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ID 67596
著者
Nakamura, Naoki Department of Hematology, Oncology, and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Makimoto, Go Department of Allergy and Respiratory Medicine, Okayama University Hospital
Tanaka, Takaaki Department of Hematology, Oncology, and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Kato, Yuka Center of Innovative Clinical Medicine, Okayama University Hospital
Oze, Isao Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute
Kozuki, Toshiyuki Department of Respiratory Medicine, Shikoku Cancer Center
Yokoyama, Toshihide Department of Respiratory Medicine, Kurashiki Central Hospital
Ichikawa, Hirohisa Department of Respiratory Medicine, KKR Takamatsu Hospital
Kuyama, Shoichi Department of Respiratory Medicine, Iwakuni Clinical Center
Hara, Naofumi Department of Respiratory Medicine, Okayama Rosai Hospital
Maeda, Yoshinobu Department of Hematology, Oncology, and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Kaken ID researchmap
Hotta, Katsuyuki Center of Innovative Clinical Medicine, Okayama University Hospital Kaken ID publons researchmap
抄録
Background: Paclitaxel (PTX) is an essential cytotoxic anticancer agent and a standard treatment regimen component for various malignant tumors, including advanced unresectable non-small cell lung cancer, thymic cancer, and primary unknown cancers. However, chemotherapy-induced peripheral neuropathy (CIPN) caused by PTX is a significant adverse event that may lead to chemotherapy discontinuation and deterioration of the quality of life (QOL). Although treatment modalities such as goshajinkigan (GJG), pregabalin, and duloxetine are empirically utilized for CIPN, there is no established evidence for an agent as a preventive measure. We designed a randomized phase II trial (OLCSG2101) to investigate whether prophylactic GJG administration can prevent the onset of CIPN induced by PTX.
Methods: This study was designed as a two-arm, prospective, randomized, multicenter phase II trial. The patients will be randomly assigned to either the GJG prophylaxis arm (Arm A) or the GJG non-prophylaxis arm (Arm B), using cancer type (lung cancer or not) and age (<70 years or not) as adjustment factors. A total of 66 patients (33 in each arm) will be enrolled.
Discussion: The results of this study may contribute to better management of CIPN, which can enable the continuation of chemotherapy and maintenance of the patient's QOL.
Ethics and dissemination: Ethical approval was obtained from the certified review board of Okayama University (approval no. CRB21-005) on September 28, 2021. Results will be published in peer-reviewed journals and presented at national and international conferences.
Trial registration: Japan Registry of Clinical Trials (registration number jRCTs061210047).
キーワード
Kampo
CIPN
prophylaxis
neuropathy
taxane
備考
© 2024 The Japanese Respiratory Society. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
This fulltext file will be available in Aug. 2025.
発行日
2024-09
出版物タイトル
Respiratory Investigation
62巻
5号
出版者
Elsevier BV
開始ページ
897
終了ページ
900
ISSN
2212-5345
NCID
AA12579673
資料タイプ
学術雑誌論文
言語
英語
OAI-PMH Set
岡山大学
著作権者
© 2024 The Japanese Respiratory Society.
論文のバージョン
author
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.1016/j.resinv.2024.07.017
ライセンス
https://creativecommons.org/licenses/by-nc-nd/4.0/
助成機関名
Okayama University Hospital