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Gabapentin in Treating Peripheral Neuropathy in Cancer Patients Undergoing Chemotherapy



Gabapentin in Treating Peripheral Neuropathy in Cancer Patients Undergoing Chemotherapy

For Condition: Pain,neurotoxicity,Quality of Life
Status: Recruiting
Sponsor(s): North Central Cancer Treatment Group , National Cancer Institute (NCI)
Synopsis: RATIONALE: Gabapentin may be effective in relieving pain and other symptoms of peripheral neuropathy. It is not yet known if gabapentin is effective in treating peripheral neuropathy in cancer patients undergoing chemotherapy. PURPOSE: Randomizedphase III trial to determine the effectiveness of gabapentin in treating pain and other symptoms of peripheral neuropathy in cancer patients undergoing chemotherapy.
Details: OBJECTIVES: - Determine whether gabapentin improves the pain and other symptoms in cancer patients with chemotherapy-induced peripheral neuropathy. - Determine the effect of this drug on symptom distress, mood states, functional abilities, and overall quality of life in these patients. - Determine the toxic effects of this drug in these patients. OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to neurotoxic chemotherapy (active vs nonactive and discontinued vs completed) and neurotoxic chemotherapeutic agents (vinca alkaloids vs taxanes vs platinum-based compounds vs combination of two or more of the above agents). Patients are randomized to 1 of 2 treatment arms. - Arm I: Patients receive titrating doses of oral gabapentin twice daily and then three times daily for 3 weeks. Patients then receive a fixed dose of oral gabapentin three times daily for 3 weeks. Patients cross-over to therapy as in arm II at week 8. - Arm II: Patients receive titrating doses of oral placebo and then a fixed dose of oral placebo as in arm I. Patients cross-over to therapy as in arm I at week 8. Quality of life is assessed at baseline and then at the end of weeks 6, 8, and 14. PROJECTED ACCRUAL: A total of 100 patients (50 per treatment arm) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Has received or is currently receiving neurotoxic chemotherapy, including taxanes (e.g., paclitaxel or docetaxel), platinum-based compounds (e.g., carboplatin, cisplatin, or oxaliplatin), or vinca alkaloids (e.g., vincristine or vinblastine) - Pain or symptoms of peripheral neuropathy of at least 1 month duration attributed to chemotherapy-induced peripheral neuropathy - Average daily pain rating of at least 4 out of 10 using the pain numerical rating scale (where 0 is no pain and 10 is the worst pain possible) OR - Evidence of peripheral neuropathy of at least grade 1 out of 3 by ECOG Common - Toxicity Criteria for sensory neuropathy - No other identified causes of painful paresthesia existing prior to chemotherapy - No radiotherapy-induced or malignant plexopathy - No lumbar or cervical radiculopathy - No pre-existing peripheral neuropathy of another etiology, including: - B12 deficiency - AIDS - Monoclonal gammopathy - Diabetes - Heavy metal poisoning - Amyloidosis - Syphilis - Hyperthyroidism or hypothyroidism - Inherited neuropathy PATIENT CHARACTERISTICS: Age: - 18 and over Performance status: - Not specified Life expectancy: - At least 6 months Hematopoietic: - Not specified Hepatic: - Not specified Renal: - Creatinine no greater than 1.5 times upper limit of normal Other: - No prior allergic reaction or intolerance to gabapentin - No significant psychiatric illness (e.g., mania, psychosis, or schizophrenia) that would preclude study compliance - No extreme difficulty swallowing pills - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - See Disease Characteristics Endocrine therapy: - Not specified Radiotherapy: - See Disease Characteristics Surgery: - Not specified Other: - More than 30 days since prior investigational agent for pain control - Concurrent selective serotonin reuptake inhibitors allowed - Concurrent nonsteroidal anti-inflammatory drugs allowed - No concurrent tricyclic antidepressant (e.g., amitriptyline, nortriptyline, or desipramine)* - No concurrent monoamine oxidase inhibitor* - No concurrent opioid analgesic* - No other concurrent adjuvant analgesic (e.g., anticonvulsant, clonazepam, or mexiletine)* - No concurrent topical analgesics (e.g., lidocaine gel or lidocaine patch)* - No concurrent amifostine - No concurrent investigational agent for pain control NOTE: * For pain or symptoms due to chemotherapy-induced peripheral neuropathy
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
CharlesLoprinzi,  Study Chair,  Mayo Clinic Cancer Center

CentraCare Health Plaza *Recruiting*
St. Cloud,  Minnesota,  56303
United States
Recruiting Harold  Windschitl 320-229-5199

CCOP - Iowa Oncology Research Association *Recruiting*
Des Moines,  Iowa,  50309-1016
United States
Recruiting Roscoe  Morton 515-244-7586

Allan Blair Cancer Centre *Recruiting*
Regina,  Saskatchewan,  S4T 7T1
Canada
Recruiting Muhammad  Salim 306-766-2203

CCOP - Oklahoma *Recruiting*
Tulsa,  Oklahoma,  74136
United States
Recruiting Mark  Olsen 918-499-2000

Siouxland Hematology-Oncology *Recruiting*
Sioux City,  Iowa,  51101-1733
United States
Recruiting Donald  Wender 712-252-0088

Medcenter One Health System *Recruiting*
Bismark,  North Dakota,  58501-5505
United States
Recruiting Edward  Wos 701-323-5741

Altru Cancer Center *Recruiting*
Grand Forks,  North Dakota,  58201
United States
Recruiting Todor  Dentchev 701-780-6363

CCOP - St. Vincent Hospital Cancer Center, Green Bay *Recruiting*
Green Bay,  Wisconsin,  54301
United States
Recruiting Anthony  Jaslowski 920-884-3135

Rapid City Regional Hospital *Recruiting*
Rapid City,  South Dakota,  57709
United States
Recruiting Larry  Ebbert 605-341-8704

CCOP - Missouri Valley Cancer Consortium *Recruiting*
Omaha,  Nebraska,  68106
United States
Recruiting James  Mailliard 402-280-4364

CCOP - Illinois Oncology Research Association *Recruiting*
Peoria,  Illinois,  61602
United States
Recruiting John  Kugler 309-636-3605

CCOP - Cedar Rapids Oncology Project *Recruiting*
Cedar Rapids,  Iowa,  52403-1206
United States
Recruiting Martin  Wiesenfeld 319-363-8303

CCOP - Upstate Carolina *Recruiting*
Spartanburg,  South Carolina,  29303
United States
Recruiting James  Bearden 864-560-7050

CCOP - Wichita *Recruiting*
Wichita,  Kansas,  67214-3882
United States
Recruiting Shaker  Dakhil 316-268-5784

CCOP - Duluth *Recruiting*
Duluth,  Minnesota,  55805
United States
Recruiting Daniel  Nikcevich 218-786-3625

CCOP - Carle Cancer Center *Recruiting*
Urbana,  Illinois,  61801
United States
Recruiting Kendrith  Rowland 217-383-4083

Mayo Clinic Cancer Center *Recruiting*
Rochester,  Minnesota,  55905
United States
Recruiting Charles  Loprinzi 507-284-8964

CCOP - Toledo Community Hospital *Recruiting*
Toledo,  Ohio,  43623-3456
United States
Recruiting Paul  Schaefer 419-843-6147

CCOP - Sioux Community Cancer Consortium *Recruiting*
Sioux Falls,  South Dakota,  57104
United States
Recruiting Loren  Tschetter 605-328-8044

Mayo Clinic *Recruiting*
Jacksonville,  Florida,  32224
United States
Recruiting Edith  Perez 904-953-0118

CCOP - Michigan Cancer Research Consortium *Recruiting*
Ann Arbor,  Michigan,  48106
United States
Recruiting Philip  Stella 734-712-2000

CCOP - Ochsner *Recruiting*
New Orleans,  Louisiana,  70121
United States
Recruiting Carl  Kardinal 504-842-3910

CCOP - Mayo Clinic Scottsdale Oncology Program *Recruiting*
Scottsdale,  Arizona,  85259-5404
United States
Recruiting Tom  Fitch 480-301-9875


Additional Information:
Study ID Numbers:
  CDR0000069098;  NCI-P01-0196,NCCTG-N00C3,NCCTG-CCC-0020
Study Start Date: 
Record last reviewed: January 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00027963

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