Topical diclofenac gel reduces the incidence of hand-foot syndrome in patients treated with oral capecitabine

 D-TORCH, a phase III randomized trial recently published in the Journal of Clinical Oncology, application of topical diclofenac gel, used in osteoarthritis, resulted in lower "grade 2 or 3 hand-foot syndrome rates compared with placebo in patients with breast and gastrointestinal cancers treated with oral capecitabine."  Of the 131 patients who received topical diclofenac gel in the D-TORCH study, grade 2/grade 3 hand-foot syndrome occurred in only 3.8% of cases, compared to 15% in the placebo group. 

To learn more about the D-TORCH study, click here. 

Source mentioned: 

Santhosh A, Sharma A, Bakhshi S, et al., on behalf of the D-TORCH Trial Investigators. Topical Diclofenac for Prevention of Capecitabine-Associated Hand-Foot Syndrome: A Double-Blind Randomized Controlled Trial. JCO; Published online 27 February 2024. DOI: https://doi.org/10.1200/JCO.23.01730