Oxaliplatin-Induced Peripheral Neuropathy Grade in Females with Colorectal Cancer Patients

The oxaliplatin-based regimen is considered an important standard of care for patients with colon cancer (CC). Neurotoxicity is the most relevant non-hematologic toxicity of oxaliplatin. The current study aimed to assess the association between colorectal cancer patient's (CRC) gender and susce...

Full description

Bibliographic Details
Main Authors: Inas Moawya Ahmed, Lamia Elwakeel, Amr S. Tawfik, Raafat Ragaie Abdel-Malek
Format: Article
Language:English
Published: Ain Shams University 2019-06-01
Series:Archives of Pharmaceutical Sciences Ain Shams University
Subjects:
Online Access:https://aps.journals.ekb.eg/article_45822.html
_version_ 1811317081283493888
author Inas Moawya Ahmed
Lamia Elwakeel
Amr S. Tawfik
Raafat Ragaie Abdel-Malek
author_facet Inas Moawya Ahmed
Lamia Elwakeel
Amr S. Tawfik
Raafat Ragaie Abdel-Malek
author_sort Inas Moawya Ahmed
collection DOAJ
description The oxaliplatin-based regimen is considered an important standard of care for patients with colon cancer (CC). Neurotoxicity is the most relevant non-hematologic toxicity of oxaliplatin. The current study aimed to assess the association between colorectal cancer patient's (CRC) gender and susceptibility of oxaliplatin-induced sensory and motor peripheral neuropathy grades in Egyptian patients. All eligible patients between 18-75 years old with CRC were included in the study and only those who had a neurologic disease or diseases impairing neurologic function were excluded. Then eligible patients were stratified into two groups according to gender; oxaliplatin-induced peripheral neuropathy (OIPN) was evaluated and graded on day 1 of each chemotherapy cycle for 12 cycles according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 4.0 from March 2015 to October 2017. From a total of 47 females and 33 males; 41(87.2%) females and 29 (87.9%) males suffered from different grades of sensory and motor peripheral neuropathy.Regarding sensory oxaliplatin-induced peripheral neuropathy (OIPN), females had a higher risk of grade II-III PN than males (92.7% versus 58.6% respectively; p =0.001) For motor OIPN, females were more susceptible to grade II-III PN versus males (84.6% versus 56.5% respectively; p=0.015). In conclusion, High grade (grade II-III) Oxaliplatin-induced sensory and motor peripheral neuropathy occurred more frequently in females versus males Egyptian colorectal cancer patients.
first_indexed 2024-04-13T12:00:08Z
format Article
id doaj.art-41c81a3caba24fdcb9f7cd3c4471dbee
institution Directory Open Access Journal
issn 2356-8380
2356-8399
language English
last_indexed 2024-04-13T12:00:08Z
publishDate 2019-06-01
publisher Ain Shams University
record_format Article
series Archives of Pharmaceutical Sciences Ain Shams University
spelling doaj.art-41c81a3caba24fdcb9f7cd3c4471dbee2022-12-22T02:47:47ZengAin Shams UniversityArchives of Pharmaceutical Sciences Ain Shams University2356-83802356-83992019-06-0131116122https://dx.doi.org/10.21608/aps.2019.10411.2020Oxaliplatin-Induced Peripheral Neuropathy Grade in Females with Colorectal Cancer PatientsInas Moawya Ahmed0 Lamia Elwakeel1Amr S. Tawfik2Raafat Ragaie Abdel-Malek3Department of Clinical Pharmacy, Faculty of Pharmacy Ain Shams University, Cairo, EgyptDepartment of Clinical Pharmacy, Faculty of Pharmacy Ain Shams University, Cairo, EgyptDepartment of Oncology, Faculty of Medicine, Ain Shams University, Cairo, EgyptDepartment of Oncology, Faculty of Medicine, Cairo University, Cairo, EgyptThe oxaliplatin-based regimen is considered an important standard of care for patients with colon cancer (CC). Neurotoxicity is the most relevant non-hematologic toxicity of oxaliplatin. The current study aimed to assess the association between colorectal cancer patient's (CRC) gender and susceptibility of oxaliplatin-induced sensory and motor peripheral neuropathy grades in Egyptian patients. All eligible patients between 18-75 years old with CRC were included in the study and only those who had a neurologic disease or diseases impairing neurologic function were excluded. Then eligible patients were stratified into two groups according to gender; oxaliplatin-induced peripheral neuropathy (OIPN) was evaluated and graded on day 1 of each chemotherapy cycle for 12 cycles according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 4.0 from March 2015 to October 2017. From a total of 47 females and 33 males; 41(87.2%) females and 29 (87.9%) males suffered from different grades of sensory and motor peripheral neuropathy.Regarding sensory oxaliplatin-induced peripheral neuropathy (OIPN), females had a higher risk of grade II-III PN than males (92.7% versus 58.6% respectively; p =0.001) For motor OIPN, females were more susceptible to grade II-III PN versus males (84.6% versus 56.5% respectively; p=0.015). In conclusion, High grade (grade II-III) Oxaliplatin-induced sensory and motor peripheral neuropathy occurred more frequently in females versus males Egyptian colorectal cancer patients.https://aps.journals.ekb.eg/article_45822.htmlColorectal canceroxaliplatin-induced peripheral neuropathyFemalesmales
spellingShingle Inas Moawya Ahmed
Lamia Elwakeel
Amr S. Tawfik
Raafat Ragaie Abdel-Malek
Oxaliplatin-Induced Peripheral Neuropathy Grade in Females with Colorectal Cancer Patients
Archives of Pharmaceutical Sciences Ain Shams University
Colorectal cancer
oxaliplatin-induced peripheral neuropathy
Females
males
title Oxaliplatin-Induced Peripheral Neuropathy Grade in Females with Colorectal Cancer Patients
title_full Oxaliplatin-Induced Peripheral Neuropathy Grade in Females with Colorectal Cancer Patients
title_fullStr Oxaliplatin-Induced Peripheral Neuropathy Grade in Females with Colorectal Cancer Patients
title_full_unstemmed Oxaliplatin-Induced Peripheral Neuropathy Grade in Females with Colorectal Cancer Patients
title_short Oxaliplatin-Induced Peripheral Neuropathy Grade in Females with Colorectal Cancer Patients
title_sort oxaliplatin induced peripheral neuropathy grade in females with colorectal cancer patients
topic Colorectal cancer
oxaliplatin-induced peripheral neuropathy
Females
males
url https://aps.journals.ekb.eg/article_45822.html
work_keys_str_mv AT inasmoawyaahmed oxaliplatininducedperipheralneuropathygradeinfemaleswithcolorectalcancerpatients
AT lamiaelwakeel oxaliplatininducedperipheralneuropathygradeinfemaleswithcolorectalcancerpatients
AT amrstawfik oxaliplatininducedperipheralneuropathygradeinfemaleswithcolorectalcancerpatients
AT raafatragaieabdelmalek oxaliplatininducedperipheralneuropathygradeinfemaleswithcolorectalcancerpatients