Evidence map›Paper›PMID 25762165›Full record

Trial reportInternational journal of clinical oncology2015

Effect of duloxetine in Japanese patients with chemotherapy-induced peripheral neuropathy: a pilot randomized trial.

Yasuo Hirayama, Kunihiko Ishitani, Yasushi Sato, Satoshi Iyama, Kohichi Takada, Kazuyuki Murase, Hiroyuki Kuroda, Yasuhiro Nagamachi, Yuichi Konuma, Akihito Fujimi and 10 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of clinical oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. BeyondFrontiers in pain research (Lausanne, Switzerland) · 2025
    Pooled it
  4. Assessing chemotherapy-induced peripheral neuropathy with patient reported outcome measures: a systematic review of measurement properties and considerations for future use.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Duloxetine to prevent neuropathy in breast cancer patients under paclitaxel chemotherapy (a double-blind randomized trial).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Chemotherapy-induced peripheral neuropathy in breast cancer: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  15. Chronic Pain in the Cancer Survivor.Current pain and headache reports · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Yasuo HirayamaDepartment of Hematology Oncology, Higashi Sapporo Hospital, Higashi Sapporo, Shiroishi-ku, Sapporo, 003-8585, Japan. hirayama@hsh.or.jp.
Kunihiko IshitaniDivision of Palliative Care, Higashi Sapporo Hospital, Sapporo, Japan.
Yasushi SatoDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Satoshi IyamaDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Kohichi TakadaDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Kazuyuki MuraseDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Hiroyuki KurodaDepartment of Hematology Oncology, Seitetsu Memorial Hospital, Muroran, Japan.
Yasuhiro NagamachiDepartment of Hematology Oncology, Kiyota Hospital, Sapporo, Japan.
Yuichi KonumaDepartment of Hematology Oncology, Asahikawa Red Cross Hospital, Asahikawa, Japan.
Akihito FujimiDepartment of Hematology Oncology, Oji Genaral Hospital, Tomakomai, Japan.
Tamotsu SagawaDepartment of Gastroenterology, Hokkaido Cancer Center, Sapporo, Japan.
Kaoru OnoDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Hiroto HoriguchiDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Takeshi TeruiDepartment of Hematology Oncology, Higashi Sapporo Hospital, Higashi Sapporo, Shiroishi-ku, Sapporo, 003-8585, Japan.
Kazuhiko KoikeDivision of Palliative Care, Higashi Sapporo Hospital, Sapporo, Japan.
Toshiro KusakabeDepartment of Hematology Oncology, Higashi Sapporo Hospital, Higashi Sapporo, Shiroishi-ku, Sapporo, 003-8585, Japan.
Tsutomu SatoDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Rishu TakimotoDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Masayoshi KobuneDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Junji KatoDepartment of Medical Oncology/Hematology, Sapporo Medical University School of Medicine, Sapporo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChemotherapy-induced peripheral neuropathy (CIPN) is difficult to manage. A phase III trial conducted in the United States demonstrated that duloxetine was effective for CIPN caused by taxane and platinum-based chemotherapy. No randomized trial of duloxetine for CIPN has been conducted in Japan.

methodsIn this open-label, randomized, crossover study, eligible patients were randomized to Group A or Group B. Group A received duloxetine 20 mg/day orally for the first week and 40 mg/day for the next 3 weeks. Group B received vitamin B12 (VB12) 1.5 mg/day orally for 4 weeks. After a 2- to 4-week washout period, treatment was crossed over for another 4 weeks. The severity of numbness and pain was assessed using a visual analog scale (VAS).

resultsThirty-four patients were enrolled. Obvious decreases in the mean VAS scores for numbness and pain were observed for the periods of duloxetine administration. Significant differences were observed between the duloxetine-first (Group A) and the VB12-first (Group B) groups with respect to numbness (p = 0.03) and pain (p = 0.04) at 4 weeks after administration. Fatigue was observed in six of the 34 participants (17.6 %).

conclusionsOur data suggests that duloxetine has a beneficial effect on CIPN caused by oxaliplatin, paclitaxel, vincristine, or bortezomib in Japanese patients.

Indexed as

AgedAntineoplastic AgentsCross-Over StudiesDuloxetine HydrochlorideFemaleHumansMaleMiddle AgedPeripheral Nervous System DiseasesPilot ProjectsSerotonin and Noradrenaline Reuptake InhibitorsVitamin B 12Antineoplastic AgentsDuloxetine HydrochlorideSerotonin and Noradrenaline Reuptake InhibitorsVitamin B 12ChemotherapyCIPNDuloxetineNeuropathySupportive care

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.