MedPath

Gabapentin in Treating Peripheral Neuropathy in Cancer Patients Undergoing Chemotherapy

Phase 3
Completed
Conditions
Pain
Neurotoxicity
Interventions
Other: placebo
Registration Number
NCT00027963
Lead Sponsor
Alliance for Clinical Trials in Oncology
Brief Summary

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: Randomized phase III trial to determine the effectiveness of gabapentin in treating pain and other symptoms of peripheral neuropathy in cancer patients undergoing chemotherapy.

Detailed Description

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
placeboplaceboPatients 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.
gabapentingabapentinPatients 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. Quality of life is assessed at baseline and then at the end of weeks 6, 8, and 14.
Primary Outcome Measures
NameTimeMethod
Change in pain and symptomsUp to 14 weeks
Secondary Outcome Measures
NameTimeMethod
Quality of lifeUp to 14 weeks

Trial Locations

Locations (23)

CentraCare Health Plaza

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Saint Cloud, Minnesota, United States

Allan Blair Cancer Centre

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Regina, Saskatchewan, Canada

Mayo Clinic

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Jacksonville, Florida, United States

CCOP - Illinois Oncology Research Association

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Peoria, Illinois, United States

CCOP - Carle Cancer Center

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Urbana, Illinois, United States

Siouxland Hematology-Oncology

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Sioux City, Iowa, United States

CCOP - Iowa Oncology Research Association

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Des Moines, Iowa, United States

CCOP - Toledo Community Hospital

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Toledo, Ohio, United States

Altru Cancer Center

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Grand Forks, North Dakota, United States

Rapid City Regional Hospital

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Rapid City, South Dakota, United States

CCOP - Oklahoma

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Tulsa, Oklahoma, United States

CCOP - Sioux Community Cancer Consortium

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Sioux Falls, South Dakota, United States

Medcenter One Health System

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Bismarck, North Dakota, United States

CCOP - Wichita

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Wichita, Kansas, United States

Mayo Clinic Cancer Center

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Rochester, Minnesota, United States

CCOP - Upstate Carolina

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Spartanburg, South Carolina, United States

CCOP - St. Vincent Hospital Cancer Center, Green Bay

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Green Bay, Wisconsin, United States

CCOP - Mayo Clinic Scottsdale Oncology Program

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Scottsdale, Arizona, United States

CCOP - Duluth

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Duluth, Minnesota, United States

CCOP - Cedar Rapids Oncology Project

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Cedar Rapids, Iowa, United States

CCOP - Ochsner

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New Orleans, Louisiana, United States

CCOP - Michigan Cancer Research Consortium

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Ann Arbor, Michigan, United States

CCOP - Missouri Valley Cancer Consortium

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Omaha, Nebraska, United States

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