Efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by Utidelone: Study protocol for a randomized controlled trial

IntroductionUtidelone (UTD1) is a new chemotherapeutic drug for recurrent or metastatic breast cancer. However, it usually leads to severe peripheral neuropathy (PN) and causes numbness of the hands and feet and significant pain in patients' life. Electroacupuncture (EA) is considered beneficia...

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Main Authors: Chao Lu, Guangliang Li, Dehou Deng, Rongrong Li, Xiaoyu Li, Xukang Feng, Taoping Wu, Xiying Shao, Weiji Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1065635/full
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author Chao Lu
Guangliang Li
Dehou Deng
Rongrong Li
Xiaoyu Li
Xiaoyu Li
Xukang Feng
Taoping Wu
Xiying Shao
Weiji Chen
author_facet Chao Lu
Guangliang Li
Dehou Deng
Rongrong Li
Xiaoyu Li
Xiaoyu Li
Xukang Feng
Taoping Wu
Xiying Shao
Weiji Chen
author_sort Chao Lu
collection DOAJ
description IntroductionUtidelone (UTD1) is a new chemotherapeutic drug for recurrent or metastatic breast cancer. However, it usually leads to severe peripheral neuropathy (PN) and causes numbness of the hands and feet and significant pain in patients' life. Electroacupuncture (EA) is considered beneficial in improving PN and relieving numbness of the hands and feet. This trial aims to evaluate the therapeutic effect of EA on PN caused by UTD1 in patients with advanced breast cancer.Methods and analysisThis study is a prospective randomized controlled trial. A total of 70 patients with PN caused by UTD1 will be randomly assigned to the EA treatment group and the control group in a ratio of 1:1. The patients in the EA treatment group will receive 2 Hz EA three times a week for 4 weeks. The patients in the control group will take mecobalamin (MeCbl) tablets orally, one tablet each, three times a day for 4 weeks. The main outcome measures will be the evaluation scale of peripheral neurotoxicity of chemotherapeutic drugs according to the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-CIPN 20-item (EORTC QLQ-CIPN20) and the peripheral neurotoxicity assessment rating according to NCI CTCAE version 5.0. Secondary outcomes will be the quality of life scale according to the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30). The results will be evaluated at baseline, post-treatment phase, and follow-up. All major analyses will be based on the intention-to-treat principle.Ethics and disseminationThis protocol was approved by the Medical Ethics Committee of Zhejiang Cancer Hospital on 26 July 2022. The license number is IRB-2022-425. This study will provide clinical efficacy data on EA in the treatment of PN caused by UTD1 and will help to prove whether EA is an effective and safe therapy. The study results will be shared with healthcare professionals through the publication of manuscripts and conference reports.Trial registration numberChiCTR2200062741.
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spelling doaj.art-02fefe9c6fe648f08fd40e07b77d72422023-02-09T04:40:52ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-02-011410.3389/fneur.2023.10656351065635Efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by Utidelone: Study protocol for a randomized controlled trialChao Lu0Guangliang Li1Dehou Deng2Rongrong Li3Xiaoyu Li4Xiaoyu Li5Xukang Feng6Taoping Wu7Xiying Shao8Weiji Chen9Department of Traditional Chinese Medicine, Zhejiang Cancer Hospital, Hangzhou, ChinaDepartment of Breast Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, ChinaDepartment of Traditional Chinese Medicine, Zhejiang Cancer Hospital, Hangzhou, ChinaDepartment of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University (Zhongshan Hospital of Zhejiang Province), Hangzhou, ChinaDepartment of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University (Zhongshan Hospital of Zhejiang Province), Hangzhou, ChinaThe Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, ChinaThe Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, ChinaThe Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Breast Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, ChinaDepartment of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University (Zhongshan Hospital of Zhejiang Province), Hangzhou, ChinaIntroductionUtidelone (UTD1) is a new chemotherapeutic drug for recurrent or metastatic breast cancer. However, it usually leads to severe peripheral neuropathy (PN) and causes numbness of the hands and feet and significant pain in patients' life. Electroacupuncture (EA) is considered beneficial in improving PN and relieving numbness of the hands and feet. This trial aims to evaluate the therapeutic effect of EA on PN caused by UTD1 in patients with advanced breast cancer.Methods and analysisThis study is a prospective randomized controlled trial. A total of 70 patients with PN caused by UTD1 will be randomly assigned to the EA treatment group and the control group in a ratio of 1:1. The patients in the EA treatment group will receive 2 Hz EA three times a week for 4 weeks. The patients in the control group will take mecobalamin (MeCbl) tablets orally, one tablet each, three times a day for 4 weeks. The main outcome measures will be the evaluation scale of peripheral neurotoxicity of chemotherapeutic drugs according to the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-CIPN 20-item (EORTC QLQ-CIPN20) and the peripheral neurotoxicity assessment rating according to NCI CTCAE version 5.0. Secondary outcomes will be the quality of life scale according to the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30). The results will be evaluated at baseline, post-treatment phase, and follow-up. All major analyses will be based on the intention-to-treat principle.Ethics and disseminationThis protocol was approved by the Medical Ethics Committee of Zhejiang Cancer Hospital on 26 July 2022. The license number is IRB-2022-425. This study will provide clinical efficacy data on EA in the treatment of PN caused by UTD1 and will help to prove whether EA is an effective and safe therapy. The study results will be shared with healthcare professionals through the publication of manuscripts and conference reports.Trial registration numberChiCTR2200062741.https://www.frontiersin.org/articles/10.3389/fneur.2023.1065635/fullbreast cancerelectroacupuncture (EA)Utidelone (UTD1)chemotherapy-induced peripheral neuropathy (CIPN)peripheral neuropathy (PN)protocol
spellingShingle Chao Lu
Guangliang Li
Dehou Deng
Rongrong Li
Xiaoyu Li
Xiaoyu Li
Xukang Feng
Taoping Wu
Xiying Shao
Weiji Chen
Efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by Utidelone: Study protocol for a randomized controlled trial
Frontiers in Neurology
breast cancer
electroacupuncture (EA)
Utidelone (UTD1)
chemotherapy-induced peripheral neuropathy (CIPN)
peripheral neuropathy (PN)
protocol
title Efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by Utidelone: Study protocol for a randomized controlled trial
title_full Efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by Utidelone: Study protocol for a randomized controlled trial
title_fullStr Efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by Utidelone: Study protocol for a randomized controlled trial
title_full_unstemmed Efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by Utidelone: Study protocol for a randomized controlled trial
title_short Efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by Utidelone: Study protocol for a randomized controlled trial
title_sort efficacy of electroacupuncture in the treatment of peripheral neuropathy caused by utidelone study protocol for a randomized controlled trial
topic breast cancer
electroacupuncture (EA)
Utidelone (UTD1)
chemotherapy-induced peripheral neuropathy (CIPN)
peripheral neuropathy (PN)
protocol
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1065635/full
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