Peripheral Neuropathy
Conditions
Keywords
oxaliplatin-induced peripheral neuropathy, HD6610 granule, colorectal cancer
Brief summary
The purpose of this study is to estimate the usefulness and safety of HD6610 granule for oxaliplatin-induced peripheral neuropathy. The investigators examined the efficacy and safety of the treatment algorithm for 64 patients with colorectal cancer by evaluating the side effects and degree of improvement of subjective symptoms.
Detailed description
Oxaliplatin is the third generation platinum-based cytotoxic agent, widely used in colorectal cancer, in metastatic disease and in the adjuvant setting . Moreover, oxaliplatin is being used as an alternative option to cisplatin in various cancers, such as ovarian, gastric. Oxaliplatin-induced peripheral neuropathy is characterised by acute and transient cold hyperaesthesia in the hours and days following oxaliplatin infusion (\>90% of patients), but also by retarded chronic neuropathy due to the repetition of chemotherapy cycles (30-50% of patients). Oxaliplatin-induced peripheral neuropathy impairs the health-related quality of life (HRQOL) of patients and no preventive or curative strategies have as yet proven effective so far. Animal experiment show that HD6610 granule can relieve mouse's peripheral neuropathy induced by oxaliplatin. In clinical practice, the investigators also find that HD6610 granule can relieve patient's oxaliplatin-induced peripheral neuropathy in the treatment of chemotherapy. So the investigators design this randomized, parallel-group, double-blind, placebo-controlled, multicenter clinical study to estimate the efficacy and safety of HD6610 granule for oxaliplatin-induced peripheral neuropathy in colorectal cancer.
Interventions
DRUGFOLFOX regimen
FOLFOX regimens are combination therapy of oxaliplatin (85 mg/m\^2) administered as a 2-hour infusion on Day 1; leucovorin (400 mg/m\^2) administered as a 2-hour infusion on Day 1; followed by a loading dose of 5-fluorouracil (5-FU; 400 mg/m\^2) IV bolus administered over approximately 2 to 4 minutes on Day 1, then 5- FU (different dose like FOLFOX4/FOLFOX6) via ambulatory pump administered for a period of 46 to 48 hours. XELOX is a combination therapy of Oxaliplatin 130mg/ m\^2 d1 Intravenous infusion, every 3 weeks. and Capecitabine 1000mg/m\^2 bid, days 1-14, every 3 weeks.
DRUGHD6610 Granule
the HD6610 Granule will be given 2 times a day.
DRUGHD6610 Granule placebo
the HD6610 Granule placebo will be given 2 times a day.
Sponsors
Jiangsu Province Hospital of Traditional Chinese Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. All cases have been diagnosed with colorectal cancer by pathology; 2. Patients who received no chemotherapy before should receive oxaliplatin-based chemotherapy(FOLFOX4,FOLFOX6,XELOX) ; 3. Patients of 18-70 years old have no serious heart,liver,kidney and hematopoietic disfunction,life expectancy of over 3 months and KPS more than 60; 4. Patients with no positive sign in neurological examination,and no drug allergy history or diabetes; 5. Volunteered to participate and signed informed consent,patients can not receive radiotherapy,acupuncture and moxibustion or other treatment during the experiment.
Exclusion criteria
1. Not accordant with the inclusion criteria; 2. Patients who have used herbal within 4 weeks before registration; 3. Patients who have serious heart,liver,kidney and hematopoietic disfunction; 4. Patients of central nervous system disease; 5. Patients of cervical spondylopathy,lumbar disc protrusion,diabetes and uremia which can potentially cause peripheral neuropathy; 6. Nerve compression caused by tumor metastasis or peripheral neuropathy caused by electrolyte disturbances,diabetes,alcohol disease and other disorder; 7. Long-time using of thiazide diuretic and foxglove; 8. Patients of poisoning,infection and radiotherapy which induced peripheral neuropathy or receiving medicine which can cause peripheral neuropathy; 9. Patients who can hardly take Chinese Medicine with severe diarrhea,vomiting or intestinal obstruction ; 10. Uncontrolled psychosis; 11. Women of pregnancy ,preparing pregnant, or lactation; 12. Alcohol and drug abuse; 13. Allergic constitution or allergy to experiment drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of patients with different degree of peripheral nerve toxicity. | Through study completion, an average of 1 year. |
Secondary
| Measure | Time frame |
|---|---|
| EORTC（European Organization for Research and Treatment of Cancer） quality of life score | Through study completion, an average of 1 year. |
| KPS（ Karnofsky Performance Status Scale） score | Through study completion, an average of 1 year. |
Countries
China
Contacts
Primary ContactHuo JieGe, M.D.
Outcome results
None listed