Meta AnalysisID 7249

α-硫辛酸减轻药物性神经毒性的疗效

CRD42023448233

Is alpha-lipoic acid effective in reducing drug-induced neurotoxicity?

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Meta Analysis Id
7249
Evidence Id
15807
Core Evidence Id
15807
Source Meta Analysis Id
7233
Herb2 Meta Analysis Id
HBMA007233
Crd Id
CRD42023448233
Title
Efficacy of alpha-lipoic acid in reducing drug-induced neurotoxicity.
Review Question
Is alpha-lipoic acid effective in reducing drug-induced neurotoxicity?
Study Type Included
Only randomized controlled trials will be included.
Condition Being Studied
Although there are numerous studies that prove the safety of drugs, there are still several side effects that are not avoidable, such as neurotoxicity. Many studies focus on changing doses, adding medications, but leave aside the option of including nutraceuticals, which are proven to have an antioxidant effect, which can reduce the toxicity caused by medications. In fact, most studies with nutraceuticals do not bring alarming results, but on the other hand, the fact that they have few or no side effects would already be of great help for the body to strengthen itself against the toxicity resulting from the drugs. Likewise, individual assays lack sufficient power to detect significant differences in outcomes in important subgroups, such as those defined by age, polypharmacy, among others. Therefore, we intend to perform a systematic review and meta-analysis examining the efficacy of alpha-lipoic acid in patients with potential drug-induced neurotocity, specifically interested in outcomes such as improvement in neurotoxic symptoms, decrease in neurotoxicity progression, or improvement in patients' quality of life.
Participant
We will include randomized clinical trials (RCTs) comparing alpha lipoic acid with placebo in patients using any drug with potential neurotoxicity, reporting the clinical outcomes of interest. We will exclude animal studies, studies with overlapping patient populations, as well as studies without a control group.
Animal
Human Disease Modelled
Intervention
Intervention: Alpha lipoic acid, also known as thioctic acid
Comparator Control
Control: placebo
Main Outcome
We will extract data for a joint analysis of the following outcomes: (1) improvement in neurotoxic symptoms; (2) decrease in the progression of neurotoxicity; and (3) improved quality of life. Measures of effect Hazards ratio.
Outcome Measure
Additional Outcome
Symptoms of neurotoxicity in all causes; neuropathies; incapacitation; muscle pain and weakness; loss of function and cognition Measures of effect Hazards ratio or odds ratio.
Study Method
Intervention, Meta-analysis, Systematic review
Keyword
Antioxidants; Humans; Neurotoxicity Syndromes; Thioctic Acid
Contact
Luciana Cancado [email protected]
Organisational Affiliation
Universidade NOVA de Lisboa https://www.unl.pt/
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Not applicable
Published Protocol
Review Type
Language
English
Country
Portugal
Review Stage
Review Ongoing
First Submission Date
2023-07-24
Registration Date
2023-08-05
Anticipated Start Date
2023-07-17
Anticipated Completion Date
2023-09-08
Title Cn
α-硫辛酸减轻药物性神经毒性的疗效
Title En
Efficacy of alpha-lipoic acid in reducing drug-induced neurotoxicity.
Bilingual Status
complete