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CompletedNCT01751893Updated Oct 25, 2019

Testing the Effectiveness of Henna on Managing PPE

An interventional study of Henna and Placebo in Palmar-plantar Erythrodysesthesia (PPE), sponsored by Cyprus University of Technology. Completed at 1 site in Cyprus. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-10-25.

Sponsored by Cyprus University of Technology · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The palmar-plantar erythrodysesthesia (PPE) is the only clinical adverse event that commonly occurs with capecitabine and/or pegylated liposomal doxorubicin treatment and it warrants special attention because it is the most common dose-limiting toxicity. this study is designed to test the effectiveness of a henna treatment protocol in the management of capecitabine and/or pegylated liposomal doxorubicin induced palmar-plantar erythrodysesthesia.

Read the detailed description

This will be a randomized double-blind, placebo-controlled study with 80 cancer patients that will receive chemotherapy treatment with capecitabine and/or pegylated liposomal doxorubicin. The selection of potential participants will be based on pre-determined inclusion and exclusion criteria. Patients will be randomly allocated either to the treatment group or the placebo group. Treatment will be delivered twice a week and assessments will take place at 2, 3, 4, 5 and 6 weeks.

The intervention group will receive the application of henna to the hands and/or feet of the patients and the control group will receive the placebo.

At both baseline and follow-up, patients in both groups will be assessed for their degree of palmar-plantar erythrodysesthesia, the Quality of Life, the need for dose-limiting due to PPE and Pain intensity using standardized rating scales. Data will be analysed with inferential and descriptive statistics.

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Conditions studied

  • Palmar-plantar Erythrodysesthesia (PPE)

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Keywords

  • Hand-foot syndrome
  • palmar-plantar erythrodysesthesia
  • capecitabine
  • pegylated liposomal doxorubicin
  • henna
03

In context

Hand-Foot Syndrome

45 studies on the registry are indexed under Hand-Foot Syndrome; 9 are open to participants now.

This study's enrollment of 56 is close to the median of 60 across 36 interventional studies indexed under Hand-Foot Syndrome.

Browse Hand-Foot Syndrome studies →

Lead sponsor

Cyprus University of Technology is the lead sponsor of 27 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult cancer patients (>18)
  • Patients receiving capecitabine and/or PLD as monotherapy or in combination with other agents
  • Patients that will experience PPE grade 1 or above
  • Willing to participate
  • Ability to complete the psychometric assessments.
  • A performance status of two or less on the Eastern Cooperative Oncology Group (ECOG)

Exclusion criteria

Exclusion Criteria:

  • Patients with hypersensitivity to natural henna.
  • Patients with pre-existing dermatological condition affecting the hands or feet that may limit the interpretation of results
  • Patients on Pyridoxine or nicotine patches
  • Patients with a previous history of PPE
  • Patients whose chemotherapy was discontinued for more than a week
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    Henna arm

    Based on the treatment protocol for this study the patients will receive the henna treatment for 4 weeks (supervised treatment for first week and then unsupervised sessions twice a week). The treatment will include the application of the henna mixture (paste) (40gr natural henna and 40ml of purified water) to the affected areas (feet or/and hands) and wear socks or/and gloves. The treatment session will last for 1 hour and then the mixture will be rinsed with fresh water.

    Drug: Henna

  • Placebo comparator
    Placebo

    Based on the treatment protocol for this study the patients in this arm will receive the henna placebo treatment for 4 weeks (supervised treatment for first week and then unsupervised sessions twice a week). The treatment will include the application of the henna placebo mixture (paste) (40gr placebo henna and 40ml of purified water) to the affected areas (feet or/and hands) and wear socks or/and gloves. The treatment session will last for 1 hours and then the mixture will be rinsed with fresh water.

    Drug: Placebo

Interventions

  • DrugHenna

    natural henna in the form of paste

  • DrugPlacebo

    placebo

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What researchers measure

Primary outcomes

  1. Change from Baseline PPE Grade at 3,4, 5,6 weeks

    The grade of PPE will be assessed with a standardised three-grade system previously used in capecitabine clinical trials

    Time frame: 3, 4, 5 and 6 weeks

Secondary outcomes

  1. Change from Baseline EORTC QOLc30 at 3,4, 5,6 weeks

    The quality of life of the patients will be assessed with the EORTC QOLc30 module which has been developed and validated explicitly for patients suffering from cancer.

    Time frame: 3, 4,5 and 6 weeks

  2. Change from Baseline Hand-foot syndrome 14 (HFS-14) at 3,4,5,6 weeks

    this is a quality of life scale for patients experiencing radiation-induced PPE

    Time frame: 3, 4, 5 and 6 weeks

Other outcomes

  1. Change from Baseline Activities of daily living at 3,4,5,6 weeks

    The ability of the patients to respond to their activities of daily living will be assessed with the Eastern Co-operative Oncology Group (ECOG)/WHO system

    Time frame: 3, 4, 5 and 6 weeks

  2. Treatment side-effects

    The patients will report any possible side-effect due to the treatment (i.e rash)

    Time frame: During the 4 weeks

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Study locations

1 site
  • American Medical Centre
    Nicosia, 2047, Cyprus
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References and documents

Publications

  • Stavrinou M, Tsitsi T, Astras G, Paikousis L, Charalambous A. A randomised controlled feasibility trial to evaluate Lawsonia inermis (henna)'s effect on palmar-plantar erythrodysesthesia induced by capecitabine or pegylated liposomal doxorubicin. Eur J Oncol Nurs. 2021 Apr;51:101908. doi: 10.1016/j.ejon.2021.101908. Epub 2021 Feb 15. PubMed 33626423 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01751893
Lead sponsor
Cyprus University of Technology
Responsible party
Dr. Andreas Charalambous (Associate Professor of Oncology and Palliative Care, Cyprus University of Technology) — Principal investigator
First posted
Dec 18, 2012
Start date
Jun 1, 2017
Primary completion
May 1, 2018
Completion
Jun 15, 2018
Last update
Oct 25, 2019

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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