Thermal cure with a primary dermatological indication
Thermal cure with a primary dermatological indication: The thermal treatment combines baths which have a sedative, muscle-relaxing effect and encourage joint mobilisation, sprays which have a decongestant effect and, above all, thread-like showers which are carried out by jets of thermal water under high pressure for several minutes plus educational workshops (relaxation, sophrology, hygiene...)
Study summary
FIBROTHERME is a comparative, controlled, randomized, multicenter and simple blinded (investigator) trial.
The aim of this study is to evaluate the medical benefit in terms of quality of life on the dermatological sequelae of fibrosis 6 months after a dermatologically oriented spa therapy in patients with severe late reactions affecting the skin and/or soft tissues at least 6 months after radiotherapy for breast cancer or UADT (Upper Aerodigestive Tract) cancer.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age ≥ 18 years
* In situ or invasive breast cancer or cancer of the upper aerodigestive tract
* DLQI ≥ 6 (at least moderate effect on patient's life)
* General status WHO 0-1
* Radiotherapy completed at least 6 months ago (with no maximum post radiotherapy delay)
* Unilateral breast radiotherapy for breast cancer patients
* Skin or soft tissue toxicity (- modules: Skin atrophy, fibrosis of deep connective tissues, fibrosis of superficial soft tissues) CTCAE v4.0 grade ≥ 2
* No inflammatory or infectious flare at inclusion
* Female of childbearing potential: negative urine pregnancy test at inclusion
* Patient informed and signed consent
* Affiliation to a social security systeme or equivalent
Exclusion Criteria:
* Progressive phase of cancer
* Metastatic disease
* Patient undergoing specific treatment for breast cancer (except adjuvant hormone therapy and/or adjuvant herceptin)
* Bilateral breast/parietal radiotherapy
* Breast prosthesis wearer for breast cancer patients
* Patient with a tracheostomy for patients with head and neck cancer
* Obvious skin ulceration in the site of interest
* Contraindication to spa treatment (acute inflammatory disease, active infections, heart failure with NYHA stage \> 1, chronic respiratory failure, labile hypertension, bullous disease)
* Chronic progressive dermatological disease
* Women who are pregnant or likely to become pregnant within 6 months or who are breastfeeding
* Persons deprived of liberty or under guardianship
Primary outcome measure(s)
Evaluation of the medical benefit in terms of quality of life on the dermatological sequelae of fibrosis after a dermatologically oriented spa treatment. — 6 months Self-assessment by the patient of the dermatological quality of life by the DLQI (Dermatology Life Quality Index) score at 6 months after the end of the treatment compared between the intervention group (immediate treatment) and the control group (delayed treatment after 6 months). The DLQI score is between 0 and 30 where a high score indicates a significant impairment of quality of life.
Trial sites (13)
Facility
City
Region
Status
Clinique Tivoli-Ducos
Bordeaux
France
Recruiting
Centre Hospitalier Intercommunal Créteil
Créteil
France
Recruiting
Institut de Cancérologie de Bourgogne
Dijon
France
Recruiting
Centre Hospitalier Universitaire Grenoble Alpes
Grenoble
France
Recruiting
Groupe Hospitalier Mutualiste de Grenoble
Grenoble
France
Recruiting
Institut Rafael
Levallois-Perret
France
Recruiting
Institut Paoli-Calmettes
Marseille
France
Recruiting
Centre Azuréen de Cancérologie
Mougins
France
Recruiting
Centre Eugène Marquis
Rennes
France
Recruiting
Centre Hospitalier Roanne
Roanne
France
Recruiting
CHU Saint Etienne
Saint-Etienne
France
Recruiting
Institut de Cancérologie de Lorraine
Vandœuvre-lès-Nancy
France
Recruiting
Centre François Baclesse
Esch-sur-Alzette
Luxembourg
Not Yet Recruiting
More Association Francaise pour la Recherche Thermale trials in France
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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