Amifostine
Three studies have tested amifostine in prevention of chemotherapy -induced neurotoxicity
Two of these studies have not shown amifostine to be effective in preventing or reducing symptoms of periheral neuropathy
A prospective,double-blind,randomized,placebo -controlled trial was performed. Patients with advanced ovarian cancer received carboplatin/paclitaxel-based chemotherapy and were pretreated with amifostine 740 mg/m versus placebo. Assessments included aques-tionnaire,the common terminology criteria for adverse events (CTCAE) , vibration threshold measurements,and quality of life. Results indicatad that amifostine impoved sensory neuropathy according to the National cancer lnstitute CTCAE with regard to objective neurologic assessment,but almost no differences occurred in self-reported sensory or motor symptoms