PRevention of INteractions Between Phytotherapies and CancEr Treatments by a SmartphonE/Tablet Automated SurvEy

Study Overview
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Brief Summary
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The use of phytotherapies or specific food or dietary supplement (HFDS) is common among cancer patients. They can also be responsible of clinically relevant interaction with anti-cancer treatments. This study aims at assessing the proportion patients using HFDS which are likely to have an interaction with their anticancer treatments. The data is collected through a smartphone/tablet application. The aim of the study is to demonstrate that clinically significant herb-drug interaction with anticancer treatment could be avoid using these devices.

Detailed Description
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The use of herbal treatment, also called phytotherapies, or dietary supplements or specific food (herbs, food or dietary supplements HFDS) is very common and have been evaluated between 30 and 70%, depending on the population and the studies.However, few studies have been made to evaluate the risk of interaction with oncology treatment in real life. Some interaction are very well known by both patients and clinicians, like the inhibition of the cytochrome 3A4 by grapefruit or the induction of the CYP3A4 by Saint John's Wort. However, many other interactions have been demonstrated, like the inhibition of the CYP3A4 by goldenseal extracts (among many others) although this is frequently used phytotherapy, both over the counter or prescribed by herb specialists. This study aims at demonstrating that a smartphone or tablet application could be used to prevent significant interaction between phytotherapy or food or dietary supplements with anticancer treatments. The application is used to collect data prospectively that will be analysed for interaction retrospectively. The interactions between phytotherapy have been classified in 4 categories : likely (clinically relevant data in the literature between the herb and the anticancer treatment either directly or through documented CYP interaction) possible (animal model or in vitro data in favor of an interaction) unlikely (clinical data or animal model or in vitro data in favor of no interaction) unknown (no data available or data from that could not allow a conclusion due to its poor quality or an ambiguous conclusion) The investigators aim at measuring the proportion of likely herb-drug interaction (or dietary supplement or food) in a population of patients followed and treated for a cancer, either local or metastatic. The investigators also aim at characterizing the population, quantifying the proportion of patients taking HFDS and, to measure the proportion of possible herb-drug interaction.

Official Title
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PRevention of INteractions Between Phytotherapies and CancEr Treatments by a SmartphonE/Tablet Automated SurvEy

Conditions
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Cancer

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men or women over 18 years old Subject currently receiving a treatment for cancer or who has a planned treatment (radiotherapy, surgery, chemotherapy, hormonotherapy, targeted therapy or other procedure) Exclusion Criteria: The subject is not able to read The subject is not using any herb, food or dietary supplement with a daily consumption. The subject refuses to be part of the study The subject does not know the name of the anticancer therapy that he receives. The subject does not know if he uses either phytotherapy, specific food consumed daily or dietary supplements.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of interaction between HFDS (herb food and dietary supplements) and anticancer drugs whith a level of evidence graded as likely (clinical evidence) in a cohort of cancer patient using at least 1 HFDS daily. | Measure of the rate of patients having a consumption of at least 1 phytotherapy, aspecific food (which is a specific ingredient that is eaten daily, like daily consumption of grapefruit juice or green tea) or a dietary supplement and having a likely interaction (justified through a clinically proven cytochrome interaction or direct interaction) with their anticancer treatment. The interaction could be through an inhibition of a major CYP in the metabolism of the chemotherapy. Each potential interaction will be searched in the literature. Anticancer treatments include chemotherapy, targeted therapies, hormonotherapies, radiotherapy or surgery. | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of patients using HFDS |  | 1 day | 
| Description of the population using HFDS (age, primory tumor, tumor stage : local or metastasis, |  | 1 day | 
| Rate of interaction between HFDS and anticancer drugs whith a level of evidence graded as possible (clinical evidence) in a cohort of cancer patient using at least 1 HFDS daily. |  | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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phytotherapy, dietary supplement, food interaction, herb-drug interactions