Nutraceuticals Versus Usual Care in the Prevention or Reduction of CIPN in Patients Treated With Docetaxel as Neoadjuvant/Adjuvant Breast Cancer Therapy (CIPN)
Primary Purpose
Peripheral Neuropathy in Breast Cancer Patient
Status
Terminated
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
Vitamin D
Vitamin B6
Vitamin B12
Omega-3 Fatty Acids
Sponsored by
About this trial
This is an interventional treatment trial for Peripheral Neuropathy in Breast Cancer Patient focused on measuring Breast Neoplasms, Peripheral Neuropathies
Eligibility Criteria
Inclusion Criteria:
- Female 18-70 years of age
- Biopsy proven invasive breast carcinoma
- Scheduled to receive docetaxel (3-6 cycles)
- Have values for liver (AST, ALT, Bilirubin) and renal function (CREAT), within 1.5 times normal values as drawn per standard of care.
- ECOG 0-2
- Be able to provide informed consent
- Willingness to adhere to regimen
Exclusion Criteria:
- Metastatic disease
- Any peripheral neuropathy
- Known HIV (testing not required)
- Diseases causing malabsorption i.e.: Inflammatory Bowel Disease, Celiac and Whipple's Disease
- Patients with seafood allergies
- Patients on Warfarin or with a documented clinically significant bleeding disorder
Sites / Locations
- Cross Cancer Institute
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Intervention Group
Reference Group
Arm Description
The intervention group will receive a daily dose of Vitamin D 2000 IU, Vitamin B6 100 mg, Vitamin B12 100 mcg and Omega-3 Fatty Acids 2700 mg [900 mg TID (600 mg EPA, 300 mg DHA)].
Reference group will receive usual care.
Outcomes
Primary Outcome Measures
Chemotherapy Induced Peripheral Neuropathy Assessment
To determine if there is a reduction in either severity or incidence of CIPN in patients treated with docetaxel in the female breast cancer population by using a nutraceutical formulation of the investigators design.
Secondary Outcome Measures
Delay in the onset of grade 1 or decrease in the severity of CIPN
Affect of Usage of Nutraceuticals on Response to treatment
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02795572
Brief Title
Nutraceuticals Versus Usual Care in the Prevention or Reduction of CIPN in Patients Treated With Docetaxel as Neoadjuvant/Adjuvant Breast Cancer Therapy
Acronym
CIPN
Official Title
Protocol Comparing a Nutraceutical Formulation Consisting of Omega-3 Fatty Acids, Vitamin D, and Vitamins B6 Plus B12 Versus No Treatment in the Prevention or Reduction of Chemotherapy Induced Peripheral Neuropathy (CIPN) in Patients Treated With Docetaxel as Neoadjuvant/Adjuvant Breast Cancer Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
July 2019
Overall Recruitment Status
Terminated
Why Stopped
Retirement of the Principal Investigator
Study Start Date
June 27, 2017 (Actual)
Primary Completion Date
August 31, 2017 (Actual)
Study Completion Date
August 31, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AHS Cancer Control Alberta
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The trial will utilize Nutraceuticals (Vitamin D 2000IU oral once daily, Vitamin B6 100 mg oral once daily, Vitamin B12 100 mcg oral once daily, Omega-3 Fatty Acids 900 mg oral three times a day) in patients treated with Docetacel as Neoadjuvant or Adjuvant Breast cancer Therapy. The trial is being conducted to see if the use of Nutraceuticals will prevent or reduce Chemotherapy Induced Peripheral Neuropathy (CIPN).
Detailed Description
Phase 2, Single Centre, Open-label 2 Arm Randomized Trial. The intervention group will receive a daily dose of Vitamin D, Omega-3-fatty acids, Vitamin B6, and Vitamin B12. The reference group will have usual care.
Dose of Nutraceuticals: Vitamin D 2000 IU oral once daily, Vitamin B6 100 mg oral once daily, Vitamin B12 100 mcg oral once daily, Omega-3 Fatty Acids 900 mg oral three times a day (600 mg EPA, 300 mg DHA)
Population: Breast Cancer patients undergoing either neoadjuvant or adjuvant therapy with docetaxel.
106 participants in total will be needed with accrual being completed in hopefully 1 years' time. Study Investigators will screen the candidates for the study.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Neuropathy in Breast Cancer Patient
Keywords
Breast Neoplasms, Peripheral Neuropathies
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
13 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Intervention Group
Arm Type
Experimental
Arm Description
The intervention group will receive a daily dose of Vitamin D 2000 IU, Vitamin B6 100 mg, Vitamin B12 100 mcg and Omega-3 Fatty Acids 2700 mg [900 mg TID (600 mg EPA, 300 mg DHA)].
Arm Title
Reference Group
Arm Type
No Intervention
Arm Description
Reference group will receive usual care.
Intervention Type
Dietary Supplement
Intervention Name(s)
Vitamin D
Intervention Description
Vitamin D 2000 IU oral once daily
Intervention Type
Dietary Supplement
Intervention Name(s)
Vitamin B6
Intervention Description
Vitamin B6 100 mg oral once daily
Intervention Type
Dietary Supplement
Intervention Name(s)
Vitamin B12
Intervention Description
Vitamin B12 100 mcg oral once daily
Intervention Type
Dietary Supplement
Intervention Name(s)
Omega-3 Fatty Acids
Intervention Description
Omega-3 Fatty Acids 900 mg oral three times a day (600 mg EPA, 300 mg DHA)
Primary Outcome Measure Information:
Title
Chemotherapy Induced Peripheral Neuropathy Assessment
Description
To determine if there is a reduction in either severity or incidence of CIPN in patients treated with docetaxel in the female breast cancer population by using a nutraceutical formulation of the investigators design.
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Delay in the onset of grade 1 or decrease in the severity of CIPN
Time Frame
12 months after initiation of chemotherapy
Title
Affect of Usage of Nutraceuticals on Response to treatment
Time Frame
24 months
Other Pre-specified Outcome Measures:
Title
Association of specific SNPs to CIPN
Time Frame
24 months
Title
Association of SNPs and Therapeutic response
Time Frame
24 months
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Female 18-70 years of age
Biopsy proven invasive breast carcinoma
Scheduled to receive docetaxel (3-6 cycles)
Have values for liver (AST, ALT, Bilirubin) and renal function (CREAT), within 1.5 times normal values as drawn per standard of care.
ECOG 0-2
Be able to provide informed consent
Willingness to adhere to regimen
Exclusion Criteria:
Metastatic disease
Any peripheral neuropathy
Known HIV (testing not required)
Diseases causing malabsorption i.e.: Inflammatory Bowel Disease, Celiac and Whipple's Disease
Patients with seafood allergies
Patients on Warfarin or with a documented clinically significant bleeding disorder
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Katia Tonkin, MD
Organizational Affiliation
AHS Cancer Control Alberta
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cross Cancer Institute
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G1Z2
Country
Canada
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Nutraceuticals Versus Usual Care in the Prevention or Reduction of CIPN in Patients Treated With Docetaxel as Neoadjuvant/Adjuvant Breast Cancer Therapy
We'll reach out to this number within 24 hrs