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TerminatedNCT02271893CHEMODEXUpdated Oct 10, 2022

Dextromethorphan in Chemotherapy-induced Peripheral Neuropathy Management

A Phase 2 interventional study of Dextromethorphan in Chemotherapy-induced Peripheral Neuropathy, sponsored by University Hospital, Clermont-Ferrand. Terminated at 1 site in France. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-10-10.

Sponsored by University Hospital, Clermont-Ferrand · Phase 2, Interventional, and Treatment

Why this study was terminated
Recruitment difficulties
Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The aim of this study is to assess if dextromethorphan administered during 4 weeks induces a decrease of pain intensity in breast cancer patients suffering from chemotherapy-induced peripheral neuropathy compared to placebo group.

Read the detailed description

This is a randomized, placebo-controlled, double-blind, parallel-group clinical trial comparing dextromethorphan and placebo for the treatment of chemotherapy-induced peripheral neuropathy, assessed with a (0-10) numerical scale. Cognition, anxiety, depression, sleep and quality of life are also assessed.

The influence of CYP2D6, CYP3A4 and MDR1 polymorphism on the dextromethorphan analgesic efficacy will be measured.

02

Conditions studied

  • Chemotherapy-induced Peripheral Neuropathy

Keywords

  • Chemotherapy-induced peripheral neuropathy
03

In context

Peripheral Nervous System Diseases

1,003 studies on the registry are indexed under Peripheral Nervous System Diseases; 177 are open to participants now.

This study's enrollment of 19 is below the median of 60 across 768 interventional studies indexed under Peripheral Nervous System Diseases.

Browse Peripheral Nervous System Diseases studies →

Lead sponsor

University Hospital, Clermont-Ferrand is the lead sponsor of 841 studies on the registry; 178 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

    • Age ≥ 18 years
  • Breast cancer patients suffering from chemotherapy-induced peripheral neuropathy for at least 3 months after the end of their last cancer chemotherapy
  • Numerical rating scale ≥ 4
  • Patient in stable clinical situation on the next month (no surgery, radiotherapy, hormone therapy, chemotherapy or other treatment scheduled in the month following the enrollment)
  • Patients affiliated to the French Social Security
  • Patients with free and informed consent has been obtained

Exclusion criteria

Exclusion Criteria:

    • Hypersensitivity to the active substance or to any of the excipients
  • Hypertension
  • History of stroke
  • Severe heart failure
  • Severe hepatic impairment
  • Shortness of breath
  • Congenital galactosemia, glucose-galactose malabsorption, lactase deficiency
  • Association with linezolid
  • Pre-existence or history of peripheral neuropathy due to a cause different from neurotoxic chemotherapy
  • Diabetes (type I and II)
  • Medical and surgical history incompatible with the study
  • Patient receiving treatment with amantadine, ketamine, memantine, L-Dopa, dopaminergic agonists, anticholinergics, barbiturates, neuroleptics, Monoamine oxidase inhibitor, dantrolene or baclofen, phenytoin, cimetidine, ranitidine, procainamide, quinidine, quinine, amiodarone, fluoxetine, paroxetine, propafenone, thioridazine, ritonavir, nicotine, hydrochlorothiazide, warfarin
  • Present or past psychotropic substances and alcohol dependence
  • Childbearing age, no use of effective contraceptive method, pregnancy or lactation
  • Patient exclusion period, or the total allowable compensation exceeded
  • Patients undergoing a measure of legal protection (guardianship, supervision ...)
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Dextromethorphan

    The aim of this study is to assess if dextromethorphan administered during 4 weeks induces a decrease of pain intensity in breast cancer patients suffering from chemotherapy-induced peripheral neuropathy compared to placebo group.

    Drug: Dextromethorphan

  • Placebo comparator
    placebo

    The aim of this study is to assess if dextromethorphan administered during 4 weeks induces a decrease of pain intensity in breast cancer patients suffering from chemotherapy-induced peripheral neuropathy compared to placebo group.

    Drug: Dextromethorphan

Interventions

  • DrugDextromethorphan

    The aim of this study is to assess if dextromethorphan administered during 4 weeks induces a decrease of pain intensity in breast cancer patients suffering from chemotherapy-induced peripheral neuropathy compared to placebo group.

06

What researchers measure

Primary outcomes

  1. Measure of average pain intensity by a numerical rating scale

    Time frame: 7 days before the visit at 1 month

Secondary outcomes

  1. Pain assessment by DN4

    Time frame: at 1 month

  2. total neuropathy score clinical version (TNSc)

    Time frame: at 1 month

  3. St Antoine questionnaire (QDSA)

    Time frame: at 1 month

  4. Evaluation of analgesic consumption

    Time frame: at 1 month

  5. Cognitive assessment by Trail Making Test A and B

    Time frame: at 1 month

  6. Cognitive assessment by Digit Symbol Substitution Test

    Time frame: at 1 month

  7. Cognitive assessment by FACT-COG test

    Time frame: at 1 month

  8. Cognitive assessment by Purdue Pegboard Test

    Time frame: at 1 month

  9. Quality of life assessment by EORTC QLQ-C30

    Time frame: at 1 month

  10. Quality of life assessment by Pittsburg Sleep Quality Index (PSQI)

    Time frame: at 1 month

  11. Quality of life assessment by Patient Global Impression of Change (PGIC)

    Time frame: at 1 month

  12. Anxiety and Depression assessment by HAD scale

    Time frame: at 1 month

07

Study locations

1 site
  • Lise LACLAUTRE
    Clermont-Ferrand, 63003, France
08

References and documents

Publications

  • Martin E, Morel V, Joly D, Villatte C, Delage N, Dubray C, Pereira B, Pickering G. Rationale and design of a randomized double-blind clinical trial in breast cancer: dextromethorphan in chemotherapy-induced peripheral neuropathy. Contemp Clin Trials. 2015 Mar;41:146-51. doi: 10.1016/j.cct.2015.01.012. Epub 2015 Jan 28. PubMed 25636304 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02271893
Lead sponsor
University Hospital, Clermont-Ferrand
Collaborators
Dr Gisèle PICKERING, Dr Dominique JOLY / Dr Christine VILLATTE, Dr Noémie DELAGE / Dr Fabienne MARCAILLOU / Dr Pascale PICARD, Pr Claude DUBRAY
Responsible party
Sponsor
First posted
Oct 22, 2014
Start date
Nov 25, 2014
Primary completion
Oct 26, 2017
Completion
Apr 21, 2022
Last update
Oct 10, 2022
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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