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Comparing Lorcaserin Versus Duloxetine for the Treatment of Chemotherapy-Induced Peripheral Neuropathy

Primary Purpose

Chemotherapy-Induced Peripheral Neuropathy

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Duloxetine 60 mg qd
Lorcaserin
Sponsored by
Southeastern Regional Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chemotherapy-Induced Peripheral Neuropathy

Eligibility Criteria

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

Inclusion Criteria:

  • Subject has a diagnosis of invasive colorectal cancer, locally advanced or advanced, requiring oxaliplatin-based chemotherapy for treatment.
  • Subject has agreed to receive treatment at Cancer Treatment Centers of America, Southeastern Regional Medical Center.
  • Subject is Male or Female
  • Subject is 18 years of age or older.
  • Subject is a patient who reports neurotoxicity symptom grade 2 or more according CTCAE criteria to his or her medical oncologist following one or more cycles of oxaliplatin-based chemotherapy treatment.
  • Subject is a patient who is capable and accepting of completing study questionnaires at each data collection point.
  • Subject has adequate English fluency for completion of data collection. The surveys were designed and validated in English and are not currently available in other languages. Translation of questionnaires into other languages would require reestablishing the reliability and validity of these measures. Therefore, participants must be able to communicate in English to complete the surveys.
  • Subject must have the ability to understand and the willingness to sign a written informed consent
  • Subject must be willing to comply with all study procedures and be available for the duration of the study.

Exclusion Criteria:

  • Subjects who have previously been exposed to neurotoxic agents including pyridoxine (>100 mg/day), colchicine, allopurinol, or phenytoin;
  • Subjects with pre-existing comorbidities, such as: diabetes, uremia, significant peripheral vascular disease, HIV, or progressive or degenerative neurologic disorders (e.g., multiple sclerosis, B12 deficiency); cardiovascular valve disease, history of cardiovascular event,
  • Subjects with a history of lumbosacral laminectomy or radiculopathy;
  • Subjects who have been prescribed and taken gabapentin, pregabalin, or duloxetine currently or within the last 1 months)
  • Subjects who have established or suspected family history of inherited neuropathy.
  • Subjects unable to swallow indicated medication
  • Subjects in general with a medical condition, laboratory finding, or physical exam finding that precludes participation
  • Subject weight of ≥350 lbs.
  • Subjects who currently use disallowed concomitant medications
  • Subjects with any form of cardiac implants
  • Subjects who report recent febrile illness that precludes or delays participation
  • Subjects with pregnancy or lactation
  • Subjects with known allergic reactions to components of the study product(s)
  • Subjects receiving treatment with another investigational drug or other intervention
  • Subjects with a history of or current tobacco or illegal substance use
  • Subjects exhibiting significant psychiatric or cognitive impairment (dementia/delirium, retardation, active psychosis) that in the judgment of the investigators would preclude providing informed consent and study participation.

Sites / Locations

  • Cancer Treatment Centers of America - Atlanta

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Control

Intervention

Arm Description

Duloxetine 60 mg qd

Lorcaserin 10 mg bid

Outcomes

Primary Outcome Measures

Assessment with respect to duloxetine of the effect of lorcaserin on the Pain Numerical Rating Scale.
Duloxetine efficacy as Measured by Pain Score 0-10 Numerical Rating Scale. Subject will rate level of pain experienced from 0 (No Pain) to 10 (Worst Possible Pain) for each question on the Brief Pain Inventory Short Form. A rating of 5 would be Moderate Pain.
Assessment with respect to duloxetine of the effect of lorcaserin on the patient-reported quality of life.
Subject quality of life will be measured using the Functional Assessment of Cancer Therapy/ Gynecologic Oncology Group-Neurotoxocity (FACT/GOG-NTX) Questionnaire. For each statement, the subject will answer 0-5 with 0 being "Not at All" and 5 being "Very Much"
Assessment with respect to duloxetine of the effect of lorcaserin on the patient-reported quality of life.
Subject quality of life will also be measured using the MD Anderson Symptom Inventory (MDASI) Questionnaire, with CTCA addendum. For each statement, the subject will answer from 0-10, with 0 being "Not Present" and 10 being "As Bad as You Can Imagine)

Secondary Outcome Measures

Full Information

First Posted
January 4, 2019
Last Updated
April 2, 2019
Sponsor
Southeastern Regional Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT03812523
Brief Title
Comparing Lorcaserin Versus Duloxetine for the Treatment of Chemotherapy-Induced Peripheral Neuropathy
Official Title
A Randomized Phase II Study Comparing Lorcaserin Versus Duloxetine for the Treatment of Chemotherapy-Induced Peripheral Neuropathy Produced by Oxaliplatin
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Unknown status
Study Start Date
June 2019 (Anticipated)
Primary Completion Date
February 2021 (Anticipated)
Study Completion Date
October 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Southeastern Regional Medical Center

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
A Randomized Phase II study Comparing Lorcaserin versus Duloxetine for the Treatment of Chemotherapy-Induced Peripheral Neuropathy Produced by Oxaliplatin
Detailed Description
To examine lorcaserin a selective R-HT2c receptor antagonist approved by FDA as weight loss drug- for its ability to improve proprioceptive movements in patients with advanced colorectal cancer who developed neurotoxicity during oxaliplatin-based chemotherapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chemotherapy-Induced Peripheral Neuropathy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
This is a two-arm randomized controlled clinical trial in cancer patients receiving oxaliplatin treatment reporting neurotoxicity Grade 2 or higher by CTCAE guidelines to a member of their medical team. Enrollment goal is 50 patients. (25 evaluable patients per arm)
Masking
ParticipantCare ProviderInvestigator
Masking Description
Coded Bottles
Allocation
Randomized
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Control
Arm Type
Active Comparator
Arm Description
Duloxetine 60 mg qd
Arm Title
Intervention
Arm Type
Experimental
Arm Description
Lorcaserin 10 mg bid
Intervention Type
Drug
Intervention Name(s)
Duloxetine 60 mg qd
Intervention Description
60 mg tablet Taken by mouth, Once Daily for 180 Days
Intervention Type
Drug
Intervention Name(s)
Lorcaserin
Intervention Description
10 mg tablet Taken by mouth Twice Daily for 180 Days
Primary Outcome Measure Information:
Title
Assessment with respect to duloxetine of the effect of lorcaserin on the Pain Numerical Rating Scale.
Description
Duloxetine efficacy as Measured by Pain Score 0-10 Numerical Rating Scale. Subject will rate level of pain experienced from 0 (No Pain) to 10 (Worst Possible Pain) for each question on the Brief Pain Inventory Short Form. A rating of 5 would be Moderate Pain.
Time Frame
180 days
Title
Assessment with respect to duloxetine of the effect of lorcaserin on the patient-reported quality of life.
Description
Subject quality of life will be measured using the Functional Assessment of Cancer Therapy/ Gynecologic Oncology Group-Neurotoxocity (FACT/GOG-NTX) Questionnaire. For each statement, the subject will answer 0-5 with 0 being "Not at All" and 5 being "Very Much"
Time Frame
180 days
Title
Assessment with respect to duloxetine of the effect of lorcaserin on the patient-reported quality of life.
Description
Subject quality of life will also be measured using the MD Anderson Symptom Inventory (MDASI) Questionnaire, with CTCA addendum. For each statement, the subject will answer from 0-10, with 0 being "Not Present" and 10 being "As Bad as You Can Imagine)
Time Frame
180 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has a diagnosis of invasive colorectal cancer, locally advanced or advanced, requiring oxaliplatin-based chemotherapy for treatment. Subject has agreed to receive treatment at Cancer Treatment Centers of America, Southeastern Regional Medical Center. Subject is Male or Female Subject is 18 years of age or older. Subject is a patient who reports neurotoxicity symptom grade 2 or more according CTCAE criteria to his or her medical oncologist following one or more cycles of oxaliplatin-based chemotherapy treatment. Subject is a patient who is capable and accepting of completing study questionnaires at each data collection point. Subject has adequate English fluency for completion of data collection. The surveys were designed and validated in English and are not currently available in other languages. Translation of questionnaires into other languages would require reestablishing the reliability and validity of these measures. Therefore, participants must be able to communicate in English to complete the surveys. Subject must have the ability to understand and the willingness to sign a written informed consent Subject must be willing to comply with all study procedures and be available for the duration of the study. Exclusion Criteria: Subjects who have previously been exposed to neurotoxic agents including pyridoxine (>100 mg/day), colchicine, allopurinol, or phenytoin; Subjects with pre-existing comorbidities, such as: diabetes, uremia, significant peripheral vascular disease, HIV, or progressive or degenerative neurologic disorders (e.g., multiple sclerosis, B12 deficiency); cardiovascular valve disease, history of cardiovascular event, Subjects with a history of lumbosacral laminectomy or radiculopathy; Subjects who have been prescribed and taken gabapentin, pregabalin, or duloxetine currently or within the last 1 months) Subjects who have established or suspected family history of inherited neuropathy. Subjects unable to swallow indicated medication Subjects in general with a medical condition, laboratory finding, or physical exam finding that precludes participation Subject weight of ≥350 lbs. Subjects who currently use disallowed concomitant medications Subjects with any form of cardiac implants Subjects who report recent febrile illness that precludes or delays participation Subjects with pregnancy or lactation Subjects with known allergic reactions to components of the study product(s) Subjects receiving treatment with another investigational drug or other intervention Subjects with a history of or current tobacco or illegal substance use Subjects exhibiting significant psychiatric or cognitive impairment (dementia/delirium, retardation, active psychosis) that in the judgment of the investigators would preclude providing informed consent and study participation.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nathan Neufeld, DO
Phone
770-400-6035
Email
nathan.neufeld@ctca-hope.com
First Name & Middle Initial & Last Name or Official Title & Degree
Ricardo Alvarez, MD
Phone
770-400-6633
Email
ricardo.alvarez@ctca-hope.com
Facility Information:
Facility Name
Cancer Treatment Centers of America - Atlanta
City
Newnan
State/Province
Georgia
ZIP/Postal Code
30265
Country
United States
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Karen Rados
Phone
770-400-6629
Email
karen.rados@ctca-hope.com
First Name & Middle Initial & Last Name & Degree
Nathan Neufeld, DO

12. IPD Sharing Statement

Learn more about this trial

Comparing Lorcaserin Versus Duloxetine for the Treatment of Chemotherapy-Induced Peripheral Neuropathy

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