Cryotherapy for the Prevention of Taxane-Induced Sensory Neuropathy of the Hands and Feet in Breast Cancer Patients

Mayo Clinic94 enrolled

Overview

This clinical trial investigates the effect and tolerability of cryotherapy and to evaluate whether they can prevent or improve taxane-induced sensory peripheral neuropathy in breast cancer patients. Cryosurgery, also known as cryoablation or cryotherapy, kills tumor cells by freezing them. Patients receiving cryotherapy during infusion of taxane therapy may have lower incidence of peripheral neuropathy, better physical function, and higher quality of life as compared to patients previously reported in literature.

PRIMARY OBJECTIVE: I. To investigate the efficacy and tolerability of cryotherapy (Elasto Gel frozen mittens and foot wraps) and to evaluate whether they can prevent or ameliorate taxane-induced sensory peripheral neuropathy. OUTLINE: Patients wear Elasto Gel Therapy Mittens and Foot Wraps on both hands and feet 15 minutes prior to each infusion, during the entire infusion, and for 15 minutes after the completion of each infusion during their three months of treatment.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Breast Carcinoma

Interventions

Medical Device Usage and EvaluationDEVICE

Wear Elasto Gel Therapy Mittens and Foot Wraps

Questionnaire AdministrationOTHER

Ancillary studies

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients \>= 18 years of age with a diagnosis of breast cancer * Patients receiving 12-18 weeks of chemotherapy with a taxane-based regimen (4 cycles of weekly x 3 paclitaxel or 4-6 cycles of docetaxel every 3 weeks) * Absence of sensory peripheral neuropathy, skin or nail disorders at the start of treatment * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 * Ability to complete questionnaires by themselves or with assistance * Ability to give signed informed consent Exclusion Criteria: * History of prior sensory/motor peripheral neuropathy from any cause * History of prior Raynaud's phenomenon * History of cryoglobulinemia * Active peripheral vascular disease * Cold intolerance * Prior exposure to neurotoxic chemotherapy in the last 10 years * Hand-foot syndrome * Tumor metastasis in bone, soft tissue, or skin of the hands or feet * Absence of one or more fingers or toes * Prior exposure to taxane chemotherapy

Locations (1)

Mayo Clinic in Florida

Jacksonville, Florida, United States

Outcomes

Primary Outcomes

Incidence of Chemotherapy Induced Peripheral Neuropathy (CIPN)

Number of subjects to experience chemotherapy induced peripheral neuropathy (CIPN).

Time frame: During chemotherapy (baseline), after chemotherapy (1 week post baseline), at 3 month follow up

Data from ClinicalTrials.gov

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