Evidence map›Paper›PMID 28119855›Full record

ArticleFrontiers in oncology2016

Limb Hypothermia for Preventing Paclitaxel-Induced Peripheral Neuropathy in Breast Cancer Patients: A Pilot Study.

Raghav Sundar, Aishwarya Bandla, Stacey Sze Hui Tan, Lun-De Liao, Nesaretnam Barr Kumarakulasinghe, Anand D Jeyasekharan, Samuel Guan Wei Ow, Jingshan Ho, David Shao Peng Tan, Joline Si Jing Lim and 8 more

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03248193 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Concomitant Limb Cryocompression and Scalp Cooling to Reduce Paclitaxel-induced Neuropathy and Alopecia

TypeinterventionalSponsorNational University Hospital, SingaporeRan2017 to 2020Enrolled50ConditionsChemotherapy-induced Peripheral Neuropathy (CIPN)ArmsConcomitant limb cryocompression and scalp cooling
NCT04558034 naterminatednot on this mapstarted 2020, after this paper: background citation

The Use of Cryotherapy to Prevent Paclitaxel-induced Peripheral Neuropathy and Nail Changes in Women With Breast Cancer

TypeinterventionalSponsorParkview HealthRan2020 to 2021Enrolled14ConditionsCryotherapy Effect, Peripheral Neuropathy, Nail ToxicityArmscryotherapy
NCT05095051 nacompletednot on this mapstarted 2021, after this paper: background citation

A Novel Limb Cryocompression System for Prevention of Chemotherapy Induced Peripheral Neuropathy

TypeinterventionalSponsorNational University Hospital, SingaporeRan2021 to 2023Enrolled15ConditionsChemotherapy-induced Peripheral NeuropathyArmsPaxman Cryocompression System (PCCS)
NCT05606068 narecruitingnot on this mapstarted 2022, after this paper: background citation

A Novel Limb Cryocompression System for Prevention of Chemotherapy Induced Peripheral Neuropathy - Expansion Study

TypeinterventionalSponsorNational University Hospital, SingaporeRan2022 to 2026Enrolled200ConditionsChemotherapy-induced Peripheral NeuropathyArmsPaxman Limb Cryocompression System (PLCS)
NCT06711978 nacompletednot on this mapstarted 2024, after this paper: background citation

Comparison of the Efficacy and Safety of Mirogabalin and Duloxetine in Chemotherapy-induced Peripheral Neuropathy in a Randomized Controlled Trial: a Quality of Life Study in Cancer Survivors

TypeinterventionalSponsorPusan National University Yangsan HospitalRan2024 to 2026Enrolled66ConditionsCIPN, CIPN - Chemotherapy-Induced Peripheral Neuropathy, CIPN in Adjuvant Breast Cancer Patients, DuloxetineArmsMirogabalin, Duloxetine
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Clinical efficacy of compression therapy in preventing oxaliplatin-induced peripheral neuropathy: a prospective, randomized controlled study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  8. Effects of intermittent hand-foot hypothermia therapy on chemotherapy-induced peripheral neurotoxicity.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Cold therapy to prevent paclitaxel-induced peripheral neuropathy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Trial
  14. Review
  15. Regional limb cooling for the prevention of chemotherapy-induced toxicities: a narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  16. Safety and feasibility of concomitant scalp cooling and limb cryocompression to prevent paclitaxel-induced alopecia and neuropathy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Patient-reported strategies for prevention and treatment of chemotherapy-induced peripheral neuropathy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 3 countries.

Raghav SundarDepartment of Haematology-Oncology, National University Health System , Singapore , Singapore.
Aishwarya BandlaSingapore Institute for Neurotechnology, National University of Singapore, Singapore, Singapore; Department of Biomedical Engineering, National University of Singapore, Singapore, Singapore.
Stacey Sze Hui TanSingapore Institute for Neurotechnology, National University of Singapore , Singapore , Singapore.
Lun-De LiaoSingapore Institute for Neurotechnology, National University of Singapore, Singapore, Singapore; Institute of Biomedical Engineering and Nanomedicine, National Health Research Institutes, Zhunan Township, Taiwan.
Nesaretnam Barr KumarakulasingheDepartment of Haematology-Oncology, National University Health System , Singapore , Singapore.
Anand D JeyasekharanDepartment of Haematology-Oncology, National University Health System , Singapore , Singapore.
Samuel Guan Wei OwDepartment of Haematology-Oncology, National University Health System , Singapore , Singapore.
Jingshan HoDepartment of Haematology-Oncology, National University Health System , Singapore , Singapore.
David Shao Peng TanDepartment of Haematology-Oncology, National University Health System , Singapore , Singapore.
Joline Si Jing LimDepartment of Haematology-Oncology, National University Health System , Singapore , Singapore.
Joy VijayanDepartment of Medicine, National University Health System , Singapore , Singapore.
Aravinda K TherimadasamyNeurology Diagnostic Laboratory, National University Hospital , Singapore , Singapore.
Zarinah HairomNational University Cancer Institute, National University Health System , Singapore , Singapore.
Emily AngNational University Cancer Institute, National University Health System , Singapore , Singapore.
Sally AngDepartment of Haematology-Oncology, National University Health System , Singapore , Singapore.
Nitish V ThakorSingapore Institute for Neurotechnology, National University of Singapore, Singapore, Singapore; Department of Biomedical Engineering, National University of Singapore, Singapore, Singapore; Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA.
Soo-Chin LeeDepartment of Haematology-Oncology, National University Health System, Singapore, Singapore; Cancer Science Institute of Singapore, National University of Singapore, Singapore, Singapore.
Einar P V Wilder-SmithSingapore Institute for Neurotechnology, National University of Singapore, Singapore, Singapore; Department of Medicine, National University Health System, Singapore, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
National University Health System · SGNational University of Singapore · SGJohns Hopkins University · USNational University Cancer Institute, Singapore · SGNational University Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeripheral neuropathy (PN) due to paclitaxel is a common dose-limiting toxicity with no effective prevention or treatment. We hypothesize that continuous-flow limb hypothermia can reduce paclitaxel-induced PN. PATIENTS AND

methodsAn internally controlled pilot trial was conducted to investigate the neuroprotective effect of continuous-flow limb hypothermia in breast cancer patients receiving weekly paclitaxel. Patients underwent limb hypothermia of one limb for a duration of 3 h with every paclitaxel infusion, with the contralateral limb used as control. PN was primarily assessed using nerve conduction studies (NCSs) before the start of chemotherapy, and after 1, 3, and 6 months. Skin temperature and tolerability to hypothermia were monitored using validated scores.

resultsTwenty patients underwent a total of 218 cycles of continuous-flow limb hypothermia at a coolant temperature of 22°C. Continuous-flow limb hypothermia achieved mean skin temperature reduction of 1.5 ± 0.7°C and was well tolerated, with no premature termination of cooling due to intolerance. Grade 3 PN occurred in 2 patients (10%), grade 2 in 2 (10%), and grade 1 in 12 (60%). Significant correlation was observed between amount of skin cooling and motor nerve amplitude preservation at 6 months (

conclusionThis study suggests that continuous limb hypothermia accompanying paclitaxel infusion may reduce paclitaxel-induced PN and have therapeutic potential in select patients and warrants further investigation. The method is safe and well tolerated.

Indexed as

chemotherapy-induced peripheral neuropathylimb hypothermianerve conductionneuroprotectionpaclitaxel

Identifiers

PMID28119855
PMCPMC5222823
OpenAlexW2569622747

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.