International CIPN Assessment and Validation Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Milano Bicocca

About this trial

This is an observational study of chemotherapy-induced peripheral neurotoxicity (CIPN) patients to be investigated prospectively in order to assess responsiveness of a set of outcome measures in an international multi-center study.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subjects must be candidates for neurotoxic chemotherapy at doses expected to be potentially neurotoxic (a list of neurotoxic drugs is provided in Appendix 1).

Male and female subjects who are 18 years of age or older.

Subjects freely provide informed consent by signing and dating an informed consent form prior to study entry.

Subjects must be willing to complete all study-related activities and follow-up visits required by the protocol.

Disqualifiers

Poor prognosis, with high probability to be unable to complete the planned chemotherapy treatment.

Concomitant neurologic conditions (e.g., brain tumor, spinal or brain metastases) that would interfere or complicate the assessments.

Severe depression that in the opinion of the Investigator would complicate the assessments.

Chronic treatment with antiepileptic drugs, antidepressants and major analgesics, unless stable dosing and conditions have been reached for 3 months prior to entry.

Trial population

Consecutive patients candidated to neurotoxic chemotherapy

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • outcome measures for CIPN testing

    Other intervention

    questionnaires administration, physician based scales for CIPN data collection

Treatment groups

1,000 Participants
are divided into 1 treatment group
Group A: Patients who are receiving a neurotoxic chemotherapy1 intervention

Trial outcomes

Primary outcomes

1

Chemotherapy-induced peripheral neurotoxicity as assessed by change in NCI-CTC v.5 sensory and motor grade

NCI-CTC v.5 sensory and motor (changes from base line to end treatment of a 0-5 score)

Time frame
5 YEARS
2

Chemotherapy-induced peripheral neurotoxicity as assessed by change in PRO-CTCAE

PRO-CTCAE (changes from base line to end treatment of a 0-5 score for each item)

Time frame
5 YEARS
3

Chemotherapy-induced peripheral neurotoxicity as assessed by change in Pain Intensity Numerical Rating Scale (PI-NRS)

difference between baseline and end of treatment of chemotherapy-induced peripheral neurotoxicity as assessed by change in Pain Intensity Numerical Rating Scale (PI-NRS) (0-10 score).

Time frame
5 YEARS
4

Chemotherapy-induced peripheral neurotoxicity as assessed by change in NPS-CIN scale

difference between baseline and end of treatment of chemotherapy-induced peripheral neurotoxicity as assessed by change in NPS-CIN (changes from base line to end treatment of a 0-10 score)

Time frame
5 YEARS

Secondary outcomes

1

Chemotherapy-induced peripheral neurotoxicity as assessed by change in EORTC CIPN15 scale

difference between baseline and end of treatment of chemotherapy-induced peripheral neurotoxicity as assessed by change in EORTC CIPN15 (changes of the global score of this questionnaire, 0-60)

Time frame
7 YEARS
2

Chemotherapy-induced peripheral neurotoxicity as assessed by change in TNSc© scale

difference between baseline and end of treatment of chemotherapy-induced peripheral neurotoxicity as assessed by change in TNSc© (changes of the global score of this physician base scale ranging 0-48)

Time frame
7 YEARS
3

Chemotherapy-induced peripheral neurotoxicity as assessed by change in nerve conduction studies

difference between baseline and end of treatment of chemotherapy-induced peripheral neurotoxicity as assessed by change in nerve conduction study of the radial (motor and sensory), ulnar (motor and sensory), sural, dorsal sural and common peroneal nerves. Amplitude (microV for sensory and mV for motor recordings) and velocity (m/sec) will be obtained. A decrease under the normative values at all time points respect to base line will be considered as sign of neuropathy.

Time frame
7 YEARS
4

Chemotherapy-induced peripheral neurotoxicity as assessed by change in Quantitative sensory testing (QST)

difference between baseline and end of treatment of chemotherapy-induced peripheral neurotoxicity as assessed by change in QST: scores in seconds for time to pain onset and pain intensity (0=no pain; 10=worst pain

Time frame
7 YEARS

Other outcomes

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