A randomized multicenter phase II trial on the efficacy of a hydrocolloid dressing containing ceramide with a low-friction external surface for hand-foot skin reaction caused by sorafenib in patients with renal cell carcinoma

The purpose of this study was to investigate the usefulness of a hydrocolloid dressing containing ceramide for hand-foot skin reaction (HFSR) on the soles of the feet in metastatic renal cell carcinoma (RCC) patients treated with sorafenib. Patients with grade 1 HFSR on the soles of the feet were ra...

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Veröffentlicht in:Annals of oncology 2014-02, Vol.25 (2), p.472-476
Hauptverfasser: Shinohara, N., Nonomura, N., Eto, M., Kimura, G., Minami, H., Tokunaga, S., Naito, S.
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container_end_page 476
container_issue 2
container_start_page 472
container_title Annals of oncology
container_volume 25
creator Shinohara, N.
Nonomura, N.
Eto, M.
Kimura, G.
Minami, H.
Tokunaga, S.
Naito, S.
description The purpose of this study was to investigate the usefulness of a hydrocolloid dressing containing ceramide for hand-foot skin reaction (HFSR) on the soles of the feet in metastatic renal cell carcinoma (RCC) patients treated with sorafenib. Patients with grade 1 HFSR on the soles of the feet were randomly assigned in to two groups. One group received a hydrocolloid dressing containing ceramide (arm A) and the other received 10% urea cream (arm B). Patients in both groups applied treatment to the affected sites on the soles of the feet, but not to the hands. The primary end point was the incidence of grade 2 or 3 HFSR on the soles of the feet in the first 4 weeks. Thirty-three patients were assessed (17 in arm A and 16 in arm B), and there were no significant differences in baseline characteristics between the two groups. During the observation period of this study, grade 2 or 3 HFSR on the soles of the feet was found in 29% of patients in arm A and was significantly less than the 69% in arm B (P = 0.03). The incidence of HFSR on the hands, however, was similar in both arms. The median time to grade 2 or 3 HFSR on the soles of the feet was also significantly longer in arm A than in arm B (P = 0.03). These results indicate that a hydrocolloid dressing containing ceramide prevented the worsening of HFSR caused by sorafenib in metastatic RCC patients. UMIN000002016.
doi_str_mv 10.1093/annonc/mdt541
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These results indicate that a hydrocolloid dressing containing ceramide prevented the worsening of HFSR caused by sorafenib in metastatic RCC patients. 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These results indicate that a hydrocolloid dressing containing ceramide prevented the worsening of HFSR caused by sorafenib in metastatic RCC patients. UMIN000002016.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>24351402</pmid><doi>10.1093/annonc/mdt541</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Antineoplastic agents
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Bandages, Hydrocolloid
Biological and medical sciences
Carcinoma, Renal Cell - drug therapy
Carcinoma, Renal Cell - secondary
ceramide
Ceramides - administration & dosage
Female
hand-foot skin reaction
Hand-Foot Syndrome - therapy
Humans
hydrocolloid dressing
Kaplan-Meier Estimate
Kidney Neoplasms - drug therapy
Kidney Neoplasms - pathology
Kidneys
Male
Medical sciences
Middle Aged
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Nephrology. Urinary tract diseases
Niacinamide - adverse effects
Niacinamide - analogs & derivatives
Niacinamide - therapeutic use
Pharmacology. Drug treatments
Phenylurea Compounds - adverse effects
Phenylurea Compounds - therapeutic use
renal cell carcinoma
Sorafenib
Surface Properties
Treatment Outcome
Tumors
Tumors of the urinary system
title A randomized multicenter phase II trial on the efficacy of a hydrocolloid dressing containing ceramide with a low-friction external surface for hand-foot skin reaction caused by sorafenib in patients with renal cell carcinoma
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