Review Article

Oxaliplatin-Induced Neuropathy in Colorectal Cancer

Table 2

Prevention of oxaliplatin-induced peripheral neuropathy.

Study referenceInterventionResults

OPTIMOX1 [33]Continuous FOLFOX-4 versus intermittent FOLFOX-7No significant reduction in grade 3 neuropathy in the intermittent arm
CONcePT [34]Continuous oxaliplatin versus intermittent oxaliplatinReduced grade 3 neuropathy in the intermittent arm
Ca/Mg versus placeboNo reduction in grade 3/4 neuropathy in Ca/Mg group
Gamelin et al. 2004 [40]Ca and Mg versus historic controlReduced grade 3 neuropathy in Ca/Mg group
CAIRO2 trial [41]Ca/Mg versus no prevention treatmentNo reduction in grade 3/4 neuropathy in Ca/Mg group
N04C7 trial [18]Ca/Mg versus placeboReduced grade 2 or worse neuropathy in Ca/Mg group
Neuroxa trial (ongoing) [42]Ca/Mg versus no prevention treatmentReduced grade 3 neuropathy in Ca/Mg group
Cascinu et al. 2002 [43]Glutathione versus placeboReduced grade 3 neuropathy with glutathione
Lin et al. 2006 [44]N-acetylcysteine versus placeboReduced grades 2–4 neuropathy with N-acetylcysteine
Wang et al. 2007 [45]Glutamine versus no treatmentReduced grade 3 neuropathy with glutamine
Lu et al. 2008 [46]Amifostine versus glutamineReduced grades 1-2 and 3-4 in amifostine group
Guo et al. 2011 [47]Oral lipoic acid versus placeboNo statistical difference in treatment groups
Von Delius et al. 2007 [48]Carbamazepine versus no prevention treatmentNo statistical difference in treatment groups
Argyriou et al. 2006 [49]Oxcarbazepine versus no prevention treatmentReduction in incidence of neuropathy in oxcarbazepine group
Mitchell et al. 2006 [50]Gabapentin versus no prevention treatmentNo reduction in neuropathy
Durand et al. 2003 [51]Venlafaxine versus placeboReduced grade 3 neuropathy
Cassidy et al. 2008 [16]Xaliproden versus placeboReduced grade 3 during treatment, but no difference after finishing treatment