Efficacy of oxcarbazepine for prophylaxis against cumulative oxaliplatin-induced neuropathy

Neurology. 2006 Dec 26;67(12):2253-5. doi: 10.1212/01.wnl.0000249344.99671.d4.

Abstract

We conducted a randomized, open-label, controlled trial to assess the efficacy of oxcarbazepine for prophylaxis against oxaliplatin-induced peripheral neuropathy (OxIN). Thirty-two patients with colon cancer received 12 courses of the FOLFOX-4 regimen and were randomly assigned to receive oxcarbazepine (600 mg BID) or chemotherapy without oxcarbazepine. The incidence of OxIN was strikingly decreased in patients receiving oxcarbazepine (31.2% vs 75%). Oxcarbazepine may prevent OxIN symptoms. Further larger placebo-controlled trials are warranted to confirm our results.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Anticonvulsants / administration & dosage
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use
  • Colorectal Neoplasms / drug therapy
  • Drug Combinations
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neuroprotective Agents / administration & dosage
  • Organoplatinum Compounds / adverse effects*
  • Oxaliplatin
  • Peripheral Nervous System Diseases / chemically induced*
  • Peripheral Nervous System Diseases / prevention & control*
  • Treatment Outcome

Substances

  • Anticonvulsants
  • Antineoplastic Agents
  • Drug Combinations
  • Neuroprotective Agents
  • Organoplatinum Compounds
  • Oxaliplatin