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Trial Title: M-PART in Head and Neck Cancer Patients Treated With KeraStat Cream for Acute Radiation Dermatitis

NCT ID: NCT06441266

Condition: Radiation Dermatitis

Conditions: Official terms:
Head and Neck Neoplasms
Dermatitis
Radiodermatitis

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: KeraStat cream
Description: KeraStat Cream is a non-sterile, non-implantable, emollient-based wound dressing intended to act as a protective covering in the management of a variety of skin conditions. The intervention is a topical cream applied at least twice daily starting at start of radiation therapy until 1-month from the end of radiation therapy completion
Arm group label: M-PART Assessment via MyCap

Intervention type: Device
Intervention name: M-PART Assessments via MyCap
Description: The M-PART approach harnesses the remote data collection capabilities of MyCap to facilitate remote collection or data including but not limited to toxicity assessments, quality of life surveys, and patient-provided photographs of the skin in the treated area
Arm group label: M-PART Assessment via MyCap

Intervention type: Other
Intervention name: Clinical Assessments
Description: Participants will undergo assessments at baseline (prior to radiation therapy start), weekly during and after radiation therapy until 1-month post-radiation therapy. Medical history will be collected at baseline including primary cancer site, HPV status (if oropharyngeal cancer primary), laterality, TNM classification, stage, surgical resection prior to radiation therapy, weight, body mass index and patient self-reported Fitzpatrick skin phototype.
Arm group label: M-PART Assessment via MyCap

Intervention type: Other
Intervention name: Feedback phone interview
Description: Participant satisfaction, perceptions and preferences with using M-PART will be discussed.
Arm group label: M-PART Assessment via MyCap

Summary: The purpose of this research study is to test the ability of a mobile device application (MyCap) to collect patient information about their radiation skin rash in patients with head and neck cancer being treated with radiation therapy.

Detailed description: Primary Objective: To determine the feasibility of M-PART for the assessment of acute radiation dermatitis in patients treated with radiotherapy for head and neck cancer via MyCap. Secondary Objectives: - To assess agreement between site clinician-rated CTCAE G2+ radiation dermatitis with moist desquamation and patient-reported moist desquamation (a and b above). - To assess the proportion of patient-submitted photographs of skin in the irradiated area that are evaluable for radiation dermatitis assessments by central review. - To assess agreement between clinician-rated radiation dermatitis grading, central review of patient-submitted photographs, and central review of standardized clinic photographs (methods a, c, and d above). - To measure the level of interval (i.e., optional engagement in between scheduled collection) patient engagement in the collection of radiation toxicity outcomes using the M-PART methodology. - To measure patient and research staff satisfaction, perceptions, and preferences with regard to the M-PART data collection framework.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Histological or cytological diagnosis of head and neck cancer (of any part of the oral cavity, pharynx, larynx, or sinuses) planned to receive conventionally fractionated radiation therapy (RT) targeting the head and neck to a total prescribed dose of at least 60 Gy. The 60 Gy RT target must include at least a part of the unilateral and/or bilateral lymph node regions of the head/neck. Planned prescribed dose will be reviewed and approved by the study PI. NOTE: Patients without a clear pathologic diagnosis of invasive disease (i.e., biopsy showing at least carcinoma in situ) but with clinically diagnosed head and neck cancer planned for treatment as above are also eligible. - Age ≥ 18 years at the time of enrollment. - Able and willing to complete electronic toxicity and quality of life assessments in the MyCap application using their personal mobile device. - Ability to understand and the willingness to sign an IRB-approved informed consent document (either directly or via a legally authorized representative) in English. Exclusion Criteria: - Early stage (Stage I-II) squamous cell carcinoma of the glottic larynx planned for treatment with limited field radiation therapy alone. These participants are excluded since they are expected to receive a more limited exposure to radiation therapy. - Patients planned for treatment to the primary site alone without regional lymph node targeting. - Previous radiation therapy to the area in the head and neck to be treated with radiation therapy. - Active use of topical corticosteroids in the irradiation area at the time of registration. - History of scleroderma or active lupus requiring systemic medication at the time of registration. - Planned concurrent treatment with anti-EGFR biologic therapy (e.g., cetuximab) for head and neck cancer. - Individuals who are pregnant or plan to become pregnant. Radiotherapy is contraindicated in this patient population.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Wake Forest Baptist Comprehensive Cancer Center

Address:
City: Winston-Salem
Zip: 27157
Country: United States

Contact:
Last name: Principal Investigator

Phone: 336-713-3600
Email: ryhughes@wakehealth.edu

Investigator:
Last name: Ryan T. Hughes, MD
Email: Principal Investigator

Start date: November 2024

Completion date: August 2026

Lead sponsor:
Agency: Wake Forest University Health Sciences
Agency class: Other

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: Wake Forest University Health Sciences

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06441266

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