Evidence map›Paper›PMID 40223795›Full record

Trial reportJournal of medical imaging and radiation oncology2025

Mepitel Film Versus StrataXRT in Managing Radiation Dermatitis in an Intra-Patient Controlled Clinical Trial of 80 Postmastectomy Patients.

Patries Herst, Mary van Schalkwyk, Natasha Baker, Rebecca Thyne, Kelly Dunne, Kylie Moore, Freya Jackson, Kendal Beaven, Lucy Rutten, Gemma McKee and 2 more

Erratum issuedAbstract readMulticenter StudyClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical imaging and radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. MASCC oncodermatology clinical practice statement: prevention of acute radiation dermatitis using barrier-forming topical agents.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  2. Article
  3. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Patries HerstDepartment of Radiation Therapy, University of Otago, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-2173-2513
Mary van SchalkwykCanterbury Regional Cancer and Haematology Service, Christchurch Hospital, Christchurch, New Zealand.
Natasha BakerRegional Cancer Treatment Service, Palmerston North Hospital, Palmerston North, New Zealand.
Rebecca ThyneCanterbury Regional Cancer and Haematology Service, Christchurch Hospital, Christchurch, New Zealand.
Kelly DunneCanterbury Regional Cancer and Haematology Service, Christchurch Hospital, Christchurch, New Zealand.
Kylie MooreCanterbury Regional Cancer and Haematology Service, Christchurch Hospital, Christchurch, New Zealand.
Freya JacksonCanterbury Regional Cancer and Haematology Service, Christchurch Hospital, Christchurch, New Zealand.
Kendal BeavenWellington Blood and Cancer Centre, Wellington Hospital, Wellington, New Zealand.
Lucy RuttenWellington Blood and Cancer Centre, Wellington Hospital, Wellington, New Zealand.
Gemma McKeeWellington Blood and Cancer Centre, Wellington Hospital, Wellington, New Zealand.
Robin WillinkBiostatistics Group, University of Otago, Wellington, New Zealand.
Melissa JamesCanterbury Regional Cancer and Haematology Service, Christchurch Hospital, Christchurch, New Zealand.ORCID https://orcid.org/0000-0001-6123-1951

Funding

Department of Medicine (MJ), University of Otago, Christchurch, the Canterbury Regional Cancer and Haematology Service (MvS, RT, KD, KM, FJ), Christchurch Hospital, the Regional Cancer Treatment Service (NB), Palmerston North and the Wellington Blood and Cancer Centre (KB, LR, GM), Wellington HospitalDepartment of Radiation Therapy (PH) and the Biostatistics group (RW), University of Otago, WellingtonMolnlycke Health Ltd and Stratpharma Ltd generously donated Mepitel film and StrataXRT free of costs
6 · The paper itself

Abstract

backgroundMepitel film decreases the severity of radiation dermatitis in breast cancer patients, but its application is resource-intensive. Many departments therefore use StrataXRT, a gel that patients apply themselves. We compared the protective effects of Mepitel film and StrataXRT on radiation dermatitis during and immediately after radiation therapy.

methodsThis phase III multicentre randomised intra-patient-controlled clinical trial recruited breast cancer patients receiving radiation therapy following mastectomy in three New Zealand Hospitals. Lateral and medial aspects of the chest wall were randomised to either Mepitel film or StrataXRT. Overall skin reaction severity was measured using RISRAS and RTOG once a week during treatment and for 4 weeks after treatment completion. The primary outcome was moist desquamation (with a non-inferiority margin of 7.5%); secondary outcomes were overall skin reaction severity, patient tolerability, satisfaction and cost.

resultsBetween June 2021 and May 2024, 93 patients were recruited, and 80 patients completed the trial. The absolute difference in moist desquamation rates was 6% lower under Mepitel film (p = 0.413, 95% CI -5%, 18%). Overall skin reaction severity was significantly lower for Mepitel film (Researcher RISRAS: p = 0.022; RTOG: p = 0.011). Mepitel film was cheaper to apply but was less well tolerated, with poor skin adherence being an issue for many patients.

conclusionThe study did not show non-inferiority for StrataXRT; overall skin reaction severity and costs were significantly lower under Mepitel film; however, StrataXRT was better tolerated.

trial registrationACTRN12621000124831.

Indexed as

Breast NeoplasmsRadiodermatitisAdultAgedFemaleHumansMastectomyMiddle AgedNew Zealandbreast cancermastectomyMepitel filmmoist desquamationradiation therapyskin reactionsStrataXRT

Identifiers

PMID40223795
PMCPMC12175215

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Registered trials

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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.