Title

Topical Use of Difinsa53™ to Prevent Radiation Dermatitis
Topical Use of a Silibin-based Cream, Difinsa53™, to Prevent Radiation Dermatitis in Patients With Breast Cancer: A Prospective Study
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Study Participants

    13
Phase II trial of the silibin containing cream, Difinsa53 to determine efficacy in delaying, ameliorating, or preventing radiation dermatitis in patients with breast cancer undergoing whole breast radiation.
The proposed study seeks to evaluate the efficacy of DIFINISA53™, a safe silibin-based skin cream, on preventing radiation dermatitis (RD) when compared to an over the counter ointment, Aquaphor, in women undergoing radiation therapy for breast cancer following lumpectomy or mastectomy surgery. Presently there is no known fully effective topical protectant from RD and there is no consensus among radiation oncologists on how best to treat RD. This study seeks to identify a more effective option for patients receiving radiation therapy. Each participant will apply the DIFINISA53™ cream to one area of the treated skin and Aquaphor to another area of treated skin. Skin reactions will be evaluated using medical professional assessment, participant assessment, and photographic assessment by a third party.
Study Started
Aug 31
2015
Primary Completion
Mar 31
2016
Study Completion
Mar 31
2016
Results Posted
Oct 06
2017
Last Update
Oct 06
2017

Drug Difinsa53

Difinsa53 cream is applied to one half of radiation field

  • Other names: Dimethicone

Drug Aquaphor

Aquaphor is applied to one half of radiation field

  • Other names: petrolatum

Single Arm Experimental

Radiation field is divided into two sections, one treated with Difinsa53 and the other with Aquaphor

Criteria

Inclusion Criteria:

Female patients 18 years and older
Pathologic diagnosis of breast cancer requiring radiation therapy to whole breast
Able to apply lotion to treatment area at least twice daily during radiation course
All surgical sites healed
No evidence of infection
No history of sensitivity to any component in Aquaphor or Difensa53

Exclusion Criteria:

Prior history of radiation therapy (RT) to that site
Known dermatologic conditions affecting skin in radiation port
Concurrent chemotherapy
Skin infection in radiation port
History of sensitivity to Aquaphor or Difensa53 component

Summary

Difinsa53 Arm

Aquaphor Arm

All Events

Event Type Organ System Event Term

Radiation Dermatitis as Determined by Radiation Therapy Oncology Group (RTOG) Acute Radiation Morbidity Scoring Criteria

A blinded observer will quantify degree of dermatitis assigning each half of the radiation field a score from 0 to 4. 0 represents no dermatitis and 4 is severe dermatitis using the RTOG scoring criteria.

Difinsa 53 Arm

Aquaphor Arm

Age, Categorical

Sex: Female, Male

Overall Study

Aquaphor

Difinsa53