About this trial
Taxol is a very effective drug in breast cancer, but it can cause peripheral neuropathy (PN). This toxicity is often dose-limiting. Symptoms of PN usually improve after taxol discontinuation, but \>80% of affected women experience symptoms 1-3 years after treatment stop. The intensity, the duration and the type of symptoms related to PN are very different and they can strongly interfere with patients' quality of life.
The application of cold to the hands and feet seems to be able to reduce the incidence of PN. Hilotherm® is a machine that allows to cool hands and feet. The aim of this study is to verify whether the use of Hilotherm® is able to reduce the incidence of moderate and severe PN and to evaluate the tolerability of Hilotherm® and its impact on quality of life.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women > 18 years of age
Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1
Radically operated infiltrating breast cancer, pT1-T3, pN0-2, M0
Candidate to adjuvant chemotherapy that includes weekly paclitaxel 80 mg/m2 intravenous for 12 weeks [either following anthracyclines and/or in association with trastuzumab]
Disqualifiers
Evidence of metastatic disease (M1)
pT4 and/or pN3
Previous or concomitant malignancy of any other type
Previous treatment with chemotherapy, hormonal therapy or an investigational drug for any type of malignancy
Trial design
Single group
Treatments tested in this trial
Hilotherm® Cooling treatment
DevicePatient will receive cooling treatment with Hilotherm® at hands and feet level from half an hour before taxol treatment start until half an hour after treatment end
Treatment groups
Trial outcomes
Primary outcomes
Overall incidence of grade 2 or 3 CIPN
Severity of PN evaluated using the CTCAE scale, version 5
Secondary outcomes
Incidence of withdrawal from Hilotherapy
Number of patients withdrawing Hilotherapy due to cold intolerance
Patients' physical, psychological and social functions evaluation
Collection of EORTC QLQ-C30 \[European Organization for Research and Treatment of Cancer - Quality of Life Questionnaire\] (minimum value: 1, maximum value: 4 - higher scores mean a worse outcome)
Side effects impact evaluation
Collection of EORTC-BR23 \[European Organization for Research and Treatment of Cancer - Breast Cancer specific Module\] (minimum value: 1, maximum value: 4 - higher scores mean a worse outcome)
Pain assessment
Collection of Brief Pain Inventory (BPI) questionnaire (minimum value: 0, maximum value: 10 - higher scores mean a worse outcome)
Sponsors and contacts
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