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Protective effect of sublingual tablets of vitamin B12 and saffron against neurotoxicity of oxaliplatin in patients with colorectal and gastric cancer

Evaluation of protective effect of sublingual tablet of vitamin B12 and saffron for prevention neurotoxicity induced by capecitabin + oxaliplatin (XELOX) and modified 5-fluorouracil + folinic acid + oxaliplatin (mFOLFOX6) regimens in patients with colorectal and gastric cancer

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20200408046990N10
Enrollment
60
Registered
2022-09-02
Start date
2022-09-23
Completion date
Unknown
Last updated
2022-11-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

colorectal and gastric cancer. Malignant neoplasm of ill-defined sites within the digestive system

Interventions

Intervention 1: Intervention group: One daily sublingual tablet of vitamin B12 in the amount of 500 micrograms along with 30 milligrams of saffron made in Mashhad Faculty of Pharmacy from the day befo
for 126 days. Intervention 2: Control group: One daily placebo sublingual tablet made in Mashhad Faculty of Pharmacy starting one day before oxaliplatin injection
for 126 days.

Sponsors

Mashhad University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: Gastric or colorectal cancer for whom treatment with XELOX or mFOLFOX6 regimen will be started. Age between 18 to 70 years

Exclusion criteria

Exclusion criteria: Liver failure (ALT and AST serum level more than two to three times the normal level at the beginning of treatment) Renal failure (GFR<30 ml/min) Having a history of allergy to saffron or cyanocobalamin neuropathy history at the beginning of the study Having diabetes mellitus, pernicious anemia, chronic giardiasis, or malabsorption syndrome History of alcohol consumption, multivitamins containing B12, neuromodulator drugs such as anticonvulsants or calcium and magnesium Smoking (more than ten cigarettes a day) Patient dissatisfaction

Design outcomes

Primary

MeasureTime frame
Neuropathy occurrence rate. Timepoint: at the beginning of each chemotherapy course. Method of measurement: based on NCI-CTC (national cancer institute-common toxicity criteria version3).;Sensory and motor electrophysiological examinations. Timepoint: At the beginning and at the end of study. Method of measurement: Electromyography.

Secondary

MeasureTime frame
ALT serum level. Timepoint: at the beginning of the study, and 30, 60, 90 and 120 days after the beginning of the study. Method of measurement: Measurement of blood levels of ALT by the laboratory.;Serum creatinine levels. Timepoint: at the beginning of the study, and 30, 60, 90 and 120 days after the beginning of the study. Method of measurement: Serum creatinine level is measured by Jaffe method.;Serum of level AST. Timepoint: at the beginning of the study, and 30, 60, 90 and 120 days after the beginning of the study. Method of measurement: Measurement of blood levels of AST by the laboratory.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactSepideh Elyasi

Mashhad University of Medical Sciences

elyasis@mums.ac.ir+98 51 3180 1588

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026