ClinicalTrials.gg
CompletedNCT03421912CICAFIXUpdated Jul 9, 2021

Satisfaction and Quality of Life Comparison Between Patients Using Cicaplast Baume B5 Versus Dexeryl for the Management of Cutaneous Toxicities Induced by Epidermal Growth Factor Receptor Inhibitors (iEGFR)

An interventional study of Cicaplast Balm B5 and Dexeryl in Head and Neck Squamous Cell Carcinoma, Colorectal Cancer and Non Small Cell Lung Cancer, sponsored by Centre Leon Berard. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-09.

Sponsored by Centre Leon Berard · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
102
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 215 studies in Squamous Cell Carcinoma of Head and Neck with a site in France — 46 open to participants now, 80 under way, 20 of them phase 3. Squamous Cell Carcinoma of Head and Neck · France.

Enrollment
118th of 197
102 · median 131
Started
2018
with 14 others
No phase
32 of 215
10 open now
Registered
94th of 215
by date
Lead sponsor
8 of 215
Centre Leon Berard

Among the 215 studies in Squamous Cell Carcinoma of Head and Neck with a site in France, this one is the 118th largest by enrollment of the 197 interventional ones that give a count, is one of 15 that started in 2018, is one of 32 with no phase, and was the 94th registered.

Squamous Cell Carcinoma of Head and Neck

2,018 studies on the registry are indexed under Squamous Cell Carcinoma of Head and Neck; 573 are open to participants now.

Browse Squamous Cell Carcinoma of Head and Neck studies →

Open to participants now

46 of the 215 studies in Squamous Cell Carcinoma of Head and Neck with a site in France are open now. Recruiting first, the newest first:

41 more — sign in →

All 46 open studies →

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

Who these studies take

Of the 434 Squamous Cell Carcinoma of Head and Neck studies recruiting now, 310 (71%) set no upper age limit and 87 (20%) stop at 75 or younger; 5 take children under 18; 13 take healthy volunteers.

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

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02

Study summary

This randomized comparative study aims to evaluate the satisfaction and quality of life of patients using Cicaplast balm B5, versus Dexeryl, for the management of cutaneous toxicities of iEGFR in squamous cell carcinoma of the head and neck, cancers colorectal or pulmonary

Read the detailed description

The arrival of new therapeutic strategies such as targeted therapies has led to real progress in the treatment of cancers. Tyrosine kinase inhibitors and antibodies to epidermal growth factor receptors (EGFR), or iEGFR, target one of the major pathways of tumor cell proliferation. These treatments have demonstrated their interest in the treatment of certain advanced solid malignant tumors (head and neck cancer, colorectal cancer, bronchial cancer).

Although having a much better tolerance profile than the "classical" cytotoxic treatments used in the same indications, these treatments, however, have frequent cutaneous toxicities that are inconvenient for patients. According to the molecules, they can affect 80 to 90% of patients treated from the first weeks of treatment and to different degrees. They appear as well in the skin (acneiform rash, erythema, desquamation, xerosis, pruritus) as skin appendages (paronychia, alopecia).

The consequences of these adverse effects are significant, which may be at the origin of a decrease in dose or even of a stop of anti-tumoral treatment inducing a reduction of the expected clinical benefit. In addition, they represent for the patient a real source of inconvenience and pain, which can impact the quality of life (choice of dress, feeling of shame because of the appearance of the skin ...) and impact the adherence to iEGFR treatment.

Management includes first and foremost preventive measures: the use of moisturizing topicals and dermatological soap-free surgras is recommended as soon as iEGFR treatment is initiated, and preventive systemic treatment with cyclins (doxycycline 100 mg daily) is proposed for at least 6 weeks and then reevaluated for skin toxicity.

In case of appearance of skin toxicities, it is initially prescribed in common practice a topical such as Dexeryl (used in many hospitals as standard) or Cicaplast Balm B5 La Roche Posay (used in current practice at Léon Bérard Center). In a second step, topical corticosteroids are prescribed, depending on the grade of toxicity.

There is, however, no validated argument in the literature to guide the choice of clinicians to use either of these topics. Cicaplast balm B5 (antibacterial, repairing damaged skin, moisturizing and relieving feelings of discomfort) would limit the aggravation of skin toxicities and therefore the use of pharmacological measures, including topical corticosteroids class 3 or 4 may long term, weaken the skin barrier even more.

This randomized comparative study aims to evaluate the satisfaction and quality of life of patients using Cicaplast balm B5, versus Dexeryl, for the management of cutaneous toxicities of iEGFR in squamous cell carcinoma of the head and neck, cancers colorectal or pulmonary

03

Conditions studied

  • Head and Neck Squamous Cell Carcinoma
  • Colorectal Cancer
  • Non Small Cell Lung Cancer
  • Epidermal Growth Factor Receptor Inhibitor

Keywords

  • Prevention strategy
  • Cutaneous toxicity
  • Quality of life
  • Patient satisfaction
  • Dermatology Life Quality Index (DLQI)
  • Epidermal Repair Score (SCOREPI)
  • Topical treatment
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

  • Age ≥ 18 years.
  • Patient with recurrent and / or head and neck squamous cell carcinoma OR metastatic colorectal cancer with non-mutated RAS gene (wild-type) OR non-small cell lung cancer (NSCLC) with EGFR activating mutations.
  • Treated for the first time by an iEGFR having received a marketing authorization.
  • Having signed a consent to participate in the study.
  • Affiliated to a health insurance plan (or beneficiary of such a plan).

Exclusion criteria

Exclusion Criteria:

  • Concomitant radiotherapy.
  • Unresolved skin toxicity from previous treatment, whatever it may be.
  • Concomitant use of other topical treatments.
  • Known to at least one of the components of the topicals used.
  • Pregnant or lactating women.
  • Participation in another clinical trial (even if supportive care)
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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

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

Study arms

  • Experimental
    Arm A : Cicaplast balm B5

    Use of Cicaplast balm B5, 2 to 3 applications per day, since the first day of iEGFR treatment initiation for 30 days to avoid or limit appearance of cutaneous toxicities related to iEGFR treatment.

    Other: Cicaplast Balm B5

  • Active comparator
    Arm B : Dexeryl

    Use of Dexeryl, 2 to 3 applications per day, since de first day of iEGFR treatment initiation for 30 days to avoid or limit appearence of cutaneous toxicities related to iEGFR treatment.

    Other: Dexeryl

Interventions

  • OtherCicaplast Balm B5

    The patients have to do 2 to 3 applications per day on the face, on lesions and in poultice in the evening in case of painful crack on the fingers

  • OtherDexeryl

    The patients have to do 2 to 3 applications per day on the face, on lesions and in poultice in the evening in case of painful crack on the fingers

06

What researchers measure

Primary outcomes

  1. Overall patient satisfaction after 30 days treatment

    Overall patient satisfaction toward Cicaplast balm B5 or Dexeryl will be evaluated by a numerical scale from 0 to 10 in each arm

    Time frame: After 30 days of treatment or at the end of treatment for patient who interrupt the treatment before 30 days

Secondary outcomes

  1. Overall patient satisfaction after 60 days treatment

    Overall patient satisfaction toward Cicaplast balm B5 or Dexeryl will be evaluated by a numerical scale from 0 to 10 in each arm

    Time frame: After 60 days of treatment or at the end of treatment for patient who interrupt the treatment before 60 days

  2. Patient Quality of life

    Quality of life of patient will be evaluated by using the Dermatology Life Quality Index questionnaire (DLQI) in each arm

    Time frame: At inclusion, after 30 and 60 days of treatment

  3. Cutaneous toxicities evaluation using Epidermal Repair Score (SCOREPI)

    Cutaneous toxicities will be evaluated in each arm by using Epidermal Repair Score (SCOREPI)

    Time frame: After 15, 30 and 60 days of treatment

  4. Cutaneous toxicities evaluation using Common Terminology Criteria for Adverse Events (CTCAE) version 4

    Cutaneous toxicities will be evaluated in each arm by using Common Terminology Criteria for Adverse Events (CTCAE) version 4

    Time frame: After 15, 30 and 60 days of treatment

  5. Modification/Interruption/Discontinuing iEGFR treatment rate

    Modification/Interruption/Discontinuing iEGFR treatment rate in each arm because of cutaneous toxicity

    Time frame: Continuously up to 30 days after starting treatment

  6. DLQI and SCOREPI scores correlation

    Evaluation of DLQI (patient evaluation) and SCOREPI (investigator evaluation) scores correlation in each arm

    Time frame: After 30 and 60 days of treatment

  7. Topical observance

    Topical observance will be evaluated in each arm by data collection by each patient in a diary

    Time frame: Between the 1st day and the 15th day of treatment, and between the 15th and the 30th day of treatment

  8. Use rate of dermocorticoids

    Evaluation of the rate of patients needing to use dermocorticoids.

    Time frame: Continously up to 60 days after starting treatment

07

Study locations

1 site
  • Centre Léon Bérard
    Lyon, Rhône 69008, France
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 Feb 2018 to primary completion in Apr 2021, 37 months.

Of 115 non-industry interventional studies with no phase under Squamous Cell Carcinoma of Head and Neck, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 90. This study's 37 months is below that.

Counting every sponsor, half of 126 studies reached it within 59 months; a quarter within 34 and three quarters within 90.

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

Registered
Jan 29, 2018
First posted
Feb 5, 2018
StartActual
Feb 16, 2018
Primary completionActual
Apr 11, 2021
CompletionActual
May 11, 2021
Last update
Jul 9, 2021
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 Jul 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03421912
Lead sponsor
Centre Leon Berard
Responsible party
Sponsor
First posted
Feb 5, 2018
Start date
Feb 16, 2018
Primary completion
Apr 11, 2021
Completion
May 11, 2021
Last update
Jul 9, 2021

Study contacts

Jérôme FAYETTE, Doctor
principal investigator · Centre Léon Bérard, Lyon, France

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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