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AlopeciaNCT05213936

Scalp Cooling for Chemotherapy-Induced Alopecia in Patients of Color

A study testing Scalp cooling with hairstyle and Scalp cooling with conditioner and water emulsion in people with Alopecia, run by Montefiore Medical Center at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to evaluate hairstyling techniques aimed at increasing efficacy of scalp cooling in the prevention of chemotherapy-induced alopecia, determine scalp cooling effect on persistent chemotherapy-induced alopecia, and elucidate molecular mechanisms and predictive biomarkers associated with… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Alopecia
What is being tested?
Scalp cooling with hairstyle and Scalp cooling with conditioner and water emulsion
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
1 siteUnited States
Study dates
24 Oct 2022to Feb 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age >= 18 years
  • Female
  • Hair type 3 (curly) or type 4 (kinky)
  • Diagnosis of breast cancer or non-small cell lung cancer (NSCLC) or gynecologic cancer stage I-IV
  • Patient will be starting >= 4 cycles of taxane-based chemotherapy treatment for curative intent after enrollment
  • Concurrent HER, cisplatin, cyclophosphamide therapies and doxorubicin therapies allowed
  • Eastern Cooperative Oncology Group (ECOG) 0-2: fully active, restrictive in physically strenuous activity, ambulatory and capable of self-care

Who cannot join

  • Hair type other than 3 or 4
  • Male
  • Use of hair weave or extensions without plans to remove
  • Concurrent malignancy including hematologic malignancies (i.e. leukemia or lymphoma)
  • Alopecia Common Terminology Criteria for Adverse Events > grade 1 at baseline
  • Past chemotherapy administration if past treatment was <= 10 years ago
Show all 9Show fewer
  • History of migraines or cluster headaches, anorexia, severe anemia, uncontrolled diabetes, hepatitis, thyroid dysfunction, cold urticaria, cold agglutinin disease, scalp metastases
  • Planned bone marrow ablation chemotherapy or skull irradiation
  • Pregnant patient

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • Montefiore Medical Center

    The Bronx, New York, 10461

    Warner Robinson, DMD, 786-385-7775, warrobinso@montefiore.org

    Recruiting

Other trials in United States

About this study

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

The purpose of this study is to evaluate hairstyling techniques aimed at increasing efficacy of scalp cooling in the prevention of chemotherapy-induced alopecia, determine scalp cooling effect on persistent chemotherapy-induced alopecia, and elucidate molecular mechanisms and predictive biomarkers associated with scalp cooling success in patients with skin of color receiving chemotherapy for breast or non-small cell lung cancer.

This study is being conducted because prior studies have found scalp cooling to be highly effective in preventing hair loss resulting from chemotherapy. However, minority representation was largely limited in completed trials. A recent study found that scalp cooling devices are less efficacious in patients with skin of color, likely because patients with skin of color have hair is predominantly types 3 (curly) and 4 (kinky), which tend to become bulkier when wet and can interfere with scalp cooling cap fitting. The investigators plan to test two techniques aimed at improving scalp cooling efficacy in patients with skin of color through hairstyling methods that minimize hair volume in order to increase cooling cap to scalp contact: 1) cornrows/braids/twists or 2) water/conditioner emulsion on hair. Preliminary data show that breast cancer patients with type 3 or 4 hair receiving taxane chemotherapy and scalp cooling using these techniques to prepare the hair for scalp cooling cap fitting all experienced hair preservation. Additionally, the investigators will also assess persistent chemotherapy-induced alopecia outcomes and incidence by following patients up to 6 months after completing treatment. Finally, specific gene expression changes in taxane-induced chemotherapy-induced alopecia in vitro have been described previously. The investigators will test the hypothesis that scalp cooling reverses such changes in chemotherapy-induced alopecia, assess for biomarkers predictive for scalp cooling success, and investigate persistent chemotherapy-induced alopecia molecular mechanisms using non-invasive transcriptome sequencing on plucked hair follicles.

Conditions
Alopecia
Being tested
Scalp cooling with hairstyle, Scalp cooling with conditioner and water emulsion
Medical subject headings
Alopecia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Scalp cooling with hairstyleDevice

    Hair will be prepared accordingly for the cooling cap fitting based on which approach the patient prefers: braids/cornrows/twists

  • Scalp cooling with conditioner and water emulsionDevice

    Hair will be prepared accordingly for the fitting based on which approach the patient prefers: or conditioner and water emulsion to coat the hair.

Study groups in NCT05213936
Study groupRoleWhat they receive
Scalp cooling with hairstyleExperimentalScalp cooling with hairstyle (braids, twists, cornrows) to minimize hair volume and increase scalp cooling cap to scalp contact
Receives: Device: Scalp cooling with hairstyle
Scalp Cooling with conditioner and water emulsionExperimentalScalp cooling after coating hair with conditioner and water emulsion to minimize hair volume and increase scalp cooling cap to scalp contact
Receives: Device: Scalp cooling with conditioner and water emulsion
No Scalp CoolingNo interventionControl with no scalp cooling

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Severity of chemotherapy-induced alopecia - hair count density

    Severity of chemotherapy-induced alopecia, or CIA, as determined by hair count density from trichoscopy will be assessed. Hair count density (hair counts/cm^2) will be summarized by study arm and analyzed using a T-test.

    Measured: 4 weeks after completion of chemotherapy, up to ~6 months total

  2. Severity of chemotherapy-induced alopecia - adverse events

    Severity of CIA will also be evaluated based on Common Terminology Criteria for Adverse Events (CTCAE Version 5.0) grading. Results will be summarized by study arm and analyzed Fisher's exact test.

    Measured: 4 weeks after the completion of chemotherapy, up to ~6 months total

Secondary outcomes (3)
  1. Severity of persistent chemotherapy-induced alopecia (PCIA) - hair count density

    Severity of PCIA, as determined by hair count density from trichoscopy will be assessed. Hair count density (hair counts/cm^2) will be summarized by study arm and analyzed using a T-test.

    Measured: 26 weeks after completion of chemotherapy, up to ~11 months total

  2. Severity of persistent chemotherapy-induced alopecia - adverse events

    Severity of PCIA will also be evaluated based on Common Terminology Criteria for Adverse Events (CTCAE Version 5.0) grading. Results will be summarized by study arm and analyzed Fisher's exact test.

    Measured: 26 weeks after completion of chemotherapy, up to ~11 months total

  3. Patient distress after treatment

    Patient distress after treatment will be assessed by the Chemotherapy-induced Alopecia Distress Scale (CADS) scale. CADS is a 17-item self-report tool used to measure distress related to chemotherapy-induced hair loss across four domains: physical, emotional, activity, and relationship. Participants rate experiences, difficulties, or distress due to hair loss using a 4-point Likert scale ranging from 1 ("Not at all") to 4 ("Very much"), yielding an overall scoring range of 17-68, such that higher CADS scores are associated with higher distress. Results will be summarized by study arm using basic descriptive statistics.

    Measured: 4 weeks, 8 weeks, 12 weeks, and 26 weeks after completion of chemotherapy, up to ~11 months total (from the start to completion of chemotherapy)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jan 2022
  2. Study start24 Oct 2022
  3. Primary completion18 Sep 2026
  4. Study completionFeb 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
41 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05213936
Sponsor's protocol ID
2021-13614
Status last verified
Oct 2026
First submitted
2 Dec 2021
Last updated
16 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Undecided

Publications

  • Kiebert GM, Hanneke J, de Haes CJ, Kievit J, van de Velde CJ. Effect of peri-operative chemotherapy on the quality of life of patients with early breast cancer. Eur J Cancer. 1990;26(10):1038-42. doi: 10.1016/0277-5379(90)90046-v.

    PubMed 2148877
  • Marks DH, Okhovat JP, Hagigeorges D, Manatis-Lornell AJ, Isakoff SJ, Lacouture ME, Senna MM. The effect of scalp cooling on CIA-related quality of life in breast cancer patients: a systematic review. Breast Cancer Res Treat. 2019 Jun;175(2):267-276. doi: 10.1007/s10549-019-05169-0. Epub 2019 Feb 26.

    PubMed 30806923
  • Trueb RM. Chemotherapy-induced alopecia. Curr Opin Support Palliat Care. 2010 Dec;4(4):281-4. doi: 10.1097/SPC.0b013e3283409280.

    PubMed 21045702
  • Gianotti E, Razzini G, Bini M, Crivellaro C, Righi A, Darecchio S, Lui S, Basirico ML, Cocconi S, Cagossi K, Ferrari A, Artioli F. Scalp Cooling in Daily Clinical Practice for Breast Cancer Patients Undergoing Curative Chemotherapy: A Multicenter Interventional Study. Asia Pac J Oncol Nurs. 2019 Jul-Sep;6(3):277-282. doi: 10.4103/apjon.apjon_4_19.

    PubMed 31259224
  • Prevezas C, Matard B, Pinquier L, Reygagne P. Irreversible and severe alopecia following docetaxel or paclitaxel cytotoxic therapy for breast cancer. Br J Dermatol. 2009 Apr;160(4):883-5. doi: 10.1111/j.1365-2133.2009.09043.x. Epub 2009 Feb 16. No abstract available.

    PubMed 19222453
  • Cersosimo RJ, Hong WK. Epirubicin: a review of the pharmacology, clinical activity, and adverse effects of an adriamycin analogue. J Clin Oncol. 1986 Mar;4(3):425-39. doi: 10.1200/JCO.1986.4.3.425.

    PubMed 3005521
  • Auvinen PK, Mahonen UA, Soininen KM, Paananen PK, Ranta-Koponen PH, Saavalainen IE, Johansson RT. The effectiveness of a scalp cooling cap in preventing chemotherapy-induced alopecia. Tumori. 2010 Mar-Apr;96(2):271-5. doi: 10.1177/030089161009600214.

    PubMed 20572585
  • Mols F, van den Hurk CJ, Vingerhoets AJ, Breed WP. Scalp cooling to prevent chemotherapy-induced hair loss: practical and clinical considerations. Support Care Cancer. 2009 Feb;17(2):181-9. doi: 10.1007/s00520-008-0475-4. Epub 2008 Jun 17.

    PubMed 18560904
  • Kinahan KE, Sharp LK, Seidel K, Leisenring W, Didwania A, Lacouture ME, Stovall M, Haryani A, Robison LL, Krull KR. Scarring, disfigurement, and quality of life in long-term survivors of childhood cancer: a report from the Childhood Cancer Survivor study. J Clin Oncol. 2012 Jul 10;30(20):2466-74. doi: 10.1200/JCO.2011.39.3611. Epub 2012 May 21.

    PubMed 22614987
  • Shin H, Jo SJ, Kim DH, Kwon O, Myung SK. Efficacy of interventions for prevention of chemotherapy-induced alopecia: a systematic review and meta-analysis. Int J Cancer. 2015 Mar 1;136(5):E442-54. doi: 10.1002/ijc.29115. Epub 2014 Aug 11.

    PubMed 25081068
  • Rugo HS, Klein P, Melin SA, Hurvitz SA, Melisko ME, Moore A, Park G, Mitchel J, Bageman E, D'Agostino RB Jr, Ver Hoeve ES, Esserman L, Cigler T. Association Between Use of a Scalp Cooling Device and Alopecia After Chemotherapy for Breast Cancer. JAMA. 2017 Feb 14;317(6):606-614. doi: 10.1001/jama.2016.21038.

    PubMed 28196257
  • Nangia J, Wang T, Osborne C, Niravath P, Otte K, Papish S, Holmes F, Abraham J, Lacouture M, Courtright J, Paxman R, Rude M, Hilsenbeck S, Osborne CK, Rimawi M. Effect of a Scalp Cooling Device on Alopecia in Women Undergoing Chemotherapy for Breast Cancer: The SCALP Randomized Clinical Trial. JAMA. 2017 Feb 14;317(6):596-605. doi: 10.1001/jama.2016.20939.

    PubMed 28196254
  • Grevelman EG, Breed WP. Prevention of chemotherapy-induced hair loss by scalp cooling. Ann Oncol. 2005 Mar;16(3):352-8. doi: 10.1093/annonc/mdi088. Epub 2005 Jan 10.

    PubMed 15642703
  • Erecinska M, Thoresen M, Silver IA. Effects of hypothermia on energy metabolism in Mammalian central nervous system. J Cereb Blood Flow Metab. 2003 May;23(5):513-30. doi: 10.1097/01.WCB.0000066287.21705.21.

    PubMed 12771566
  • Friedrichs K, Carstensen MH. Successful reduction of alopecia induced by anthracycline and taxane containing adjuvant chemotherapy in breast cancer - clinical evaluation of sensor-controlled scalp cooling. Springerplus. 2014 Sep 5;3:500. doi: 10.1186/2193-1801-3-500. eCollection 2014.

    PubMed 25279292

Questions about this trial

What is this clinical trial studying?

A study testing Scalp cooling with hairstyle and Scalp cooling with conditioner and water emulsion in people with Alopecia, run by Montefiore Medical Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 16 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Beth McLellan, MD ((718) 862-8840, bmclella@montefiore.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Severity of chemotherapy-induced alopecia - hair count density (time frame: 4 weeks after completion of chemotherapy, up to ~6 months total). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05213936, which also lists 43 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Oct 2026.

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