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. 2021 Feb 23;29(8):4223–4238. doi: 10.1007/s00520-021-06042-x

Table 2.

Overview of therapy recommendations for treatment of CIPN by leading guidelines of expert societies. Please note the approval status of respective drugs (status: October 2020)

Therapeutic procedure to treat CIPN
Approval for pain treatment in EU/USA
Mode of action Comments and frequent side effects Recommendations of expert society References
S3 Guideline Supportive Therapy (DKG/ASORS, DGHO, DEGRO) 2017 [6] ASCO Practice Guideline 2014 [7] German Society for Neurology (DGN) 2019 [44]
SSNRI

Duloxetine

EU: approved for painful diabetic peripheral neuropathy

USA: approved for diabetic peripheral neuropathic pain

• Analgesic properties due to presynaptic reuptake inhibition of serotonin and noradrenaline

• Increased activation of inhibitory system of descending nerves (pain inhibition)

• Nausea, dry mouth, somnolence, headache, anxiety + + +

Smith et al. [45]; Binder and Baron Dtsch Arztebl Int, 2016. 113(37):616-625

Schlereth et al. [44]

Venlafaxine

EU/USA: off-label

• Analgesic properties due to presynaptic reuptake inhibition of serotonin and noradrenaline

• Increased activation of inhibitory system of descending nerves (pain inhibition)

• Nausea, dry mouth, somnolence, headache, anxiety, hypertension n.s. (+)

Durand et al. [46]

Binder and Baron Dtsch Arztebl Int, 2016. 113(37):616-625

Schlereth et al. [44]

Tricyclic antidepressants

Amitriptyline, nortriptyline

EU: Amitriptyline: approved for neuropathic pain, nortriptyline: off-label

USA: off-label

• Blocking of voltage-dependent sodium channels

• Presynaptic reuptake inhibition of biogenic amines (e.g., noradrenaline, serotonin)

• Drowsiness, fatigue, dizziness, hypotension, weight gain (+) - +

Kautio et al. [47]

Hammack et al. [48]

Binder and Baron Dtsch Arztebl Int, 2016. 113(37):616-625

Schlereth et al. [44]

Anticonvulsants

Calcium channel modulator:

Gabapentin—EU: approved for peripheral neuropathic pain, USA: approved for postherpetic neuralgia

Pregabalin—EU: approved for peripheral and central neuropathic pain, USA: approved for diabetic peripheral neuropathic pain; postherpetic neuralgia; neuropathic pain associated with spinal cord injury

• Bind to voltage-gated calcium channels on nociceptive neurons in PNS and CNS with high affinity

• Reduce activating calcium influx on peripheral/central neurons

Gabapentin: somnolence, dizziness

Pregabalin: drowsiness, somnolence, peripheral edema, weight gain

• Administration of gabapentin is frequently associated with vertigo and should be considered with care in case of certain functional impairments (e.g., gait disorder).

(+) - +

Mishra et al. [49]

Rao et al. [50]

Binder and Baron Dtsch Arztebl Int, 2016. 113(37):616-625

Sodium channel modulator:

Carbamazepine

EU: approved for trigeminal neuralgia and diabetic peripheral neuropathic pain, USA: approved for trigeminal neuralgia

• Stabilizes membranes at voltage-gated sodium channels on sensitized nociceptive neurons in PNS and CNS

• Reduces spontaneous activity of these neurons

• Unfavorable side effect profile

• Particularly, hyponatremia as well as drug interactions should be considered

- - -

Mishra et al. [49]

Rao et al. [50]

Binder and Baron Dtsch Arztebl Int, 2016. 113(37):616-625

Opioids and cannabinoids

Opioids

(e.g., tramadol, oxycodone, tapentadol)

EU/USA: approved for moderate-to-severe pain

• Agonist effects at μ-opioid receptor in the CNS

• Dependent on intrinsic activity at the receptor: segregation into low-potent (weak) and high-potent (strong) opioids

• Some also act via noradrenergic and serotonergic reuptake inhibition on the inhibitory system of descending nerves (pain inhibition)

• Sedation, dizziness, headache, constipation, nausea, itch

• Dependency, abuse

(+) n.s. (+)

Finnerup et al. [51]

Nagashima et al. [52]

Sommer et al. Eur J Pain, 2020. 24(1):3-18

Binder and Baron Dtsch Arztebl Int, 2016. 113(37):616-625

Schlereth et al. [44]

Cannabinoids

EU/USA: off-label

• Agonists at CB1 receptors in CNS, spinal cord, and peripheral nerves

• Act via inhibition of neuronal excitability

• Some cannabinoid compounds are psychoactive

• Synthetic cannabinoid receptor agonists may have higher psychosis-inducing potential than natural cannabis and should be considered with care

n.s. n.s. -

van Amsterdam et al. J Psychopharmacol, 2015. 29(3):254-63

Schlereth et al. [44]

Topical therapies

Lidocaine patch (700 mg)

EU/USA: approved for postherpetic neuralgia

• Inhibits ectopic action potentials via blocking of abnormally functioning (sensitized) Nav1.7 and Nav1.8 sodium channels in the dermal nociceptors

• May have anti-inflammatory properties via regulation of T cell activity and suppression of nitric oxide production

• Act as a mechanical barrier to the area of allodynia, preventing stimulation

• Burning, erythema, pruritus, or skin irritations at application site

• Unlike conventional lidocaine patches, lidocaine patches developed for pain relief do not cause cutaneous hypoesthesia

(+) n.s. (+) Binder and Baron Dtsch Arztebl Int, 2016. 113(37):616-625

Capsaicin patch, 179 mg (EU)/8% (US)

EU: approved for topical treatment of peripheral neuropathic pain as monotherapy or in combination with other pharmaceutical products for the treatment of pain

USA: approved for postherpetic neuralgia and diabetic peripheral neuropathic pain

• Highly selective agonist of TRPV1 that induces activation of TRPV1-expressing cutaneous nociceptors

• Initial TRPV1 activation results in transient ion influx (Na+, Ca+) with subsequent nerve depolarization and propagation of action potentials

• Prolonged capsaicin exposure induces reversible defunctionalization of nociceptor function, thereby providing pain relief for an extended period

• Pain or erythema as well as burning sensation at application site

• Adverse reactions are usually transient, self-limiting, and mild-to-moderate in intensity

(+) (+)#

+

(In case of localized neuropathic pain, the capsaicin patch should be considered for first-line therapy)

Filipczak-Bryniarska et al. [53]

Maihöfner and Heskamp [54]

van Nooten et al. [55]

Binder and Baron Dtsch Arztebl Int, 2016. 113(37):616-625

Vinik et al. BMC Neurol, 2016. 16(1):251

Anand and Bley [56]

Gel formulation (baclofen, amitriptyline and ketamine or amitriptyline and ketamine) • Combined mode of action, i.e., GABAergic modulation, blockade of sodium channels and glutamatergic (NMDA) receptors Not specified - - n.s.

Barton et al. [57]

Gewandter et al. [58]

Cream formulation (1% menthol) • Selectively activates TRPM8, which is also activated upon sensation of cold temperature and after sensory nerve injury Not specified (+) - n.s.

Hershman et al. [7]

Fallon et al. [59]

+, recommended for treatment of CIPN by indicated guideline; -, not recommended for treatment of CIPN by indicated guideline; brackets indicate weak recommendation, e.g., due to low-quality medical evidence for CIPN and/or unfavorable side effect profile; n.s., not specified; SSNRI, selective serotonin-noradrenalin reuptake inhibitor; CNS, central nervous system; GABA, gamma-aminobutyric acid; NMDA, glutamatergic N-methyl-d-aspartate; PNS, peripheral nervous system; TRPV1, transient receptor potential vanilloid 1; TRPM8, transient receptor potential melastatin 8

#CIPN-data were not yet available at publication date