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CompletedNCT00362986Updated Dec 13, 2016

Topical Sunscreen in Preventing Skin Rash in Patients Receiving Drugs Such as Erlotinib or Cetuximab for Cancer

A Phase 3 interventional study of sunscreen and placebo in Dermatologic Complications and Unspecified Adult Solid Tumor, Protocol Specific, sponsored by Alliance for Clinical Trials in Oncology. Completed at 208 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-12-13.

Sponsored by Alliance for Clinical Trials in Oncology · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Topical sunscreen may be effective in preventing skin rash caused by treatment with drugs such as erlotinib or cetuximab. It is not yet known whether topical sunscreen is more effective than a placebo in preventing skin rash in patients receiving drugs such as erlotinib or cetuximab for cancer.

PURPOSE: This randomized phase III trial is studying topical sunscreen to see how well it works compared with a placebo in preventing skin rash in patients receiving drugs such as erlotinib or cetuximab for cancer.

Read the detailed description

OBJECTIVES:

  • Compare the incidence and severity of erlotinib-, cetuximab-, or other epidermal growth factor receptor inhibitor-induced skin rash development in patients with cancer treated with prophylactic topical sunscreen vs placebo.
  • Determine the toxicity of topical sunscreen vs placebo in these patients.
  • Determine whether discontinuation of treatment intervention is followed by rash development.

OUTLINE: This is a multicenter, randomized, double-blind, placebo-controlled study. Patients are stratified according to chemotherapy regimen (first-line chemotherapy vs other), epidermal growth factor receptor (EGFR) inhibitor therapy (small molecule vs monoclonal antibodies), concurrent medication that increases sun hypersensitivity (yes vs no), and gender. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients apply sunscreen generously to the entire body twice daily for 4 weeks.
  • Arm I: Patients apply placebo generously to the entire body twice daily for 4 weeks.

Patients complete self-reported questionnaires regarding their rash status at baseline and then weekly for 8 weeks.

After completion of study treatment, patients are followed for 8 weeks.

02

Conditions studied

  • Dermatologic Complications
  • Unspecified Adult Solid Tumor, Protocol Specific

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Keywords

  • dermatologic complications
  • unspecified adult solid tumor, protocol specific
03

In context

Exanthema

79 studies on the registry are indexed under Exanthema; 12 are open to participants now.

This study's enrollment of 116 is above the median of 42 across 58 interventional studies indexed under Exanthema.

Browse Exanthema studies →

Lead sponsor

Alliance for Clinical Trials in Oncology is the lead sponsor of 499 studies on the registry; 27 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of cancer
  • Receiving ≥ 1 of the following epidermal growth factor receptor (EGFR) inhibitor treatments:

    • Gefitinib
    • Cetuximab
    • Erlotinib
    • Panitumumab
    • ICR-62
    • Matuzumab
    • CI-1033
  • EGFR treatment must have begun within the past 3 days
  • No rash (of any etiology) at study entry

PATIENT CHARACTERISTICS:

  • Able to apply sunscreen on face, trunk, and extremities
  • Able to complete questionnaire(s)
  • No history of allergic reactions or severe intolerance to sunscreen or its derivatives
  • No history of skin problems likely to reoccur during treatment
  • Must avoid heavy sun exposure, especially during the hours of noon to 4 pm daily

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No concurrent tanning bed usage
  • No other concurrent topical sunscreens
05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
116 participants (actual)

Study arms

  • Experimental
    sunscreen

    Patients apply sunscreen generously to the entire body twice daily for 4 weeks. Patients complete self-reported questionnaires regarding their rash status at baseline and then weekly for 8 weeks. After completion of study treatment, patients are followed for 8 weeks.

    Drug: sunscreen

  • Placebo comparator
    placebo

    Patients apply placebo generously to the entire body twice daily for 4 weeks. Patients complete self-reported questionnaires regarding their rash status at baseline and then weekly for 8 weeks. After completion of study treatment, patients are followed for 8 weeks.

    Other: placebo

Interventions

  • Drugsunscreen
  • Otherplacebo
06

What researchers measure

Primary outcomes

  1. Incidence and severity of rash development by Skindex questionnaire

    Time frame: Up to 8 weeks

Secondary outcomes

  1. Toxicity by NCI CTCAE v3.0

    Time frame: Up to 8 weeks

  2. Rash incidence at 4 and 8 weeks

    Time frame: Up to 8 weeks

07

Study locations

208 sites
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida 32224, United States
  • Rush-Copley Cancer Care Center
    Aurora, Illinois 60507, United States
  • St. Joseph Medical Center
    Bloomington, Illinois 61701, United States
  • Graham Hospital
    Canton, Illinois 61520, United States
  • Memorial Hospital
    Carthage, Illinois 62321, United States
  • St. Anthony's Memorial Hospital
    Effingham, Illinois 62401, United States
  • Eureka Community Hospital
    Eureka, Illinois 61530, United States
  • Galesburg Clinic
    Galesburg, Illinois 61401, United States
  • Galesburg Cottage Hospital
    Galesburg, Illinois 61401, United States
  • Mason District Hospital
    Havana, Illinois 62644, United States
  • Hopedale Medical Complex
    Hopedale, Illinois 61747, United States
  • Joliet Oncology-Hematology Associates, Limited - West
    Joliet, Illinois 60435, United States
  • Kewanee Hospital
    Kewanee, Illinois 61443, United States
  • McDonough District Hospital
    Macomb, Illinois 61455, United States
  • Trinity Medical Center - East
    Moline, Illinois 61265, United States
  • Moline, Illinois 61265, United States
  • BroMenn Regional Medical Center
    Normal, Illinois 61761, United States
  • Community Cancer Center
    Normal, Illinois 61761, United States
  • Community Hospital of Ottawa
    Ottawa, Illinois 61350, United States
  • Oncology Hematology Associates of Central Illinois, PC - Ottawa
    Ottawa, Illinois 61350, United States
  • Cancer Treatment Center at Pekin Hospital
    Pekin, Illinois 61554, United States
  • Proctor Hospital
    Peoria, Illinois 61614, United States
  • CCOP - Illinois Oncology Research Association
    Peoria, Illinois 61615, United States
  • Oncology Hematology Associates of Central Illinois, PC - Peoria
    Peoria, Illinois 61615, United States
  • Methodist Medical Center of Illinois
    Peoria, Illinois 61636, United States
  • OSF St. Francis Medical Center
    Peoria, Illinois 61637, United States
  • Illinois Valley Community Hospital
    Peru, Illinois 61354, United States
  • Perry Memorial Hospital
    Princeton, Illinois 61356, United States
  • St. Margaret's Hospital
    Spring Valley, Illinois 61362, United States
  • Carle Cancer Center at Carle Foundation Hospital
    Urbana, Illinois 61801, United States
  • CCOP - Carle Cancer Center
    Urbana, Illinois 61801, United States
  • St. Francis Hospital and Health Centers - Beech Grove Campus
    Beech Grove, Indiana 46107, United States
  • Elkhart General Hospital
    Elkhart, Indiana 46515, United States
  • Howard Community Hospital at Howard Regional Health System
    Kokomo, Indiana 46904, United States
  • Center for Cancer Therapy at LaPorte Hospital and Health Services
    La Porte, Indiana 46350, United States
  • Saint Anthony Memorial Health Centers
    Michigan City, Indiana 46360, United States
  • Reid Hospital & Health Care Services, Incorporated
    Richmond, Indiana 47374, United States
  • CCOP - Northern Indiana CR Consortium
    South Bend, Indiana 46601, United States
  • Memorial Hospital of South Bend
    South Bend, Indiana 46601, United States
  • Saint Joseph Regional Medical Center
    South Bend, Indiana 46617, United States
  • McFarland Clinic, PC
    Ames, Iowa 50010, United States
  • Bettendorf, Iowa 52722, United States
  • Cedar Rapids Oncology Associates
    Cedar Rapids, Iowa 52403, United States
  • Mercy Capitol Hospital
    Des Moines, Iowa 50307, United States
  • CCOP - Iowa Oncology Research Association
    Des Moines, Iowa 50309, United States
  • John Stoddard Cancer Center at Iowa Methodist Medical Center
    Des Moines, Iowa 50309, United States
  • Medical Oncology and Hematology Associates at John Stoddard Cancer Center
    Des Moines, Iowa 50309, United States
  • Medical Oncology and Hematology Associates at Mercy Cancer Center
    Des Moines, Iowa 50314, United States
  • Mercy Cancer Center at Mercy Medical Center - Des Moines
    Des Moines, Iowa 50314, United States
  • John Stoddard Cancer Center
    Des Moines, Iowa 50316-2301, United States
  • Mercy Cancer Center at Mercy Medical Center - North Iowa
    Mason City, Iowa 50401, United States
  • McCreery Cancer Center at Ottumwa Regional
    Ottumwa, Iowa 52501, United States
  • Siouxland Hematology-Oncology Associates, LLP
    Sioux City, Iowa 51101, United States
  • Mercy Medical Center - Sioux City
    Sioux City, Iowa 51104, United States
  • St. Luke's Regional Medical Center
    Sioux City, Iowa 51104, United States
  • Medical Oncology and Hematology Associates - West Des Moines
    West Des Moines, Iowa 50266, United States
  • Cancer Center of Kansas, PA - Chanute
    Chanute, Kansas 66720, United States
  • Cancer Center of Kansas, PA - Dodge City
    Dodge City, Kansas 67801, United States
  • Cancer Center of Kansas, PA - El Dorado
    El Dorado, Kansas 67042, United States
  • Cancer Center of Kansas, PA - Kingman
    Kingman, Kansas 67068, United States
  • Southwest Medical Center
    Liberal, Kansas 67901, United States
  • Cancer Center of Kansas, PA - Newton
    Newton, Kansas 67114, United States
  • Cancer Center of Kansas, PA - Parsons
    Parsons, Kansas 67357, United States
  • Cancer Center of Kansas, PA - Pratt
    Pratt, Kansas 67124, United States
  • Cancer Center of Kansas, PA - Salina
    Salina, Kansas 67042, United States
  • Cancer Center of Kansas, PA - Wellington
    Wellington, Kansas 67152, United States
  • Associates in Womens Health, PA - North Review
    Wichita, Kansas 67203, United States
  • Cancer Center of Kansas, PA - Medical Arts Tower
    Wichita, Kansas 67208, United States
  • Cancer Center of Kansas, PA - Wichita
    Wichita, Kansas 67214, United States
  • CCOP - Wichita
    Wichita, Kansas 67214, United States
  • Via Christi Cancer Center at Via Christi Regional Medical Center
    Wichita, Kansas 67214, United States
  • Cancer Center of Kansas, PA - Winfield
    Winfield, Kansas 67156, United States
  • Hickman Cancer Center at Bixby Medical Center
    Adrian, Michigan 49221, United States
  • Saint Joseph Mercy Cancer Center
    Ann Arbor, Michigan 48106-0995, United States
  • CCOP - Michigan Cancer Research Consortium
    Ann Arbor, Michigan 48106, United States
  • Oakwood Cancer Center at Oakwood Hospital and Medical Center
    Dearborn, Michigan 48123-2500, United States
  • Green Bay Oncology, Limited - Escanaba
    Escanaba, Michigan 49431, United States
  • Genesys Hurley Cancer Institute
    Flint, Michigan 48503, United States
  • Hurley Medical Center
    Flint, Michigan 48503, United States
  • Van Elslander Cancer Center at St. John Hospital and Medical Center
    Grosse Pointe Woods, Michigan 48236, United States
  • Dickinson County Healthcare System
    Iron Mountain, Michigan 49801, United States
  • Foote Hospital
    Jackson, Michigan 49201, United States
  • Haematology-Oncology Associates of Ohio and Michigan, PC
    Lambertville, Michigan 48144, United States
  • Sparrow Regional Cancer Center
    Lansing, Michigan 48909, United States
  • Community Cancer Center of Monroe
    Monroe, Michigan 48162, United States
  • Mercy Memorial Hospital - Monroe
    Monroe, Michigan 48162, United States
  • Seton Cancer Institute - Saginaw
    Saginaw, Michigan 48601, United States
  • Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
    St. Joseph, Michigan 49085, United States
  • St. John Macomb Hospital
    Warren, Michigan 48093, United States
  • MeritCare Clinic - Bemidji
    Bemidji, Minnesota 56601, United States
  • Fairview Ridges Hospital
    Burnsville, Minnesota 55337, United States
  • Mercy and Unity Cancer Center at Mercy Hospital
    Coon Rapids, Minnesota 55433, United States
  • CCOP - Duluth
    Duluth, Minnesota 55805, United States
  • Miller-Dwan Medical Center
    Duluth, Minnesota 55805, United States
  • St. Mary's - Duluth Clinic Cancer Center
    Duluth, Minnesota 55805, United States
  • Fairview Southdale Hospital
    Edina, Minnesota 55435, United States
  • Mercy and Unity Cancer Center at Unity Hospital
    Fridley, Minnesota 55432, United States
  • Hutchinson Area Health Care
    Hutchinson, Minnesota 55350, United States
  • Meeker County Memorial Hospital
    Lichfield, Minnesota 55355, United States
  • Immanuel St. Joseph's Clinic
    Mankato, Minnesota 56002, United States

Showing the first 100 of 208 sites.

08

References and documents

Publications

  • Atherton PJ, Burger KN, Loprinzi CL, Neben Wittich MA, Miller RC, Jatoi A, Sloan JA. Using the Skindex-16 and Common Terminology Criteria for Adverse Events to assess rash symptoms: results of a pooled-analysis (N0993). Support Care Cancer. 2012 Aug;20(8):1729-35. doi: 10.1007/s00520-011-1266-x. Epub 2011 Sep 16. PubMed 21922203 ↗
  • Jatoi A, Thrower A, Sloan JA, Flynn PJ, Wentworth-Hartung NL, Dakhil SR, Mattar BI, Nikcevich DA, Novotny P, Sekulic A, Loprinzi CL. Does sunscreen prevent epidermal growth factor receptor (EGFR) inhibitor-induced rash? Results of a placebo-controlled trial from the North Central Cancer Treatment Group (N05C4). Oncologist. 2010;15(9):1016-22. doi: 10.1634/theoncologist.2010-0082. Epub 2010 Aug 26. PubMed 20798191 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 13, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00362986
Lead sponsor
Alliance for Clinical Trials in Oncology
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Aug 15, 2006
Start date
Oct 2006
Primary completion
Jul 2007
Completion
Oct 2009
Last update
Dec 13, 2016

Study contacts

Aminah Jatoi, MD
study chair · Mayo Clinic

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2016. You cannot join it, but the record below documents what was studied.

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