Mepitel Film Breast
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Breast Cancer, Radiation Dermatitis. Basic parameters: 21 years — 100 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Singapore
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
The Tolerability of Mepitel Film for the Prevention of Radiation Dermatitis in Breast Cancer Patients in Hot Weather: A Feasibility Study
Overview
Primary Objective To examine the tolerability of Mepitel Film in the prevention of RD patients undergoing whole breast or chest wall RT in the hot and humid weather in Singapore Secondary Objectives To evaluate the incidence of acute radiation dermatitis, quality of life, satisfaction, and cost analysis of Mepitel Film use.
Detailed description
This prospective, observational feasibility study will enroll 60 breast cancer patients, divided into two cohorts: 30 receiving local breast RT and 30 receiving chest wall RT post-mastectomy. We hypothesize that Mepitel Film will be well-tolerated and effective in preventing severe RD (Grade ≥2) in this population, with results compared to published data from Western countries. Previous randomized controlled trials (RCTs) conducted in regions with low humidity and cool temperatures have raised concerns about film adherence and cost in tropical climates. Therefore, assessing the efficacy of Mepitel Film in a hot and humid environment is warranted.
Primary outcome measures
- Frequency of total replacement of Mepitel Film or "touch-up" when compared with the data from the RCT in Ontario, Canada [Time frame: From first day RT to the 2 weeks post RT]
Secondary outcome measures (12)
- Frequency and severity of patient reported pruritis in SSA and RISRAS related to use of Mepitel Film when compared with the data from the RCT in Ontario, Canada [Time frame: From enrollment to the 3 months post RT]
- Incidence of ARD grades 2 to 3, as defined by the CTCAE V5 assessed by HCP [Time frame: From enrollment to the 2 weeks post RT]
- Patient-reported skin-related symptoms using the Skin Symptom Assessment (SSA) [Time frame: From enrollment to the end of study (2 years post RT)]
- HCP reported SSA [Time frame: From enrollment to the end of study (2 years post RT)]
- Incidence of moist desquamation assessed by HCP [Time frame: From enrollment to 2 weeks post RT]
- Radiation-Induced Skin Reaction Assessment Scale (RISRAS) assessed by patient and HCP [Time frame: From enrollment to 3 months post RT]
- Blinded HCP-assessed mRISRAS scores from blinded grading of photographs taken at the end of RT [Time frame: End of RT treatment]
- Photographs with EORTC-BCRS [Time frame: From enrollment to the end of study (2 years post RT)]
- Patient-reported QOL using the Skindex-16 [Time frame: From enrollment to the end of study (2 years post RT)]
- Patient satisfaction with Mepitel Film as assessed by the patient satisfaction questionnaire [Time frame: 3 months post RT]
- HCP satisfaction with Mepitel Film as assessed by the HCP satisfaction questionnaire [Time frame: 3 months post RT]
- Cost analysis of Mepitel Film for prevention of RD (evaluation and calculation of Mepitel Film usage and financial cost using Film Integrity Assessment) [Time frame: From first day RT to the 2 weeks post RT]
Eligibility criteria
Inclusion criteria
- Age ≥ 21 years old (legal age of maturity in Singapore)
- Male or female
- Informed consent
- Patients have undergone a mastectomy with or without reconstruction or breast-conserving surgery.
- Histological confirmation of breast carcinoma (invasive or in situ carcinoma)
- Patients are scheduled to receive hypofractionated (40Gy in 15 daily fractions or 26Gy in 5 daily fractions) photon-based RT
- Patient treated with or without tissue the addition of equivalent bolus and/or boost.
- Can communicate in English or be aided by a translator.
Exclusion criteria
- Prior RT to any portion of the planned treatment site.
- Patients will receive partial breast external beam RT, proton beam therapy, or brachytherapy.
- Patients with active rash, pre-existing dermatitis, or other conditions within the treatment area may make skin assessment for the study difficult per treating physician discretion.
- Known history of adhesive, tape or silicon allergy or sensitivity.
- Concomitant cytotoxic chemotherapy
- Bilateral breast pathology requiring concurrent bilateral breast or chest wall RT.
- Current inflammatory breast cancer or gross dermal involvement at initiation of RT.
- Patient has a Karnofsky Performance Status score <60.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Singapore · 1 center
- National University Hospital — Singapore
Identifiers
NCT: NCT07729423 · 2024-4228