cancer carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * Patients receiving weekly-administered paclitaxel-containing chemotherapy (minimal of 3 planned administrations) in a dose of 80-90 mg/m2 o Paclitaxel monotherapy o Paclitaxel in combination with carboplatin o Paclitaxel in combination with monoclonal antibodies: * Bevacizumab * Trastuzumab * Age * 18 years * WHO performance status 0-2 * Survival expectation must be > 3 months * Written informed consent according to the local Ethics Committee requirements
Exclusion criteria
Exclusion criteria: * Treatment with paclitaxel in sequential schemes with other alopecia inducing agents such as (paclitaxel monotherapy after adriamycin, cyclophosphamide (AC) or paclitaxel monotherapy after 5-fluouracil, epirubicin, cyclophosphamide (FEC) treatment) * Alopecia before the start of the study * Rare cold-related disorders, like: o Cold sensitivity o Cold agglutinin disease o Cryoglobulinaemia o Cryofibrinogenaemia o Cold posttraumatic dystrophy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the efficacy of scalp cooling in patients treated with paclitaxel-containing chemotherapy with a 45- and 20-minutes post-infusion cooling time, in comparison with the standard 90 minutes and no scalp cooling, defined by the patient*s self-determined need to wear a wig or other head covering | — |
Secondary
| Measure | Time frame |
|---|---|
| * To determine the degree of chemotherapy-induced alopecia (CIA), assessed with the Dean scale for assessment of hair loss * To determine the grade of alopecia according to NCI CTCAE toxicity version 4.03 * To determine the tolerance of scalp cooling, assessed by a (self-adapted) visual analogue scale (VAS) of 0-10, in which 0 represented *not tolerable at all* and 10 meant *very tolerable* * To determine the added value of scalp cooling for weekly paclitaxel; what is the incidence of severe alopecia with and without scalp cooling * Compare the quality of life in patients who underwent scalp cooling versus those who did not and in patients with hair loss despite scalp cooling versus those with no hair loss, assed with the chemotherapy-induced alopecia distress scale (CADS) | — |
Countries
The Netherlands