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There are several mechanisms concerning pathophysiology of paclitaxel induced peripheral neuropathy. One of the main mechanisms is induction of Schwann cell dedifferentiation by paclitaxel. At the preclinical level, roflumilast potently inhibited paclitaxel-induced dedifferentiation of cultured Schwann cells, yet this positive effect have not been clinically investigated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Active Comparator |
| |
| Control | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Roflumilast | Drug | 0.5 mg once daily for treatment period |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of chemotherapy induced-peripheral neuropathy using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria | Number of patients reported neuropathy from paclitaxel | 8 weeks post intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| ID | Term |
|---|---|
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C424423 | Roflumilast |
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| Placebo |
| Drug |
Placebo for treatment period |
|