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TerminatedNCT04110977RAREST-02Updated Jan 15, 2025

A Reminder App to Reduce Radiation Dermatitis Rates in Patients with Head-and-Neck Cancer

An interventional study of mobile application (reminder app) in Radiation Dermatitis and Radiation-induced Oral Mucositis, sponsored by University Hospital Schleswig-Holstein. Terminated at 4 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-15.

Sponsored by University Hospital Schleswig-Holstein · Not applicable, Interventional, and Prevention

Why this study was terminated
After the planned interim analysis, the study was terminated. The start of the trial was delayed due to data protection issues and the Covid-19 pandemic. Moreover, accrual was slower than expected. Finally, funding has expired.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this randomized trial is to investigate whether the addition of a reminder app to standard care leads to a reduction of dermatitis and oral mucositis during radio(chemo)therapy for locally advanced squamous cell carcinoma of the head-and-neck (SCCHN). The primary endpoint is the rate of patients experiencing grade ≥2 radiation dermatitis at 60 Gy of radiotherapy. 80 patients are required per arm within the full analysis set. Taking into account that 5% of patients will not qualify for full analysis set, 168 patients should be randomized. If the addition of a reminder app to standard care will result in a significant reduction of radiation toxicity, it could become a helpful tool for these patients.

Read the detailed description

The goal of this trial is to investigate whether the addition of a reminder app to standard care leads to a reduction of dermatitis and oral mucositis during radio(chemo)therapy for locally advanced squamous cell carcinoma of the head-and-neck (SCCHN).

This is a randomized, active-controlled, parallel-group trial, which will compare the following treatments of radiation dermatitis (primary endpoint) and oral mucositis in patients with SCCHN: Standard care supported by a reminder app (Arm A) vs. standard care alone (Arm B). The primary endpoint is to investigate the rate of patients experiencing grade ≥2 radiation dermatitis at 60 Gy of radiotherapy, the minimum planned total dose for all patients receiving definitive or adjuvant radiotherapy for locally advanced SCCHN with curative intention. In addition, the following endpoints will be evaluated: Radiation dermatitis grade ≥2 at the end of radiation treatment (EOT), radiation dermatitis grade ≥3 at 60 Gy and EOT, quality of life, pain, and radiation-induced oral mucositis grade ≥2 and grade ≥3 at 60 Gy and at EOT. According to sample size calculations, 80 patients are required per arm within the full analysis set. Taking into account that 5% of patients will not qualify for full analysis set, 168 patients should be randomized. The impact of the reminder app will be considered clinically relevant, if the rate of grade ≥2 radiation dermatitis can be reduced from 85% to 65%.

If the addition of a reminder app to standard care will result in a significant reduction of radiation dermatitis and oral mucositis, it could become a helpful tool for patients during radiotherapy of for SCCHN.

02

Conditions studied

  • Radiation Dermatitis
  • Radiation-induced Oral Mucositis

Keywords

  • Head-and-neck cancer
  • radiotherapy
  • radiation dermatitis
  • oral mucositis
  • reminder app
03

In context

Head and Neck Neoplasms

2,344 studies on the registry are indexed under Head and Neck Neoplasms; 551 are open to participants now.

This study's enrollment of 60 is above the median of 47 across 1,751 interventional studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

University Hospital Schleswig-Holstein is the lead sponsor of 157 studies on the registry; 25 are open to participants now.

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

Inclusion criteria

  • Histologically proven squamous cell carcinoma of the head-and-neck (SCCHN)
  • Indication for definitive or adjuvant radio(chemo)therapy
  • Possession of and ability to use a smart phone
  • Age ≥18 years
  • Written informed consent
  • Capacity of the patient to contract

Exclusion criteria

Exclusion Criteria:

  • Nasopharynx cancer
  • Pregnancy, Lactation
  • Treatment with epidermal growth factor receptor (EGFR)-antibodies (either given or planned)
  • Expected non-compliance
05

Study design

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

Study arms

  • Experimental
    Standard Care supported by a Reminder App (Arm A)

    Treatment with Standard Care supported by a Reminder App, starting at the beginning of radiotherapy.

    Device: mobile application (reminder app)

  • Active comparator
    Standard Care alone (Arm B)

    Treatment with Standard Care alone, starting at the beginning of radiotherapy.

    Device: mobile application (reminder app)

Interventions

  • Devicemobile application (reminder app)

    This app will remind the patients four times a day to perform skin and mouth care. Instructions are given how to properly perform skin and mouth care. The patients may postpone each required care procedure for up to 2 hours. Finally, the patients are asked to state for each procedure whether or not they performed it. To increase the patients' motivation, they will earn points for each successfully performed care procedure.

06

What researchers measure

Primary outcomes

  1. Rate of radiation dermatitis grade ≥2

    at least moderate radiation-induced skin toxicity such as erythema and desquamation

    Time frame: until 60 Gy of radiotherapy

Secondary outcomes

  1. Rate of radiation dermatitis grade ≥2

    at least moderate radiation-induced skin toxicity such as erythema and desquamation

    Time frame: at the end of radiotherapy

  2. Rate of radiation dermatitis grade ≥3

    severe radiation-induced skin toxicity such as erythema and desquamation

    Time frame: at 60 Gy of radiotherapy and at the end of radiotherapy

  3. Pain score

    Pain within the radiation fields measured with a self-rating analogue scale ranging from 0 (no pain) to 10 (maximum pain) points; higher values represent worse outcomes.

    Time frame: prior to radiotherapy, weekly during radiotherapy, at 60 Gy and at the end of radiotherapy

  4. Rate of radiation-induced oral mucositis grade ≥2

    at least moderate radiation-induced inflammation of the oral mucosa

    Time frame: at 60 Gy of radiotherapy and at the end of radiotherapy

  5. Rate of radiation-induced oral mucositis grade ≥3

    severe radiation-induced inflammation of the oral mucosa

    Time frame: at 60 Gy of radiotherapy and at the end of radiotherapy

07

Study locations

4 sites
  • Medical Practice for Radiotherapy and Radiation Oncology
    Hannover, Niedersachsen 30449, Germany
  • Dept. of Radiation Oncology, University of Lübeck
    Lübeck, Schleswig-Holstein 23562, Germany
  • Department of Radiation Oncology, Cruces University Hospital/ Biocruces Health Research Institute
    Barakaldo, Vizcaya, Spain
  • Dept. of Radiation Oncology, Hospital Universitario y Politecnico La Fe,
    Valencia, Spain
08

References and documents

Publications

  • Rades D, Narvaez CA, Doemer C, Janssen S, Olbrich D, Tvilsted S, Conde-Moreno AJ, Cacicedo J. Radiotherapy-related skin toxicity (RAREST-02): A randomized trial testing the effect of a mobile application reminding head-and-neck cancer patients to perform skin care (reminder app) on radiation dermatitis. Trials. 2020 May 25;21(1):424. doi: 10.1186/s13063-020-04307-0. PubMed 32450921 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04110977
Lead sponsor
University Hospital Schleswig-Holstein
Responsible party
Prof Dirk Rades (Chair of the Department of Radiation Oncology, University Hospital Schleswig-Holstein) — Principal investigator
First posted
Oct 1, 2019
Start date
Oct 10, 2020
Primary completion
Jan 17, 2022
Completion
Dec 5, 2022
Last update
Jan 15, 2025

Study contacts

Dirk Rades, Professor
principal investigator · Dept. of Radiation Oncology, University of Lübeck, Germany

Oversight

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

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

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