Protective Role of Alpha-Lipoic Acid in Chemotherapy-Induced Mucositis

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorAin Shams University

About this trial

Colorectal cancer (CRC) represents one of the most common cancers worldwide and 5-Fluorouracil (5-FU) is still the mainstay of treatment. However, 5-FU is often implicated in inducing oral mucositis (OM), a painful inflammatory condition that may hinder oral intake, negatively impact quality of life and disrupt adherence with cancer treatment.

Oxidative stress and inflammation play a vital role in OM pathogenesis. Alpha-lipoic acid (ALA) is a powerful antioxidant and anti-inflammatory agent that has demonstrated protective effects towards chemotherapy-induced mucosal damage in preclinical studies.

Therefore, ALA may be a promising strategy to minimize or avoid 5-FU-induced oral mucositis in patients with colorectal cancer, which deserves additional clinical investigation.

Eligibility criteria

Qualifiers

Age >18 years.

Newly diagnosed chemotherapy naive CRC patients

Planned to receive FOLFOX-6 protocol as adjuvant, neoadjuvant or palliative therapy.

Adequate liver function (liver transaminases level < 3 times upper normal limits and total bilirubin < 1.5 times upper normal limits).

Disqualifiers

Presence of other primary cancers.

Treatment with ALA for any other indication.

Allergy to ALA.

Pregnant or lactating women.

Trial design

Treatments tested in this trial

  • alpha lipoic acid 600 mg twice daily
  • Placebo Tablet

Treatment groups

50 Participants
are divided into 2 treatment groups

Sponsors and collaborators