rct
    2018
    High Quality

    Two-Year Trends of Taxane-Induced Neuropathy in Women Enrolled in a Randomized Trial of Acetyl-L-Carnitine (SWOG S0715)

    Hershman DL, Unger JM, Crew KD, Till C

    Published in Journal of the National Cancer Institute

    Methodology

    Randomized, double-blind, multicenter trial of acetyl-L-carnitine 1000 mg three times daily versus placebo for 24 weeks during adjuvant taxane chemotherapy, followed to 104 weeks.

    Key Findings

    Acetyl-L-carnitine produced statistically significantly worse neuropathy scores than placebo (-1.39 points, 95% CI -2.48 to -0.30), persisting over two years.

    Conclusions

    Acetyl-L-carnitine did not prevent chemotherapy-induced peripheral neuropathy and appeared to worsen it.

    Limitations

    Specific to taxane chemotherapy in breast cancer; patient-reported outcome.

    Supplements Studied

    Patients receiving ALC had a statistically significantly (P = .01) greater reduction in NTX scores (worse CIPN) of -1.39 points (95% confidence interval [CI] = -2.48 to -0.30) than the placebo group.

    Related Health Concerns

    Study Details

    Year:2018
    Sample Size:409
    Duration:24 weeks
    Quality Score:9/10

    Disclosures

    Funding

    National Institutes of Health

    This information is for educational purposes only. Always consult a healthcare professional before starting any supplement regimen.