Osteopathy and Prevention of Gastrointestinal Side Effects in Women Treated for Breast Cancer

Study Overview
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Brief Summary
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Adjuvant chemotherapy with the protocol 3 cure of 5-FU + Epirubicine + Cyclophosphamide (FEC100) and 3 cure of Taxotere is a standard treatment in the management of patients with breast cancer and in adjuvant situation. The efficacy of 3 FEC100 and 3 Taxotere protocol in adjuvant situation for women treated for breast cancer is associated with several invalidating side effects for the quality of life of patients. 92% of women treated will present gastrointestinal toxicities of any grade. 11% will present nausea and vomiting of grade 3-4. Current treatments to prevent these gastrointestinal toxicities include Emend from Day 1 to Day 3 in association with setrons at Day 1 and corticosteroids from Day 1 to Day 3. Despite the marked improvement in gastrointestinal toxicities with preventive treatments, 83% of patients would use alternatives medicine: homeopathy, herbal medicine, acupuncture, hypnotherapy and / or osteopathy. Osteopathy is a method of care and unconventional therapeutic approach. In France, the professional title of osteopath is recognized. It aims to prevent and treat functional disorders, especially those related to adverse effects of treatment. In oncology, this discipline may have additional support for the patient by limiting the mechanical and physical constraints of sensitive areas to the toxicity of the treatment. In the case of gastrointestinal toxicities of myofascial and musculoskeletal techniques are used in abdominal areas to relieve symptoms. The investigators hypothesis is that osteopathy could have an interest in the management of gastrointestinal toxicities related to chemotherapy in women with breast cancer and in adjuvant treatment situation.

Official Title
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Osteopathy and Prevention of Gastrointestinal Side Effects of the Adjuvant Treatment FEC in Women Treated in Day Hospital for Breast Cancer

Conditions
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Breast Cancer

Intervention / Treatment
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* Procedure: osteopathic technique
* Procedure: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Wife Age over 18 years Operated for a breast cancer stage 1 to 3, in complete resection Plan to receive chemotherapy based on FEC100 3 - 3 TAXOTERE Nurse Consultation prior to chemotherapy planned antiemetic treatment which should include EMEND 125, 80, 80 at J1, J2, J3, ZOPHREN 8 mg IV 1 bulb at J1, Solumedrol 80 mg IV on day 1, Primperan 10 mg 3 tablets a day, from day 1 to day 3, XANAX 0,25 mg 1 tablet morning 1tablet evening from D1 to D3. Distance home CGFL 0 to 50 km, 50 to 100 km, 100 to 200 kms. Having considered the information note written, dated and signed Informed consent Exclusion Criteria: Man Metastatic breast cancer Breast cancer surgery with incomplete excision Digestive disorders known or known digestive disease Inability to receive one of the basic elements antibiotic treatment Refusal to participate to the trial Persons deprived of liberty or under guardianship Pregnant woman or likely to be Failure to submit to medical testing for geographical reasons (distance home - CGFL more than 200 km), social or psychic non-affiliation to a social security scheme or to the State Medical Aid (AME) or the universal medical coverage (CMU)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: experimental<br>Patients will have a visceral osteopathic technique perform with continuous pressure on the middle ribs in order to reduce the mechanical stress of the anatomical elements related to liver | Procedure: osteopathic technique<br>* Osteopathe will perform continuous pressure on the middle ribs in order to reduce the mechanical stress of the anatomical elements related to liver<br>|
| Placebo Comparator: Placebo<br>patients will have a relaxing osteopathic technique. A non therapeutic abdominal technique | Procedure: Placebo<br>* patients will have a relaxing osteopathic technique. A non therapeutic abdominal technique<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| episode of nausea and / or vomiting |  | 3 cycles of chemotherapy (each cycle is 21 days for a total of 63 days) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| episode of constipation |  | 3 cycles of chemotherapy (each cycle is 21 days for a total of 63 days) | 
| Quality of life questionnaire(QLQ-C30) |  | 63 days |