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YAN Jianwei. Clinical observation of levocarnitine in prevention from peripheral nerve toxicity caused by paclitaxel[J]. Journal of Pharmaceutical Practice and Service, 2014, 32(5): 372-373. doi: 10.3969/j.issn.1006-0111.2014.05.016
Citation: YAN Jianwei. Clinical observation of levocarnitine in prevention from peripheral nerve toxicity caused by paclitaxel[J]. Journal of Pharmaceutical Practice and Service, 2014, 32(5): 372-373. doi: 10.3969/j.issn.1006-0111.2014.05.016

Clinical observation of levocarnitine in prevention from peripheral nerve toxicity caused by paclitaxel

doi: 10.3969/j.issn.1006-0111.2014.05.016
  • Received Date: 2013-04-01
  • Rev Recd Date: 2013-07-30
  • Objective To observe levocarnitine in prevention and treatment of peripheral nerve toxicity caused by paclitaxel. Methods 64 cancer patients treated with paclitaxel-based chemotherapy were randomly divided into two groups, the preventive treatment group and control group.The patients in the preventive treatment group were treated with paclitaxel chemotherapy and levocarnitine.The patients in the control group were treated with the same chemotherapy but without levocarnitine.The incidence rate of neurotoxicity between two groups were compared. Results The incidence rate of neurotoxicity in the preventive treatment group was lower than that of the control group(P<0.05). Conclusion Application of levocarnitine in paclitaxel-based chemotherapy could reduce the neurotoxicity caused by chemotherapy.
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    [2] Gunes D, Kirkim G, Kolatan E,et al. Evaluation of the effect of acetyl L-carnitine on experimental cisplatin ototoxicity and neurotoxicity[J].Chemotherapy,2011,57(3):186-194.
    [3] 孙 燕.抗癌药物急性与亚急性毒性反应分度标准临床肿瘤手册[M].5版.北京:人民卫生出版社,2005:145.
    [4] Xiao WH, Zheng H, Zheng FY,et al. Mitochondrial abnormality in sensory, but not motor, axons in paclitaxel-evoked painful peripheral neuropathy in the rat[J].Neuroscience,2011,199:461-469.
    [5] He MD, Xu SC, Lu YH,et al.L-carnitine protects against nickel-induced neurotoxicity by maintaining mitochondrial function in neuro-2a cells[J].Toxicol Appl Pharmacol,2011,253(1):38-44.
    [6] Nagesh BG, Kumar A, Singh RL.Chronic pretreatment with acetyl-L-carnitine and ±DL-α-lipoic acid protects against acute glutamate-induced neurotoxicity in rat brain by altering mitochondrial function[J].Neurotox Res,2011,19(2):319-329.
    [7] Zheng H, Xiao WH, Bennett GJ. Functional deficits in peripheral nerve mitochondria in rats with paclitaxel-and oxaliplatin-evoked painfulperipheral neuropathy[J]. Exp Neurol,2011,232(2):154-161.
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通讯作者: 陈斌, [email protected]
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    沈阳化工大学材料科学与工程学院 沈阳 110142

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Clinical observation of levocarnitine in prevention from peripheral nerve toxicity caused by paclitaxel

doi: 10.3969/j.issn.1006-0111.2014.05.016

Abstract: Objective To observe levocarnitine in prevention and treatment of peripheral nerve toxicity caused by paclitaxel. Methods 64 cancer patients treated with paclitaxel-based chemotherapy were randomly divided into two groups, the preventive treatment group and control group.The patients in the preventive treatment group were treated with paclitaxel chemotherapy and levocarnitine.The patients in the control group were treated with the same chemotherapy but without levocarnitine.The incidence rate of neurotoxicity between two groups were compared. Results The incidence rate of neurotoxicity in the preventive treatment group was lower than that of the control group(P<0.05). Conclusion Application of levocarnitine in paclitaxel-based chemotherapy could reduce the neurotoxicity caused by chemotherapy.

YAN Jianwei. Clinical observation of levocarnitine in prevention from peripheral nerve toxicity caused by paclitaxel[J]. Journal of Pharmaceutical Practice and Service, 2014, 32(5): 372-373. doi: 10.3969/j.issn.1006-0111.2014.05.016
Citation: YAN Jianwei. Clinical observation of levocarnitine in prevention from peripheral nerve toxicity caused by paclitaxel[J]. Journal of Pharmaceutical Practice and Service, 2014, 32(5): 372-373. doi: 10.3969/j.issn.1006-0111.2014.05.016
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