Cisplatin-induced peripheral neuropathy will be investigated. MedDRA version: 9.1 Level: LLT Classification code 10036109 Term: Polyneuropathy due to drugs
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -diagnose is histologically or cytologically proven (NSCLC,SCLC), malignant mesothelioma (histologically) -at least 4 cycles of cisplatin are planned -adequate renal function (creatinine clearance as calculated by Cockroft-Gault method > 60 ml/min) - Karnofski performance score > 60 % -written informed consent -patient must be able to comply with study measurements i.e. hospital visits for EMG and QoL assessments -age = 18 years Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -patients with pre-existing neuropathy -patients not willing to stop earlier prescribed NAC -patients not willing to stop vitamins E and A above daily advisory dosage -uncontrolled metastasis in the central or peripheral nervous system
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: establishing the efficacy of N-acetylcysteine in preventing cisplatin induced peripheral neuropathy;Secondary Objective: establishing the efficacy of N-acetylcysteine in preventing cisplatin induced hematologic disorders, the effect of N-acetylcysteine on quality of life and tumor response;Primary end point(s): The main study parameter is the occurrence of peripheral neuropathy: therefore the NAC-arm and the placebo-arm will be compared regarding the changes in percent in the peripheral neuropathy score (PNP-score) and in electrophysiological measurements between baseline and endpoint. | — |
Countries
Netherlands