Clinical trial NCT02217033: 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
Overall status: TERMINATED
Phase: NA
Conditions: 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
Lead sponsor: South Sound Care Foundation
Sponsor class: OTHER
First posted: 2014-08-15
Enrollment: 16
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

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.

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

Primary outcomes:
measure: The effects of consuming "R" on quality of life in the areas of insomnia in breast cancer patients receiving multi-cycle adjuvant chemotherapy
timeFrame: Patients will be followed for up to 25 weeks
measure: The effects of consuming "R" on quality of life in the areas of fatigue in breast cancer patients receiving multi-cycle adjuvant chemotherapy
timeFrame: Patients will be followed for up to 25 weeks
Secondary outcomes:
measure: The effects of consuming "R" on quality of life in the areas of depression in breast cancer patients receiving multi-cycle adjuvant chemotherapy
timeFrame: Patients will be followed for up to 25 weeks
Other outcomes:
Locations:
city: Bonney Lake
country: United States
facility: NWMS Bonney Lake - Medical Oncology
state: Washington
city: Federal Way
country: United States
facility: NWMS Federal Way - Medical Oncology
state: Washington
city: Gig Harbor
country: United States
facility: NWMS Gig Harbor - Medical Oncology
state: Washington
city: Lakewood
country: United States
facility: NWMS Lakewood - Medical Oncology
state: Washington
city: Puyallup
country: United States
facility: Rainier Hematology-Oncology, WA
state: Washington
city: Tacoma
country: United States
facility: NWMS Tacoma - Medical Oncology & Infectious Diseases
state: Washington
Study officials:
affiliation: Northwest Medical Specialties
name: Francis (Frank) Senecal, MD
role: PRINCIPAL_INVESTIGATOR
References: