Effects of 'R' (Electro-kinetic Beverage) on Insomnia, Fatigue, and Depression in Breast Cancer Patients Having Adjuvant Chemo

A Pilot Study Evaluating the Effect of 'R' (Electro-Kinetically Altered Beverage) on Insomnia, Fatigue and Depression in Breast Cancer Patients Receiving Adjuvant Chemotherapy

The purpose of this study is to evaluate the effects of consuming "R" on quality of life in the areas of insomnia, fatigue, and depression in female breast cancer patients receiving multi-cycle adjuvant chemotherapy.

Study Overview

• Status: Terminated
• Conditions: Breast Cancer
• Intervention / Treatment: Other: Placebo (water); Other: 'R' (Electro-kinetically altered beverage)

Detailed Description

Female breast cancer patients eligible for adjuvant therapy with four cycles of Taxotere and Cytoxan chemotherapy after surgery will be enrolled for the study.

Eligible subjects will begin to consume either "R" or purified water (placebo) just prior to the 1st cycle of chemotherapy. Subjects will continue to consume either "R" or placebo through Cycle 1, Cycle 2, Cycle 3, Cycle 4, and for an additional 12 weeks after completing chemotherapy.

Study procedures will include clinical lab assessments, analysis of inflammatory markers, RNA biomarkers, adverse events, subject diary, and quality of life measurements for insomnia, fatigue and depression.

• Study Type: Interventional
• Enrollment (Actual): 16
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Washington
    • Bonney Lake, Washington, United States, 98391
      • NWMS Bonney Lake - Medical Oncology
    • Federal Way, Washington, United States, 98003
      • NWMS Federal Way - Medical Oncology
    • Gig Harbor, Washington, United States, 98332
      • NWMS Gig Harbor - Medical Oncology
    • Lakewood, Washington, United States, 98499
      • NWMS Lakewood - Medical Oncology
    • Puyallup, Washington, United States, 98373
      • Rainier Hematology-Oncology, WA
    • Tacoma, Washington, United States, 98405
      • NWMS Tacoma - Medical Oncology & Infectious Diseases

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• Female, non-smokers ≥ 18 years of age
• Histologically or cytologically confirmed diagnosis of Stage I or II adenocarcinoma of the breast and a candidate for adjuvant chemotherapy
• Scheduled to receive 4 cycles of adjuvant Taxotere and Cytoxan chemotherapy (TC): docetaxel 75 mg/m2 and cyclophosphamide 600 mg/m2 administered intravenously on Day 1 of each 21-day cycle
• Eastern Cooperative Oncology Group Status (ECOG) performance status of ≤ 1
• No prior treatment for breast cancer other than surgery

• Adequate baseline organ function as evidenced by:

  • Hemoglobin ≥ 9 g/dL
  • Absolute neutrophil count ≥ 1.5 x 109 cells/mm3
  • Platelet count ≥ 100,000 cells/mm3
  • Serum creatinine ≤ 1.5 x upper limit of normal (ULN)
  • Alkaline phosphatase ≤ 1.5 x ULN
• No history of other malignancies within the last 5 years, except for carcinoma in situ of the cervix, or basal cell carcinoma or squamous cell carcinoma of the skin that have been previously treated with curative intent
• Women of childbearing potential who commit to using two forms of highly effective non-hormonal contraception either by the subject and/or partner during the study
• Negative urine pregnancy test at screening
• Negative urine drug screen (UDS) for drugs of abuse including cotinine (nicotine) at screening
• Subjects must be capable of understanding the purpose and risks of the study and provide written, voluntary informed consent

Exclusion Criteria:

• Preexisting diagnosed psychiatric disorder as defined by The Diagnostic and Statistical Manual (DSM) of Mental Disorders (published by the American Psychiatric Association). Subjects with a diagnosis of depression will be allowed to enter into study as long as they have been treated with medication for ≥ 6 months and/or depression is considered to be well controlled
• Pregnant or lactating
• Diabetes
• Concomitant use of any sleeping agents during the course of the study (Anti- anxiety medications will be allowed)

• Steroid therapy other than the standard prescribed therapy of either of the following during the course of the study:

  • Dexamethasone 4-12 mg IV on Day 1 of any cycle
  • Dexamethasone 4-12 mg PO on Day 2 and Day 3 of any cycle

• Anti-estrogen therapy other than the standard prescribed therapy of one of the following:

  • Tamoxifen/Nolvadex 20 mg PO daily
  • Anastrazole/Arimidex 1 mg PO daily
  • Letrozole/Femara 2.5 mg PO daily
  • Exemestane/Aromasin 25 mg PO daily

• Use of any other antiemetic regimen other than the following (with the exception of PO antiemetics):

  • Emend /Aprepitant150 mg IV on Day 1 of any cycle
  • Aloxi/Palonosetron 0.25 mg IV on Day 1 of any cycle
  • Dexamethasone 8 mg IV on Day 1 of any cycle
  • Dexamethasone 8 mg PO on Day 2 and Day 3 of any cycle
  • Zofran/Ondansetron 12 mg IV on Day 1 of any cycle
  • Kytrile/Granisetron 1-2 mg IV on Day 1 of any cycle
• Therapy with any immunomodulatory or immunosuppressive drugs within 6 months prior to enrollment
• Known history of positive viral serology test for Human Immunodeficiency Virus (HIV-1), HBsAG and Hepatitis C antibody
• Any change in the initially prescribed chemotherapy
• Use of herbal remedies, dietary supplements or mega-vitamins, with the exception of a multi-vitamin
• Investigator deems the subject to be unable or unwilling to comply with the requirements of the protocol

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Placebo Comparator: Purified Water; In this arm, eligible subjects will begin to consume purified water (placebo) just prior to the 1st cycle of chemotherapy. Subjects will continue to consume the placebo through their chemotherapy and then for an additional 12 weeks after completing chemotherapy. Subjects will consume a specific volume based on the following weight categories: <150 lb = 2 bottles/day; ≥150 lb and <225 lb = 3 bottles/day; ≥225 lb = 4 bottles/day. Subjects will consume placebo for a minimum of 168 days.	Other: Placebo (water)
Experimental: 'R' (Electro-kinetically altered beverage); Patients randomized to this arm will begin to consume "R" (Electro-kinetically altered beverage) just prior to the 1st cycle of chemotherapy and continue it through their chemotherapy cycles and then for an additional 12 weeks after completing chemotherapy. Subjects will consume a specific volume based on the following weight categories: <150 lb = 2 bottles/day; ≥150 lb and <225 lb = 3 bottles/day; ≥225 lb = 4 bottles/day. Subjects will consume R for a minimum of 168 days.	Other: 'R' (Electro-kinetically altered beverage)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The effects of consuming "R" on quality of life in the areas of insomnia in breast cancer patients receiving multi-cycle adjuvant chemotherapy	SleepMed Insomnia Questionnaire: This is a test to assess, in general, how a subject is feeling about their sleep using a "0-4" point scale - with the "0" representing no problem with sleep and "4" representing a big problem with how a subject feels about the quality of their sleep.	Patients will be followed for up to 25 weeks
The effects of consuming "R" on quality of life in the areas of fatigue in breast cancer patients receiving multi-cycle adjuvant chemotherapy	FACIT Fatigue Scale: A list of questions that asks a patient how fatigued they have felt in the last 7 days.	Patients will be followed for up to 25 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The effects of consuming "R" on quality of life in the areas of depression in breast cancer patients receiving multi-cycle adjuvant chemotherapy	Beck Depression Inventory-II: A list of statements that ask a subject about the way they have been feeling for the last two weeks.	Patients will be followed for up to 25 weeks

Collaborators and Investigators

• Sponsor: South Sound Care Foundation
• Investigators: Principal Investigator: Francis (Frank) Senecal, MD, Northwest Medical Specialties

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2013
• Primary Completion (Actual): April 1, 2016
• Study Completion (Actual): April 1, 2016

Study Registration Dates

• First Submitted: August 8, 2014
• First Submitted That Met QC Criteria: August 14, 2014
• First Posted (Estimate): August 15, 2014

Study Record Updates

• Last Update Posted (Actual): April 18, 2017
• Last Update Submitted That Met QC Criteria: April 17, 2017
• Last Verified: April 1, 2017

More Information

Terms related to this study

• Keywords: Depression; Breast Cancer; Adjuvant chemotherapy; Fatigue; Insomnia; Stage I breast cancer; Stage II breast cancer; Water study; 'R'; Electro-kinetically altered beverage; altered beverage
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Nervous System Diseases; Skin Diseases; Neoplasms; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Neoplasms by Site; Breast Diseases; Depression; Breast Neoplasms; Fatigue; Sleep Initiation and Maintenance Disorders
• Other Study ID Numbers: R822662