Dataset Information

Effects of Cryotherapy on Objective and Subjective Symptoms of Paclitaxel-Induced Neuropathy: Prospective Self-Controlled Trial.

ABSTRACT:

Background

Chemotherapy-induced peripheral neuropathy (CIPN) is a dose-limiting and disabling side effect of taxane anticancer agents. We prospectively evaluated the efficacy of cryotherapy for CIPN prevention.

Methods

Breast cancer patients treated weekly with paclitaxel (80?mg/m2 for one hour) wore frozen gloves and socks on the dominant side for 90?minutes, including the entire duration of drug infusion. Symptoms on the treated sides were compared with those on the untreated (nondominant) sides. The primary end point was CIPN incidence assessed by changes in tactile sensitivity from pretreatment baseline in a monofilament test at a cumulative dose of 960?mg/m2. We also assessed thermosensory deficits, subjective symptoms (Patient Neuropathy Questionnaire [PNQ]), manipulative dexterity, and the time to events and hazard ratio by PNQ. All statistical tests were two-sided.

Results

Among the 40 patients, four did not reach the cumulative dose (due to the occurrence of pneumonia, severe fatigue, severe liver dysfunction, and macular edema), leaving 36 patients for analysis. None dropped out due to cold intolerance. The incidence of objective and subjective CIPN signs was clinically and statistically significantly lower on the intervention side than on the control (hand: tactile sensitivity = 27.8% vs 80.6%, odds ratio [OR] = 20.00, 95% confidence interval [CI] = 3.20 to 828.96, P < .001; foot: tacile sensitivity = 25.0% vs 63.9%, OR = infinite, 95% CI?=?3.32 to infinite, P < .001; hand: warm sense = 8.8% vs 32.4%, OR?=?9.00, 95% CI?=?1.25 to 394.48, P = .02; foot: warm sense: 33.4% vs 57.6%, OR?=?5.00, 95% CI?=?1.07 to 46.93, P = .04; hand: PNQ = 2.8% vs 41.7%, OR = infinite, 95% CI?=?3.32 to infinite, P < .001; foot: PNQ = 2.8% vs 36.1%, OR = infinite, 95% CI?=?2.78 to infinite, P < .001; hand: hazard ratio [HR] = 0.13, 95% CI?=?0.05 to 0.34; foot: HR?=?0.13, 95% CI?=?0.04 to 0.38, dexterity mean delay?=?-2.5?seconds, SD?=?12.0?seconds, vs?+?8.6?seconds, SD?=?25.8?seconds, P = .005).

Conclusions

Cryotherapy is useful for preventing both the objective and subjective symptoms of CIPN and resultant dysfunction.

SUBMITTER: Hanai A

PROVIDER: S-EPMC6007752 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Publications

Effects of Cryotherapy on Objective and Subjective Symptoms of Paclitaxel-Induced Neuropathy: Prospective Self-Controlled Trial.

Hanai Akiko A Ishiguro Hiroshi H Sozu Takashi T Tsuda Moe M Yano Ikuko I Nakagawa Takayuki T Imai Satoshi S Hamabe Yoko Y Toi Masakazu M Arai Hidenori H Tsuboyama Tadao T

Journal of the National Cancer Institute 20180201 2

<h4>Background</h4>Chemotherapy-induced peripheral neuropathy (CIPN) is a dose-limiting and disabling side effect of taxane anticancer agents. We prospectively evaluated the efficacy of cryotherapy for CIPN prevention.<h4>Methods</h4>Breast cancer patients treated weekly with paclitaxel (80 mg/m2 for one hour) wore frozen gloves and socks on the dominant side for 90 minutes, including the entire duration of drug infusion. Symptoms on the treated sides were compared with those on the untreated (n ...[more]

PMID: 29924336

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Dataset Information

Effects of Cryotherapy on Objective and Subjective Symptoms of Paclitaxel-Induced Neuropathy: Prospective Self-Controlled Trial.

Background

Methods

Results

Conclusions

Publications

Effects of Cryotherapy on Objective and Subjective Symptoms of Paclitaxel-Induced Neuropathy: Prospective Self-Controlled Trial.

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