Compression therapy using surgical gloves was ineffective for the prevention of vincristine-induced neuropathy in patients with malignant lymphoma

Abstract

Purpose Vincristine (VCR) often induces peripheral neuropathy (PN) as an adverse event. Currently, there is no consensus about prevention of vincristine-induced PN (VIPN). In this study, we aimed to investigate the efficacy of compression therapy using surgical gloves for preventing VIPN.Methods Patients with malignant lymphoma (vincristine-naïve) who were receiving chemotherapy with cyclophosphamide, doxorubicin, VCR, and prednisolone, with or without rituximab, every 3 weeks for six cycles were eligible. For every VCR infusion, each patient wore two one-size smaller gloves on one hand (study hand) for 90 min. The other hand was bare (control hand). PN was assessed at each treatment using common terminology criteria for adverse events ver. 4.0.Results Fifty-one patients with malignant lymphoma were enrolled and 44 were evaluated. The occurrence rates of grade ≥ 2 sensory PN were 13.6 and 13.6% in the study and control hands, respectively (p = 1.0) at 1 month after treatment. The occurrence rates of grade ≥ 2 motor PN were 15.9 and 15.9% in the study and control hands, respectively (p = 1.0).Conclusion Compression therapy using surgical gloves showed no significant effect for the prevention of VIPN.Trial registration First November 2018 National University Hospital Council of Japan (UMIN 000034145).