F511 Cream in Preventing Palmar-Plantar Erythrodysesthesia in Patients Receiving Doxorubicin Hydrochloride Liposome for Metastatic Breast Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00992706
Recruitment Status : Completed
First Posted : October 9, 2009
Last Update Posted : June 21, 2012
Information provided by (Responsible Party):
Swiss Group for Clinical Cancer Research

Brief Summary:

RATIONALE: F511 cream may prevent or reduce palmar-plantar erythrodysesthesia in women receiving doxorubicin hydrochloride liposome for metastatic breast cancer.

PURPOSE: This randomized phase III trial is studying F511 cream to see how well it works compared with a placebo cream in preventing palmar-plantar erythrodysesthesia in patients receiving doxorubicin hydrochloride liposome for metastatic breast cancer.

Condition or disease Intervention/treatment Phase
Breast Cancer Palmar-plantar Erythrodysesthesia Drug: antiperspirant cream F511 Drug: pegylated liposomal doxorubicin hydrochloride Phase 3

Detailed Description:


  • Evaluate the effects of F511 cream on the occurrence of palmar-plantar erythrodysesthesia (PPE) in patients with metastatic breast cancer treated with pegylated liposomal doxorubicin hydrochloride.

OUTLINE: This is a multicenter study.

Patients receive pegylated liposomal doxorubicin hydrochloride according to local practice on 1, 2, or 4 weeks course schedules with at least 10 mg/m^2 per week allowed.

Patients apply F511 cream on one side, hand and foot and the corresponding placebo on the other side hand and foot once daily (the morning) during the first week of the first pegylated liposomal doxorubicin hydrochloride treatment only, then once daily, three times per week thereafter. Treatment continues throughout chemotherapy administration in the absence of palmar-plantar erythrodysesthesia (PPE) ≥ grade 2

After completion of study therapy, patients are followed for 30 days. Patients with PPE ≥ grade 2 are followed until the PPE resolves to ≤ grade 1.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 91 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Triple (Participant, Care Provider, Investigator)
Primary Purpose: Supportive Care
Official Title: Local Antiperspirant for Prevention of Palmar-Plantar Erythrodysesthesia (PPE) in Patients Treated With Pegylated Liposomal Doxorubicin: A Randomized, Multicenter, Double Blinded, Phase III Trial
Study Start Date : September 2009
Actual Primary Completion Date : August 2011
Actual Study Completion Date : June 2012

Intervention Details:
    Drug: antiperspirant cream F511
    Placebo and verum cream once daily, in the morning, during the first week of the first PLD treatment only, then once daily, three times per week (in the morning). Tube R for right hand and foot, tube L for left hand and foot.
    Drug: pegylated liposomal doxorubicin hydrochloride
    According to local practice. 1, 2 and 4 week schedules with at least 10mg/m2 per week are allowed.

Primary Outcome Measures :
  1. Palmar-plantar erythrodysesthesia (PPE, hand-foot syndrome, HFS) grade ≥ 2 [ Time Frame: Until PPE grade ≥2 ]

Secondary Outcome Measures :
  1. Patient-reported outcome [ Time Frame: Until PPE grade ≥2 ]
  2. Adverse skin reaction to local therapy [ Time Frame: Until PPE grade ≥2 ]
  3. Extent of symptom relief [ Time Frame: Until PPE grade ≥2 ]
  4. Recurrence of PPE grade ≥ 2 [ Time Frame: Until PPE grade ≥2 ]

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No


  • Diagnosis of metastatic breast cancer

    • No cutaneous metastases on hands or feet
  • Pegylated liposomal doxorubicin hydrochloride monotherapy is indicated according to the local investigator

    • Planned dose at least 10 mg/m^2 per week
  • No sign of palmar-plantar erythrodysesthesia (PPE) at study entry


  • WHO performance status 0-2
  • Able to apply topical medication (cream) or provide for another person to apply cream
  • Not pregnant or breastfeeding
  • Fertile patients must use effective contraception during trial participation and for 1 month after completion
  • Negative pregnancy test
  • Compliant and geographically proximal in order to allow proper evaluation and follow-up
  • No dermatologic conditions (e.g., psoriasis) that, in the opinion of the physician, may affect the hands or feet or may complicate evaluation during study treatment
  • No known allergy or hypersensitivity to F511 cream


  • See Disease Characteristics
  • More than 30 days since prior and no concurrent treatment with other experimental drugs or anticancer therapy
  • More than 30 days since prior and no concurrent treatment on another clinical trial
  • No concurrent local use of other ointments or creams for hands or feet other than Excipial Repair®

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00992706

Kantonsspital Aarau
Aarau, Switzerland, CH-5001
Kantonsspital Baden
Baden, Switzerland, CH-5404
Basel, Switzerland, CH-4031
Spitalzentrum Biel
Biel, Switzerland, CH-2501
Spital Buelach
Bulach, Switzerland, CH-8180
Kantonsspital Graubuenden
Chur, Switzerland, CH-7000
Hopital Cantonal Universitaire de Geneve
Geneva, Switzerland, CH-1211
Centre Hospitalier Universitaire Vaudois
Lausanne, Switzerland, CH-1011
Kantonsspital Luzern
Luzerne, Switzerland, CH-6000
Kantonsspital Olten
Olten, Switzerland, CH-4600
Onkologie Schaffhausen
Schaffhausen, Switzerland, CH-8200
Institut Central des Hopitaux Valaisans
Sion, Switzerland, CH-1951
Kantonsspital - St. Gallen
St. Gallen, Switzerland, CH-9007
Kantonsspital Winterthur
Winterthur, Switzerland, CH-8400
UniversitaetsSpital Zuerich
Zurich, Switzerland, CH-8091
Sponsors and Collaborators
Swiss Group for Clinical Cancer Research
Principal Investigator: Thomas Ruhstaller, MD Cantonal Hospital of St. Gallen

Responsible Party: Swiss Group for Clinical Cancer Research Identifier: NCT00992706     History of Changes
Other Study ID Numbers: SAKK 92/08
First Posted: October 9, 2009    Key Record Dates
Last Update Posted: June 21, 2012
Last Verified: June 2012

Keywords provided by Swiss Group for Clinical Cancer Research:
palmar-plantar erythrodysesthesia
stage IV breast cancer
male breast cancer

Additional relevant MeSH terms:
Breast Neoplasms
Hand-Foot Syndrome
Neoplasms by Site
Breast Diseases
Skin Diseases
Drug Eruptions
Drug Hypersensitivity
Drug-Related Side Effects and Adverse Reactions
Chemically-Induced Disorders
Liposomal doxorubicin
Antibiotics, Antineoplastic
Antineoplastic Agents
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action