Evidence map›Paper›PMID 35596774›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Role of alpha-lipoic acid in counteracting paclitaxel- and doxorubicin-induced toxicities: a randomized controlled trial in breast cancer patients.

Rehab H Werida, Reham A Elshafiey, Asser Ghoneim, Sherif Elzawawy, Tarek M Mostafa

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
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.

NCT03908528 nacompletednot on this map

Role of Alpha-Lipoic Acid Against Chemotherapy Induced Toxicities in Breast Cancer Patients

TypeinterventionalSponsorDamanhour UniversityRan2019 to 2020Enrolled64ConditionsBreast Cancer, Chemotherapeutic ToxicityArmsAlpha-lipoic acid Plus Chemotherapy (doxorubicin (also known as Adriamycin) plus cyclophosphamide followed by taxol), Placebo Plus Chemotherapy (doxorubicin (also known as Adriamycin) plus cyclophosphamide followed by taxol)
NCT06406127 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

Effect of Alpha Lipoic Acid on Chemotherapy Induced Neurological Changes in Breast Cancer Patients

TypeinterventionalSponsorAin Shams UniversityRan2024 to 2025Enrolled92ConditionsBreast Cancer, Alpha Lipoic Acid, Paclitaxel, Neurologic DisorderArmsAlpha Lipoic Acid 600 MG Oral Capsule
NCT07736495 phase2 / phase3recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of the Protective Effect of Alpha-Lipoic Acid Against 5-Fluorouracil-Induced Oral Mucositis in Colorectal Cancer Patients

TypeinterventionalSponsorAin Shams UniversityRan2026 to 2026Enrolled50ConditionsColorectal CancerArmsalpha lipoic acid 600 mg twice daily, Placebo Tablet
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  19. Alpha-Lipoic Acid: Biological Mechanisms and Health Benefits.Antioxidants (Basel, Switzerland) · 2024
    Review
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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

5 authors at 3 institutions in 1 country.

Rehab H WeridaClinical Pharmacy & Pharmacy Practice Department, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt. rehabwrieda@pharm.dmu.edu.eg.ORCID http://orcid.org/0000-0002-5983-3993
Reham A ElshafieyClinical Pharmacy & Pharmacy Practice Department, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.ORCID http://orcid.org/0000-0001-7317-2274
Asser GhoneimPharmacology & Toxicology Department, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.ORCID http://orcid.org/0000-0001-9061-9437
Sherif ElzawawyClinical Oncology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0000-0001-9939-1643
Tarek M MostafaClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, Egypt.ORCID http://orcid.org/0000-0003-1071-5416
Damanhour University · EGAlexandria University · EGTanta University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivePaclitaxel and doxorubicin are associated with neurotoxicity and cardiotoxicity respectively. This study aimed at investigating the role of alpha-lipoic acid (ALA) in counteracting paclitaxel-induced neuropathy and doxorubicin-associated cardiotoxicity in women with breast cancer. PATIENTS AND

methodsThis randomized double-blind placebo-controlled prospective study included 64 patients with breast cancer who were randomized into control group (n = 32) which received 4 cycles of doxorubicin plus cyclophosphamide (every 21 days) followed by weekly doses of paclitaxel for 12 weeks plus placebo tablets once daily and ALA group (n = 32) which received the same chemotherapeutic regimen plus ALA 600 once daily for 6 months. Patients were assessed by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE version 4.0) for grading of neuropathy and by 12-item neurotoxicity questionnaire (Ntx-12). The assessment included also echocardiography and evaluation of serum levels of brain natriuretic peptide (BNP), tumor necrosis factor-alpha (TNF-α), malondialdehyde (MDA), and neurotensin (NT). Data were analyzed by paired and unpaired t-test, Mann-Whitney U test, and chi-square test.

resultsAs compared to placebo, ALA provoked significant improvement in NCI-CTCAE neuropathy grading and Ntx-12 score after the end of 9

conclusionAlpha-lipoic acid may represent a promising adjuvant therapy to attenuate paclitaxel-associated neuropathy and doxorubicin-induced cardiotoxicity in women with breast cancer.

trial registrationClinicalTrials.gov: NCT03908528.

Indexed as

Breast NeoplasmsNeurotoxicity SyndromesPeripheral Nervous System DiseasesThioctic AcidAntineoplastic Combined Chemotherapy ProtocolsCardiotoxicityDoxorubicinFemaleHumansNeurotensinPaclitaxelProspective StudiesTumor Necrosis Factor-alphaDoxorubicinNeurotensinPaclitaxelThioctic AcidTumor Necrosis Factor-alphaAlpha-lipoic acidBNPNCI-CTCAENeurotensinNtx-12TNF-α

Identifiers

PMID35596774
PMCPMC9385783
OpenAlexW4281249812

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.