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Symptom Management After Breast Cancer Surgery

Primary Purpose

Neuropathic Pain, Postmastectomy Pain

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Lidoderm patch
Placebo patch
Sponsored by
University of California, San Francisco
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Neuropathic Pain focused on measuring breast cancer, neuropathic pain, topical lidocaine, postmastectomy pain, breast symptoms, breast pain

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Adult women >18 years who develop neuropathic pain in the breast scar area and/or ipsilateral arm following breast cancer surgery
  • Has a healed incision(s)
  • Has no recurrent disease in the painful area
  • Is able to read, write and understand English

Exclusion Criteria:

  • Presence of another type of pain that is more severe than the neuropathic pain
  • Use of an opioid analgesic of greater than 60 mg codeine/day
  • Is actively trying to become pregnant
  • Has a medical contraindication to the use of lidocaine
  • Has an allergy to lidocaine
  • Is taking a coanalgesic for neuropathic pain.

Sites / Locations

  • UCSF Comprehensive Cancer Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Lidocaine Patch

Placebo Patch

Arm Description

Drug: lidocaine patch 5% (Lidoderm®, Endo Pharmaceuticals Inc.), 1 patch was applied topically to the affected site(s) for 12 hours each day.

Drug: placebo patch, 1 patch was applied topically to the affected site(s) for 12 hours each day.

Outcomes

Primary Outcome Measures

Change in Pain Intensity on an 11-point Scale From Baseline to 12 Weeks
Patients scored their pain intensity in the breast and/or ipsilateral arm using a 0 to 10 numeric rating scale, ranging from no pain (0) to worst pain imaginable (10). The change in pain intensity was calculated from two time points as the later time point (12 weeks) minus the earlier time point (Baseline).

Secondary Outcome Measures

Pain Interference With Function

Full Information

First Posted
May 27, 2008
Last Updated
April 27, 2018
Sponsor
University of California, San Francisco
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1. Study Identification

Unique Protocol Identification Number
NCT00686127
Brief Title
Symptom Management After Breast Cancer Surgery
Official Title
A Randomized, Double-Blind, Placebo-Controlled Trial (RDBPCT) of the Effectiveness of the Lidocaine Patch in the Management of Neuropathic Pain After Breast Cancer Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
September 2003 (undefined)
Primary Completion Date
December 2007 (Actual)
Study Completion Date
December 2007 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of California, San Francisco

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This trial is part of a larger, longitudinal study of symptoms that occur in the breast surgical scar area and/or ipsilateral arm following breast cancer surgery. Women who develop pain in the breast scar area or ipsilateral arm will be randomized to a placebo patch or a lidocaine patch that they will wear on a daily basis for 12 weeks. We hypothesize that women who wear the lidocaine patch will report a decrease in pain and decreased interference with function compared to women who wear the placebo patch.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neuropathic Pain, Postmastectomy Pain
Keywords
breast cancer, neuropathic pain, topical lidocaine, postmastectomy pain, breast symptoms, breast pain

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
21 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lidocaine Patch
Arm Type
Active Comparator
Arm Description
Drug: lidocaine patch 5% (Lidoderm®, Endo Pharmaceuticals Inc.), 1 patch was applied topically to the affected site(s) for 12 hours each day.
Arm Title
Placebo Patch
Arm Type
Placebo Comparator
Arm Description
Drug: placebo patch, 1 patch was applied topically to the affected site(s) for 12 hours each day.
Intervention Type
Drug
Intervention Name(s)
Lidoderm patch
Other Intervention Name(s)
Lidoderm, Lidoaine patch 5%
Intervention Description
1 patch was applied topically to the affected site(s) for 12 hours each day.
Intervention Type
Drug
Intervention Name(s)
Placebo patch
Intervention Description
1 patch was applied topically to the affected site(s) for 12 hours each day.
Primary Outcome Measure Information:
Title
Change in Pain Intensity on an 11-point Scale From Baseline to 12 Weeks
Description
Patients scored their pain intensity in the breast and/or ipsilateral arm using a 0 to 10 numeric rating scale, ranging from no pain (0) to worst pain imaginable (10). The change in pain intensity was calculated from two time points as the later time point (12 weeks) minus the earlier time point (Baseline).
Time Frame
Baseline, 12 weeks
Secondary Outcome Measure Information:
Title
Pain Interference With Function
Time Frame
12 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult women >18 years who develop neuropathic pain in the breast scar area and/or ipsilateral arm following breast cancer surgery Has a healed incision(s) Has no recurrent disease in the painful area Is able to read, write and understand English Exclusion Criteria: Presence of another type of pain that is more severe than the neuropathic pain Use of an opioid analgesic of greater than 60 mg codeine/day Is actively trying to become pregnant Has a medical contraindication to the use of lidocaine Has an allergy to lidocaine Is taking a coanalgesic for neuropathic pain.
Facility Information:
Facility Name
UCSF Comprehensive Cancer Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States

12. IPD Sharing Statement

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Symptom Management After Breast Cancer Surgery

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