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- Title
Degree of freezing does not affect efficacy of frozen gloves for prevention of docetaxel-induced nail toxicity in breast cancer patients.
- Authors
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.
- Abstract
Purpose: Frozen gloves (FG) are effective in preventing docetaxel-induced nail toxicity (DNT), but uncomfortable. The preventive effect of FG for DNT was compared using a standard (−25 to −30°C) or more comfortable (−10 to −20°C) preparation. Methods: Breast cancer patients receiving docetaxel were eligible. Each patient wore an FG (prepared at −10 to −20°C for 90 min) for 60 min without replacement on the right hand. The left hand was protected by standard methods (FG prepared at −25 to −30°C overnight and worn for 90 min with replacement at 45 min). The primary endpoint was DNT occurrence at 5 months. Secondary endpoints included docetaxel exposure [cumulative dose and area under the blood concentration time curve (AUC)] until DNT occurrence and discomfort from FG. The pharmacokinetics of docetaxel was assessed. Results: From 23 patients enrolled between December 2006 and June 2010, seven who received docetaxel for less than 5 months were excluded from evaluation. The median accumulated docetaxel dose was 700 mg/m (340-1430 mg/m). Within 5 months of FG use, none developed protocol-defined DNT in either hand. Two patients (13%) developed DNT at 7.2 and 7.3 months, respectively, both at −10 to −20°C. In the control hand (−25 to −30°C), discomfort occurred in 92% of the cycles, compared to 15% in the experimental hand (−10 to −20°C). Five patients (22%) experienced pain at −25 to −30°C, but none did at −10 to −20°C. The degree of docetaxel exposure was not related to DNT occurrence in our study. Conclusion: A convenient preparation of FG at −10 to −20°C is almost as effective as a standard preparation at −25 to −30°C, with significantly less discomfort.
- Subjects
FROST; GLOVES; DOCETAXEL; BREAST cancer patients; TOXICITY testing; PHARMACOKINETICS
- Publication
Supportive Care in Cancer, 2012, Vol 20, Issue 9, p2017
- ISSN
0941-4355
- Publication type
Article
- DOI
10.1007/s00520-011-1308-4