Incidence and characteristics of peripheral neuropathy during oxaliplatin-based chemotherapy for metastatic colon cancer

作者: Andreas A. Argyriou , Panagiotis Polychronopoulos , Gregoris Iconomou , Angelos Koutras , Thomas Makatsoris

DOI: 10.1080/02841860701355055

关键词: Metastatic colon cancerGastroenterologyIncidence (epidemiology)RegimenOxaliplatinMedicineAdult patientsPeripheral neuropathySurgeryInternal medicineChemotherapyProspective cohort study

摘要: Aim. The current prospective study sought to trace the incidence and severity of oxaliplatin-induced peripheral neuropathy (OXLIPN) determine its clinical electrophysiological pattern. Patients methods. Twenty-five adult patients scheduled be treated with 12 courses oxaliplatin-based regimen, FOLFOX-4, for metastatic colon cancer participated in this study. were clinically electrophysiologically monitored at baseline followed-up during chemotherapy. OXLIPN was summarized by means a modified Total Neuropathy Score (TNS). Results. Evidence disclosed 16 25 (64%). mean TNS values manifesting some grade 13.9±5.8 (range 7–28). All longitudinal comparisons concerning motor conduction parameters failed reach significance. By contrast, median changes each follow-up studies revealed significant decrease all sensory action potentials examine...

参考文章(31)
R W Gregg, J M Molepo, V J Monpetit, N Z Mikael, D Redmond, M Gadia, D J Stewart, Cisplatin neurotoxicity: the relationship between dosage, time, and platinum concentration in neurologic tissues, and morphologic evidence of toxicity. Journal of Clinical Oncology. ,vol. 10, pp. 795- 803 ,(1992) , 10.1200/JCO.1992.10.5.795
A de Gramont, J F Bosset, C Milan, P Rougier, O Bouché, P L Etienne, F Morvan, C Louvet, T Guillot, E François, L Bedenne, Randomized trial comparing monthly low-dose leucovorin and fluorouracil bolus with bimonthly high-dose leucovorin and fluorouracil bolus plus continuous infusion for advanced colorectal cancer: a French intergroup study. Journal of Clinical Oncology. ,vol. 15, pp. 808- 815 ,(1997) , 10.1200/JCO.1997.15.2.808
Ruud P. Kleyweg, Frans G. A. Van Der Meché, Paul I. M. Schmitz, Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain-Barré syndrome. Muscle & Nerve. ,vol. 14, pp. 1103- 1109 ,(1991) , 10.1002/MUS.880141111
A. A. Argyriou, E. Chroni, P. Polychronopoulos, G. Iconomou, A. Koutras, T. Makatsoris, M. K. Gerolymos, P. Gourzis, K. Assimakopoulos, H. P. Kalofonos, Efficacy of oxcarbazepine for prophylaxis against cumulative oxaliplatin-induced neuropathy Neurology. ,vol. 67, pp. 2253- 2255 ,(2006) , 10.1212/01.WNL.0000249344.99671.D4
Helmuth Adelsberger, Stefan Quasthoff, Julian Grosskreutz, Alexandra Lepier, Florian Eckel, Christian Lersch, The chemotherapeutic oxaliplatin alters voltage-gated Na+ channel kinetics on rat sensory neurons European Journal of Pharmacology. ,vol. 406, pp. 25- 32 ,(2000) , 10.1016/S0014-2999(00)00667-1
T. Berger, R. Malayer, A. Doppelbauer, G. Krajnik, H. Huber, E. Auff, R. Pirker, Neurological monitoring of neurotoxicity induced by paclitaxel/cisplatin chemotherapy European Journal of Cancer. ,vol. 33, pp. 1393- 1399 ,(1997) , 10.1016/S0959-8049(97)00103-2
Carla C P Verstappen, Jan J Heimans, Klaas Hoekman, Tjeerd J Postma, Neurotoxic complications of chemotherapy in patients with cancer: clinical signs and optimal management. Drugs. ,vol. 63, pp. 1549- 1563 ,(2003) , 10.2165/00003495-200363150-00003
Stefan von Delius, Florian Eckel, Stefan Wagenpfeil, Martina Mayr, Konrad Stock, Frank Kullmann, Florian Obermeier, Johannes Erdmann, Renate Schmelz, Stefan Quasthoff, Helmuth Adelsberger, Rainer Bredenkamp, Roland M. Schmid, Christian Lersch, Carbamazepine for prevention of oxaliplatin-related neurotoxicity in patients with advanced colorectal cancer: Final results of a randomised, controlled, multicenter phase II study Investigational New Drugs. ,vol. 25, pp. 173- 180 ,(2006) , 10.1007/S10637-006-9010-Y
Amanda C. Peltier, James W. Russell, Recent advances in drug-induced neuropathies. Current Opinion in Neurology. ,vol. 15, pp. 633- 638 ,(2002) , 10.1097/00019052-200210000-00015