Evidence map›Paper›PMID 40114285›Full record

ArticleTrials2025

Dermatitis during adjuvant irradiation for breast cancer (DAI-BREAC): a randomized controlled trial investigating whether grade ≥2 dermatitis during radiotherapy for breast cancer can be reduced by a mobile application that reminds patients to perform skin care.

Dirk Rades, Carlos Andres Narvaez-Wolf, Liesa Dziggel, Christian Staackmann, Maike Radtke, Carmen Timke, Charlotte Kristiansen, Marciana-Nona Duma, Nathan Y Yu, Stefan Janssen

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 NCT06483477 (Dermatitis During Adjuvant Irradiation for BREAst Cancer), 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

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

NCT06483477 narecruitingnot on this map

Dermatitis During Adjuvant Irradiation for BREAst Cancer: Grade ≥2 Radiation Dermatitis in Breast Cancer Patients with or Without a Mobile Application (Reminder-App)

TypeinterventionalSponsorUniversity Hospital Schleswig-HolsteinRan2024 to 2026Enrolled268ConditionsBreast Cancer FemaleArmsStandard skin care, Reminder App
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

10 authors.

Dirk RadesDepartment of Radiation Oncology, University of Lübeck, Lübeck, Germany. dirk.rades@uksh.de.
Carlos Andres Narvaez-WolfDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Liesa DziggelDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Christian StaackmannDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Maike RadtkeDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Carmen TimkeDepartment of Radiotherapy, Malteser Hospital St. Franziskus Flensburg, Flensburg, Germany.
Charlotte KristiansenDepartment of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Marciana-Nona DumaDepartment of Radiotherapy, Helios Hospital Schwerin, Schwerin, Germany.
Nathan Y YuDepartment of Radiation Oncology, Mayo Clinic, Phoenix, AZ, USA.
Stefan JanssenDepartment of Radiation Oncology, University of Lübeck, Lübeck, Germany.

Funding

Interreg 01-1-23 2
6 · The paper itself

Abstract

backgroundRadiotherapy of breast cancer can be associated with dermatitis. Grade ≥2 radiation dermatitis can be painful and impair the patients' quality of life. To reduce the risk of this complication, patients have to perform skin care several times each day. This may require a considerable level of compliance. This randomized DAI-BREAC trial investigates whether a mobile application reminding the patients four times per day to perform skin care (reminder app) will contribute to reduction of grade ≥2 radiation dermatitis.

methodsThis multinational, randomized, active-controlled, parallel-group, multicenter trial compares standard skin care supported by a reminder app (Arm A) versus standard skin care alone (Arm B) regarding grade ≥2 radiation dermatitis in patients receiving adjuvant radiotherapy for breast cancer. The effect of the app will be considered clinically relevant, if the rate of grade ≥2 radiation dermatitis is reduced from 25.4% (rate identified in a preceding study) to 15%. A total of 134 patients per arm including drop-outs are required. Secondary aims include pain (visual analogue scale), patient satisfaction with the app (questionnaire), impact of the app on the use of health technology (questionnaire), and benefit from support (coaching) by staff members regarding the use of the app (questionnaire). DISCUSSION: If the reminder app contributes to a decrease of grade ≥2 radiation dermatitis in patients irradiated for breast cancer, it will likely become a useful instrument for these patients.

trial registrationClinicaltrials.gov (NCT06483477; URL: https://clinicaltrials.gov/show/NCT06483477 ). Registered on 1st of July, 2024. First patient was included in December 2024.

Indexed as

Breast NeoplasmsMobile ApplicationsRadiodermatitisReminder SystemsSkin CareFemaleHumansMulticenter Studies as TopicPatient SatisfactionQuality of LifeRadiotherapy, AdjuvantRandomized Controlled Trials as TopicTreatment OutcomeAdjuvant radiotherapyBreast cancerGrade ≥2 radiation dermatitisMobile application

Identifiers

PMID40114285
PMCPMC11924710

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Registered trials

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.