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CompletedNCT04592731Updated Mar 1, 2023

Acetylated Natural Nucleotides in Treating Hand-foot Syndrome

An interventional study of Gel containing Acetylated Natural Nucleotides and Vehicle Gel in Hand-foot Syndrome, sponsored by Nan xu. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-01.

Sponsored by Nan xu · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The clinical trial is planned to investigate the efficacy and safety of acetylated natural nucleotides in treating anti-cancer medications induced hand-foot syndrome (HFS).

02

Conditions studied

  • Hand-foot Syndrome
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 21 is below the median of 60 across 36 interventional studies indexed under Hand-Foot Syndrome.

Browse Hand-Foot Syndrome studies →

Lead sponsor

This is the only study on the registry with Nan xu as lead sponsor.

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

04

Who can participate

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

Inclusion criteria

  • 18 years of age or older.
  • Pathologically confirmed cancer receiving capecitabine-based anti-cancer therapy (capecitabine with or without other anti-cancer drugs).
  • With HFS determined by "CTCAE v5.0 - PPE" as grade 2 or above.
  • Able to use topical medications and complete questionnaires reliably with or without assistance.
  • ECOG performance score \< 2.

Exclusion criteria

Exclusion Criteria:

  • Has HFS due to other medications and does not recover within 4 weeks prior to baseline.
  • Other skin disorders that will affect efficacy evaluation on the hands and feet, including but not limited to: tinea of feet and hands, hand/foot eczema, palmoplantar pustulosis, palmoplantar keratosis, acrodermatitis continua etc.
  • Uncontrolled intercurrent illness as determined by the investigator including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, recent myocardial infarction, uncontrolled hypotension or hypertension, cardiac arrhythmia, or psychiatric illness and social situations that would limit compliance with study requirements.
  • Significantly abnormal lab test:

    • Inadequate hematologic function as indicated by:

      • Absolute neutrophil counts (ANC) \< 1,500 /mm\^3
      • Hemoglobin (Hgb) \< 8.5 g/dL
      • Platelet count \< 75,000 /mm\^3
      • PT or PTT > 1.5 x ULN (if patients on anticoagulants: PT INR > 3.5 x ULN)
    • Inadequate renal and liver function as indicated by:

      • Albumin \< 2.8 g/dL
      • Total bilirubin > 1.5 x ULN (or > 2.5 x ULN for patients with Gilbert's syndrome)
      • Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase > 2 x ULN
      • Creatinine > 2 x ULN
  • Any other condition which, in the opinion of the Investigator, would impede compliance, hinder completion of the study, compromise the well-being of the patient, or interfere with the study outcomes.
05

Study design

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

Study arms

  • Experimental
    Gel containing Acetylated Natural Nucleotides

    Drug: Gel containing Acetylated Natural Nucleotides

  • Placebo comparator
    Vehicle Gel

    Drug: Vehicle Gel

Interventions

  • DrugGel containing Acetylated Natural Nucleotides

    The study drug is a gel containing acetylated natural nucleotides.

  • DrugVehicle Gel

    The vehicle gel contains no acetylated natural nucleotides but with the same base as study drug.

06

What researchers measure

Primary outcomes

  1. Proportion of patients who achieve "NCI CTCAE v5.0 - Palmar-Plantar Erythrodysesthesia (PPE)" grade 0 or 1

    The proportion of patients who achieve "NCI CTCAE v5.0 - PPE" grade 0 or 1 at week 6 from grade 2 or above at baseline

    Time frame: 6 weeks

Secondary outcomes

  1. Safety of study drug

    Safety of study drug as determined by number of participants with abnormal laboratory values and/or Adverse Events that are related to treatment

    Time frame: 6 weeks

  2. Proportion of patients who achieve at least one grade improvement in HFS severity

    The proportion of patients who achieve at least one grade improvement in HFS severity according to "NCI CTCAE v5.0 - PPE" by week 6

    Time frame: 6 weeks

  3. Change from baseline in patient reported pain using Visual Analog Scale (VAS)

    Change from baseline in patient reported pain using VAS at week 6. VAS is a scale used to determine the pain intensity experienced by individuals, which consists of a line 10 cm in length, with the left side signifying no pain and the right side signifying the worst pain ever.

    Time frame: 6 weeks

  4. Change from baseline in Hand-Foot Skin Reaction and Quality of Life (HF-QoL) Questionnaire total score

    Change from baseline in HF-QoL Questionnaire total score at week 6. HF-QoL questionnaire is comprised of a 20-item symptom domain and an 18-item daily activity domain. Each item is rated on a 5-point scale from 0 (not at all) to 4 (always or extremely) during the previous week. The HF-QoL symptom and daily activity total scores are transformed to a scale of 0 to 100, based on the sum of each unit-weighted item score divided by the maximum score. Higher scores on the HF-QoL indicate worse quality of life or greater symptom burden.

    Time frame: 6 weeks

  5. The proportion of patients whose anti-cancer medications are impacted due to HFS

    The proportion of patients who need temporary interruption or permanent discontinuation and/or dose reduction of anti-cancer medications due to HFS

    Time frame: 6 weeks

07

Study locations

1 site
  • Shanghai East Hospital
    Shanghai, Shanghai 200120, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04592731
Lead sponsor
Nan xu
Responsible party
Nan xu (Department Head in Dermatology, Shanghai East Hospital) — Sponsor-investigator
First posted
Oct 19, 2020
Start date
Nov 3, 2020
Primary completion
Apr 30, 2022
Completion
Jun 1, 2022
Last update
Mar 1, 2023

Study contacts

Nan Xu, M.D.
principal investigator · Shanghai East Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

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