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- Klinische proef NCT00053846
Buspirone in Reducing Shortness of Breath in Patients With Cancer
RATIONALE: Buspirone may be effective in reducing dyspnea (shortness of breath) in patients with cancer who are undergoing chemotherapy.
PURPOSE: Randomized clinical trial to study the effectiveness of buspirone in reducing shortness of breath in patients who are undergoing chemotherapy for cancer.
Studie Overzicht
Toestand
Interventie / Behandeling
Gedetailleerde beschrijving
OBJECTIVES:
- Assess the degree to which buspirone can decrease the sensation of dyspnea in patients with malignant disease.
- Estimate the incidence of dyspnea in patients seen in community oncology practice settings.
- Investigate interrelationships of fatigue, depression, anxiety, and patient report of dyspnea.
- Assess the quality of life of patients treated with this drug.
OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to participating center (CCOP site). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Beginning on day 7 of chemotherapy, patients receive oral buspirone once a day for 3 days and then twice daily for up to 28 days.
- Arm II: Patients receive oral placebo as in arm I. Dyspnea is assessed at baseline. Dyspnea, mood, fatigue, depression, anxiety, and quality of life are assessed within 5-7 days before chemotherapy and immediately following therapy.
PROJECTED ACCRUAL: A total of 376 patients (188 per treatment arm) will be accrued for this study.
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
- Fase 3
Contacten en locaties
Studie Locaties
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Illinois
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Chicago, Illinois, Verenigde Staten, 60612-7323
- MBCCOP - University of Illinois at Chicago
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Decatur, Illinois, Verenigde Staten, 62526
- CCOP - Central Illinois
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Evanston, Illinois, Verenigde Staten, 60201
- CCOP - Evanston
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Kansas
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Wichita, Kansas, Verenigde Staten, 67214-3882
- CCOP - Wichita
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Michigan
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Kalamazoo, Michigan, Verenigde Staten, 49007-3731
- CCOP - Kalamazoo
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Missouri
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Kansas City, Missouri, Verenigde Staten, 64131
- CCOP - Kansas City
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Nevada
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Las Vegas, Nevada, Verenigde Staten, 89106
- CCOP - Nevada Cancer Research Foundation
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New York
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East Syracuse, New York, Verenigde Staten, 13057
- CCOP - Hematology-Oncology Associates of Central New York
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North Carolina
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Goldsboro, North Carolina, Verenigde Staten, 27534-9479
- CCOP - Southeast Cancer Control Consortium
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Ohio
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Dayton, Ohio, Verenigde Staten, 45429
- CCOP - Dayton
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Oregon
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Portland, Oregon, Verenigde Staten, 97225
- CCOP - Columbia River Oncology Program
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South Carolina
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Greenville, South Carolina, Verenigde Staten, 29615
- CCOP - Greenville
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Spartanburg, South Carolina, Verenigde Staten, 29303
- CCOP - Upstate Carolina
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Washington
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Tacoma, Washington, Verenigde Staten, 98405-0986
- CCOP - Northwest
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Wisconsin
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Marshfield, Wisconsin, Verenigde Staten, 54449
- CCOP - Marshfield Clinic Research Foundation
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
DISEASE CHARACTERISTICS:
- Diagnosis of cancer
Treatment includes the following scenarios:
- May have had prior chemotherapy course(s)
Scheduled to receive at least 2 courses of chemotherapy
- Courses may include multiple treatment days such as days 1-5 or day 1-day 8 regimens and may include oral regimens
Dyspnea as a symptom within the past 5 days (defined by a score of at least grade 2 on the Modified Medical Research Council Dyspnea Scale)
- All underlying causes of dyspnea have received medical treatment per best clinical judgement of treating physician
PATIENT CHARACTERISTICS:
Age
- 18 and over
Performance status
- Eastern Cooperative Oncology Group 0-2
Life expectancy
- Not specified
Hematopoietic
- Not specified
Hepatic
- Adequate hepatic function (determined by treating oncologist)
Renal
- Adequate renal function (determined by treating oncologist)
Cardiovascular
- Adequate cardiac function (determined by treating oncologist)
Other
- Not pregnant or nursing
- Fertile patients must use effective contraception
- No history of mania or seizures
- No prior hospitalization for any psychiatric condition
- No prior hypersensitivity to buspirone
- Able to swallow medication
PRIOR CONCURRENT THERAPY:
Biologic therapy
- Not specified
Chemotherapy
- See Disease Characteristics
Endocrine therapy
- Not specified
Radiotherapy
- Concurrent radiotherapy allowed
Surgery
- Not specified
Other
- At least 2 weeks since prior and no concurrent monoamine oxidase inhibitors (MAOIs)
- Concurrent narcotic medications allowed
- Concurrent benzodiazepine medications allowed
- Concurrent serotonin reuptake inhibitors allowed
- No concurrent alcohol
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Placebo-vergelijker: Placebo
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Placebo
|
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Experimenteel: buspirone hydrochloride
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The dose of buspirone will be 10 mg taken by mouth at bedtime for 3 days, then twice each day, in the morning and at bedtime for the remainder of the 28 day study period
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Dyspnea as Measured by Oxygen Cost Diagram (OCD)
Tijdsspanne: 28 days after beginning study drug or placebo
|
OCD was used to evaluate dyspnea on exertion and activities of daily living.
OCD is a visual analog scale for quantifying a patient's evaluation of tolerance of exertion, which corresponds to oxygen requirements at different activity levels.
It is measured as a score of 2 (sleeping) to 14 (brisk walking uphill).
HIgher scores indicate fewer limitations due to dyspnea.
|
28 days after beginning study drug or placebo
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Studie stoel: Peter Bushunow, MD, University of Rochester
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Ziekten van de luchtwegen
- Ademhalingsstoornissen
- Tekenen en symptomen, ademhaling
- Dyspneu
- Fysiologische effecten van medicijnen
- Neurotransmitter agenten
- Moleculaire mechanismen van farmacologische werking
- Depressiva van het centrale zenuwstelsel
- Rustgevende agenten
- Psychotrope medicijnen
- Serotonine agenten
- Serotoninereceptoragonisten
- Middelen tegen angst
- Buspiron
Andere studie-ID-nummers
- CDR0000269487
- U10CA037420 (Subsidie/contract van de Amerikaanse NIH)
- URCC U1701 (Andere identificatie: University of Rochester)
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