ClinicalTrials.gg
CompletedNCT01874860Updated Dec 1, 2022

Skin Rash Study Before Chemotherapy in Colorectal & Head and Neck Cancer Patients

A Phase 2 interventional study of Doxycycline and Hydrocortisone 1% cream in Colorectal Cancer and Head and Neck Cancer, sponsored by University of Louisville. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-12-01.

Sponsored by University of Louisville · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 2,338 studies in Colorectal Neoplasms with a site in United States — 419 open to participants now, 628 under way, 30 of them phase 3. Colorectal Neoplasms · United States.

Enrollment
1,461st of 1,931
24 · median 64
Started
2013
with 69 others
Phase 2
509 of 2,338
64 open now
Registered
861st of 2,338
by date

Among the 2,338 studies in Colorectal Neoplasms with a site in United States, this one is the 1,461st largest by enrollment of the 1,931 interventional ones that give a count, is one of 70 that started in 2013, is one of 509 in phase 2, and was the 861st registered.

Colorectal Neoplasms

6,545 studies on the registry are indexed under Colorectal Neoplasms; 1,664 are open to participants now.

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Open to participants now

419 of the 2,338 studies in Colorectal Neoplasms with a site in United States are open now. Recruiting first, the newest first:

414 more — sign in →

All 419 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 1,181 Colorectal Neoplasms studies recruiting now, 764 (65%) set no upper age limit and 264 (22%) stop at 75 or younger; 48 take children under 18; 123 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The purpose of this study is to determine if using preventive treatments such as Doxycycline (an anti-biotic) capsules, sunscreen with SPF 30, Hydrocortisone 1% cream and a moisturizer will help to reduce the incidence and severity of the skin rash associated with Cetuximab (Erbitux®) when compared to receiving standard care for the treatment of skin rash.

Read the detailed description

Of the 100 subjects who will participate in this study, 50 will be in the extensive treatment group and 50 will be in the standard care group. Subjects in the extensive treatment group will use Doxycycline capsule, 100 mg, taken twice daily, sunscreen SPF 30 or higher, moisturizer applied to the face, hands, feet, neck, back, and chest each morning after sunscreen, hydrocortisone 1% cream applied to the face, hands, feet, neck, back, and chest each evening.

Subjects will start taking the capsule and applying the creams three days prior to beginning cetuximab therapy. They will continue this regimen of taking the capsule and applying the creams for 8 weeks. If they develop severe skin rash as a result of cetuximab therapy, the study doctor may decide to reduce the amount of the dose of cetuximab that they receive or prescribe other medicines according to standard treatment recommendations, just as he/she would if the subject was not participating in this study. Subjects will be monitored at enrollment, 3 weeks into cetuximab treatment and at the end of cetuximab treatment for adherence, side effects and quality of life.

The standard care group will not receive preventive treatment, but they will be allowed to use sunscreen and moisturizer if desired. They, too, will be monitored at enrollment, 3 weeks into cetuximab treatment and at the end of cetuximab treatment for adherence, side effects and quality of life.

If a subject is assigned to this group and they develop a severe skin rash, the study doctor will treat their rash according to standard treatment recommendations, which may include Hydrocortisone 1% cream, Doxycycline capsules or other medications.

There will be a follow-Up period for both extensive treatment and standard care groups. At 6 months, 12 months, 18 months and 24 months, after the end of the subject's 8 week study treatment period, they will be contacted by telephone or discussed during their routine clinic visit.

03

Conditions studied

  • Colorectal Cancer
  • Head and Neck Cancer
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age greater than or equal to 18 years
  2. Diagnosis of colorectal or head and neck cancer
  3. Receipt of at least one dose of cetuximab during the study time period

Exclusion criteria

Exclusion Criteria:

  1. Prior cetuximab treatment within the 6 months of study initiation
  2. Current treatment with tyrosine kinase inhibitors
  3. Patients who are pregnant or incarcerated
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Extensive treatment group

    Doxycycline capsule, 100 mg, taken twice daily; sunscreen SPF 30 or higher applied to exposed skin areas at least 30 minutes before going outdoors each morning; moisturizer applied to the face, hands, feet, neck, back, and chest each morning after sunscreen; Hydrocortisone 1% topical cream applied to the face, hands, feet, neck, back, and chest each evening. For patients with grade 1 rash, hydrocortisone 1% cream and clindamycin 1% gel (tetracycline antibiotic) are recommended for daily use. For patients with grade 2 rash, hydrocortisone cream and doxycycline 100mg twice daily or minocycline (tetracycline antibiotic) 100mg once daily is recommended. For patients with grade 3 rash, systemic steroid therapy (a Medrol dose-pack) will be added to the grade 2 treatment.

    Drug: Doxycycline · Drug: Hydrocortisone 1% cream · Other: Sunscreen · Other: Moisturizer · Drug: Clindamycin · Drug: Medrol-dose pack (Steroid)

  • Experimental
    Standard care group

    Patient will not receive preventive treatment but will be allowed to use sunscreen and moisturizer if desired.

    Other: Sunscreen · Other: Moisturizer

Interventions

  • Doxycycline capsule, 100 mg, taken twice daily

  • Applied to the face, hands, feet, neck, back, and chest each evening (Topical cream)

  • OtherSunscreen

    Applied to exposed skin areas at least 30 minutes before going outdoors each morning.

    Also known as: SPF 30 or higher sunscreen

  • OtherMoisturizer

    Applied to the face, hands, feet, neck, back, and chest each morning after sunscreen

    Also known as: Any frangrance-free moisturizer will do

  • Recommended for daily use if rash returns (Topical cream)

    Also known as: Clindamycin 1 % gel

  • Patients will receive a Medrol dose-pack while continuing the extensive treatment regimen.

    Also known as: Medrol-dose pack

06

What researchers measure

Primary outcomes

  1. Incidence of Rash

    Evaluate the incidence of cetuximab-induced rash, Compare the severity of cetuximab-induced rash between the extensive treatment group (ETG) and the standard care group (SCG).

    Time frame: Change from Baseline, week 3, week 8

Secondary outcomes

  1. Quality of Life (QOL)

    Estimate and compare the quality of life (QOL) between the extensive treatment group and standard treatment group.

    Time frame: Change from Baseline, week 3, week 8

  2. Adherence to treatment regimen

    Estimate and compare adherence rate in Extensive Treatment Group and Standard Treatment Group

    Time frame: Change in adherence from baseline to week 8

  3. Progression Free Survival

    Estimate and compare Progression-Free Survival (PFS) in extensive treatment group and standard treatment group. Survival follow-ups will be at 6 months, 12 months, 18 months, and 24 months post treatment.

    Time frame: Surival Follow up (6 months, 12 months, 18 months, and 24 months)

07

Study locations

1 site
  • James Graham Brown Cancer Center
    Louisville, Kentucky 40202, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2013 to primary completion in Jul 2018, 59 months.

Of 498 non-industry phase 2 interventional studies under Colorectal Neoplasms, half reached primary completion within 55 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 75. This study's 59 months is close to that.

Counting every sponsor, half of 618 studies reached it within 49 months; a quarter within 31 and three quarters within 75.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 6, 2013
First posted
Jun 11, 2013
StartActual
Aug 2013
Primary completionActual
Jul 2018
CompletionActual
Jul 2018
Last update
Dec 1, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 1, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01874860
Collaborators
James Graham Brown Cancer Center
Responsible party
Rebecca Redman (Associate Professor, University of Louisville) — Principal investigator
First posted
Jun 11, 2013
Start date
Aug 2013
Primary completion
Jul 2018
Completion
Jul 2018
Last update
Dec 1, 2022

Study contacts

Rebecca A. Redman, MD
principal investigator · James Graham Brown Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Doxycycline · Hydrocortisone

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