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Cervical CarcinomaPhase 2NCT06492070

Cryocompression With or Without Cilostazol for the Prevention of Paclitaxel-induced Neuropathy in Patients With Gynecological Cancers

A Phase 2 study testing Best Practice, Cilostazol and Cryocompression Therapy in people with Cervical Carcinoma and Fallopian Tube Carcinoma, run by Emory University at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The phase II trial evaluates the effectiveness of cryocompression therapy alone or in combination with cilostazol in preventing paclitaxel-induced peripheral neuropathy (numbness, pain or tingling in the feet and hands) for patients with gynecologic cancers. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Best Practice, Cilostazol and Cryocompression Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
3 sitesUnited States
Study dates
1 Aug 2024to 31 Dec 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 years or older
  • Diagnosis of uterine, ovarian/fallopian tube/primary peritoneal, cervical, or vulvar cancer and planned chemotherapy regimen of 6-9 cycles of paclitaxel and carboplatin or cisplatin with or without VEGF inhibition, with or without immunotherapy, and with or without HER2-directed therapy
  • Eastern Cooperative Oncology Group performance status from 0 to 2
  • ARM C: Age 18 years or older
  • ARM C: Diagnosis of uterine, ovarian/fallopian tube/primary peritoneal, cervical, or vulvar cancer and completion of 6-9 cycles of a chemotherapy regimen consisting of paclitaxel and carboplatin or cisplatin with or without VEGF inhibition, with or without immunotherapy, and with or without HER2-directed therapy within the last 3 months
  • ARM C: Eastern Cooperative Oncology Group performance status from 0 to 2

Who cannot join

  • Any patient unable and/or unwilling to cooperate with all study protocols
  • Previous treatment with paclitaxel
  • Patients with baseline pre-chemotherapy neuropathy requiring pharmacologic treatment
  • Diabetes mellitus with hemoglobin A1c >7.0
  • Hepatic impairment, moderate to severe (Class B \& C by Child-Pugh score)
  • Slight or moderate malignant ascites alone will not be considered indicative of hepatic impairment in the absence of other evidence of hepatic disease
Show all 28Show fewer
  • Raynaud's phenomenon
  • Active wounds on the hands or feet
  • High risk uncontrolled arrhythmias
  • Ischemic heart disease
  • Inadequate bone marrow function with white blood count < 4,000/mm^3 and platelet count < 100,000/mm^3
  • Inadequate liver function with serum total bilirubin >= 1.5mg/dL
  • Inadequate renal function with serum creatinine >= 1.5mg/dL
  • On one or more antiplatelet therapies excluding acetylsalicylic acid
  • Hypersensitivity (e.g. anaphylaxis, angioedema) to cilostazol or any components of cilostazol
  • Pregnant and nursing patients
  • Patients enrolled in this study who have the potential to become pregnant (have an intact uterus, ovary(ies), and fallopian tube(s), have not entered menopause, and have regular menses) are required to utilize reliable contraception such as celibacy, hormonal contraception (oral pills, implant, injection, ring or patch), intrauterine device (IUD), condom and/or diaphragm with spermicide
  • Incarcerated patients
  • Patients unable to consent for themselves, due to cognitive impairment or other reason
  • Patients with contraindications to cilostazol
  • Any patient who does not meet criteria to receive chemotherapy
  • ARM C: Any patient unable and/or unwilling to cooperate with all study protocols
  • ARM C: Previous treatment with paclitaxel
  • ARM C: Patients with baseline pre-chemotherapy neuropathy requiring pharmacologic treatment
  • ARM C: Diabetes mellitus with hemoglobin A1c >7.0
  • ARM C: Pregnant patients
  • ARM C: Incarcerated patients
  • ARM C: Patients unable to consent for themselves, due to cognitive impairment or other reason

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Susan Modesitt, MD contact

404-727-9578

smodesi@emory.edu

United States3 sites, 3 recruiting
  • Emory University Hospital Midtown

    Atlanta, Georgia, 30308

    Susan Modesitt, MD, 404-727-9578, smodesi@emory.edu

    Recruiting
  • Emory University Hospital/Winship Cancer Institute

    Atlanta, Georgia, 30322

    Susan C. Modesitt, 404-727-9578, smodesi@emory.edu

    Susan C. Modesitt

    Not yet recruiting
  • Emory Saint Joseph's Hospital

    Atlanta, Georgia, 30342

    Susan Modesitt, MD, 404-727-9578, smodesi@emory.edu

    Not yet recruiting

Other trials in United States

About this study

Official title: Prevention of Paclitaxel-Induced Peripheral Neuropathy: Randomized Trial of Cryocompression With or Without Cilostazol

The phase II trial evaluates the effectiveness of cryocompression therapy alone or in combination with cilostazol in preventing paclitaxel-induced peripheral neuropathy (numbness, pain or tingling in the feet and hands) for patients with gynecologic cancers. Peripheral neuropathy is a common side effect of many chemotherapeutic agents, including paclitaxel. Paclitaxel is in a class of medications called antimicrotubule agents. It stops cancer cells from growing and dividing and may kill them. Cryocompression is a therapy that combines compression garments or dressings with cooling of the treated area. Cilostazol is in a class of medications called platelet-aggregation inhibitors (antiplatelet medications). It works by improving blood flow to the legs. Giving cilostazol together with cryocompression may be safe and tolerable in treating patients with gynecological cancers.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To quantify the incidence and severity of peripheral neuropathy in women treated with paclitaxel for gynecologic malignancies in conjunction with cryocompression and to assess the impact of cilostazol on the development of peripheral neuropathy. (ARM A and ARM B) II. To quantify the baseline post-chemotherapy neuropathy rates among patients with gynecologic malignancies following standard clinical care practices according to their treating physician. (ARM C)

SECONDARY OBJECTIVES:

  1. To estimate the potential impact of cilostazol on quality of life related to chemotherapy-induced peripheral neuropathy.

II. To estimate the potential impact of cilostazol on the need for pharmacologic symptom management for peripheral neuropathy.

III. To estimate the potential impact of cilostazol on chemotherapy dose reductions and delays due to peripheral neuropathy.

IV. To assess the safety of using cilostazol in conjunction with chemotherapy regimens with platinum/paclitaxel with or without VEGF inhibition, with or without immunotherapy, and with or without HER2-directed therapy.

OUTLINE: Participants are assigned to 1 of 3 arms.

ARM A: Patients receive paclitaxel infusion once daily (QD) and receive cryocompression therapy with cooling compression wraps three times daily (TID) over 15 minutes before, during, and after receiving paclitaxel infusion on day 1 of each cycle. Patients also receive cilostazol orally (PO) twice daily (BID) beginning with their first paclitaxel infusion continuing until 2 weeks after the final paclitaxel infusion. Treatment with paclitaxel continues for up to 6-9 cycles in the absence of disease progression or unacceptable toxicity.

ARM B: Patients receive paclitaxel infusions QD and receive cryocompression therapy with cooling compression wraps TID for 15 minutes before, during, and after receiving paclitaxel infusions on day 1 of each cycle. Treatment with paclitaxel continues for up to 6-9 cycles in the absence of disease progression or unacceptable toxicity.

ARM C: Patients undergo standard of care throughout the study.

After completion of study treatment, patients are followed up at 30 days and then up to 1 year.

Being tested
Best Practice, Cilostazol, Cryocompression Therapy, Paclitaxel, Quality-of-Life Assessment
Medical subject headings
Uterine Cervical Neoplasms, Fallopian Tube Neoplasms, Uterine Neoplasms, Ovarian Neoplasms, Vulvar Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Best PracticeOther

    Also called standard of care, standard therapy

    Undergo standard of care

  • CilostazolDrug

    Also called Pletal

    Given PO

  • Cryocompression TherapyDevice

    Undergo cryocompression therapy

  • PaclitaxelDrug

    Also called Anzatax, Asotax, Bristaxol, Praxel

    Given by infusion

  • Quality-of-Life AssessmentOther

    Also called Quality of Life Assessment

    Ancillary studies

Study groups in NCT06492070
Study groupRoleWhat they receive
Arm 2 (cryocompression)ExperimentalPatients receive paclitaxel infusions QD and receive cryocompression therapy with cooling compression wraps TID for 15 minutes before, during, and after receiving paclitaxel infusions on day 1 of each cycle. Treatment with paclitaxel continues up to 6-9 cycles in the absence of disease progression or unacceptable toxicity.
Receives: Device: Cryocompression Therapy; Drug: Paclitaxel; Other: Quality-of-Life Assessment
Arm A (cryocompression and cilostazol)ExperimentalPatients receive paclitaxel infusion QD and receive cryocompression therapy with cooling compression wraps TID over 15 minutes before, during, and after receiving paclitaxel infusion on day 1 of each cycle. Patients also receive cilostazol PO BID beginning with their first paclitaxel infusion continuing until 2 weeks after the final paclitaxel infusion. Treatment with paclitaxel continues for up to 6-9 cycles in the absence of disease progression or unacceptable toxicity.
Receives: Drug: Cilostazol; Device: Cryocompression Therapy; Drug: Paclitaxel; Other: Quality-of-Life Assessment
Arm C (standard of care)Active comparatorPatients undergo standard of care throughout the study.
Receives: Other: Best Practice; Other: Quality-of-Life Assessment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Difference in sensation and vibration objective neuropathy scores (Arms A and B)

    Specifically, the primary outcome will be the proportion of patients with abnormal vibration sensation times on at least one great toe or index finger assessed by a validated Neuropathy Assessment instrument. Will be compared between treatment groups (Arms A and B) using a chi-square test of independence.

    Measured: At 1 month post chemotherapy completion and at 6 months and 12 months

  2. Rates of impaired sensation and vibration on objective neuropathy testing and ≥ Grade 2 neuropathy among patients who recently completed paclitaxel treatment with standard of care treatment protocols (Arm C)

    The proportion of patients in Arm C will be tabulated with associated Clopper-Pearson 95% confidence intervals.

    Measured: At 1 month post chemotherapy completion and at 6 months and 12 months

Secondary outcomes (6)
  1. Difference in sensation and vibration objective neuropathy scores

    Specifically, the outcome of interest will be the proportion of patients with abnormal vibration sensation times on at least one great toe or index finger assessed by a validated Neuropathy Assessment instrument. Will be compared between treatment groups using a chi-square test of independence.

    Measured: At 1 month post chemotherapy completion and at 6 months and 12 months

  2. Difference in >= grade 2 neuropathy between the two study arms

    Will be compared between treatment groups using a chi-square test of independence.

    Measured: At 1 month post chemotherapy completion and at 6 months and 12 months

  3. Changes in Functional Assessment of Cancer Therapy/Gynecologic Oncology Group- Neurotoxicity (FACT/GOG-NTX) scores

    Will be compared between treatment groups using a chi-square test of independence, as will the proportion of patients experiencing a clinically significant change in FACT/GOG-O-NTX neuropathy scores. Proportion of patients with a clinically significant change in scores (change of 10% or more from baseline) will also be determined.

    Measured: At 1 month post chemotherapy completion and at 6 months and 12 months

  4. Differences in the rate of patients starting new pharmacologic therapy for peripheral neuropathy while receiving paclitaxel chemotherapy

    Measured: At 1 month post chemotherapy completion and at 6 months and 12 months

  5. Differences in the rate of patients requiring paclitaxel dose reductions or chemotherapy delays due to peripheral neuropathy

    Measured: At 1 month post chemotherapy completion and at 6 months and 12 months

  6. Rate of grade 3 adverse events

    Will be tabulated by group according to Common Terminology Criteria for Adverse Events Grade, System Organ Class and relation to study treatment.

    Measured: At 1 month post chemotherapy completion and at 6 months and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jul 2024
  2. Study start1 Aug 2024
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06492070
Sponsor's protocol ID
STUDY00007242
Other IDs
NCI-2024-03905, STUDY00007242, Winship6141-24, P30CA138292
Status last verified
Aug 2026
First submitted
21 Jun 2024
Last updated
27 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Best Practice, Cilostazol and Cryocompression Therapy in people with Cervical Carcinoma and Fallopian Tube Carcinoma, run by Emory University at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Susan Modesitt, MD (404-727-9578, smodesi@emory.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Difference in sensation and vibration objective neuropathy scores (Arms A and B) (time frame: At 1 month post chemotherapy completion and at 6 months and 12 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2026.

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