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ArticleTrials2025

Non-invasive physical plasma for preventing radiation dermatitis in breast cancer: study protocol for a phase 3 randomised double-blind placebo-controlled trial (NIPP-RD III).

Cas Stefaan Dejonckheere, Julian Philipp Layer, Gustavo Renato Sarria, Shari Wiegreffe, Andrea Renate Glasmacher, Younèss Nour, Davide Scafa, Thomas Müdder, Teresa Anzböck, Frank Anton Giordano and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07380230 (Efficacy and Safety of Qibei Jiedu Formula Versus Placebo in Preventing and Managing Acute Radiation Dermatitis in Breast Cancer Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07380230 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy and Safety of Qibei Jiedu Formula Versus Placebo in Preventing and Managing Acute Radiation Dermatitis in Breast Cancer Patients: A Prospective, Double-blind, Randomized Controlled Trial

TypeinterventionalSponsorLI FENGRan2026 to 2026Enrolled60ConditionsAcute Radiation Dermatitis, Traditional Chinese Medicine (TCM), Breast CancerArmsStandard Basic Treatment Combined with Qibei Jiedu Formula, Standard Basic Treatment Combined with Qibei Jiedu Formula simulator
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Cas Stefaan DejonckheereDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany. cas.dejonckheere@ukbonn.de.
Julian Philipp LayerDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Gustavo Renato SarriaDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Shari WiegreffeDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Andrea Renate GlasmacherDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Younèss NourDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Davide ScafaDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Thomas MüdderDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Teresa AnzböckDepartment of Gynaecology and Gynaecological Oncology, University Hospital Bonn, Bonn, 53127, Germany.
Frank Anton GiordanoDepartment of Radiation Oncology, University Medical Center Mannheim, Mannheim, 68167, Germany.
Matthias Bernhard StopeDepartment of Gynaecology and Gynaecological Oncology, Physical Plasma Laboratories, University Hospital Bonn, Bonn, 53127, Germany.
Leonard Christopher SchmeelDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.
Eleni GkikaDepartment of Radiation Oncology, University Hospital Bonn, Venusberg-Campus 1, Bonn, 53127, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadiation dermatitis (RD) is the most common side effect of breast irradiation, yet only few potent preventative and therapeutic options are available. Following encouraging results from a phase 1 and 2 trial on the topical use of non-invasive physical plasma (NIPP), a very well-tolerated physical treatment option to promote tissue regeneration generated from ambient air, we now present the study protocol for a planned phase 3 trial.

methodsIn this randomised double-blind placebo-controlled trial, patients with breast cancer will be randomised (1:1) to receive either 120 s of NIPP or sham treatment with an identical device daily during hypofractionated breast irradiation following breast-conserving surgery. Standard skin care with urea lotion will be applied twice daily to the whole breast by all patients. Acute skin toxicity will be assessed weekly and includes clinician- (CTCAE v5.0) and patient-reported (modified RISRAS), and objective (spectrophotometry) assessments. The trial has started enrolment in the first quarter of 2024 and is projected to recruit 140 patients over 36 months. DISCUSSION: This randomised controlled trial will recruit a homogeneous patient collective in terms of RD risk and aims to unequivocally establish the impact of NIPP on RD by employing a robust trial design, incorporating both the patient's perspective and validated objective outcome measures. If the addition of NIPP proves useful, it might reduce both physical and psychological distress caused by RD in numerous breast cancer patients and beyond.

trial registrationGerman Clinical Trial Registry DRKS00032560 (January 9th 2024).

Indexed as

Breast NeoplasmsRadiodermatitisClinical Trials, Phase III as TopicDouble-Blind MethodFemaleHumansMastectomy, SegmentalRadiation Dose HypofractionationRandomized Controlled Trials as TopicTime FactorsTreatment OutcomeBreast cancerCold atmospheric plasmaNon-invasive physical plasmaRadiation dermatitisRadiation therapyRandomised controlled trial

Identifiers

PMID40108640
PMCPMC11921611

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.