Mode
Text Size
Log in / Sign up

Neurotoxicity

0 published articles · Updated continuously

Clinical Trial Landscape

Clinical Trials for Neurotoxicity

24 trials tracked for Neurotoxicity: 15 in phase 3 or 4 and 9 with published results. The most-cited published study has 1218 citations.

24Trials tracked
15Phase 3 & 4
0Recruiting
9With published results
Phase distribution
Phase 4 3 Phase 3 12 Phase 2 6 Phase 1 1 Other / NA 2
  1. Phase 3 Stereotactic Radiosurgery or Whole-Brain Radiation Therapy in Treating Patients With Brain Metastases That Have Been Removed By Surgery Completed · 1,218 cited
  2. Phase 3 Duloxetine in Treating Peripheral Neuropathy Caused by Chemotherapy in Patients With Cancer Completed · 1,025 cited
  3. Phase 3 Memantine in Preventing Side Effects in Patients Undergoing Whole-Brain Radiation Therapy for Brain Metastases From Solid Tumors Completed · 958 cited
  4. Phase 3 Baclofen-Amitriptyline Hydrochloride-Ketamine Gel in Treating Peripheral Neuropathy Caused by Chemotherapy in Patients With Cancer Completed · 255 cited
  5. Phase 3 Calcium Gluconate and Magnesium Sulfate in Preventing Neurotoxicity in Patients With Colon Cancer or Rectal Cancer Receiving Oxaliplatin-Based Combination Chemotherapy Completed · 239 cited
  6. Phase 3 S0715: Acetyl-L-Carnitine in Preventing Neuropathy in Women With Stage I, II, or IIIA Breast Cancer Undergoing Chemo Completed · 217 cited
Show 18 more trials
  1. Phase 3 Lamotrigine in Treating Peripheral Neuropathy Caused by Chemotherapy in Patients With Cancer Completed · 193 cited
  2. Phase 4 Effect of Antibiotic Choice On ReNal Outcomes (ACORN) Completed · 149 cited
  3. Phase 4 Envarsus Neurotoxicity Burden in Liver Transplant Patients Completed · 1 cited
  4. Phase 4 Effect of Tacrolimus Formulation on Neurological Side Effects in Older Kidney Transplant Recipients Completed
  5. Phase 3 Vitamin E in Preventing Peripheral Neuropathy Caused by Chemotherapy in Patients Receiving Chemotherapy for Cancer Completed
  6. Phase 3 Calcium Gluconate and Magnesium Sulfate in Preventing Neurotoxicity Caused By Oxaliplatin in Patients Receiving Combination Chemotherapy for Stage II, Stage III, or Stage IV Colorectal Cancer That Has Been Completely Removed By Surgery Completed
  7. Phase 3 Topical Amitriptyline and Ketamine Cream in Treating Peripheral Neuropathy Caused by Chemotherapy in Cancer Patients Completed
  8. Phase 3 EGb761 in Maintaining Mental Clarity in Women Receiving Chemotherapy for Newly Diagnosed Breast Cancer Completed
  9. Phase 3 Glutamic Acid in Reducing Nerve Damage Caused by Vincristine in Young Patients With Cancer Completed
  10. Phase 2 Glutamine in Treating Neuropathy Caused by Vincristine in Young Patients With Lymphoma, Leukemia, or Solid Tumors Completed
  11. Phase 2 A Phase 2 Trial of Anakinra for the Prevention of CAR-T Cell Mediated Neurotoxicity Completed
  12. Phase 2 Rituximab, Methotrexate, Vincristine Sulfate, Procarbazine Hydrochloride, and Cytarabine With or Without Radiation Therapy in Treating Patients With Primary Central Nervous System Lymphoma Completed
  13. Phase 2 Bortezomib, Thalidomide, and Dexamethasone After Melphalan and Stem Cell Transplant in Treating Patients With Stage I-III Multiple Myeloma Completed
  14. Phase 2 Modafinil in Treating Children With Memory and Attention Problems Caused by Cancer Treatment for a Brain Tumor Completed
  15. Phase 2 Electrical Stimulation Therapy Using the MC5-A Scrambler in Reducing Peripheral Neuropathy Caused by Chemotherapy Completed
  16. Phase 1 Donepezil in Treating Young Patients With Primary Brain Tumors Previously Treated With Radiation Therapy to the Brain Completed
  17. N/A Advanced Neuroimaging Evaluation of CNS Changes Associated With Efavirenz Therapy Switch to an Raltegravir-based Regimen Completed
  18. N/A Electrical Stimulation Pain Therapy in Treating Chronic Pain and Numbness Caused By Chemotherapy in Patients With Cancer Completed

Showing the 24 most-cited and recently-updated of 24 trials. Browse the full registry →

Trial data sourced from ClinicalTrials.gov. Counts describe the research landscape and are not a treatment recommendation. Informational only — not medical advice.

What the trials found For clinicians

Neurotoxicity: what the trials found

Among the established trials, the most recently registered evidence concerns anti-pseudomonal cephalosporin exposure and neurotoxicity: in a Phase 4 trial of 2,634 patients, Major Adverse Kidney Events Within 14 Days (MAKE14) occurred in 124 versus 114 patients, and delirium- and coma-free days to day 14 were 14 in both groups 1.

For cognitive outcomes after brain radiotherapy, stereotactic radiosurgery was associated with cognitive deterioration-free survival post-radiation of 3.0 versus 3.7 with whole-brain radiotherapy (p<0.0001), while local control of the surgical bed was 87.1 versus 80.4 (p=0.00068); change in quality-of-life at 6 months did not differ significantly (p=0.31) 4. In a separate Phase 3 trial, memantine did not significantly change HVLT-R delayed recall at 24 weeks (0 versus -0.9, p=0.059) or across 8, 16, and 52 weeks (p=0.0692), but median time to neurocognitive failure was 2.6 versus 2.3 (p=0.01) 6. Ginkgo biloba showed no significant difference in cognitive dysfunction on the HSCS overall score (p=0.84) 12.

For chemotherapy-induced peripheral neurotoxicity, several agents failed to show benefit: baclofen/amitriptyline/ketamine gel did not differ from control on total sensory (p=0.90), motor (p=0.50), or autonomic (p=0.50) neuropathy scores 7; acetyl-L-carnitine did not improve 12-week FACT-Taxane neurotoxicity (p=0.17), TOI functional status (p=0.92), or FACIT-fatigue (p=0.20) 9; lamotrigine did not change average daily pain (p=0.56), ECOG neuropathy score (p=0.36), or quality of life (p=0.25) 10; ketamine/amitriptyline NP-H cream did not change average daily peripheral neuropathy intensity (p=0.363) 11; and vitamin E did not reduce grade 2+ sensory peripheral neuropathy (34% versus 29%, p=0.43), dose reductions (p=0.49), or early chemotherapy discontinuation (p=1.00) 13.

Calcium gluconate evidence is mixed: one Phase 3 trial found no significant difference in grade 2+/3+ chronic cumulative neurotoxicity percentages, time to onset, or cumulative oxaliplatin dose (p=0.89) 8, whereas another found a lower percentage of grade 2+ chronic neuropathic adverse events (22% versus 41%, p=0.038) with a time-to-onset difference of borderline significance (p=0.0503) and no difference in average duration (p=0.6556) 15. Duloxetine was associated with greater reduction in average pain from week 1 to week 5 (1.06 versus 0.34, p=0.003), greater improvement in pain-related functional interference (7.9 versus 3.5), and improvement in FACT/COG-NTX total score (2.44 versus 0.87, p=0.03) 5. Glutamic acid neurotoxicity scores on a scored neurologic examination were 26 versus 34 14.

Recent results — preliminary, needs further review

  • Anakinra in a small Phase 2 trial (N=15) reported numbers of participants with CTCAE grade 3+ adverse events of 4, 1, 1, 6, 1, and 9 across groups; this is not yet corroborated 16.
  • Modafinil in a Phase 2 trial (N=112) showed changes in age-adjusted CogState attention scores of -0.16 versus 0.14, BRIEF working memory changes of -4.1 versus -4.5, and PedsQL changes of 11.3, 11.4, 9.3, and 6.9; not yet corroborated 17.
  • Rituximab in a Phase 2 trial (N=91) reported partial or complete response in 83.3% versus 80.6%, EORTC QLQ-C30 global health status scores with p=0.005, and neurocognitive failure in 31.6% versus 17.9% (p=0.18); not yet corroborated 18.
  • Donepezil in a Phase 1 trial (N=14) reported neurocognitive function on the neurocognitive battery at 24 weeks of 10; not yet corroborated 22.

For the clinician treating this condition

  • Most established pharmacologic and supplement interventions for chemotherapy-induced peripheral neurotoxicity—baclofen/amitriptyline/ketamine gel, acetyl-L-carnitine, lamotrigine, topical ketamine/amitriptyline, and vitamin E—did not show significant benefit on their primary neuropathy outcomes 79101113.
  • Duloxetine was associated with improved average pain, pain-related functional interference, and FACT/COG-NTX scores over 5 weeks 5, whereas calcium gluconate results conflict between two trials 815.
  • For cognitive outcomes, memantine did not significantly change delayed recall but was associated with a longer median time to neurocognitive failure 6; SRS was associated with shorter cognitive deterioration-free survival but better local control than WBRT 4, and ginkgo biloba showed no cognitive benefit 12.
  • Anti-pseudomonal cephalosporin exposure showed similar MAKE14 counts and identical delirium-/coma-free days between groups in a large Phase 4 trial 1.

AI synthesis of 17 cited trials, updated Oct 20, 2026. Informational only — not medical advice; trial data sourced from ClinicalTrials.gov. How we use AI.

HCP Mode — summaries include clinical detail, trial data, and statistical outcomes.
Patient Mode — summaries use plain language, avoiding clinical jargon.
No published articles yet for this condition. Check back soon.