- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT07564479
Alpha-Lipoic Acid in Mitigating Cisplatin-Induced Nephrotoxicity
Evaluation of Alpha-Lipoic Acid in Mitigating Cisplatin-Induced Nephrotoxicity in Oncology Patients
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
This proof-of-concept study will be a randomized, controlled, open label clinical trial with parallel group assignment, designed to evaluate the nephroprotective effect of alpha lipoic acid (ALA) in patients receiving cisplatin based chemotherapy.
- Allocation: Randomized (1:1).
- Interventional model: Parallel assignment.
- Masking: None (open label).
Studietype
Registrering (Antatt)
Fase
- Fase 2
Kontakter og plasseringer
Studiekontakt
- Navn: Asmaa Mohammed
- Telefonnummer: 00201090824147
- E-post: asmaa.bashandy@mu.edu.eg
Studiesteder
-
-
Minya Governorate
-
Minya, Minya Governorate, Egypt, 61111
- Rekruttering
- Minia University Hospital
-
Ta kontakt med:
- Ahmed Mostafa Abd-Elaziz
- Telefonnummer: +20 10 09144024
- E-post: dr_ahmad2012@yahoo.com
-
Ta kontakt med:
- E-post: asmaa.bashandy@mu.edu.eg
-
Hovedetterforsker:
- Asmaa Basem Mohammed
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- Age ≥ 18 years. Histologically confirmed solid malignancy. Planned treatment with cisplatin starting from a dose of 60 mg/m2 per cycle (21-28 days each or fractionated).
Eastern Cooperative Oncology Group (ECOG) performance status 0-2. Baseline serum creatinine within normal range or estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m2.
Ability to provide informed consent.
Exclusion Criteria:
- Pre existing renal impairment (eGFR < 60〖" mL/min/1.73 m" 〗^2or serum creatinine > 1.5 × upper limit of normal).
Concomitant use of known nephrotoxic drugs that cannot be stopped (e.g., aminoglycosides, amphotericin B, high dose NSAIDs).
Uncontrolled hypertension, decompensated heart failure, or severe hepatic impairment.
Known allergy or intolerance to ALA. Pregnancy or lactation. Participation in another interventional clinical trial.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Ingen inngripen: Standard Hydration
o Standard preventive measures for cisplatin nephrotoxicity (e.g., pre and post hydration, antiemetics, magnesium and potassium supplementation as per unit protocol) will be applied.
|
|
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Eksperimentell: Alpha Lipoic Acid + Standard Hydration
|
The intervention under investigation is the administration of oral Alpha-Lipoic Acid (ALA) as an adjunct to standard cisplatin-based chemotherapy.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in SCr and CrCl in patients receiving Cisplatin Chemotherapy + Alpha-Lipoic Acid compared to Control Group
Tidsramme: Baseline, weekly up to 6 weeks
|
Measuring the change in Scr and CrCl in patients before and after they have a cumulative dose of 200mg/m2, depending on each patient's dosage regimen
|
Baseline, weekly up to 6 weeks
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Patients' Quality of Life
Tidsramme: Baseline; and end of study (Up to 6 weeks)
|
We will measure the patients' quality of life using the Arabic version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (QLQ-C30) questionnaire
|
Baseline; and end of study (Up to 6 weeks)
|
|
Incidence of AKI ain patients receiving cisplatin
Tidsramme: From cisplatin initiation through end of study (Up to 6 weeks)
|
AKI is defined as o An increase in serum creatinine ≥ 0.3 mg/dL within 48 hours or ≥ 1.5 times baseline within 7 days; or o A decrease in eGFR ≥ 25% from baseline; according to KDIGO acute kidney injury criteria. |
From cisplatin initiation through end of study (Up to 6 weeks)
|
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Incidence of cisplatin dose reduction, delay, or discontinuation due to nephrotoxicity
Tidsramme: From cisplatin initiation through end of study (Up to 6 weeks)
|
From cisplatin initiation through end of study (Up to 6 weeks)
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Studieleder: Ahmed Mostafa Abd-Elaziz, Department of Clinical Oncology, Faculty of Medicine, Minia University
- Studiestol: Amal Kamal Hussein, Faculty of Pharmacy, Minia University
- Studieleder: Eman Mohamed Sadek, Faculty of Pharmacy, Minia University
- Hovedetterforsker: Asmaa Basem Mohammed, Faculty of Pharmacy, Minia University
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Rajeswaran A, Trojan A, Burnand B, Giannelli M. Efficacy and side effects of cisplatin- and carboplatin-based doublet chemotherapeutic regimens versus non-platinum-based doublet chemotherapeutic regimens as first line treatment of metastatic non-small cell lung carcinoma: a systematic review of randomized controlled trials. Lung Cancer. 2008 Jan;59(1):1-11. doi: 10.1016/j.lungcan.2007.07.012. Epub 2007 Aug 27.
- Fayez AM, Zakaria S, Moustafa D. Alpha lipoic acid exerts antioxidant effect via Nrf2/HO-1 pathway activation and suppresses hepatic stellate cells activation induced by methotrexate in rats. Biomed Pharmacother. 2018 Sep;105:428-433. doi: 10.1016/j.biopha.2018.05.145. Epub 2018 Jun 5.
- Kim KH, Lee B, Kim YR, Kim MA, Ryu N, Jung DJ, Kim UK, Baek JI, Lee KY. Evaluating protective and therapeutic effects of alpha-lipoic acid on cisplatin-induced ototoxicity. Cell Death Dis. 2018 Aug 1;9(8):827. doi: 10.1038/s41419-018-0888-z.
- Derosa G, D'Angelo A, Preti P, Maffioli P. Safety and Efficacy of Alpha Lipoic Acid During 4 Years of Observation: A Retrospective, Clinical Trial in Healthy Subjects in Primary Prevention. Drug Des Devel Ther. 2020 Dec 3;14:5367-5374. doi: 10.2147/DDDT.S280802. eCollection 2020.
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- MPEC(260305)
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