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    Clinical Trial Results:
    CICA-RT – Phase III randomized multicenter study evaluating Cicaderma® ointment efficacy versus the current practice of each center for the radiation dermatitis prevention in patients with non-metastatic breast cancer after adjuvant post-operative breast irradiation

    Summary
    EudraCT number
    2019-001711-23
    Trial protocol
    FR  
    Global end of trial date
    01 Jul 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Nov 2022
    First version publication date
    06 Nov 2022
    Other versions
    Summary report(s)
    RRF

    Trial information

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    Trial identification
    Sponsor protocol code
    ET19-084
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Centre Léon Bérard
    Sponsor organisation address
    28 rue Laennec, Lyon Cedex 08, France, 69373
    Public contact
    Séverine METZGER, Centre Léon Bérard, +33 4 78 78 28 28,
    Scientific contact
    Dr Séverine RACADOT Pr Youlia KIROVA, Centre Léon Bérard, +33 4 78 78 28 28,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    05 Nov 2021
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Jul 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To compare the efficacy of Cicaderma® ointment versus the standard care of each center in the prevention of grade > 2 radiation dermatitis according to National Cancer Institute – Common Terminology Criteria for Adverse Events-Version (NCI-CTCAE-V5)
    Protection of trial subjects
    The investigator proceeded to the following information/procedures during the screening visit: - Fully inform the patient of the study treatments, the objectives and the design of the study, answer to any questions that the patient may have and ensure that the patient understands the potential risks and benefits of participating in the study before signing the informed consent form. None study-related procedure can be started before ICF is signed and dated by both the patient (and impartial witness, if applicable). - Check the eligibility criteria list and perform the exams.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Jun 2020
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 258
    Worldwide total number of subjects
    258
    EEA total number of subjects
    258
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    148
    From 65 to 84 years
    80
    85 years and over
    30

    Subject disposition

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    Recruitment
    Recruitment details
    Patients were recruited at the time of enrolment at the participating sites. The declared investigator, after having identified a potential candidate for the study, informed her orally of the terms of the study and provide her with : an information note, An informed consent form that has been dated and signed by the patient and the investigator.

    Pre-assignment
    Screening details
    None study-related procedure can be started before ICF was signed and dated by both the patient (and impartial witness, if applicable) and the investigator - Checked the eligibility criteria list and perform the exams.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Arm A: Hygiene rules and preventive treatment with Cicaderma®
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Cicaderma®
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Cream
    Routes of administration
    Route of administration not applicable
    Dosage and administration details
    2 applications per day for 30 days

    Arm title
    Arm B: Standard Pratice
    Arm description
    -
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Number of subjects in period 1
    Arm A: Hygiene rules and preventive treatment with Cicaderma® Arm B: Standard Pratice
    Started
    130
    128
    Completed
    130
    128

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Arm A: Hygiene rules and preventive treatment with Cicaderma®
    Reporting group description
    -

    Reporting group title
    Arm B: Standard Pratice
    Reporting group description
    -

    Reporting group values
    Arm A: Hygiene rules and preventive treatment with Cicaderma® Arm B: Standard Pratice Total
    Number of subjects
    130 128 258
    Age categorical
    Units: Subjects
        22-91 years
    130 128 258
    Age continuous
    Units: years
        median (full range (min-max))
    60.0 (31 to 91) 62.0 (22 to 86) -
    Gender categorical
    Units: Subjects
        Female
    130 128 258
    Subject analysis sets

    Subject analysis set title
    Primary endpoint in Cicaderma arm
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Intention-to-treat (ITT) population: defined as all patients randomised, regardless of treatment received and study conduct. Patients will be analysed according to their initial randomisation group, regardless of the actual treatment received.

    Subject analysis set title
    Primary endpoint in standard practice arm
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Intention-to-treat (ITT) population: defined as all patients randomised, regardless of treatment received and study conduct. Patients will be analysed according to their initial randomisation group, regardless of the actual treatment received.

    Subject analysis sets values
    Primary endpoint in Cicaderma arm Primary endpoint in standard practice arm
    Number of subjects
    130
    128
    Age categorical
    Units: Subjects
        22-91 years
    Age continuous
    Units: years
        median (full range (min-max))
    60.0 (31 to 91)
    62.0 (22 to 86)
    Gender categorical
    Units: Subjects
        Female
    130
    128

    End points

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    End points reporting groups
    Reporting group title
    Arm A: Hygiene rules and preventive treatment with Cicaderma®
    Reporting group description
    -

    Reporting group title
    Arm B: Standard Pratice
    Reporting group description
    -

    Subject analysis set title
    Primary endpoint in Cicaderma arm
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Intention-to-treat (ITT) population: defined as all patients randomised, regardless of treatment received and study conduct. Patients will be analysed according to their initial randomisation group, regardless of the actual treatment received.

    Subject analysis set title
    Primary endpoint in standard practice arm
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    Intention-to-treat (ITT) population: defined as all patients randomised, regardless of treatment received and study conduct. Patients will be analysed according to their initial randomisation group, regardless of the actual treatment received.

    Primary: Efficacy Primary endpoint

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    End point title
    Efficacy Primary endpoint
    End point description
    End point type
    Primary
    End point timeframe
    30 days
    End point values
    Arm A: Hygiene rules and preventive treatment with Cicaderma® Arm B: Standard Pratice Primary endpoint in Cicaderma arm Primary endpoint in standard practice arm
    Number of subjects analysed
    130
    128
    130
    128
    Units: ≥2
    130
    128
    130
    128
    Statistical analysis title
    Efficacy Primary endpoint
    Comparison groups
    Arm B: Standard Pratice v Arm A: Hygiene rules and preventive treatment with Cicaderma®
    Number of subjects included in analysis
    258
    Analysis specification
    Post-hoc
    Analysis type
    equivalence
    P-value
    = 1
    Method
    Chi-squared
    Confidence interval

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    The investigator collects (spontaneous patient report or questionning) and immediately notifies the sponsor of all SAEs, in a written report, wether or not theay are deemed to be attributable to research and wich occur during the study.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21.0
    Frequency threshold for reporting non-serious adverse events: 0%
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: Non-serious events were collected and not specifically reported.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    02 Jun 2020
    - Implementation of an urgent safety measure following COVID-19. A letter dated 27 May 2020 mentioning this notification was sent to the authorities on 28 May 2020.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    27 May 2020
    - Implementation of an urgent safety measure (USM) following COVID-19. A letter dated 27 May 2020 mentioning this notification was sent to the authorities on 28 May 2020.
    -

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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