Topical use of phytotherapic cream (Capilen® cream) to prevent radiodermatitis in breast cancer: a prospective historically controlled clinical study

G Ital Dermatol Venereol. 2014 Feb;149(1):107-13.

Abstract

Aim: The purpose of this study was to evaluate the ability of a topical phytotherapic product (Capilen® cream) to limit acute radiodermitis and delay the use of corticosteroids in patients with breast cancer (BC).

Methods: From January 2012 to August 2012, 30 consecutive patients, undergoing radiotherapy with adjuvant intent, were invited to use Capilen® cream two times daily two weeks before and during radiotherapy. An historical group was used as an external control. Acute skin toxicity was scored weekly according to RTOG/EORTC criteria. Time of occurrence of acute skin toxicity was taken as endpoint.

Results: Compliance was good. Overall, no significative statistical difference was observed in rate of acute radiation dermatitis, 46.7% in experimental arm versus 63.3% in the historical control group, although only 3.3% of Capilen® cream treated patients had a G3 acute radiation dermatitis versus 10% of the control group. A delay in the onset of radition dermatitis in patients treated with Capilen® cream (P=0.04) was showed.

Conclusion: Our findings suggested that Capilen® cream plays a role in reducing acute radiation dermatitis in breast cancer patients treated with adjuvant radiotherapy. Further evidence is needed to confirm these results.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Administration, Cutaneous
  • Adult
  • Aged
  • Aged, 80 and over
  • Breast Neoplasms / complications
  • Breast Neoplasms / radiotherapy*
  • Breast Neoplasms / surgery
  • Disease-Free Survival
  • Female
  • Humans
  • Mastectomy, Segmental
  • Middle Aged
  • Phytotherapy*
  • Plant Extracts / administration & dosage
  • Plant Extracts / adverse effects
  • Plant Extracts / therapeutic use*
  • Radiation-Protective Agents / adverse effects
  • Radiation-Protective Agents / therapeutic use*
  • Radiodermatitis / etiology
  • Radiodermatitis / prevention & control*
  • Radiotherapy, Adjuvant / adverse effects*
  • Radiotherapy, Conformal / adverse effects*
  • Radiotherapy, High-Energy / adverse effects*
  • Severity of Illness Index
  • Skin Cream / adverse effects
  • Skin Cream / therapeutic use

Substances

  • Capilen
  • Plant Extracts
  • Radiation-Protective Agents