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

Primary Purpose

Breast Cancer

Status
Terminated
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
'R' (Electro-kinetically altered beverage)
Placebo (water)
Sponsored by
South Sound Care Foundation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Breast Cancer focused on measuring Breast Cancer, Stage I breast cancer, Stage II breast cancer, Water study, 'R', Electro-kinetically altered beverage, altered beverage, Insomnia, Fatigue, Depression, Adjuvant chemotherapy

Eligibility Criteria

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

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

Sites / Locations

  • NWMS Bonney Lake - Medical Oncology
  • NWMS Federal Way - Medical Oncology
  • NWMS Gig Harbor - Medical Oncology
  • NWMS Lakewood - Medical Oncology
  • Rainier Hematology-Oncology, WA
  • NWMS Tacoma - Medical Oncology & Infectious Diseases

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Purified Water

'R' (Electro-kinetically altered beverage)

Arm Description

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.

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.

Outcomes

Primary Outcome Measures

The effects of consuming "R" on quality of life in the areas of insomnia in breast cancer patients receiving multi-cycle adjuvant chemotherapy
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.
The effects of consuming "R" on quality of life in the areas of fatigue in breast cancer patients receiving multi-cycle adjuvant chemotherapy
FACIT Fatigue Scale: A list of questions that asks a patient how fatigued they have felt in the last 7 days.

Secondary Outcome Measures

The effects of consuming "R" on quality of life in the areas of depression in breast cancer patients receiving multi-cycle adjuvant chemotherapy
Beck Depression Inventory-II: A list of statements that ask a subject about the way they have been feeling for the last two weeks.

Full Information

First Posted
August 8, 2014
Last Updated
April 17, 2017
Sponsor
South Sound Care Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT02217033
Brief Title
Effects of 'R' (Electro-kinetic Beverage) on Insomnia, Fatigue, and Depression in Breast Cancer Patients Having Adjuvant Chemo
Official Title
A Pilot Study Evaluating the Effect of 'R' (Electro-Kinetically Altered Beverage) on Insomnia, Fatigue and Depression in Breast Cancer Patients Receiving Adjuvant Chemotherapy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Terminated
Why Stopped
After an interim analysis the Company providing the product decided not to continue with the study
Study Start Date
January 2013 (Actual)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
South Sound Care Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
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.
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
Breast Cancer, Stage I breast cancer, Stage II breast cancer, Water study, 'R', Electro-kinetically altered beverage, altered beverage, Insomnia, Fatigue, Depression, Adjuvant chemotherapy

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Purified Water
Arm Type
Placebo Comparator
Arm Description
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.
Arm Title
'R' (Electro-kinetically altered beverage)
Arm Type
Experimental
Arm Description
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.
Intervention Type
Other
Intervention Name(s)
'R' (Electro-kinetically altered beverage)
Intervention Type
Other
Intervention Name(s)
Placebo (water)
Primary Outcome Measure Information:
Title
The effects of consuming "R" on quality of life in the areas of insomnia in breast cancer patients receiving multi-cycle adjuvant chemotherapy
Description
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.
Time Frame
Patients will be followed for up to 25 weeks
Title
The effects of consuming "R" on quality of life in the areas of fatigue in breast cancer patients receiving multi-cycle adjuvant chemotherapy
Description
FACIT Fatigue Scale: A list of questions that asks a patient how fatigued they have felt in the last 7 days.
Time Frame
Patients will be followed for up to 25 weeks
Secondary Outcome Measure Information:
Title
The effects of consuming "R" on quality of life in the areas of depression in breast cancer patients receiving multi-cycle adjuvant chemotherapy
Description
Beck Depression Inventory-II: A list of statements that ask a subject about the way they have been feeling for the last two weeks.
Time Frame
Patients will be followed for up to 25 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Francis (Frank) Senecal, MD
Organizational Affiliation
Northwest Medical Specialties
Official's Role
Principal Investigator
Facility Information:
Facility Name
NWMS Bonney Lake - Medical Oncology
City
Bonney Lake
State/Province
Washington
ZIP/Postal Code
98391
Country
United States
Facility Name
NWMS Federal Way - Medical Oncology
City
Federal Way
State/Province
Washington
ZIP/Postal Code
98003
Country
United States
Facility Name
NWMS Gig Harbor - Medical Oncology
City
Gig Harbor
State/Province
Washington
ZIP/Postal Code
98332
Country
United States
Facility Name
NWMS Lakewood - Medical Oncology
City
Lakewood
State/Province
Washington
ZIP/Postal Code
98499
Country
United States
Facility Name
Rainier Hematology-Oncology, WA
City
Puyallup
State/Province
Washington
ZIP/Postal Code
98373
Country
United States
Facility Name
NWMS Tacoma - Medical Oncology & Infectious Diseases
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States

12. IPD Sharing Statement

Learn more about this trial

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

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