Qutenza Versus Duloxetine in Chemotherapy-induced Peripheral Neuropathy (CIPN)
QULOX
A Comparison Between Qutenza and Duloxetine for the Treatment of Painful Chemotherapy-induced Peripheral Neuropathy: a Pragmatic Randomized Controlled Trial
1 other identifier
interventional
102
1 country
1
Brief Summary
The primary objective is to determine whether in patients with CIPN pain, treatment with Qutenza has the same effect as treatment with duloxetine 60 mg daily.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2022
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 15, 2022
CompletedFirst Posted
Study publicly available on registry
September 29, 2022
CompletedStudy Start
First participant enrolled
December 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2025
CompletedDecember 15, 2023
December 1, 2023
2.1 years
August 15, 2022
December 11, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Average pain change
As measured by the Brief Pain Inventory, a scale from 0 to 10, with 0 is no pain at all, and 10 is worst pain you can imagine
12 weeks
Secondary Outcomes (5)
Pain interference score
12 weeks
Quality of life score
12 weeks
Side effect profile
12 weeks
Patient satisfaction
12 weeks
Pain at 6 weeks after the start of treatment
6 weeks
Study Arms (2)
Patients with chemotherapy-induced peripheral neuropathy who receive Qutenza
EXPERIMENTALPatients with chemotherapy-induced peripheral neuropathy who receive Duloxetine
ACTIVE COMPARATORInterventions
Capsaicine patch: Qutenza 8% patch will be applied to the skin according to the instruction of the manufacturer. After application of local anesthetics on the skin, a Qutenza 8% patch will be placed. 1-4 patches will be placed and can be adjusted to the right size, depending on the surface of the CIPN. The patch(es) will be removed after 30-60 minutes. The effect will last about 12 weeks.
Duloxetine tablets: In week 1 patients will receive 30 mg duloxetine one time per day. In week 2 the dose will be increased to 60 mg one time per day. In case of inacceptable adverse events the patient is allowed to reduce the dose to 30 mg one time per day after consultation with the researcher or physician.
Eligibility Criteria
You may qualify if:
- Age ≥ 18 years of age
- Presence of CIPN grade 1 or higher according to the NCIC-CTC
- Mean pain (1 week) score of ≥ 4
- Treatment with chemotherapy in the last 5 years
- Able to give oral and written informed consent
- Painful neuropathy longer than three months
You may not qualify if:
- Peripheral neuropathy from other causes (e.g. carpal/tarsal tunnel syndrome, radiculopathy, spinal stenosis, brachial plexopathy)
- Leptomeningeal carcinomatosis
- Severe depression or use of anti-depressant medication
- Psychiatric disorders which can interfere with cooperation
- Abnormal renal (\< GFR 30) or liver function tests (\> 2 times normal value)
- Severe heart failure as determined by the cardiologist
- Allergy for duloxetine or capsaicin
- Skin diseases in hands and/or feet, damaged skin
- The presence of uncontrolled/untreated hypertension
- Concomitant use of medication that may interact with duloxetine such as fluvoxamine, ciprofloxacin and enoxacin
- Active cancer treatment (such as radiotherapy or chemotherapy)
- Active cancer
- Previous treatment with Qutenza or duloxetine for CIPN
- Any condition that by the judgement of the investigator might interfere with the investigation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Amsterdam UMC, locatie VUMC
Amsterdam, Netherlands
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Coordinating investigator/project leader
Study Record Dates
First Submitted
August 15, 2022
First Posted
September 29, 2022
Study Start
December 1, 2022
Primary Completion
December 31, 2024
Study Completion
December 31, 2025
Last Updated
December 15, 2023
Record last verified: 2023-12
Data Sharing
- IPD Sharing
- Will not share