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含维生素 E 纳米颗粒的局部乳膏预防乳腺癌女性放射性皮炎的临床试验方案。

Topical cream containing nanoparticles with vitamin E to prevent radiodermatitis in women with breast cancer: a clinical trial protocol.

机构信息

Instituto Federal de Educação, Ciência e Tecnologia do Sul de Minas Gerais (IFSULDEMINAS), Passos, Minas Gerais, Brazil.

Graduate Program in Adult Health Nursing.

出版信息

J Wound Care. 2021 Jun 1;30(Sup6):S44-S50. doi: 10.12968/jowc.2021.30.Sup6.S44.

Abstract

OBJECTIVE

Little is known about the efficacy of products aiming to prevent radiodermatitis, which affects between 90-95% of women with breast cancer. The use of antioxidants is promising, however, there is a lack of evidenceon their effectiveness. Here, the authors present a clinical trial protocol to evaluate the effects of applying a cream containing nanoparticles with vitamin E to prevent radiodermatitis in patients with breast cancer.

METHOD

The protocol recommends that 108 women with breast cancer, receiving radiotherapy, are included in this triple-blinded, randomized, controlled study at an oncology hospital. Patients will be divided in three groups of 36 individuals each: group A will receive a cream with lipid nanoparticles and vitamin E, group B will receive a cream without nanoparticles nor vitamin E, and group C will receive a cream with nanoparticles without vitamin E. The primary endpoints will evaluate the incidence, degree, and time of onset of radiodermatitis. The secondary endpoints will focus on the quality of life, symptoms, and local temperature. Patients will be assessed three times a week, from the start of their radiotherapy treatment to two weeks after the last session. This protocol was approved by the research ethics committee of the institutions involved and registered on an international trials database.

摘要

目的

对于旨在预防放射性皮炎的产品的疗效,人们知之甚少,而这种皮炎影响了 90-95%的乳腺癌女性。抗氧化剂的使用具有前景,但缺乏其有效性的证据。在此,作者提出了一项临床试验方案,以评估含有维生素 E 纳米颗粒的乳膏用于预防乳腺癌患者放射性皮炎的效果。

方法

该方案建议在一家肿瘤医院纳入 108 名接受放疗的乳腺癌患者进行这项三盲、随机、对照研究。患者将分为三组,每组 36 人:A 组将接受含有脂质纳米颗粒和维生素 E 的乳膏,B 组将接受不含纳米颗粒和维生素 E 的乳膏,C 组将接受含有纳米颗粒但不含维生素 E 的乳膏。主要终点将评估放射性皮炎的发生率、程度和发病时间。次要终点将集中在生活质量、症状和局部温度上。患者将在放疗治疗开始后每周评估三次,直到最后一次治疗后两周。该方案已获得参与机构的研究伦理委员会的批准,并在一个国际试验数据库中注册。

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