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Trial Title: Comparative Clinical Study Evaluating the Possible Efficacy of Duloxetine, Gabapentin and Lacosamide on Oxaliplatin-Induced Peripheral Neuropathy in Cancer Patients

NCT ID: NCT05510856

Condition: Oncology

Conditions: Official terms:
Peripheral Nervous System Diseases
Lacosamide
Gabapentin
Duloxetine Hydrochloride

Conditions: Keywords:
oxaliplatin,peripheral neuropathy

Study type: Interventional

Study phase: Phase 4

Overall status: Unknown status

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: Double (Participant, Investigator)

Masking description: double blind

Intervention:

Intervention type: Other
Intervention name: Duloxetine
Description: Duloxetine 30mg / day for 12 cycles (up to 6 months)
Arm group label: Duloxetine

Intervention type: Other
Intervention name: Gabapentin
Description: Gabapentin 300 mg / day for 12 cycles (up to 6 months)
Arm group label: Gabapentin

Intervention type: Other
Intervention name: Lacosamide
Description: Lacosamide 50 mg / day for 12 cycles (up to 6 months)
Arm group label: Lacosamide

Summary: This study aims to investigate the possible efficacy of duloxetine, gabapentin and lacosamide on oxaliplatin-induced peripheral neuropathy in patients with gastrointestinal cancer.

Detailed description: This is a randomized, double-blind,controlled, parallel study that will be conducted on patients with oxaliplatin induced peripheral neuropathy with gastrointestinal cancer. This study will be done on 93 patients with gastrointestinal cancer (colon or gastric or pancreatic) cancer on standard FOLFOX-4 regimen who will divided into 3 groups: Group 1: 31 Patients who will receive standard chemotherapy plus duloxetine 30 mg/day for 12 cycles (up to 6 months). Group 2: 31 Patients who will receive standard chemotherapy plus gabapentin 300 mg/day for 12 cycles (up to 6 months). Group 3: 31 Patients who will receive standard chemotherapy plus lacosamide 50 mg/day for 12 cycles (up to 6 months).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - A) Adults ≥ 18 years old male and female patients. B) Patients with gastrointestinal cancer receiving oxaliplatin chemotherapy Exclusion Criteria: - A) Preexisting neuropathic or brain disorders. B) Previous use of chemotherapeutic agents including taxanes, platinum, vinca alkaloids, and bortezomib. C) Concomitant use of drugs reported to have neuroprotective role and analgesics. D) Patients with diabetes, uncontrolled hypertension, congestive heart failure, drug addiction and patients who were receiving tamoxifen. E) Patients with abnormal renal function tests (serum creatinine ≤ 30 ml/min) or liver function tests (≥ 3 times the upper normal range). F) Participants with a documented medical history of neuropathy. G) Concomitant use of other antidepressants, anticonvulsants, high-dose vitamin supplements or drugs known to influence serotonin levels. H) Pregnancy and lactating women. I) Uncooperative patients and patients who have psychological problems or on antipsychotic medications.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Oncology Department, Tanta University

Address:
City: Tanta
Zip: 040
Country: Egypt

Status: Recruiting

Start date: September 1, 2022

Completion date: September 2024

Lead sponsor:
Agency: Tanta University
Agency class: Other

Source: Tanta University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05510856

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