Efficacy of Roflumilast in Prevention of Peripheral Neuropathy
Primary Purpose
Peripheral Neuropathy
Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Roflumilast
Placebo
Sponsored by
About this trial
This is an interventional prevention trial for Peripheral Neuropathy
Eligibility Criteria
Inclusion Criteria: Breast cancer patients who will receive paclitaxel post-anthracycline therapy. Eastern Cooperative Oncology Group (ECOG) performance status from 0 to 2. Adequate bone marrow function (white blood count ≥4,000/mm3, platelet count≥100,000/mm3), liver function (serum total bilirubin <1.5 mg/dl), renal function (creatinine < 1.5 mg/dl). Exclusion Criteria: Patients with signs and symptoms of clinical neuropathy at baseline. Patients with diabetes mellitus or alcoholic disease. Patients receiving vitamin/ supplementation drugs that interfere with the study intervention.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
Intervention
Control
Arm Description
Outcomes
Primary Outcome Measures
Incidence of chemotherapy induced-peripheral neuropathy using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria
Number of patients reported neuropathy from paclitaxel
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05884281
Brief Title
Efficacy of Roflumilast in Prevention of Peripheral Neuropathy
Official Title
Efficacy of Roflumilast in Prevention of Peripheral Neuropathy
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
July 2023 (Anticipated)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Mansoura University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
There are several mechanisms concerning pathophysiology of paclitaxel induced peripheral neuropathy. One of the main mechanisms is induction of Schwann cell dedifferentiation by paclitaxel. At the preclinical level, roflumilast potently inhibited paclitaxel-induced dedifferentiation of cultured Schwann cells, yet this positive effect have not been clinically investigated.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Neuropathy
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Intervention
Arm Type
Active Comparator
Arm Title
Control
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Roflumilast
Intervention Description
0.5 mg once daily for treatment period
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo for treatment period
Primary Outcome Measure Information:
Title
Incidence of chemotherapy induced-peripheral neuropathy using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria
Description
Number of patients reported neuropathy from paclitaxel
Time Frame
8 weeks post intervention
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Breast cancer patients who will receive paclitaxel post-anthracycline therapy.
Eastern Cooperative Oncology Group (ECOG) performance status from 0 to 2.
Adequate bone marrow function (white blood count ≥4,000/mm3, platelet count≥100,000/mm3), liver function (serum total bilirubin <1.5 mg/dl), renal function (creatinine < 1.5 mg/dl).
Exclusion Criteria:
Patients with signs and symptoms of clinical neuropathy at baseline.
Patients with diabetes mellitus or alcoholic disease.
Patients receiving vitamin/ supplementation drugs that interfere with the study intervention.
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Efficacy of Roflumilast in Prevention of Peripheral Neuropathy
We'll reach out to this number within 24 hrs