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GM1 for Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer

Phase 2
Recruiting
Research Sponsored by Alliance for Clinical Trials in Oncology
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
No planned treatment with concurrent immunotherapy
Age >= 18 years
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 4 years after the end of gm1 treatment

Summary

This trial is testing a natural nerve protector to see if it can reduce or prevent chemotherapy-induced nerve damage in breast cancer patients.

Who is the study for?
This trial is for adults with metastatic breast cancer who are receiving paclitaxel and have normal liver function, no severe neurological or psychiatric disorders, and can complete questionnaires in English/Spanish. They should not be using certain therapies or drugs like duloxetine, have a recent serious infection, previous GM1 exposure, or plan to use immunotherapy.
What is being tested?
The trial is testing the safety and optimal dose of GM1 to see if it reduces or prevents numbness and weakness caused by chemotherapy (CIPN) in patients treated with paclitaxel. It includes quality-of-life assessments compared to a placebo.
What are the potential side effects?
Potential side effects may include reactions at the injection site, possible nerve damage protection failure leading to CIPN symptoms such as pain, tingling, or numbness despite treatment.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am not planning to receive immunotherapy alongside other treatments.
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I am 18 years old or older.
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I have never been treated with GM1.
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I am not planning to use cold treatments or compression therapies as part of my care.
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I have never been diagnosed with a neurological or psychiatric disorder.
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I experience little to no numbness, tingling, or pain in my hands and feet.
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I can take care of myself and am up and about more than half of my waking hours.
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I have not been diagnosed with fibromyalgia.
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I have a confirmed diagnosis of metastatic breast cancer.
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I am not planning to take duloxetine.
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I am scheduled to receive paclitaxel for my metastatic cancer.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 4 years after the end of gm1 treatment
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 4 years after the end of gm1 treatment for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Composite response (Phase II)
Maximum Tolerated Dose (Early phase)
Secondary study objectives
Percentage of patients who received full planned dose of paclitaxel
Rate of grade 3+ Adverse Events
Serially measured patient-reported outcome that best describes the patients' aches/pains at its least in the last 24 hours
+3 more
Other study objectives
Overall survival (OS)
Patient-reported severity and interference of numbness or tingling in hands or feet
Progression free survival (PFS)
+3 more

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Arm I (paclitaxel, GM1)Experimental Treatment4 Interventions
Patients receive GM1 IV 1 hour prior to paclitaxel administration and paclitaxel IV weekly for 12 weeks or 3 weeks on/1 week off for 12 doses.
Group II: Arm II (paclitaxel, placebo)Placebo Group4 Interventions
Patients receive placebo IV 1 hour prior to paclitaxel administration and paclitaxel IV weekly for 12 weeks or 3 weeks on/1 week off for 12 doses.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Paclitaxel
2011
Completed Phase 4
~5450

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)NIH
13,928 Previous Clinical Trials
41,017,931 Total Patients Enrolled
14 Trials studying Peripheral Neuropathy
1,473 Patients Enrolled for Peripheral Neuropathy
Alliance for Clinical Trials in OncologyLead Sponsor
518 Previous Clinical Trials
222,239 Total Patients Enrolled
1 Trials studying Peripheral Neuropathy
231 Patients Enrolled for Peripheral Neuropathy

Media Library

Arm I (paclitaxel, GM1) Clinical Trial Eligibility Overview. Trial Name: NCT05751668 — Phase 2
Peripheral Neuropathy Research Study Groups: Arm I (paclitaxel, GM1), Arm II (paclitaxel, placebo)
Peripheral Neuropathy Clinical Trial 2023: Arm I (paclitaxel, GM1) Highlights & Side Effects. Trial Name: NCT05751668 — Phase 2
Arm I (paclitaxel, GM1) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05751668 — Phase 2
~65 spots leftby May 2030