Skip to main content
Erschienen in: Die Onkologie 2/2009

01.02.2009 | Leitthema

Tumortherapiebedingte Neuropathie

Was ist bei neuen Konzepten zu beachten?

verfasst von: Dr. S. Koeppen

Erschienen in: Die Onkologie | Ausgabe 2/2009

Einloggen, um Zugang zu erhalten

Zusammenfassung

Während der Behandlung maligner Tumoren werden häufig Chemotherapeutika eingesetzt, die Nebenwirkungen am peripheren Nervensystem verursachen können. Dies gilt insbesondere für Platin-Derivate, Vinca-Alkaloide und Taxane. Typischerweise manifestiert sich die chemotherapieinduzierte periphere Neurotoxizität (CIPN) einige Wochen oder Monate nach Beginn der Behandlung mit sensiblen Reizerscheinungen in Form von Kribbelparästhesien mit distaler symmetrischer Verteilung und handschuh- bzw. strumpfförmiger Ausbreitung an den Extremitäten, i. Allg. beinbetont. Zur Dokumentation CIPN-bedingter Beschwerden und funktioneller Einschränkungen wurde ein 20 Items umfassender Patientenfragebogen entwickelt. Um neurotoxische Nebenwirkungen zu vermeiden, sollten Patienten während einer Chemotherapie mit hohem CIPN-Risiko nach jedem Zyklus neurologisch untersucht werden.
Literatur
1.
Zurück zum Zitat Albers J, Chaudhry V, Cavaletti G, Donehower R (2007) Interventions for preventing neuropathy caused by cisplatin and related compounds. Cochrane Database Syst Rev (1):CD005228 Albers J, Chaudhry V, Cavaletti G, Donehower R (2007) Interventions for preventing neuropathy caused by cisplatin and related compounds. Cochrane Database Syst Rev (1):CD005228
2.
Zurück zum Zitat Argyriou AA, Polychronopoulos P, Koutras A et al (2006) Is advanced age associated with increased incidence and severity of chemotherapy-induced peripheral neuropathy? Support Care Cancer 14(3):223–229PubMedCrossRef Argyriou AA, Polychronopoulos P, Koutras A et al (2006) Is advanced age associated with increased incidence and severity of chemotherapy-induced peripheral neuropathy? Support Care Cancer 14(3):223–229PubMedCrossRef
3.
Zurück zum Zitat Badros A, Goloubeva O, Dalal JS et al (2007) Neurotoxicity of bortezomib therapy in multiple myeloma: a single-center experience and review of the literature. Cancer 110(5):1042–1049PubMedCrossRef Badros A, Goloubeva O, Dalal JS et al (2007) Neurotoxicity of bortezomib therapy in multiple myeloma: a single-center experience and review of the literature. Cancer 110(5):1042–1049PubMedCrossRef
4.
Zurück zum Zitat Cavaletti G, Frigeni B, Lanzani F et al (2007) The total neuropathy score as an assessment tool for grading the course of chemotherapy-induced peripheral neurotoxicity: Comparison with the national cancer institute-common toxicity scale. J Peripher Nerv Syst 12(3):210–215PubMedCrossRef Cavaletti G, Frigeni B, Lanzani F et al (2007) The total neuropathy score as an assessment tool for grading the course of chemotherapy-induced peripheral neurotoxicity: Comparison with the national cancer institute-common toxicity scale. J Peripher Nerv Syst 12(3):210–215PubMedCrossRef
5.
Zurück zum Zitat Cavaletti G, Jann S, Pace A et al (2006) Multi-center assessment of the total neuropathy score for chemotherapy-induced peripheral neurotoxicity. J Peripher Nerv Syst 11(2):135–141PubMedCrossRef Cavaletti G, Jann S, Pace A et al (2006) Multi-center assessment of the total neuropathy score for chemotherapy-induced peripheral neurotoxicity. J Peripher Nerv Syst 11(2):135–141PubMedCrossRef
6.
Zurück zum Zitat Dougherty PM, Cata JP, Cordella JV et al (2004) Taxol-induced sensory disturbance is characterized by preferential impairment of myelinated fiber function in cancer patients. Pain 109(1–2):132–142 Dougherty PM, Cata JP, Cordella JV et al (2004) Taxol-induced sensory disturbance is characterized by preferential impairment of myelinated fiber function in cancer patients. Pain 109(1–2):132–142
7.
Zurück zum Zitat Eckel F, Schmelz R, Adelsberger H et al (2002) Prevention of oxaliplatin-induced neuropathy by carbamazepine. A pilot study. Dtsch Med Wochenschr 127(3):78–82PubMedCrossRef Eckel F, Schmelz R, Adelsberger H et al (2002) Prevention of oxaliplatin-induced neuropathy by carbamazepine. A pilot study. Dtsch Med Wochenschr 127(3):78–82PubMedCrossRef
8.
Zurück zum Zitat Forsyth PA, Balmaceda C, Peterson K et al (1997) Prospective study of paclitaxel-induced peripheral neuropathy with quantitative sensory testing. J Neurooncol 35(1):47–53PubMedCrossRef Forsyth PA, Balmaceda C, Peterson K et al (1997) Prospective study of paclitaxel-induced peripheral neuropathy with quantitative sensory testing. J Neurooncol 35(1):47–53PubMedCrossRef
9.
Zurück zum Zitat Gamelin E, Gamelin L, Bossi L, Quasthoff S (2002) Clinical aspects and molecular basis of oxaliplatin neurotoxicity: Current management and development of preventive measures. Semin Oncol 29(5 Suppl 15):21–33PubMedCrossRef Gamelin E, Gamelin L, Bossi L, Quasthoff S (2002) Clinical aspects and molecular basis of oxaliplatin neurotoxicity: Current management and development of preventive measures. Semin Oncol 29(5 Suppl 15):21–33PubMedCrossRef
10.
Zurück zum Zitat Koeppen S, Verstappen CCP, Körte R et al (2004) Lack of neuroprotection by an ACTH (4–9) analogue. A randomized trial in patients treated with vincristine for Hodgkin’s or non-Hodgkin’s lymphoma. J Cancer Res Clin Oncol 130:153–160PubMedCrossRef Koeppen S, Verstappen CCP, Körte R et al (2004) Lack of neuroprotection by an ACTH (4–9) analogue. A randomized trial in patients treated with vincristine for Hodgkin’s or non-Hodgkin’s lymphoma. J Cancer Res Clin Oncol 130:153–160PubMedCrossRef
11.
Zurück zum Zitat Krishnan AV, Goldstein D, Friedlander M, Kiernan MC (2006) Oxaliplatin and axonal Na+ channel function in vivo. Clin Cancer Res 12(15):4481–4484PubMedCrossRef Krishnan AV, Goldstein D, Friedlander M, Kiernan MC (2006) Oxaliplatin and axonal Na+ channel function in vivo. Clin Cancer Res 12(15):4481–4484PubMedCrossRef
12.
Zurück zum Zitat Krishnan AV, Goldstein D, Friedlander M, Kiernan MC (2005) Oxaliplatin-induced neurotoxicity and the development of neuropathy. Muscle Nerve 32(1):51–60PubMedCrossRef Krishnan AV, Goldstein D, Friedlander M, Kiernan MC (2005) Oxaliplatin-induced neurotoxicity and the development of neuropathy. Muscle Nerve 32(1):51–60PubMedCrossRef
13.
Zurück zum Zitat Land SR, Kopec JA, Cecchini RS et al (2007) Neurotoxicity from oxaliplatin combined with weekly bolus fluorouracil and leucovorin as surgical adjuvant chemotherapy for stage II and III colon cancer: NSABP C-07. J Clin Oncol 25(16):2205–2211PubMedCrossRef Land SR, Kopec JA, Cecchini RS et al (2007) Neurotoxicity from oxaliplatin combined with weekly bolus fluorouracil and leucovorin as surgical adjuvant chemotherapy for stage II and III colon cancer: NSABP C-07. J Clin Oncol 25(16):2205–2211PubMedCrossRef
14.
Zurück zum Zitat Lee JJ, Swain SM (2006) Peripheral neuropathy induced by microtubule-stabilizing agents. J Clin Oncol 24(10):1633–1642PubMedCrossRef Lee JJ, Swain SM (2006) Peripheral neuropathy induced by microtubule-stabilizing agents. J Clin Oncol 24(10):1633–1642PubMedCrossRef
15.
Zurück zum Zitat Leonard GD, Wright MA, Quinn MG et al (2005) Survey of oxaliplatin-associated neurotoxicity using an interview-based questionnaire in patients with metastatic colorectal cancer. BMC Cancer 5:116PubMedCrossRef Leonard GD, Wright MA, Quinn MG et al (2005) Survey of oxaliplatin-associated neurotoxicity using an interview-based questionnaire in patients with metastatic colorectal cancer. BMC Cancer 5:116PubMedCrossRef
16.
Zurück zum Zitat Ocean AJ, Vahdat LT (2004) Chemotherapy-induced peripheral neuropathy: Pathogenesis and emerging therapies. Support Care Cancer 12(9):619–625PubMed Ocean AJ, Vahdat LT (2004) Chemotherapy-induced peripheral neuropathy: Pathogenesis and emerging therapies. Support Care Cancer 12(9):619–625PubMed
17.
Zurück zum Zitat Pace A, Savarese A, Picardo M et al (2003) Neuroprotective effect of vitamin E supplementation in patients treated with cisplatin chemotherapy. J Clin Oncol 21(5):927–931PubMedCrossRef Pace A, Savarese A, Picardo M et al (2003) Neuroprotective effect of vitamin E supplementation in patients treated with cisplatin chemotherapy. J Clin Oncol 21(5):927–931PubMedCrossRef
18.
Zurück zum Zitat Pietrangeli A, Leandri M, Terzoli E et al (2006) Persistence of high-dose oxaliplatin-induced neuropathy at long-term follow-up. Eur Neurol 56(1):13–16PubMedCrossRef Pietrangeli A, Leandri M, Terzoli E et al (2006) Persistence of high-dose oxaliplatin-induced neuropathy at long-term follow-up. Eur Neurol 56(1):13–16PubMedCrossRef
19.
Zurück zum Zitat Pignata S, De Placido S, Biamonte R et al (2006) Residual neurotoxicity in ovarian cancer patients in clinical remission after first-line chemotherapy with carboplatin and paclitaxel: The multicenter italian trial in ovarian cancer (MITO-4) retrospective study. BMC Cancer 6:5PubMedCrossRef Pignata S, De Placido S, Biamonte R et al (2006) Residual neurotoxicity in ovarian cancer patients in clinical remission after first-line chemotherapy with carboplatin and paclitaxel: The multicenter italian trial in ovarian cancer (MITO-4) retrospective study. BMC Cancer 6:5PubMedCrossRef
20.
Zurück zum Zitat Plasmati R, Pastorelli F, Cavo M et al (2007) Neuropathy in multiple myeloma treated with thalidomide: A prospective study. Neurology 69(6):573–581PubMedCrossRef Plasmati R, Pastorelli F, Cavo M et al (2007) Neuropathy in multiple myeloma treated with thalidomide: A prospective study. Neurology 69(6):573–581PubMedCrossRef
21.
Zurück zum Zitat Postma TJ, Aaronson NK, Heimans JJ et al (2005) The development of an EORTC quality of life questionnaire to assess chemotherapy-induced peripheral neuropathy: The QLQ-CIPN20. Eur J Cancer 41(8):1135–1139PubMedCrossRef Postma TJ, Aaronson NK, Heimans JJ et al (2005) The development of an EORTC quality of life questionnaire to assess chemotherapy-induced peripheral neuropathy: The QLQ-CIPN20. Eur J Cancer 41(8):1135–1139PubMedCrossRef
22.
Zurück zum Zitat Richardson PG, Briemberg H, Jagannath S et al (2006) Frequency, characteristics and reversibility of peripheral neuropathy during treatment of advanced multiple myeloma with bortezomib. J Clin Oncol 24(19):3113–31120PubMedCrossRef Richardson PG, Briemberg H, Jagannath S et al (2006) Frequency, characteristics and reversibility of peripheral neuropathy during treatment of advanced multiple myeloma with bortezomib. J Clin Oncol 24(19):3113–31120PubMedCrossRef
23.
Zurück zum Zitat Strumberg D, Brugge S, Korn MW et al (2002) Evaluation of long-term toxicity in patients after cisplatin-based chemotherapy for non-seminomatous testicular cancer. Ann Oncol 13(2):229–236PubMedCrossRef Strumberg D, Brugge S, Korn MW et al (2002) Evaluation of long-term toxicity in patients after cisplatin-based chemotherapy for non-seminomatous testicular cancer. Ann Oncol 13(2):229–236PubMedCrossRef
24.
Zurück zum Zitat Tosi P, Zamagni E, Cellini C et al (2005) Neurological toxicity of long-term (>1 yr) thalidomide therapy in patients with multiple myeloma. Eur J Haematol 74(3):212–216PubMedCrossRef Tosi P, Zamagni E, Cellini C et al (2005) Neurological toxicity of long-term (>1 yr) thalidomide therapy in patients with multiple myeloma. Eur J Haematol 74(3):212–216PubMedCrossRef
25.
Zurück zum Zitat Verstappen CC, Koeppen S, Heimans JJ et al (2005) Dose-related vincristine-induced peripheral neuropathy with unexpected off-therapy worsening. Neurology 64(6):1076–1077PubMed Verstappen CC, Koeppen S, Heimans JJ et al (2005) Dose-related vincristine-induced peripheral neuropathy with unexpected off-therapy worsening. Neurology 64(6):1076–1077PubMed
26.
Zurück zum Zitat Visovsky C, Collins M, Abbott L et al (2007) Putting evidence into practice: Evidence-based interventions for chemotherapy-induced peripheral neuropathy. Clin J Oncol Nurs 11(6):901–913PubMedCrossRef Visovsky C, Collins M, Abbott L et al (2007) Putting evidence into practice: Evidence-based interventions for chemotherapy-induced peripheral neuropathy. Clin J Oncol Nurs 11(6):901–913PubMedCrossRef
27.
Zurück zum Zitat von Delius S, Eckel F, Wagenpfeil S et al (2007) Carbamazepine for prevention of oxaliplatin-related neurotoxicity in patients with advanced colorectal cancer: Final results of a randomised, controlled, multicenter phase II study. Invest New Drugs 25(2):173–180 von Delius S, Eckel F, Wagenpfeil S et al (2007) Carbamazepine for prevention of oxaliplatin-related neurotoxicity in patients with advanced colorectal cancer: Final results of a randomised, controlled, multicenter phase II study. Invest New Drugs 25(2):173–180
28.
Zurück zum Zitat Wang WS, Lin JK, Lin TC et al (2007) Oral glutamine is effective for preventing oxaliplatin-induced neuropathy in colorectal cancer patients. Oncologist 12(3):312–319PubMedCrossRef Wang WS, Lin JK, Lin TC et al (2007) Oral glutamine is effective for preventing oxaliplatin-induced neuropathy in colorectal cancer patients. Oncologist 12(3):312–319PubMedCrossRef
29.
Zurück zum Zitat Windebank AJ, Grisold W (2008) Chemotherapy-induced neuropathy. J Peripher Nerv Syst 13(1):27–46PubMedCrossRef Windebank AJ, Grisold W (2008) Chemotherapy-induced neuropathy. J Peripher Nerv Syst 13(1):27–46PubMedCrossRef
30.
Zurück zum Zitat Zara G, Ermani M, Rondinone R et al (2008) Thalidomide and sensory neurotoxicity: A neurophysiological study. J Neurol Neurosurg Psychiatry 79(11):1258–1261PubMedCrossRef Zara G, Ermani M, Rondinone R et al (2008) Thalidomide and sensory neurotoxicity: A neurophysiological study. J Neurol Neurosurg Psychiatry 79(11):1258–1261PubMedCrossRef
Metadaten
Titel
Tumortherapiebedingte Neuropathie
Was ist bei neuen Konzepten zu beachten?
verfasst von
Dr. S. Koeppen
Publikationsdatum
01.02.2009
Verlag
Springer-Verlag
Erschienen in
Die Onkologie / Ausgabe 2/2009
Print ISSN: 2731-7226
Elektronische ISSN: 2731-7234
DOI
https://doi.org/10.1007/s00761-008-1550-7

Weitere Artikel der Ausgabe 2/2009

Die Onkologie 2/2009 Zur Ausgabe

CME Weiterbildung • Zertifizierte Fortbildung

Tumorerkrankungen des Gefäßsystems

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.