A randomized controlled trial evaluating the efficacy and safety of vitamin E supplementation for protection against cisplatin-induced peripheral neuropathy: final results.

Haralabos P Kalofonos, Gregoris Iconomou, Elisabeth Chroni, Angelos Koutras, Spiridon Papapetropoulos, Panagiotis Polychronopoulos, Andreas A Argyriou

Journal: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 2007;14(11):1134-40

PMID: 16622646

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Abstract

AIM

A randomized, open label with blind assessment, controlled trial was performed to assess efficacy and adverse-event profile of vitamin E, given as supplementation for prophylaxis against cisplatin-induced peripheral neuropathy (CIPN).

PATIENTS AND METHODS

A total of 30 patients scheduled to receive six courses of cumulative cisplatin-based regimens were randomly allocated to treatment and control groups and were then studied by means of neurological examination and electrophysiological study. Patients assigned to group I (n=14) orally received vitamin E at a daily dose of 600 mg/day during chemotherapy and 3 months after its cessation were compared to patients of group II (n=16), who received no vitamin E supplementation and served as controls. The severity of neurotoxicity was summarized by means of a modified Peripheral Neuropathy (PNP) score.

RESULTS

The incidence of neurotoxicity differed significantly between groups, occurring in 3/14 (21.4%) of patients assigned to the vitamin E supplementation group and in 11/16 (68.5%) of controls (p=0.026). The relative risk (RR) of developing neurotoxicity was significantly higher in case of controls, RR=2.51, 95% C.I.=1.16-5.47. Mean PNP scores were 4.99+/-1.33 for patients of group I and 10.47+/-10.62 for controls, (p=0.023). None of the adverse events or deaths occurred, were judged as likely to be related to the vitamin E supplementation.

CONCLUSION

Vitamin E effectively and safely protects patients with cancer from occurrence of cisplatin neurotoxicity.

Address: EMG/ENG Laboratory, Department of Neurology, University of Patras Medical School, Rion-Patras, Greece.

DOI: 10.1007/s00520-006-0072-3