Drug Repurposing for the Prevention of Chemotherapy-induced Peripheral Neuropathy (CIPN)

NCT ID: NCT04780854

Last Updated: 2021-07-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-03

Study Completion Date

2022-07-31

Brief Summary

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Chemotherapy cause many adverse events including induction of peripheral neuropathy. Metformin, the AMPK activator, was found to have protective effect against chemotherapy induced peripheral neuropathy in mouse model and in clinical trials as well. There are different hypothesized mechanisms through which metformin does the protective effect. Such as enhancing mitochondrial activity, reduction of ROS and nitric oxide and activation of AMPK.

Detailed Description

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Chemotherapy can cause a variety of side effects. One of the most common side effects is Chemotherapy induced peripheral neuropathy (CIPN), it commonly caused by Paclitaxel chemotherapy which is usually used in the treatment of breast cancer. Metformin which is known as a safe anti-diabetic drug, was found to have a protective effect on neurons. It gave positive results in chemotherapy induced peripheral neuropathy in mouse models and in some clinical trials

Conditions

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Chemotherapy-induced Peripheral Neuropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Metformin group

1 gm metformin tablet administered twice daily for 3 months

Group Type ACTIVE_COMPARATOR

Metformin

Intervention Type DRUG

Participants in the intervention group will be administered metformin tablets 2 gm daily during the chemotherapy treatment duration

Metformin-free

1 placebo tablet administered twice daily for 3 months

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants in the placebo group will be administered metformin free tablet as placebo twice daily

Interventions

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Metformin

Participants in the intervention group will be administered metformin tablets 2 gm daily during the chemotherapy treatment duration

Intervention Type DRUG

Placebo

Participants in the placebo group will be administered metformin free tablet as placebo twice daily

Intervention Type DRUG

Other Intervention Names

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N,N-dimethylbiguanide Cidophage inactive pill

Eligibility Criteria

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Inclusion Criteria

* Age (18-75) male and female patients
* Scheduled to be treated with single agent Paclitaxel
* Performance status according to Eastern Cooperative oncology group (ECOG) \< 2.
* Patients who are willing and able to review and provide written consent, patients who can read the questionnaires

Exclusion Criteria

* Previous exposure to chemotherapy drugs that cause neuropathy, patients treated with medications that increase the risk of neuropathy like amiodarone, Colchicine, metronidazole, phenytoin.
* Patients with impaired liver functions or kidney functions.
* Patients with a history of any serious adverse events or interaction or hypersensitivity to Metformin.
* Pregnant or lactating females.
* Patients who are using metformin for any other cause.
* Patients with sensory or motor neuropathy of any grade prior to enrollment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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German University in Cairo

OTHER

Sponsor Role collaborator

Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Sara Araby Ramadan Aly Mosa

Bsc.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohamed H. Solayman, PhD. Pharm.

Role: STUDY_CHAIR

German University in Cairo

Loay M. Kassem, PhD

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Danira Ashraf Habashy, PhD Pharm.

Role: PRINCIPAL_INVESTIGATOR

German University in Cairo

Sara A. Mosa, Bsc

Role: PRINCIPAL_INVESTIGATOR

German University in Cairo

Locations

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Cairo University

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Sara A. Mosa, Bsc

Role: CONTACT

+201008662223

Facility Contacts

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Loay Kassem

Role: primary

References

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Gaballah A, Shafik A, Elhusseiny K, Ashraf M. Chemotherapy-Induced Peripheral Neuropathy in Egyptian Patients: Single Institution Retrospective Analysis. Asian Pac J Cancer Prev. 2018 Aug 24;19(8):2223-2227. doi: 10.22034/APJCP.2018.19.8.2223.

Reference Type BACKGROUND
PMID: 30139229 (View on PubMed)

Mao-Ying QL, Kavelaars A, Krukowski K, Huo XJ, Zhou W, Price TJ, Cleeland C, Heijnen CJ. The anti-diabetic drug metformin protects against chemotherapy-induced peripheral neuropathy in a mouse model. PLoS One. 2014 Jun 23;9(6):e100701. doi: 10.1371/journal.pone.0100701. eCollection 2014.

Reference Type BACKGROUND
PMID: 24955774 (View on PubMed)

Hershman DL, Lacchetti C, Dworkin RH, Lavoie Smith EM, Bleeker J, Cavaletti G, Chauhan C, Gavin P, Lavino A, Lustberg MB, Paice J, Schneider B, Smith ML, Smith T, Terstriep S, Wagner-Johnston N, Bak K, Loprinzi CL; American Society of Clinical Oncology. Prevention and management of chemotherapy-induced peripheral neuropathy in survivors of adult cancers: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol. 2014 Jun 20;32(18):1941-67. doi: 10.1200/JCO.2013.54.0914. Epub 2014 Apr 14.

Reference Type RESULT
PMID: 24733808 (View on PubMed)

Related Links

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https://www.frontiersin.org/articles/10.3389/fnmol.2017.00174/full

Pathophysiology of Chemotherapy-Induced Peripheral Neuropathy.

Other Identifiers

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S-5-2020

Identifier Type: -

Identifier Source: org_study_id

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