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CompletedNCT07191587Updated Sep 25, 2025

A Controlled Clinical Trial Assessing the Efficacy of Vitamin B Prophylaxis in Attenuating Paclitaxel-induced Neuropathy and the Imperative Use of Gabapentin in Diabetic Ovarian Cancer Patients and the Potential Effect on Disease Response.

An interventional study of Vitamin B Complex in Peripheral Neuropathy, Chemotherapy-induced and Disease Management, sponsored by National Cancer Institute, Egypt. Completed at 1 site in Egypt. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-25.

Sponsored by National Cancer Institute, Egypt · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Dec 2024, registered Sep 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
146
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this clinical trial is to learn if vitamin B prophylaxis is effective in attenuating chemotherapy-induced peripheral neuropathy in adult ovarian cancer patients. The main questions (primary outcomes) it aims to answer are:

  • The severity of chemotherapy-induced peripheral neuropathy in ovarian cancer patients undergoing a weekly paclitaxel-based regimen in the vitamin B prophylactic group versus non-prophylactic group.
  • Severity of chemotherapy-induced peripheral neuropathy in diabetic patients versus non-diabetic patients in both prophylactic and non-prophylactic groups.

Participants will:

Take drug oral vitamin B complex every day as prophylaxis for 6 months. Visit the clinic once every week for their weekly Paclitaxel regimen, checkups and tests.

Keep a diary of their symptoms.

Read the detailed description

Patients received oral vitamin B complex as prophylaxis prior to starting their paclitaxel-based regimen and patients in the non-prophylaxis group received oral vitamin B complex upon developing chemotherapy-induced peripheral neuropathy during their treatment with paclitaxel-base regimen. Gabapentin was given to the patients in either groups upon aggravation of CIPN symptoms whether in severity or neuropathic pain according to peripheral neuropathy grading.

Secondary outcomes:

  • The number of patients in both prophylactic and non-prophylactic groups who required Gabapentin upon uncontrolled or aggravation in CIPN with vitamin B complex only.
  • Impact of vitamin B complex prophylaxis on dose modification of paclitaxel-based regimen.
  • Association between dose modification and CA 125 status.
  • Progression-free survival (PFS) was evaluated at the end of the study.
02

Conditions studied

  • Peripheral Neuropathy, Chemotherapy-induced
  • Disease Management

Keywords

  • Vitamin B
  • Paclitaxel-induced peripheral neuropathy
  • Ovarian cancer
  • Diabetic
  • Gabapentin
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 146 is above the median of 60 across 768 interventional studies indexed under Peripheral Nervous System Diseases.

Browse Peripheral Nervous System Diseases studies →

Lead sponsor

National Cancer Institute, Egypt is the lead sponsor of 133 studies on the registry; 29 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Female patients with confirmed pathology of ovarian adenocarcinoma.
  • Aged 18 years or older.
  • Scheduled to receive a weekly paclitaxel-based chemotherapy regimen (80 mg/m²).

Exclusion criteria

Exclusion Criteria:

  • Individuals under 18 years of age.
  • Any patients with pre-existing peripheral neuropathy.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
146 participants (actual)

Study arms

  • Active comparator
    Prophylactic arm

    In this arm, patients were given oral vitamin B prophylaxis prior to their first cycle of chemotherapy.

    Dietary Supplement: Vitamin B Complex

  • Other
    Non-prophylactic arm

    In this arm, patients were given oral vitamin B upon developing chemotherapy-induced peripheral neuropathy.

    Dietary Supplement: Vitamin B Complex

Interventions

  • Dietary supplementVitamin B Complex

    Vitamin B complex given as prophylaxis in prophylactic arm and as treatment in non-prophylactic arm.

06

What researchers measure

Primary outcomes

  1. Severity of chemotherapy-induced peripheral neuropathy (peripheral neuropathy grade)

    The primary outcome of this study was the severity of chemotherapy-induced peripheral neuropathy in ovarian cancer patients undergoing a weekly paclitaxel-based regimen in the vitamin B prophylactic group versus non-prophylactic group. Severity was assessed by assessed by CTCAE v4.0 through monitoring the occurrence of peripheral neuropathy symptoms (peripheral neuropathy grade) at baseline and on weekly basis, up to 18 weeks (last follow up for chemotherapy induced peripheral neuropathy).

    Time frame: At baseline and up to 18 weeks.

Secondary outcomes

  1. Number of participants with paclitaxel induced peripheral neuropathy as assessed by CTCAE v4.0 in both prophylactic and non-prophylactic groups who required Gabapentin upon uncontrolled or aggravation in neuropathy grade with vitamin B complex only.

    Time frame: After the first week and up to 18 weeks.

  2. Severity of chemotherapy-induced peripheral neuropathy (peripheral neuropathy grade) as assessed by CTCAE v4.0 in diabetic patients versus non-diabetic patients in both prophylactic and non-prophylactic groups.

    Time frame: At baseline and up to 18 weeks.

  3. Percentage of patients that underwent dose modification in their paclitaxel regimen in both prophylactic and non-prophylactic groups due to chemotherapy-induced peripheral neuropathy as assessed by CTCAE v4.0".

    Time frame: After the first week and up to 18 weeks.

  4. Association between dose modification in paclitaxel regimen and CA125 status as measured by improved or worsened CA125 status.

    The CA125 status after dose modification in paclitaxel regimen due to chemotherapy-induced peripheral neuropathy or other hematological toxicities.

    Time frame: up to 20 weeks.

  5. Progression-free survival

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 weeks.

07

Study locations

1 site
  • National Cancer Institute
    Cairo, 11796, Egypt
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07191587
Lead sponsor
National Cancer Institute, Egypt
Responsible party
Sponsor
First posted
Sep 25, 2025
Start date
Dec 1, 2024
Primary completion
Apr 30, 2025
Completion
May 30, 2025
Last update
Sep 25, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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