Evidence map›Paper›PMID 39065685›Full record

ArticlePharmaceuticals (Basel, Switzerland)2024

Impact of Cannabidiol and Exercise on Clinical Outcomes and Gut Microbiota for Chemotherapy-Induced Peripheral Neuropathy in Cancer Survivors: A Case Report.

MariaLuisa Vigano, Sarah Kubal, Yao Lu, Sarah Habib, Suzanne Samarani, Georgina Cama, Charles Viau, Houman Farzin, Nebras Koudieh, Jianguo Xia and 3 more

Abstract readCase Reports
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
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

13 authors.

MariaLuisa ViganoDivision of Experimental Medicine, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC H3A 0G4, Canada.
Sarah KubalDivision of Supportive and Palliative Care, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Yao LuInstitute of Parasitology, Faculty of Agricultural and Environmental Sciences, McGill University, Ste-Anne-de-Bellevue, QC H9X 3V9, Canada.
Sarah HabibDivision of Supportive and Palliative Care, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Suzanne SamaraniInfectious Diseases and Immunity in Global Health Program, Research Institute of the McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Georgina CamaDivision of Supportive and Palliative Care, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Charles ViauInstitute of Parasitology, Faculty of Agricultural and Environmental Sciences, McGill University, Ste-Anne-de-Bellevue, QC H9X 3V9, Canada.
Houman FarzinDivision of Palliative Care, Jewish General Hospital, Montreal, QC H3T 1E2, Canada.ORCID 0009-0006-4095-3596
Nebras KoudiehDivision of Palliative Care, Jewish General Hospital, Montreal, QC H3T 1E2, Canada.
Jianguo XiaInstitute of Parasitology, Faculty of Agricultural and Environmental Sciences, McGill University, Ste-Anne-de-Bellevue, QC H9X 3V9, Canada.ORCID 0000-0003-2040-2624
Ali AhmadInfectious Diseases and Immunity in Global Health Program, Research Institute of the McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Antonio ViganoDivision of Supportive and Palliative Care, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Cecilia T CostiniukDivision of Experimental Medicine, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC H3A 0G4, Canada.ORCID 0000-0002-4547-714X

Funding

The Rossy Cancer Network Cancer Care Quality & Innovation Program Research Fund 2021 RF-2021
6 · The paper itself

Abstract

Chemotherapy-induced peripheral neuropathy (CIPN) remains a clinical challenge for up to 80% of breast cancer survivors. In an open-label study, participants underwent three interventions: standard care (duloxetine) for 1 month (Phase 1), oral cannabidiol (CBD) for 2 months (Phase 2), and CBD plus multi-modal exercise (MME) for another 2 months (Phase 3). Clinical outcomes and gut microbiota composition were assessed at baseline and after each phase. We present the case of a 52-year-old female with a history of triple-negative breast cancer in remission for over five years presenting with CIPN. She showed decreased monocyte counts, c-reactive protein, and systemic inflammatory index after each phase. Duloxetine provided moderate benefits and intolerable side effects (hyperhidrosis). She experienced the best improvement and least side effects with the combined (CBD plus MME) phase. Noteworthy were clinically meaningful improvements in CIPN symptoms, quality of life (QoL), and perceived physical function, as well as improvements in pain, mobility, hand/finger dexterity, and upper and lower body strength. CBD and MME altered gut microbiota, showing enrichment of genera that produce short-chain fatty acids. CBD and MME may improve CIPN symptoms, QoL, and physical function through anti-inflammatory and neuroprotective effects in cancer survivors suffering from long-standing CIPN.

Indexed as

cannabidiolchemotherapy-induced peripheral neuropathyexercisegut microbiotaneuropathic painsurvivorship

Identifiers

PMID39065685
PMCPMC11279394

What OpenQuestion holds

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Registered trials

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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.