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Education Intervention in Patients with Rash Due to Epidermal Growth Factor Receptor (EGFR) Treatment.

NCT03992664 — Not applicable, Completed, 40 participants, Cyprus University of Technology

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A Pilot Randomized Controlled Study on the Effects of an Educational Training Program on Skin Reactions Induced by Chemotherapies, Epidermal Growth Factor Inhibitors (EGFRI) Treatments, and Immunotherapies.

RegistryNCT03992664
StatusCompleted
PhaseNot applicable
Study typeInterventional; randomized, crossover, masking: single, other
Enrollment40 (Actual)
SponsorCyprus University of Technology (Other)
ConditionsConsent Form, Lung Cancer, Colon Cancer, Pancreas Cancer, Head and Neck Cancer, Breast Cancer
InterventionsEducational training program (Other)
Datesstart 2019-01-01, primary completion 2020-12-12, completion 2022-08-10, first posted 2019-06-20, last updated 2025-02-13
Locations1 site in Cyprus

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-Summary

The main adverse reaction of EGFR seen in patients is rash. EGFR treated patients have a 24-95% incidence of rash depending on the type of treatment they receive. Skin toxicity may occur in more than 80% of patients treated with cetuximab.

If a severe rash (Grade 3 or 4) occurs, a dose reduction or discontinuation of treatment may be required. Also, infections are the main secondary side effect caused by the rash.

The aim of the study is through a randomized clinical trial feasibility study to investigate the effectiveness of an educational intervention in patients receiving EGFRI therapy.

It will be randomly selected which patients will belong to the intervention group and who in the control group. The type of program involves educational intervention.

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+Detailed description

In recent years, EGFRI (Epidermal Growth Factor Receptor Inhibitor) have evolved as effective anti-cancer drugs. They are distinguished in monoclonal antibodies (cetuximab and panitumumab) and EGFR (TKIs) kinase inhibitors gefitinib, erlotinib and lapatinib, where they are used in the treatment of colon, rectal, head and neck, lung, pancreas and of breast.

According to studies, the usual treatment for the prevention and treatment of skin rash refers to the use of antibiotics such as doxycycline, tetracycline and cortisone products such as hydrocortisone. It is also recommended to use moisturizing cream.

The study of Carmine P. et al., 2011 mentions the need to investigate educational measures for the rash due to EGFR treatment.

+Arms and interventions

ArmTypeInterventionsDescription
ExperimentalExperimentalOther: Educational training programThe patients in the experimental group follow the educational program once weekly, for 4 weeks.
NON-INTERVENTIONNo interventionThe usual information was provided to them
  • Educational training program (Other): The training program will focus on four parameters: cleanliness, hydration, protection from external stimuli, and finally early detection of skin side effects. The re-evaluation of the skin as well as the repetition of the questionnaires will be done every week for 4 weeks.

+Outcome measures

Primary outcomes

  • Skin grades [4 weeks]: Repeated measurements were taken weekly regarding the grade of rash, pruritus and photosensitivity.

Secondary outcomes

  • Functional health and wellbeing status [4 weeks]: The SF-36 questionnaire (since week 0) and DLQI questionnaire (since week 1) were recorded.

+Eligibility

Sex: All, ages: 18 Years to any

1. Adult cancer patients (>18).
2. Patients who suffered with pruritus, or rash or photosensitivity, in the onset of the symptoms.
3. Willing to participate.
4. Ability to complete the questionnaires.
5. A performance status of two or less on the Eastern Cooperative Oncology Group (ECOG).
6. Patients with no pre-existing dermatological condition that may limit the interpretation of results.

+Locations (1)

FacilityCityCountryStatus
Eleni PapouiLarnaca, ATHIENOUCyprus

+Investigators

  • ANDREAS CHARALAMBOUS, PhD, Study director, Cyprus University of Technology

My Notes