- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04558034
Brugen af kryoterapi til at forhindre paclitaxel-induceret perifer neuropati og negleforandringer hos kvinder med brystkræft
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Kvinder med brystkræft, der får paclitaxel, vil gennemføre Brief Pain Inventory (BPI), Neuropathic Pain Syndrome Inventory (NPSI), mens et medlem af forskerholdet vil foretage en vurdering af deres negle. Når den er afsluttet, vil kryoterapi blive administreret 15 minutter før paclitaxel-infusionen, kontinuerligt under og derefter 15 minutter efter afslutning af paclitaxel i i alt 90 minutter. Cyroterapi vil blive leveret med Elasto-gel luffer og Rapid relief hjemmesko. Disse elementer vil blive ændret 45 minutter efter påbegyndelse for at sikre kulde.
Der vil være to arme af undersøgelsen. Den ene arm vil omfatte forsøgspersoner, som vil bære en tøffel/en lute på deres fod/hånd, mens den anden fod/hånd vil tjene som kontrol. Den anden arm vil omfatte forsøgspersoner, der skal have kryoterapi til både hænder og fødder. . Denne proces vil blive gentaget i alt 12 gange i forbindelse med 12 doser paclitaxel. På tidspunkt 13, under et rutinebesøg hos deres onkolog, vil forsøgspersonernes negle blive revurderet sammen med fuldførelse af BPI og NPSIA i alt 25 forsøgspersoner vil blive tilmeldt hver arm.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Indiana
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Fort Wayne, Indiana, Forenede Stater, 46845
- Parkview Cancer Institute
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inklusionskriterier:
- Kvinder 18 år eller ældre
- Histologisk bekræftet diagnose af brystkræft
- Modtagelse af neo-adjuverende eller adjuverende dosistæt anthracyclin (AC) plus taxan-baseret kemoterapi eller paclitaxel i kombination med trastuzumab og pertuzumab
Ekskluderingskriterier:
- Tidligere taxanbehandling
- Tidligere behandling med oxaliplatin
- Ikke-engelsktalende
- Anamnese med perifer neuropati, dvs. Buergers sygdom
- Historie om diabetes mellitus
- Eksisterende perifer neuropati fra andre tilstande, f.eks. Raynauds sygdom, Guillain-Barre, Miller Fishers syndrom
- Hånd-, negle- eller fodtilstande, f.eks. hånd-/fodsyndrom, gigt, hammertå, karpaltunnel, knyster, deformiteter
- Alkoholmisbrug (historie/aktuel)
- Nuværende medicinbrug af opioider, anti-depressiva, anti-konvulsiva, glutaminer, vitamin B12
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Aktiv komparator: Interventionkryoterapi/kontrol
Forsøgspersonerne vil have en vante/en tøffel og tjene som deres egen kontrol
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kryoterapi vil blive leveret
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Ingen indgriben: plejestandard
Forsøgspersonerne vil have to luffer/tøfler
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Følelsesløshed, prikken, smerte, negletoksicitet
Tidsramme: 13 uger
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fravær af følelsesløshed og prikken i de behandlede hænder/fødder
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13 uger
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Danielle R Payne, MSN, Parkview Health
Publikationer og nyttige links
Generelle publikationer
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- Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singap. 1994 Mar;23(2):129-38.
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- Bouhassira D, Attal N, Fermanian J, Alchaar H, Gautron M, Masquelier E, Rostaing S, Lanteri-Minet M, Collin E, Grisart J, Boureau F. Development and validation of the Neuropathic Pain Symptom Inventory. Pain. 2004 Apr;108(3):248-257. doi: 10.1016/j.pain.2003.12.024.
- Daut RL, Cleeland CS. The prevalence and severity of pain in cancer. Cancer. 1982 Nov 1;50(9):1913-8. doi: 10.1002/1097-0142(19821101)50:93.0.co;2-r.
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- De Giorgi U, Rosti G, Monti M, Frassineti GL, Marangolo M. Onycholysis secondary to multiple paclitaxel 1-hour infusions: possible role for its vehicle (Cremophor EL). Ann Oncol. 2003 Oct;14(10):1588-9. doi: 10.1093/annonc/mdg419. No abstract available.
- Descoeur J, Pereira V, Pizzoccaro A, Francois A, Ling B, Maffre V, Couette B, Busserolles J, Courteix C, Noel J, Lazdunski M, Eschalier A, Authier N, Bourinet E. Oxaliplatin-induced cold hypersensitivity is due to remodelling of ion channel expression in nociceptors. EMBO Mol Med. 2011 May;3(5):266-78. doi: 10.1002/emmm.201100134. Epub 2011 Mar 24.
- Eckhoff L, Knoop AS, Jensen MB, Ejlertsen B, Ewertz M. Risk of docetaxel-induced peripheral neuropathy among 1,725 Danish patients with early stage breast cancer. Breast Cancer Res Treat. 2013 Nov;142(1):109-18. doi: 10.1007/s10549-013-2728-2. Epub 2013 Oct 17.
- Elasto-Gel(2019).Elasto-Gel.Retrieved on December 1,2019 from https://www.elastogels.com/product/elasto-gel-hot-cold-therapy-mitten/
- Flory SM, Solimando DA Jr, Webster GF, Dunton CJ, Neufeld JM, Haffey MB. Onycholysis associated with weekly administration of paclitaxel. Ann Pharmacother. 1999 May;33(5):584-6. doi: 10.1345/aph.18307.
- Gilbar P, Hain A, Peereboom VM. Nail toxicity induced by cancer chemotherapy. J Oncol Pharm Pract. 2009 Sep;15(3):143-55. doi: 10.1177/1078155208100450. Epub 2009 Jan 26.
- Griffiths C, Kwon N, Beaumont JL, Paice JA. Cold therapy to prevent paclitaxel-induced peripheral neuropathy. Support Care Cancer. 2018 Oct;26(10):3461-3469. doi: 10.1007/s00520-018-4199-9. Epub 2018 Apr 21.
- Grisold W, Cavaletti G, Windebank AJ. Peripheral neuropathies from chemotherapeutics and targeted agents: diagnosis, treatment, and prevention. Neuro Oncol. 2012 Sep;14 Suppl 4(Suppl 4):iv45-54. doi: 10.1093/neuonc/nos203.
- Hanai A, Ishiguro H, Sozu T, Tsuda M, Yano I, Nakagawa T, Imai S, Hamabe Y, Toi M, Arai H, Tsuboyama T. Effects of Cryotherapy on Objective and Subjective Symptoms of Paclitaxel-Induced Neuropathy: Prospective Self-Controlled Trial. J Natl Cancer Inst. 2018 Feb 1;110(2):141-148. doi: 10.1093/jnci/djx178.
- Hoffman,K. (2014). Diagnosing and Treating Chemotherapy-Induced Nail Changes. Podiatry Today,27(2). Retrieved on December 16, 2019from https://www.podiatrytoday.com/diagnosing-and-treating-chemotherapy-induced-nail-changes
- Hussain S, Anderson DN, Salvatti ME, Adamson B, McManus M, Braverman AS. Onycholysis as a complication of systemic chemotherapy: report of five cases associated with prolonged weekly paclitaxel therapy and review of the literature. Cancer. 2000 May 15;88(10):2367-71. doi: 10.1002/(sici)1097-0142(20000515)88:103.0.co;2-#.
- Ishiguro H, Takashima S, Yoshimura K, Yano I, Yamamoto T, Niimi M, Yamashiro H, Ueno T, Takeuchi M, Sugie T, Yanagihara K, Toi M, Fukushima M. Degree of freezing does not affect efficacy of frozen gloves for prevention of docetaxel-induced nail toxicity in breast cancer patients. Support Care Cancer. 2012 Sep;20(9):2017-24. doi: 10.1007/s00520-011-1308-4. Epub 2011 Nov 16.
- LaPointe NE, Morfini G, Brady ST, Feinstein SC, Wilson L, Jordan MA. Effects of eribulin, vincristine, paclitaxel and ixabepilone on fast axonal transport and kinesin-1 driven microtubule gliding: implications for chemotherapy-induced peripheral neuropathy. Neurotoxicology. 2013 Jul;37:231-9. doi: 10.1016/j.neuro.2013.05.008. Epub 2013 May 24.
- Lee JJ, Swain SM. Peripheral neuropathy induced by microtubule-stabilizing agents. J Clin Oncol. 2006 Apr 1;24(10):1633-42. doi: 10.1200/JCO.2005.04.0543.
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Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- NUR20-0124CRYO
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- Studieprotokol
- Statistisk analyseplan (SAP)
- Formular til informeret samtykke (ICF)
- Klinisk undersøgelsesrapport (CSR)
- Analytisk kode
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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Studerer et amerikansk FDA-reguleret enhedsprodukt
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Kliniske forsøg med Perifer neuropati
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Mayo ClinicTilmelding efter invitationAnatomi af GSV for Rescue Peripheral IV AccessForenede Stater
Kliniske forsøg med kryoterapi
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Urological Research Network, LLCRekrutteringKræft i prostata | Neoplasmer prostataForenede Stater
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St. Antonius HospitalRekrutteringInterkostal nerveblok | Cryo analgesi | Minimalt invasiv lungekirurgiHolland