Biomarkers to predict chemotherapy-induced peripheral neuropathy v1.0

  • Research type

    Research Study

  • Full title

    The use of neurofilament light chain and novel peripheral nerve biomarkers to predict the development and severity of chemotherapy-induced peripheral neuropathy

  • IRAS ID

    282894

  • Contact name

    Michael Lunn

  • Contact email

    michaellunn@nhs.net

  • Sponsor organisation

    University College London Hospitals NHS Foundation Trust

  • Clinicaltrials.gov Identifier

    4564235, UCL ref

  • Duration of Study in the UK

    0 years, 10 months, 2 days

  • Research summary

    Chemotherapy for cancer can damage nerves in the arms and legs as a potentially severe and disabling complication of the treatment. This is known as chemotherapy-induced peripheral neuropathy (CIPN). CIPN occurs with some cancer drugs in approximately 30-40% of people, but CIPN occurring even with these drugs is unpredictable and can sometimes be severe, causing long-term pain and disability. Two classes of chemotherapy drugs which cause CIPN commonly are taxane drugs and platinum drugs.

    Neurofilament light chain (NFL) is a protein released into the blood, measurable in tiny amounts (a biomarker) and has been found to be elevated in other causes of damage to peripheral nerves. In this study we will measure levels of NFL and two other biomarkers more specific to peripheral nerves in patients receiving chemotherapy with taxane or platinum drugs. We will measure the levels of these three biomarkers over time and compare them to clinical measures of nerve damage to determine whether the biomarkers can be used to predict the development and the severity of CIPN. The changes in the biomarker levels may also increase the understanding of the pathophysiology underlying CIPN.

  • REC name

    London - Brighton & Sussex Research Ethics Committee

  • REC reference

    20/PR/0652

  • Date of REC Opinion

    17 Nov 2020

  • REC opinion

    Favourable Opinion