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The Efficacy of Using Pentoxifylline in Patients Undergoing Breast Cancer Surgery

Primary Purpose

Post-Surgical Complication, Breast Cancer Surgery

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Pentoxifylline
Placebo
Sponsored by
Mansoura University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post-Surgical Complication focused on measuring pain, wound healing, post-surgery, breast cancer

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Adult female patients aged 18 to 65 years Patients completed neoadjuvant chemotherapy cycles and scheduled for breast cancer surgery. Exclusion Criteria: Patients on treatment regimen of phosphodiesterase inhibitors Patients who are taking antiplatelet or anticoagulant treatment Patients who are allergic to phosphodiesterase inhibitors History of recent hemorrhagic events Active peptic ulcer History of psychological problems History of chronic pain management Pregnancy or breastfeeding

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Pentoxifylline group

    Control group

    Arm Description

    oral Pentoxifylline 400 mg three times per day starting the day before the surgery till 2 weeks after surgery

    oral placebo tablets three times per day starting the day before the surgery till 2 weeks after surgery

    Outcomes

    Primary Outcome Measures

    Postoperative level of pain
    Postoperative level of pain immediately after the surgery and every 6 hours until 24 hours after surgery using the Visual Analogue Score (VAS) ranging from 0 (indicating no pain) to 10 (expressing the pain as bad as it could possibly be).

    Secondary Outcome Measures

    Numbers of patients need rescue analgesia
    The number of patients need rescue analgesia within 24 hours after surgery
    Time (hours) to first request analgesia
    The first time after surgery at which the patient needs analgesia.
    Time for wound healing
    The time for removal of surgical sutures
    The incidence of post-surgical complications
    The incidence of seroma, hematoma, surgical site infection, and skin flap necrosis

    Full Information

    First Posted
    October 11, 2023
    Last Updated
    October 22, 2023
    Sponsor
    Mansoura University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06087237
    Brief Title
    The Efficacy of Using Pentoxifylline in Patients Undergoing Breast Cancer Surgery
    Official Title
    The Efficacy of Pentoxifylline in Reducing Post-surgical Complications in Patients Undergoing Breast Cancer Surgery
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 30, 2023 (Anticipated)
    Primary Completion Date
    June 30, 2024 (Anticipated)
    Study Completion Date
    June 30, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Mansoura University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The goal of this clinical trial is to assess the efficacy of pentoxifylline in reducing post surgical complications for breast cancer patients undergoing breast cancer surgery. It aims to evaluate the efficacy of pentoxifylline on postoperative pain and wound healing. Participants will take oral pentoxifylline then post surgical oral pentoxifylline three times per day for 2 weeks. The researchers will compare the difference in pain score and wound healing relative to the control group.
    Detailed Description
    The goal of this clinical trial is to assess the efficacy of pentoxifylline in reducing post surgical complications for breast cancer patients undergoing mastectomy. It aims to evaluate the efficacy of adjuvant pentoxifylline in reducing postoperative pain and improving wound healing in breast cancer patients undergoing mastectomy surgery. Participants will take oral oral pentoxifylline 400 mg three times per day 400 mg three times for the day before surgery then oral pentoxifylline 400 mg three times per day for 2 weeks while the control group will take placebo tablet one day before surgey and placebo tablets three times per day for 2 weeks after surgery. the researchers will compare the difference in pain score and time for wound healing relatively to the control group.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Post-Surgical Complication, Breast Cancer Surgery
    Keywords
    pain, wound healing, post-surgery, breast cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    80 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Pentoxifylline group
    Arm Type
    Experimental
    Arm Description
    oral Pentoxifylline 400 mg three times per day starting the day before the surgery till 2 weeks after surgery
    Arm Title
    Control group
    Arm Type
    Placebo Comparator
    Arm Description
    oral placebo tablets three times per day starting the day before the surgery till 2 weeks after surgery
    Intervention Type
    Drug
    Intervention Name(s)
    Pentoxifylline
    Other Intervention Name(s)
    Trental tablets 400mg
    Intervention Description
    400 mg pentoxifylline oral tablets three times per day starting from the day before surgery till two weeks after the surgery.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Other Intervention Name(s)
    starch tablets
    Intervention Description
    placebo tablets three times per day starting from the day before surgery till two weeks after the surgery.
    Primary Outcome Measure Information:
    Title
    Postoperative level of pain
    Description
    Postoperative level of pain immediately after the surgery and every 6 hours until 24 hours after surgery using the Visual Analogue Score (VAS) ranging from 0 (indicating no pain) to 10 (expressing the pain as bad as it could possibly be).
    Time Frame
    24 hours after surgery
    Secondary Outcome Measure Information:
    Title
    Numbers of patients need rescue analgesia
    Description
    The number of patients need rescue analgesia within 24 hours after surgery
    Time Frame
    24 hours after surgery
    Title
    Time (hours) to first request analgesia
    Description
    The first time after surgery at which the patient needs analgesia.
    Time Frame
    within 24 hours after surgery
    Title
    Time for wound healing
    Description
    The time for removal of surgical sutures
    Time Frame
    Within 2-3 weeks of follow-up after the surgery
    Title
    The incidence of post-surgical complications
    Description
    The incidence of seroma, hematoma, surgical site infection, and skin flap necrosis
    Time Frame
    Within 2-3 weeks of follow-up after the surgery

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Adult female patients aged 18 to 65 years Patients completed neoadjuvant chemotherapy cycles and scheduled for breast cancer surgery. Exclusion Criteria: Patients on treatment regimen of phosphodiesterase inhibitors Patients who are taking antiplatelet or anticoagulant treatment Patients who are allergic to phosphodiesterase inhibitors History of recent hemorrhagic events Active peptic ulcer History of psychological problems History of chronic pain management Pregnancy or breastfeeding
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Samar A. Dewidar, PhD student
    Phone
    +201558333468
    Email
    s.dewidar@mans.edu.eg
    First Name & Middle Initial & Last Name or Official Title & Degree
    Noha O. Mansour, PhD
    Phone
    +201221610667
    Email
    dr.nohamansour@gmail.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Samar A. Dewidar, PhD student
    Organizational Affiliation
    clinical pharmacy and pharmacy practice department, Faculty of pharmacy, Mansoura University
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Noha O. Mansour, PhD
    Organizational Affiliation
    Clinical pharmacy and pharmacy practice department, Faculty of pharmacy, Mansoura University
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Moetaza M. Soliman, associate professor
    Organizational Affiliation
    Clinical pharmacy and pharmacy practice department, Faculty of pharmacy, Mansoura University
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Mohamed A. Shams, professor
    Organizational Affiliation
    Clinical pharmacy and pharmacy practice department, Faculty of pharmacy, Mansoura University
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Omar H. Abdelaleem, PhD
    Organizational Affiliation
    Faculty pf medicine, Mansoura University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

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    The Efficacy of Using Pentoxifylline in Patients Undergoing Breast Cancer Surgery

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