Scalp Cooling in Gynecologic Cancer Patients

NCT ID: NCT04168242

Last Updated: 2023-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-11

Study Completion Date

2023-09-30

Brief Summary

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In gynecologic cancers, many common chemotherapy agents can lead to chemotherapy-induced alopecia. Currently scalp cooling is the most well studied preventive measure. However, its acceptability and its impact on patients' QOL in Asian population is unclear.

Detailed Description

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Dynamic scalp cooling system prevents alopecia by inducing vasoconstriction leading to a reduction of scalp blood flow, thus reducing the delivery of cytotoxic drugs to the hair follicles and reducing follicular metabolic activities. One recent meta-analysis included 10 studies showed that the efficacy was 43% in general.

Conditions

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Gynecologic Cancer Chemotherapy-Induced Change

Keywords

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Gynecologic cancer chemotherapy-induced alopecia scalp cooling

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Experimental arm

Patients have scalp cooling during the chemotherapy period

Group Type EXPERIMENTAL

Scalp cooling Paxman Orbis II system

Intervention Type DEVICE

The experimental arm will have scalp cooling that starts 30 minutes before the chemotherapy, continues throughout the infusion of the chemotherapy, and lasts for 20-90 minutes more depending on the type of regimen.

Control arm

Patients do not have scalp cooling during the chemotherapy period

Group Type PLACEBO_COMPARATOR

Standard treatment

Intervention Type OTHER

The control arm will not have scalp cooling before, during and after chemotherapy.

Interventions

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Scalp cooling Paxman Orbis II system

The experimental arm will have scalp cooling that starts 30 minutes before the chemotherapy, continues throughout the infusion of the chemotherapy, and lasts for 20-90 minutes more depending on the type of regimen.

Intervention Type DEVICE

Standard treatment

The control arm will not have scalp cooling before, during and after chemotherapy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Patients must be at least 18 years old.
2. Patients with primary gynecologic cancers.
3. Patients who are going to receive at least four cycles of chemotherapy that are known to induce alopecia, such as carboplatin, paclitaxel, taxotere, topotecan, etoposide, vincristine and ifosfamide.
4. Patients who are fit to give informed consent.

Exclusion Criteria

1. Patients who have pre-existing alopecia of CTCAE v5.0 grade 1 or above will be excluded.
2. Patients who have the following conditions will be excluded:

1. migraine
2. scalp or brain metastasis
3. hypothyroidism
4. uncontrolled diabetes
5. liver and / or renal derangement (where liver enzymes and / or creatinine are 1.5x more than upper normal limit)
6. severe untreated anaemia
7. cold sensitivity
8. cold agglutinin disease, cryoglobulinemia, or cryofibrinogenemia
3. Patients who had brain irradiation.
4. Patients who have documented psychiatric disorders will be excluded.
5. Patients who are pregnant.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ka Yu Tse

Role: PRINCIPAL_INVESTIGATOR

The University of Hong Kong

Locations

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The University of Hong Kong

Hong Kong, , Hong Kong

Site Status

Countries

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Hong Kong

Other Identifiers

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UWB 19-514

Identifier Type: -

Identifier Source: org_study_id