Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05213936

Scalp Cooling for Chemotherapy-Induced Alopecia in Patients of Color: A Clinical and Mechanistic Study

Led by Montefiore Medical Center · Updated on 2025-01-15

30

Participants Needed

1

Research Sites

26 weeks

Total Duration

On this page

Sponsors

M

Montefiore Medical Center

Lead Sponsor

P

Paxman

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying ways to improve scalp cooling methods to prevent hair loss caused by chemotherapy in patients of color who have breast, non-small cell lung, or gynecologic cancers. This study focuses on patients with hair types 3 (curly) and 4 (kinky), as previous research found scalp cooling less effective for these hair types. The study also aims to understand the long-term effects of scalp cooling on persistent hair loss and to explore molecular changes and biomarkers linked to scalp cooling success using hair follicle analysis. Participants will be divided into three groups: one using scalp cooling combined with hairstyles like braids, twists, or cornrows to reduce hair volume and improve cap fit; another using scalp cooling after coating hair with a conditioner and water mixture; and a control group receiving no scalp cooling. Hair preparation methods are selected based on patient preference. The study is non-randomized and single-blinded. Throughout the study, patients will be monitored during chemotherapy and up to six months after completing treatment, for a total duration of about 11 months. Researchers will assess the severity of chemotherapy-induced hair loss and patient distress both during and after treatment. Molecular studies using non-invasive hair follicle samples will investigate gene expression changes associated with scalp cooling and persistent alopecia.

CONDITIONS

Brief Title

Scalp Cooling for Chemotherapy-Induced Alopecia in Patients of Color

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Female
  • Hair type 3 (curly) or type 4 (kinky)
  • Diagnosis of breast cancer, non-small cell lung cancer, or gynecologic cancer stage I-IV
  • Starting at least 4 cycles of taxane-based chemotherapy for curative intent
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2
Not Eligible

You will not qualify if you...

  • Hair type other than 3 or 4
  • Male gender
  • Use of hair weave or extensions without plans to remove
  • Concurrent malignancy including hematologic cancers
  • Alopecia greater than grade 1 at baseline
  • Past chemotherapy within the last 10 years
  • History of migraines, cluster headaches, anorexia, severe anemia, uncontrolled diabetes, hepatitis, thyroid dysfunction, cold urticaria, cold agglutinin disease, or scalp metastases
  • Planned bone marrow ablation chemotherapy or skull irradiation
  • Pregnancy

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Approximately 11 months from the start to completion of chemotherapy

Participants receive scalp cooling using either a hairstyle method or a conditioner and water emulsion method during chemotherapy to reduce hair loss.

Follow-up

Duration - 6 months after completing treatment

Participants are monitored for severity of chemotherapy-induced alopecia and patient distress for up to 6 months after completing treatment.

Trial Site Locations

Total: 1 location

1

Montefiore Medical Center

The Bronx, New York, United States, 10461

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Research Team

B

Beth McLellan, MD

Y

Yana Kost, BA

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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