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Phase III Trial Evaluating Radium Bromatum Homeopathic Treatment Efficacy on Radiodermatitis Prevention and Treatment for Breast Cancer Women

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StatusRecruiting
Sponsors
Institut de Cancérologie de la Loire

Keywords

Abstract

Breast cancer is the second most frequent cancer worldwide. Principal therapy consists in radiotherapy, but this technic has sides effects as radiodermatitis, concerning about 90 percent of women treated.
Risk of flushing could be reduced by hygienic rules, but no treatment proved its efficacy to prevent radiodermatitis.
Homeopathy is popular but also contested. No clinical trial proved its efficacy for this indication. The present study aims at evaluating Radium bromatum efficacy (homeopathy), compared to placebo, to prevent radiodermatitis apparition for women treated for breast cancer.

Description

Breast cancer is the second most frequent cancer worldwide, and the most frequent in France. Principal therapy consists in radiotherapy, that is locoregional, using radiations to kill cancerous cells.

Radiotherapy has sides effects as radiodermatitis, concerning about 90 percent of women treated. Radiodermatitis could be described with three factors : redness, heat, and edema.

Risk of flushing could be reduced by hygienic rules concerning hydratation, clothes, and toilet.

Nowadays, no treatment proved homeopathic efficacy to prevent radiodermatitis. This treatment is popular but also contested. No clinical trial proved its efficacy for this indication. The present study aims at evaluating Radium bromatum efficacy (homeopathy), compared to placebo, to prevent radiodermatitis apparition for women treated for breast cancer.

Dates

Last Verified: 06/30/2020
First Submitted: 11/21/2018
Estimated Enrollment Submitted: 11/21/2018
First Posted: 11/26/2018
Last Update Submitted: 07/02/2020
Last Update Posted: 07/06/2020
Actual Study Start Date: 07/14/2019
Estimated Primary Completion Date: 01/30/2021
Estimated Study Completion Date: 03/30/2021

Condition or disease

Breast Cancer

Intervention/treatment

Drug: Radium bromatum placebo group

Drug: Radium bromatum group

Drug: Radium bromatum/Apis mellifica/Belladonna placebo group

Drug: Radium bromatum/Apis mellifica/Belladonna group

Phase

Phase 3

Arm Groups

ArmIntervention/treatment
Placebo Comparator: Radium bromatum placebo group
Placebo group will receive placebo pills of Radium bromatum during radiotherapy
Drug: Radium bromatum placebo group
Placebo pills of Radium bromatum will be taken since 48h before radiotherapy and until 15 days after the end of radiation, or until grade 2 or higher radiodermatitis apparition
Experimental: Radium bromatum group
Radium bromatum group will receive homeopathic Radium bromatum pills during radiotherapy
Drug: Radium bromatum group
Homeopathic Radium bromatum pills will be taken since 48h before radiotherapy and until 15 days after the end of radiation, or until grade 2 or higher radiodermatitis apparition
Placebo Comparator: Radium bromatum/Apis mellifica/Belladonna placebo group
Placebo group will receive Radium bromatum/Apis mellifica/Belladonna placebo pills to treat grade 2 or higher radiodermatitis
Drug: Radium bromatum/Apis mellifica/Belladonna placebo group
Placebo pills of Radium bromatum, Apis mellifica and Belladonna will be taken since grade 2 or higher radiodermatitis and until 15 days after the end of radiation
Experimental: Radium bromatum/Apis mellifica/Belladonna group
Radium bromatum/Apis mellifica/Belladonna group will receive homeopathic Radium bromatum/Apis mellifica/Belladonna pills to treat grade 2 or higher radiodermatitis
Drug: Radium bromatum/Apis mellifica/Belladonna group
Pills of Radium bromatum, Apis mellifica and Belladonna will be taken since grade 2 or higher radiodermatitis and until 15 days after the end of radiation

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyFemale
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Major patient;

- Indication of curative intent radiotherapy for breast cancer treated with conservative treatment. Accepted radiotherapy scheme: 50 Gy (main) + 16 Gy on the tumor bed (additional dose);

- Patient affiliated or entitled to a social security scheme;

- Patient who signed an informed consent form.

Exclusion Criteria:

- Pregnant or lactating woman;

- Legal incapacity or limited legal capacity. Medical or psychological conditions that do not allow the subject to understand the study and sign the consent

- Patient followed by a liberal homeopath;

- Patient with bilateral breast cancer;

- Patient with in situ breast cancer;

- Patient with known cognitive impairment;

- Patient with known allergy and / or intolerance and / or malabsorption to fructose, glucose, galactose;

- Patient with a known deficiency in sucrase / isomaltase / lactase.

Outcome

Primary Outcome Measures

1. Percentage diminution of grade 2 or higher radiodermatitis in Radium bromatum group [Week 6]

Percentage diminution of grade 2 or higher radiodermatitis in Radium bromatum group will be measure with the RTOG (Radiation Therapy Oncology Group) scale. A diminution of 10% between Radium bromatum group and placebo group will be considered as significant

Secondary Outcome Measures

1. Radiodermatitis frequency [Week 6]

Number of Radiodermatitis according to the RTOG (Radiation Therapy Oncology Group) scale will be reported.

2. Radiodermatitis duration [Week 6]

Radiodermatitis duration will be reported in days.

3. Radiodermatitis delays [Week 6]

Radiodermatitis delays will be reported in days.

4. Number of concomitant treatments [Week 6]

Number of concomitant treatments will be reported.

5. Pain measure [Week 6]

Measure of pain will be reported, calculated with a oral scale between 0 and 10.

6. Level of Quality of life [Week 6]

Level of Quality of life will be measured between 0 to 100 with the EQ-5D questionnaire (european quality of life number 5)

7. Satisfaction measure [Week 6]

Satisfaction will be measured with a oral scale between 0 (no satisfaction) and 3 (full satisfaction)

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