Curcumin for the Prevention of Radiation-induced Dermatitis in Breast Cancer Patients

• Status: Completed
• Trial end date: 2011-04-01
• Target enrollment: 0
• Participant gender: Female

Summary

Ionizing radiation is a toxic agent and widely accepted form of treatment for various types of cancer. Despite advances in medical technology, radiation therapy still causes severe early and late skin effects. Radiation-induced dermatitis occurs in approximately 80% of patients. Important consequences of radiation-induced dermatitis include impairment of the quality of a patient's life due to pain and premature interruption of radiation treatment, which in turn, may be impair good local control of disease. The biological pathways responsible for acute radiation-induced dermatitis remain unclear. Currently, there is no standard treatment for the prevention of radiation-induced dermatitis with demonstrated effectiveness. The aim of this randomized, double-blind, placebo-controlled pilot study is to assess the effectiveness of curcumin for the prevention of acute radiation-induced dermatitis during postoperative radiotherapy for breast cancer. We hypothesize that curcumin, a natural phenolic compound found in both turmeric and curry powders, can prevent or alleviate radiation-induced skin reactions in breast cancer patients receiving radiotherapy.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: University of Rochester
• Treatments: Curcumin

Criteria

Inclusion Criteria:

• Female with a diagnosis of, non-inflammatory breast adenocarcinoma and be referred for post-operative radiotherapy without concurrent chemotherapy.

• Participants must be at least 21 years of age.

• Participants must not be pregnant.

• Participants can be from any racial or ethnic origin.

• Breast adenocarcinoma could have been treated by either lumpectomy or mastectomy with or without adjuvant or neoadjuvant chemotherapy or hormonal treatment.

• Participants with in situ breast cancer are eligible.

• Participants who are prescribed concurrent hormone treatment with radiation treatment are eligible.

• Participants must be scheduled to receive five sessions of radiation therapy per week (1 session per day) for at least four weeks using standard (1.8-2.0 Gy per session)or Canadian (2.2-2.5 Gy per session)irradiation fractionation.

• A time period of three weeks must elapse after chemotherapy and surgery before beginning the study.

• The total dose prescribed to the whole breast should be 50 Gy or greater.

• Participants must be able to understand English and able to complete assessment forms (all assessment forms are in English).

• Participants must be able to swallow medication.

• Topical skin agents, e.g., Aquaphor, Cetaphil, or other emollients, are allowed either PRN or prophylactically.

• Participant must give informed consent.

Exclusion Criteria:

• Patients with bilateral breast cancer are not eligible.

• Patients who have had previous radiation therapy to the breast or chest are not eligible.

• Patients who are prescribed chemotherapy concurrently with radiation treatment are not eligible.

• Patients who will be receiving treatment with Herceptin (trastuzumab), anti-coagulants, or anti-human epidermal growth factor receptor (EGFR) drugs, e.g. Iressa (gefitinib), Erbitux (cetuximab, C225), concurrently with their radiation therapy are not eligible.

• Patients cannot have had breast reconstructions, implants, and/or expanders.

• Patients with known radiosensitivity syndromes (e.g., Ataxia-telangiectasia) are not eligible.

• Patients with collagen vascular disease, vasculitis, unhealed surgical sites, or breast infections are not eligible.

• Patients whose baseline blood tests meet the following criteria are not eligible:

greater than or equal to Grade 2 change Hemoglobin (i.e., 25% decrease from baseline); greater than or equal to Grade 1 change in Platelets (i.e., less than 75,000/mm3); greater than or equal to Grade 2 change in PT and PTT(i.e., 1.5-2x upper level normal (ULN)); greater than or equal to Grade 1 change in AST, ALT (i.e., greater than 2.5x ULN); greater than or equal to Grade 1 change in Bilirubin (i.e., greater than 1.5x ULN); greater than or equal to Grade 1 change in Creatinine (i.e., greater than 2x ULN).