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化学療法誘発末梢神経障害に続発する感覚異常(しびれ、うずき)におけるオゾン治療:RCT。 (OzoParQT)

2026年9月15日 更新者:Bernardino Clavo, MD, PhD

化学療法誘発末梢神経障害に続発する感覚異常(しびれ、うずき)患者におけるオゾン治療の有効性と費用対効果。無作為化三重盲検臨床試験 (OzoParQT)。

The goal of this phase II/III randomized clinical trial is to evaluate the effect of adding rectal ozone therapy to the usual management of patients with paresthesia (numbness and/or tingling) due to chemotherapy-induced peripheral neuropathy (CIPN). Ozone treatment consists of the rectal insufflation of 180 - 300 milliliters of an ozone/oxygen gas mixture.

The main questions to answer are:

  1. Can ozone therapy improve patients' self-perceived level of numbness and tingling?
  2. Can ozone therapy improve patients' self-perceived health-related quality of life (HRQoL)?

In 42 patients with chronic numbness and tingling secondary to chemotherapy, the researchers will compare:

  • the addition of rectal ozone insufflations
  • versus the addition of rectal oxygen insufflations (placebo). Participants will receive 40 rectal gas (ozone versus oxygen) insufflations in 16 weeks and will continue other symptomatic or cancer treatments prescribed by their oncologists.

Before treatment, after treatment, and 12 weeks after treatment, they will be evaluated:

  • Several questionnaires about neuropathy, quality of life, and anxiety and depression.
  • Biochemical parameters of oxidative stress and inflammation
  • Hyperspectral images of hands and feet
  • Toxicity of procedure.

調査の概要

状態

募集

条件

介入・治療

詳細な説明

Rationale Chemotherapy-induced peripheral neuropathy (CIPN) can lead to a decrease and/or interruption of chemotherapy treatment, limiting its efficacy and decreasing patients' quality of life. Therapeutic measures for CIPN are very limited in number and efficacy. Our previous experience has suggested the potential clinical usefulness of adjuvant treatment with ozone in patients with CIPN. The hypothesis of the trial is that ozone treatment will improve numbness and tingling symptoms in patients with CIPN.

Primary objectives:

To evaluate the effect of adding ozone to the usual management of patients with paresthesia (numbness and/or tingling) due to chemotherapy-induced peripheral neuropathy (CIPN), Grade 2 (moderate symptoms and/or limitation in instrumental activities of daily living) or higher, on:

  1. patients' self-perceived level of paresthesia
  2. patients' self-perceived health-related quality of life (HRQoL).

Secondary objectives:

To evaluate (in patients with numbness and/or tingling secondary to CIPN) the effect of adding ozone to the usual management on:

  1. the additional direct costs incurred in the application of ozone and evaluate the cost-effectiveness of the administration of ozone in these patients in comparison with the usual exclusive treatment.
  2. the evolution of the sensory neuropathy
  3. the evolution of the level of anxiety and depression,
  4. the evolution of biochemical parameters related to oxidative stress and chronic inflammation.
  5. the evolution of hyperspectral signatures obtained from hands and feet.
  6. to evaluate the toxicity of rectal ozone treatment in these patients.

Main trial endpoints.

  1. Percentage of change from baseline in "numbness and tingling" self-perceived by patients at the end of follow-up (week 28 after the commencement of ozone treatment)
  2. Change from baseline in "quality of life" (using the EQ-5D-5L questionnaire) self-perceived by patients at the end of follow-up (week 28 after the commencement of ozone treatment)

Secondary trial endpoints.

To evaluate the percentage of change from baseline in all the secondary objectives:

  • at the end of ozone treatment (weeks 16)
  • and at the end of follow-up (week 28)

Trial design. Phase II-III randomized triple-blind clinical trial. The duration of each patient in the study will be 28 weeks: 16 weeks of treatment and 12 weeks of follow-up. The planned total duration of the project is 60 months.

Trial population. 42 adult patients (>= 18 years old), with any tumor, with paresthesias (numbness and/or tingling) due to CIPN, grade of toxicity >= 2 (according to the Common Toxicity Criteria for Adverse Events (CTCAE) from the National Cancer Institute of EEUU, v.5.0), for >= 3 months.

Intervention.

All patients will receive the usual management and treatment for their symptoms + "40 sessions of rectal insufflation of O3/O2 gas mixture" in 16 weeks (3 or 2 sessions per week):

  • Ozone group, O3/O2 concentration increasing from 10 to 30 µg/mL (µg of O3 by mL of O2).
  • Control-placebo group, O3/O2 concentration = 0 µg/mL (this is: only O2).

研究の種類

介入

入学 (推定)

42

段階

  • フェーズ2
  • フェーズ 3

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

研究連絡先のバックアップ

  • 名前:Francisco Rodríguez-Esparragón, BSc, PhD
  • 電話番号:34928449288
  • メール:afrodesp@gmail.com

研究場所

    • Las Palmas
      • Las Palmas、Las Palmas、スペイン、35019
        • 募集
        • Dr. Negrín University Hospital
        • コンタクト:
        • コンタクト:
          • Francisco Rodríguez-Esparragón, BSc, PhD
          • 電話番号:34928449288
          • メール:afrodesp@gmail.com
        • 主任研究者:
          • Bernardino Clavo, MD, PhD
        • 主任研究者:
          • Francisco Rodríguez-Esparragón, BSc, PhD

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Inclusion Criteria:

  • 1. Adults > = 18 years old.
  • 2. Previous treatment with any chemotherapy because of any tumor.
  • 3. Clinical diagnosis of paresthesia (numbness, tingling) secondary to CIPN, with toxicity Grade > = 2 (according to the Common Toxicity Criteria for Adverse Events (CTCAE) from the National Cancer Institute of EEUU, v.5.0) for > = 3 months.
  • 4. Without neurotoxic chemotherapy > = 3 months.
  • 5. Cancer disease is stable or in remission.
  • 6. Life expectancy > = 6 months.
  • 7. Before enrollment, women of childbearing potential should obtain a negative result in the serum or urine pregnancy test at the screening visit and accept the use of appropriate contraceptive methods at least from 14 days before the first ozone therapy session up to 14 days after the last one.
  • 8. To sign and date the study-specific informed consent

Exclusion Criteria:

  • 1. Age < 18 years.
  • 2. A woman who is lactating, pregnant, suspected of being pregnant, or a woman of childbearing potential who does not use adequate contraceptive methods.
  • 3. Suspected symptoms are due to diabetic or compressive neuropathy.
  • 4. Severe psychiatric disorders.
  • 5. Inability to complete the quality of life questionnaires.
  • 6. Elevation above 5 times the maximum limit of normal creatinine.
  • 7. Patient who is hemodynamic or clinically unstable or who requires urgent or short-term interventional measures.
  • 8. Neoplasia in progression requiring recent initiation of systemic treatment or maintenance with neurotoxic chemotherapy.
  • 9. Life expectancy (for any reason) < 6 months.
  • 10. Known allergy to ozone, known glucose 6 phosphate dehydrogenase (G6PD) deficiency, or hemochromatosis.
  • 11. Contraindications or impossibility for rectal ozone treatment or to attend regularly to the treatment.
  • 12. Not meeting each and every one of the inclusion criteria

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:トリプル

武器と介入

参加者グループ / アーム
介入・治療
実験的:Ozone Group

Drug: Ozone (O3/O2). Treatment: Usual treatment + Ozone therapy by rectal insufflation. O3/O2 concentration progressively increased from 10 to 30 μg/ml; 40 sessions in 16 weeks.

Usual treatment (by their oncologist or hematologist) + Ozone therapy by rectal insufflation. O3/O2 concentration progressively increased from 10 to 30 μg/ml; 40 sessions in 16 weeks.

他の名前:
  • O3
  • オゾン処理
  • O3/O2 混合ガス
プラセボコンパレーター:Oxygen Group (Placebo)

Drug: Oxygen (O2). Treatment: Usual treatment + Oxygen by rectal insufflation. O3/O2 concentration = 0 μg/ml (only O2); 40 sessions in 16 weeks.

Usual treatment (by their oncologist or hematologist) + Oxygen by rectal insufflation. O3/O2 concentration = 0 μg/ml (only O2); 40 sessions in 16 weeks.

他の名前:
  • O2

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Change from baseline in "numbness and tingling" self-perceived by patients at the end of follow-up (week 28 after the commencement of ozone treatment)
時間枠:28 weeks

Self-reported evaluation of the percentage of "numbness and/or tingling" regarding the basal level. From 100% (basal level, 0% improvement) to 0% (no numbness and tingling, 100% improvement).

28 weeks
Change from Baseline in quality of life by the EQ-...
時間枠:28 weeks

Self-reported evaluation of: a) 5 physical and emotional items scored in five levels, from 1 (Best: I have no problem) to 5 (worst: I have an extreme problem or I am unable to…) and b) additional self-assessment of health by a visual analog scale (0 = worst health patient can imagine, 100 = best health patient can imagine).

28 weeks

二次結果の測定

結果測定
メジャーの説明
時間枠
Direct hospital costs
時間枠:28 weeks

The direct expenses incurred by the hospital in providing services (medication, tests, medical visits…) during the 28 weeks for the study (in euros).

28 weeks
Change from baseline in "numbness and tingling" self-perceived by patients at the end of ozone treatment.
時間枠:16

Self-reported evaluation of the percentage of "numbness and/or tingling" regarding the basal level. From 100% (basal level, 0% improvement) to 0% (no numbness and tingling, 100% improvement).

16
Changes from baseline in the Grade of toxicity of parestesias (numbness, tingling) according to the CTCAE v.5.0. scale at the end of ozone treatment.
時間枠:16 weeks

Changes from baseline in the Grade of toxicity of paresthesias (numbness, tingling) according to the CTCAE v.5.0. scale (from the National Cancer Institute of EEUU). Range from: Grade = (asymptomatic or mild symptoms) to Grade 3 (severe symptoms, limiting self-care activities in daily life).

16 weeks
Changes from baseline in the Grade of toxicity of sensory neuropathy according to the CTCAE v.5.0. scale at the end of ozone treatment.
時間枠:16 weeks.

Changes from baseline in the Grade of toxicity of paresthesias (numbness, tingling) according to the CTCAE v.5.0. scale (from the National Cancer Institute of EEUU). Range from: Grade = (asymptomatic or mild symptoms) to Grade 4 (life-threatening consequences, urgent intervention indicated).

16 weeks.
Changes from baseline in the degree of neuropathy according to the QLQ-CIPN20 scale at the end of ozone treatment.
時間枠:16 weeks.

Changes from baseline in the degree of neuropathy according to the QLQ-CIPN20 scale at the end of ozone treatment (from the European Organization for Research & Treatment in Cancer (EORTC)). It is evaluated through 20 items that are grouped into 3 dimensions: sensitive, motor and autonomic. Range: each item is scored from 1 (nothing) to 4 (a lot). The total score for each dimension is transformed into a score from 0 to 1000, being 0 the best state and 100 the worst.

16 weeks.
Change from baseline in "Quality of Life" (using the EQ-5D-5L questionnaire) self-perceived by patients at the end of ozone treatment (week 16 after the commencement of ozone treatment).
時間枠:16 weeks.

Self-reported evaluation of: a) 5 physical and emotional items scored in five levels, from 1 (Best: I have no problem) to 5 (worst: I have an extreme problem or I am unable to…) and b) additional self-assessment of health by a visual analog scale (0 = worst health patient can imagine, 100 = best health patient can imagine).

16 weeks.
Changes from baseline in the "Quality of Life" according to the QLQ-C30 questionnaire at the end of ozone treatment.
時間枠:16 weeks.

Changes from baseline in the "Quality of Life" according to the QLQ-C30 questionnaire (from the European Organization for Research & Treatment in Cancer (EORTC)). Self-reported evaluation of 30 items that measure several scales and symptoms. Range (after standardization): from 0 (worst for overall health and function, best for symptoms) to 100 (best for overall health and functions, worst for symptoms).

16 weeks.
Changes from baseline in levels of anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS), at the end of ozone treatment.
時間枠:16 weeks

Changes from baseline in levels of anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS). HADS is a self-administered questionnaire that assesses 14 items/symptoms of anxiety (7) and depression (7) experienced by patients. Each item is scored from 0 (better, no alteration) to 3 (worse level of alteration). For each symptom (anxiety or depression), the overall score is from 0 (better, no anxiety or depression) to 21 (worse, very severe anxiety or depression).

16 weeks
Changes from baseline in biochemical parameters of oxidative stress at the end of ozone treatment.
時間枠:16 weeks.

Changes in serum levels of superoxide dismutase, glutathione, glutathione peroxidase and free radicals

16 weeks.
Changes from baseline in biochemical parameters of inflammation at the end of ozone treatment.
時間枠:16 weeks

Changes in serum levels of pro-inflammatory cytokines.

16 weeks
Changes from baseline in Hyperspectral signatures and infrared images obtained from hands and feet at then of ozone treatment.
時間枠:16 weeks

Assessment of the percentage of reflectance for each wavelength of the hyperspectral and infrared images obtained with specific devices.

16 weeks
Changes from baseline in the Grade of toxicity of paresthesias (numbness, tingling) according to the CTCAE v.5.0. scale at the end of follow-up.
時間枠:28 weeks.

Changes from baseline in the Grade of toxicity of paresthesias (numbness, tingling) according to the CTCAE v.5.0. scale (from the National Cancer Institute of EEUU). Range from: Grade = (asymptomatic or mild symptoms) to Grade 3 (severe symptoms, limiting self-care activities in daily life).

28 weeks.
Changes from baseline in the Grade of toxicity of sensory neuropathy according to the CTCAE v.5.0. scale at the end of follow-up.
時間枠:28 weeks

Changes from baseline in the Grade of toxicity of paresthesias (numbness, tingling) according to the CTCAE v.5.0. scale (from the National Cancer Institute of EEUU). Range from: Grade = (asymptomatic or mild symptoms) to Grade 4 (life-threatening consequences, urgent intervention indicated).

28 weeks
Changes from baseline in the degree of neuropathy according to the QLQ-CIPN20 scale at the end of follow-up.
時間枠:Time frame: 28 weeks

Changes from baseline in the degree of neuropathy according to the QLQ-CIPN20 scale at the end of ozone treatment (from the European Organization for Research & Treatment in Cancer (EORTC)). It is evaluated through 20 items that are grouped into 3 dimensions: sensitive, motor, and autonomic. Range: each item is scored from 1 (nothing) to 4 (a lot). The total score for each dimension is transformed into a score from 0 to 1000, being 0 the best state and 100 the worst.

Time frame: 28 weeks
Changes from baseline in the "Quality of Life" according to the QLQ-C30 questionnaire at the end of follow-up.
時間枠:28 weeks.

Changes from baseline in the "Quality of Life" according to the QLQ-C30 questionnaire (from the European Organization for Research & Treatment in Cancer (EORTC)). Self-reported evaluation of 30 items that measure several scales and symptoms. Range (after standardization): from 0 (worst for overall health and function, best for symptoms) to 100 (best for overall health and functions, worst for symptoms).

28 weeks.
Changes from baseline in levels of anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS) at the end of follow-up.
時間枠:28 weeks.

Changes from baseline in levels of anxiety and depression according to the Hospital Anxiety and Depression Scale (HADS). HADS is a self-administered questionnaire that assesses 14 items/symptoms of anxiety (7) and depression (7) experienced by patients. Each item is scored from 0 (better, no alteration) to 3 (worse level of alteration). For each symptom (anxiety or depression), the overall score is from 0 (better, no anxiety or depression) to 21 (worse, very severe anxiety or depression).

28 weeks.
Changes from baseline in biochemical parameters of oxidative stress at the end of follow-up.
時間枠:28 weeks.

Changes in serum levels of superoxide dismutase, glutathione, glutathione peroxidase and free radicals.

28 weeks.
Changes from baseline in biochemical parameters of inflammation at the end of follow-up.
時間枠:28 weeks.

Changes in serum levels of pro-inflammatory cytokines.

28 weeks.
Changes from baseline in Hyperspectral signatures and infrared images obtained from hands and feet at the end of follow-up.
時間枠:28 weeks.

Assessment of the percentage of reflectance for each wavelength of the hyperspectral and infrared images obtained with specific devices.

28 weeks.
Toxicity of rectal ozone treatment at the end of follow-up.
時間枠:28 weeks.

Grade of toxicity secondary to the rectal insufflation of the rectal ozone treatment according to the CTCAE v.5.0. scale (from the National Cancer Institute of EEUU).

28 weeks.

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

協力者

捜査官

  • スタディチェア:Bernardino Clavo, MD, PhD、Hospital Universitario de Gran Canaria Dr. Negrín, (FIISC), Las Palmas, Spain
  • スタディディレクター:Francisco Rodríguez-Esparragón, BSc, PhD、Hospital Universitario de Gran Canaria Dr. Negrín, (FIISC), Las Palmas, Spain
  • 主任研究者:Himar Fabelo, BSc, PhD、Hospital Universitario de Gran Canaria Dr. Negrín, (FIISC), Las Palmas, Spain
  • 主任研究者:Francisco Rodríguez-Esparragón, BSc, PhD、Hospital Universitario de Gran Canaria Dr. Negrín, (FIISC), Las Palmas, Spain
  • 主任研究者:Bernardino Clavo, MD, PhD、Hospital Universitario de Gran Canaria Dr. Negrín, (FIISC), Las Palmas, Spain
  • 主任研究者:Gustavo M Callicó, Prof, PhD、University of Las Palmas de Gran Canaria

出版物と役立つリンク

研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。

一般刊行物

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2025年2月7日

一次修了 (推定)

2029年12月31日

研究の完了 (推定)

2030年3月31日

試験登録日

最初に提出

2024年11月22日

QC基準を満たした最初の提出物

2024年11月22日

最初の投稿 (実際)

2024年11月26日

学習記録の更新

投稿された最後の更新 (実際)

2026年9月18日

QC基準を満たした最後の更新が送信されました

2026年9月15日

最終確認日

2026年9月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • OzoParQT
  • PI23/01324 (その他の助成金/資金番号:Instituto de Salud Carlos III)
  • 2024-517196-20-00 (Ctis)
  • 2023-210-1 (レジストリ識別子:CEIm Las Palmas)
  • CIGC'23/24 (その他の助成金/資金番号:Cabildo de Gran Canaria)

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

はい

IPD プランの説明

It will be available (after request):

  • Individual participant data (IPD) that underlie the results reported in further articles, after deidentification
  • Data will be available after publication, ending 36 months following article publication.
  • They will be available for investigators whose proposed use of the data has been approved by an independent review committee identified for this purpose.
  • Study protocol

Proposals should be directed to: bernardinoclavo@gmail.com To gain access, data requestors will need to sign a data access agreement.

IPD 共有時間枠

Data will be available after publication, ending 36 months following article publication.

IPD 共有アクセス基準

Data will be available for investigators whose proposed use of the data has been approved by an independent review committee identified for this purpose.

- Study protocol

Proposals should be directed to: bernardinoclavo@gmail.com To gain access, data requestors will need to sign a data access agreement.

IPD 共有サポート情報タイプ

  • STUDY_PROTOCOL
  • SAP
  • ICF
  • CSR

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米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。