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@ARTICLE{Boehmerle:277974,
author = {Boehmerle, Wolfgang and Hagenacker, Tim and Leo, Markus and
Schmitt, Linda-Isabell and Lehmann, Helmar C and Klein, Ines
and Stegherr, Regina and Konietschke, Frank and Endres,
Matthias and Huehnchen, Petra},
title = {{R}esults of the preclinical multicenter randomized
controlled paclitaxel-induced neuropathy prevention
replication study ({PINPRICS}).},
journal = {BMC Research Notes},
volume = {18},
number = {1},
issn = {1756-0500},
address = {London},
publisher = {[Verlag nicht ermittelbar]},
reportid = {DZNE-2025-00506},
pages = {145},
year = {2025},
abstract = {Chemotherapy-induced peripheral neuropathy (CIPN) is a
frequent and serious side effect of many cytotoxic drugs,
including paclitaxel. Despite the identification of
treatment options in animal models, clinical trials for the
treatment or prevention of CIPN have been negative. Major
challenges for successful clinical translation of
preclinical data include a lack of reproducibility and
randomization, small sample sizes and insufficient
statistical tests. We therefore conducted a confirmatory,
preclinical multicenter randomized controlled replication
trial to test the safety and efficacy of three drugs for
preventing paclitaxel-induced polyneuropathy: (1) nilotinib,
(2) lithium carbonate and (3) interleukin-6-neutralizing
antibodies. We preregistered the data analysis plan as well
as the two-step study protocol: the optimal doses of the
three compounds were assessed first and then tested in a
mouse breast cancer xenograft model to compare safety and
efficacy.Unfortunately, toxicity of intraperitoneally
administered nilotinib in combination with paclitaxel was
observed, and higher-than-expected tumor growth resulted in
a lack of power when the trial was analyzed. Thus, although
lithium carbonate and IL-6-neutralizing antibodies tended
toward neuroprotection, the differences between these groups
were not statistically significant. However, the PINPRICS
study ultimately still provides important lessons with
regard to the planning and conduction of multicenter
preclinical trials.},
keywords = {Paclitaxel: adverse effects / Animals / Mice / Female /
Lithium Carbonate: pharmacology / Lithium Carbonate:
therapeutic use / Lithium Carbonate: administration $\&$
dosage / Pyrimidines: therapeutic use / Pyrimidines:
pharmacology / Pyrimidines: administration $\&$ dosage /
Humans / Peripheral Nervous System Diseases: chemically
induced / Peripheral Nervous System Diseases: prevention
$\&$ control / Antibodies, Neutralizing: pharmacology /
Antibodies, Neutralizing: therapeutic use / Interleukin-6:
immunology / Interleukin-6: antagonists $\&$ inhibitors /
Antineoplastic Agents, Phytogenic: adverse effects / Cell
Line, Tumor / Xenograft Model Antitumor Assays / Breast
Neoplasms: drug therapy / Breast Neoplasms: pathology /
Chemotherapy-induced polyneuropathy (Other) / Neuropathic
pain (Other) / Neuroprotection (Other) / Preclinical
replication study (Other) / Paclitaxel (NLM Chemicals) /
Lithium Carbonate (NLM Chemicals) / Pyrimidines (NLM
Chemicals) / nilotinib (NLM Chemicals) / Antibodies,
Neutralizing (NLM Chemicals) / Interleukin-6 (NLM Chemicals)
/ Antineoplastic Agents, Phytogenic (NLM Chemicals)},
cin = {AG Endres},
ddc = {570},
cid = {I:(DE-2719)1811005},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40200318},
doi = {10.1186/s13104-025-07206-2},
url = {https://pub.dzne.de/record/277974},
}