ClinicalTrials.gg
CompletedNCT03255980Updated Dec 16, 2020Results posted

Monocenter, Open Label Clinical Investigation on the Treatment of Radiation Induced Dermatitis With Xonrid®

An interventional study of Xonrid® gel and Standard of Care in Radiodermatitis and Quality of Life, sponsored by Helsinn Healthcare SA. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-16.

Sponsored by Helsinn Healthcare SA · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To evaluate the performance of Xonrid® in the prevention and treatment of G2 radiation dermatitis in breast and head \& neck cancer patients.

Read the detailed description

The aim of this clinical investigation is to evaluate if the use of Xonrid® in the prevention and treatment of G2 radiation dermatitis in breast and head \& neck cancer patients can be a valid support, when compared to the Standard of Care as defined by MASCC (Multinational Association for Supportive Care in Cancer) guidelines.

02

Conditions studied

  • Radiodermatitis
  • Quality of Life

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03

In context

Radiodermatitis

127 studies on the registry are indexed under Radiodermatitis; 26 are open to participants now.

This study's enrollment of 80 is above the median of 55 across 104 interventional studies indexed under Radiodermatitis.

Browse Radiodermatitis studies →

Lead sponsor

Helsinn Healthcare SA is the lead sponsor of 32 studies on the registry; 1 is open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 7 (88%) 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

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. Male and female which are 18 years of age or older
  2. Performance status \< 2
  3. Epithelial carcinoma of oropharynx, nasopharynx, larynx, hypopharynx, paranasal sinus and salivary glands or breast cancer, planned to receive a total dose of at least 50 Gy
  4. Postoperative or curative radiation treatment
  5. Concurrent chemotherapy is accepted, in head \& neck cancer patients
  6. Patients willing and able to give signed and, in the opinion of the Investigator, to comply with the Clinical Investigation Plan tests and procedures.

Exclusion criteria

Exclusion Criteria:

  1. Pregnant or lactating women
  2. Planned to receive concurrent cetuximab
  3. Previous radiation therapy on the head and neck area or breast and thorax areas
  4. Cutaneous and connective diseases (i.e. lupus erythematosus or scleroderma)
  5. Systemic diseases known to delay the skin healing process such as diabetes mellitus or severe renal failure
  6. Use of a tissue-equivalent bolus
  7. Use of over-the-counter topical medications containing
  8. Presence of rashes or unhealed wounds in the radiation field
  9. Recent sun exposure
  10. Mental conditions that could adversely affect patients' adherence to the study.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Xonrid®

    Xonrid® is a medical device for radiation dermatitis

    Device: Xonrid® gel · Other: Standard of Care

  • Active comparator
    Standard of Care

    Standard of care suggested by MASCC guidelines

    Device: Xonrid® gel

Interventions

  • DeviceXonrid® gel

    Water based gel for the management of toxicity skin symptoms induced by Radiotherapy

  • OtherStandard of Care

    Standard of care suggested by MASCC' Skyn Toxicity Study Group guidelines

06

What researchers measure

Primary outcomes

  1. Proportion of Patients Without Grade G2 Skin Toxicity Radiodermatitis at Week 5

    The primary endpoint of this clinical investigation was the proportion of patients without G2 radiation dermatitis (radiation dermatitis \< G2) at week 5

    Time frame: 5 weeks over 7 weeks

Secondary outcomes

  1. Median Time to G2 Radiodermatitis Development

    Skin toxicity assessed accoriding to CTCAE v4.0 Term Dermatitis Radiation

    Time frame: 5 weeks over 7 weeks

  2. The Proportion of Patients Without G2 Radiation Dermatitis at Week 6 for Both Cancer Sites, at Week 7 for Head & Neck Cancer and 2 Weeks After the Last Radiation for Both Cancer Sites

    Definition of RD grade according to CTCAE v4.0 Scale by trained physicinans

    Time frame: 5 weeks over 7 weeks

  3. The Worst Skin Toxicity During Treatment and Until 2 Weeks After the Last Radiation

    Skin toxicity assessed accoriding to CTCAE v4.0 Term Dermatitis Radiation for both cancer sites, at week 7 for head \& neck cancer and 2 weeks after the last radiation for both cancer sites.

    Time frame: 6 weeks over 7 weeks

  4. The Changes in Skin Erythema and Pigmentation, According to the ITA (Individual Typological Angle) Degrees Measured Throughout the Study.

    The changes in skin erythema and pigmentation, according to the ITA (individual Typological Angle) degrees measured throughout the study by the Investigators.

    Time frame: Follow-up: 2 weeks after the completion of radiation treatment

  5. The Changes in Trans-epidermal Water Loss (TEWL) Assessed Through the Evaporation

    Changes of skin characteristics in terms of TEWL according to the progression of the Radiotherapy and consequent erythema

    Time frame: weekly during teratment (7 weeks)

  6. The Mean and Worst Score of Skindex-16 Questionnaire

    Evaluate the patient's QoL changes occurred during the RT trough the validated self-assessed questionnaire Skindex-16

    Time frame: 5 weeks over 7 weeks

  7. The Compliance to Experimental Treatment, Assessed Through the Number of Daily Product Applications Reported on the Patient's Diary, Compared to the Amount of Used Product

    Compliance is based on the total amount ( weight) of Xonrid used over the treatment period

    Time frame: 5 weeks over 7 weeks

  8. The Patients' Global Satisfaction With Treatment, Assessed by Likert Scale

    Global patient's satisfaction recorded by the Linkert Scale

    Time frame: 6 weeks over 7 weeks

07

Results

Posted Dec 16, 2020

Participant flow

FPI: June 2017 LPO: July 2018

Participant flow — Overall Study
MilestoneBreast Cancer Group: Xonrid+SOCBreast Cancer Group: SOCHead and Neck Cancer Group: Xonrid + SOCHead and Neck Cancer Group: SOC
Started20202020
Completed1712148
Not completed38612
Withdrew: Grade =>3 skin toxicity1465
Withdrew: Adverse event1101
Withdrew: Lack of compliance to study or assessmen0100
Withdrew: Lost to follow-up1103
Withdrew: Withdrawal by subject0103

Outcome measures

PrimaryProportion of Patients Without Grade G2 Skin Toxicity Radiodermatitis at Week 5

The primary endpoint of this clinical investigation was the proportion of patients without G2 radiation dermatitis (radiation dermatitis \< G2) at week 5

Time frame:
5 weeks over 7 weeks
Reported as:
Number · participants
Proportion of Patients Without Grade G2 Skin Toxicity Radiodermatitis at Week 5
participantsBreast Cancer Group: Xonrid+SOCBreast Cancer Group: SOCHead and Neck Cancer Group: Xonrid + SOCHead and Neck Cancer Group: SOC
Proportion of Patients Without Grade G2 Skin Toxicity Radiodermatitis at Week 51051311
SecondaryMedian Time to G2 Radiodermatitis Development

Skin toxicity assessed accoriding to CTCAE v4.0 Term Dermatitis Radiation

Time frame:
5 weeks over 7 weeks

Results for this outcome have not been posted.

SecondaryThe Proportion of Patients Without G2 Radiation Dermatitis at Week 6 for Both Cancer Sites, at Week 7 for Head & Neck Cancer and 2 Weeks After the Last Radiation for Both Cancer Sites

Definition of RD grade according to CTCAE v4.0 Scale by trained physicinans

Time frame:
5 weeks over 7 weeks

Results for this outcome have not been posted.

SecondaryThe Worst Skin Toxicity During Treatment and Until 2 Weeks After the Last Radiation

Skin toxicity assessed accoriding to CTCAE v4.0 Term Dermatitis Radiation for both cancer sites, at week 7 for head \& neck cancer and 2 weeks after the last radiation for both cancer sites.

Time frame:
6 weeks over 7 weeks

Results for this outcome have not been posted.

SecondaryThe Changes in Skin Erythema and Pigmentation, According to the ITA (Individual Typological Angle) Degrees Measured Throughout the Study.

The changes in skin erythema and pigmentation, according to the ITA (individual Typological Angle) degrees measured throughout the study by the Investigators.

Time frame:
Follow-up: 2 weeks after the completion of radiation treatment

Results for this outcome have not been posted.

SecondaryThe Changes in Trans-epidermal Water Loss (TEWL) Assessed Through the Evaporation

Changes of skin characteristics in terms of TEWL according to the progression of the Radiotherapy and consequent erythema

Time frame:
weekly during teratment (7 weeks)

Results for this outcome have not been posted.

SecondaryThe Mean and Worst Score of Skindex-16 Questionnaire

Evaluate the patient's QoL changes occurred during the RT trough the validated self-assessed questionnaire Skindex-16

Time frame:
5 weeks over 7 weeks

Results for this outcome have not been posted.

SecondaryThe Compliance to Experimental Treatment, Assessed Through the Number of Daily Product Applications Reported on the Patient's Diary, Compared to the Amount of Used Product

Compliance is based on the total amount ( weight) of Xonrid used over the treatment period

Time frame:
5 weeks over 7 weeks

Results for this outcome have not been posted.

SecondaryThe Patients' Global Satisfaction With Treatment, Assessed by Likert Scale

Global patient's satisfaction recorded by the Linkert Scale

Time frame:
6 weeks over 7 weeks

Results for this outcome have not been posted.

Adverse events

Collected over 13 months. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Breast Cancer: Xonrid® +SOC0/20 (0%)1/20 (5%)1/20 (5%)
Breast Cancer: Standard Of Care0/20 (0%)0/20 (0%)0/20 (0%)
Head and Neck Cancer: Xonrid + SOC0/20 (0%)0/20 (0%)0/20 (0%)
Head and Neck Cancer: Standard of Care0/20 (0%)0/20 (0%)0/20 (0%)
Most frequent serious events
Most frequent serious events
EventBreast Cancer: Xonrid® +SOCBreast Cancer: Standard Of CareHead and Neck Cancer: Xonrid + SOCHead and Neck Cancer: Standard of Care
pruritusSkin and subcutaneous tissue disorders1/200/200/200/20
Most frequent other events
Most frequent other events
EventBreast Cancer: Xonrid® +SOCBreast Cancer: Standard Of CareHead and Neck Cancer: Xonrid + SOCHead and Neck Cancer: Standard of Care
Ear InfectionInfections and infestations1/200/200/200/20

Baseline characteristics

Descriptive statistics of all relevant variables were performed

Age, Continuous
Age, Continuous(years)Breast Cancer Group: Xonrid+SOCBreast Cancer Group: SOCHead and Neck Cancer Group: Xonrid + SOCHead and Neck Cancer Group: SOCTotal
Mean49.56 ± 4.8049.01 ± 4.5455.73 ± 12.4659.49 ± 12.3453.45 ± 8.52
Sex: Female, Male
Sex: Female, Male(Participants)Breast Cancer Group: Xonrid+SOCBreast Cancer Group: SOCHead and Neck Cancer Group: Xonrid + SOCHead and Neck Cancer Group: SOCTotal
Female20204448
Male00161632
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Caucasian)Breast Cancer Group: Xonrid+SOCBreast Cancer Group: SOCHead and Neck Cancer Group: Xonrid + SOCHead and Neck Cancer Group: SOCTotal
Number2020202080
Region of Enrollment
Region of Enrollment(participants)Breast Cancer Group: Xonrid+SOCBreast Cancer Group: SOCHead and Neck Cancer Group: Xonrid + SOCHead and Neck Cancer Group: SOCTotal
Italy2020202080
08

Study locations

1 site
  • Fondazione IRCCS Istituto Nazionale dei Tumori
    Milan, 20133, Italy
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

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 Jun 2017 to primary completion in Feb 2019, 20 months.

Results were first posted in Dec 2020, 1 year 9 months after primary completion.

Of 39 interventional studies with no phase under Radiodermatitis, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 54. This study's 20 months is above that.

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

Registered
Jul 6, 2017
First posted
Aug 21, 2017
StartActual
Jun 15, 2017
Primary completionActual
Feb 20, 2019
CompletionActual
Jan 22, 2020
Results first posted
Dec 16, 2020
Last update
Dec 16, 2020
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 16, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03255980
Responsible party
Sponsor
First posted
Aug 21, 2017
Start date
Jun 15, 2017
Primary completion
Feb 20, 2019
Completion
Jan 22, 2020
Results posted
Dec 16, 2020
Last update
Dec 16, 2020

Study contacts

Orlandi Ester, MD
principal investigator · Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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