatment
- can have had breast reconstruction
- scheduled to receive 25-35 radiation treatment sessions (1 session per day) using standard irradiation fractionation (1.8-2.0 Gy per sessions) OR 16-20 radiation treatment sessions (1 session per day) using Canadian irradiation fractionation (2.2-3.0 Gy per session)(100, 101).
- able to swallow medication.
- three weeks must have elapsed after chemotherapy and surgery before the patient can begin the study
- able to understand English
Exclusion Criteria:
- inflammatory breast cancer
- previous radiation therapy to the breast or chest
- concurrent chemotherapy treatment
- concurrent treatment with anti-coagulants (e.g., coumadin®, warfarin®), or anti-EGFR (human epidermal growth factor receptor) drugs (e.g. Iressa® (gefitinib), Erbitux® (cetuximab, C225); aspirin is allowed
- known radiosensitivity syndromes (e.g., Ataxia-telangiectasia)
- collagen vascular disease, unhealed surgical sites, or breast infections
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
curcumin
Placebo
Arm Description
4 Curcumin C3 Complex 500mg capsules (2.0 g) taken orally 3 times/day throughout course of radiation treatments plus one week
4 placebo capsules taken orally 3 times/day throughout course of radiation treatments plus one week
Outcomes
Primary Outcome Measures
Mean Radiation Dermatitis Severity Score
The outcome measures will be the severity of radiation dermatitis, using the Radiation Dermatitis Score (RDS), at the end of treatment in each treatment arm. (Objective: To examine the efficacy of curcumin in preventing and/or reducing the severity of dermatitis in radiation treatment site in breast cancer patients). The RDS score ranges from 0-4 with higher scores indicating worse outcome.
Secondary Outcome Measures
Percentage of Subjects With Moist Desquamation
Moist desquamation was measured by the presence of wet, patchy crusting, oozing, or ulcerated skin in areas where skin was peeling in sheets.
Full Information
NCT ID
NCT01246973
First Posted
November 22, 2010
Last Updated
February 8, 2016
Sponsor
University of Rochester
Collaborators
National Cancer Institute (NCI)
1. Study Identification
Unique Protocol Identification Number
NCT01246973
Brief Title
Oral Curcumin for Radiation Dermatitis
Official Title
Oral Curcumin for Radiation Dermatitis in Breast Cancer Patients
Study Type
Interventional
2. Study Status
Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
January 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Rochester
Collaborators
National Cancer Institute (NCI)
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of the study is to determine whether curcumin, an ingredient of some foods, can prevent or reduce the severity of skin reactions (dermatitis) caused by radiation therapy. Dermatitis is a common side effect of radiation treatment, but few effective treatments have been developed for it. Curcumin is a natural compound found in both turmeric and curry powder. It has been used for centuries as a spice (curry), a food coloring and as a food preservative. Curcumin is non-toxic and has been found to enhance the functions of normal tissues..
Detailed Description
Radiation is a toxic agent and a widely accepted form of treatment for various types of cancer. Approximately half of all women with breast cancer receive radiation therapy. Despite advances in medical technology, radiation therapy still causes severe skin effects. Radiation dermatitis occurs in approximately 90% of patients and ranges in severity from mild redness to more severe skin changes. Dermatitis is a common side effect of radiation treatment, but few effective treatments have been developed for it; currently, there is no standard treatment for the prevention of radiation-induced dermatitis. Curcumin is a natural compound found in both turmeric and curry powder. It has been used for centuries as a spice (curry), a food coloring and as a food preservative. Curcumin is non-toxic and has been found to enhance the functions of normal tissues.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Radiation-induced Dermatitis
Keywords
Oral Curcumin, Radiation Dermatitis, Breast Cancer Patients
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
686 (Actual)
8. Arms, Groups, and Interventions
Arm Title
curcumin
Arm Type
Experimental
Arm Description
4 Curcumin C3 Complex 500mg capsules (2.0 g) taken orally 3 times/day throughout course of radiation treatments plus one week
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
4 placebo capsules taken orally 3 times/day throughout course of radiation treatments plus one week
Intervention Type
Drug
Intervention Name(s)
Curcumin
Other Intervention Name(s)
Curcumin C3 Complex
Intervention Description
4 Curcumin C3 Complex 500mg capsules (2.0 g) taken orally 3 times/day throughout course of radiation treatments plus one week
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
4 placebo capsules taken orally 3 times/day throughout course of radiation treatments plus one week
Primary Outcome Measure Information:
Title
Mean Radiation Dermatitis Severity Score
Description
The outcome measures will be the severity of radiation dermatitis, using the Radiation Dermatitis Score (RDS), at the end of treatment in each treatment arm. (Objective: To examine the efficacy of curcumin in preventing and/or reducing the severity of dermatitis in radiation treatment site in breast cancer patients). The RDS score ranges from 0-4 with higher scores indicating worse outcome.
Time Frame
6 weeks
Secondary Outcome Measure Information:
Title
Percentage of Subjects With Moist Desquamation
Description
Moist desquamation was measured by the presence of wet, patchy crusting, oozing, or ulcerated skin in areas where skin was peeling in sheets.
Time Frame
6 weeks
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
a diagnosis of non-inflammatory breast adenocarcinoma (including in situ and bilateral)
scheduled to begin radiotherapy without concurrent chemotherapy; concurrent hormone or Herceptin® (trastuzumab)treatment is okay
can have been treated by lumpectomy or mastectomy with or without adjuvant or neoadjuvant chemotherapy or hormonal treatment
can have had breast reconstruction
scheduled to receive 25-35 radiation treatment sessions (1 session per day) using standard irradiation fractionation (1.8-2.0 Gy per sessions) OR 16-20 radiation treatment sessions (1 session per day) using Canadian irradiation fractionation (2.2-3.0 Gy per session)(100, 101).
able to swallow medication.
three weeks must have elapsed after chemotherapy and surgery before the patient can begin the study
able to understand English
Exclusion Criteria:
inflammatory breast cancer
previous radiation therapy to the breast or chest
concurrent chemotherapy treatment
concurrent treatment with anti-coagulants (e.g., coumadin®, warfarin®), or anti-EGFR (human epidermal growth factor receptor) drugs (e.g. Iressa® (gefitinib), Erbitux® (cetuximab, C225); aspirin is allowed
known radiosensitivity syndromes (e.g., Ataxia-telangiectasia)
collagen vascular disease, unhealed surgical sites, or breast infections
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Julie Ryan, PhD, MPH
Organizational Affiliation
University of Rochester
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
Oral Curcumin for Radiation Dermatitis
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