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

17 avril 2017 mis à jour par: Francis (Frank) Senecal, MD, South Sound Care Foundation

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.

Aperçu de l'étude

Description détaillée

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.

Type d'étude

Interventionnel

Inscription (Réel)

16

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

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

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans et plus (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Femelle

La 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

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Soins de soutien
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Quadruple

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Comparateur placebo: 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.

Expérimental: '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.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
The effects of consuming "R" on quality of life in the areas of insomnia in breast cancer patients receiving multi-cycle adjuvant chemotherapy
Délai: Patients will be followed for up to 25 weeks
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
Délai: Patients will be followed for up to 25 weeks
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

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
The effects of consuming "R" on quality of life in the areas of depression in breast cancer patients receiving multi-cycle adjuvant chemotherapy
Délai: Patients will be followed for up to 25 weeks
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

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Chercheur principal: Francis (Frank) Senecal, MD, Northwest Medical Specialties

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

1 janvier 2013

Achèvement primaire (Réel)

1 avril 2016

Achèvement de l'étude (Réel)

1 avril 2016

Dates d'inscription aux études

Première soumission

8 août 2014

Première soumission répondant aux critères de contrôle qualité

14 août 2014

Première publication (Estimation)

15 août 2014

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

18 avril 2017

Dernière mise à jour soumise répondant aux critères de contrôle qualité

17 avril 2017

Dernière vérification

1 avril 2017

Plus d'information

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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