Breast Cancer
Conditions
Keywords
Breast Cancer, Taxane, Gait, Men, Women
Brief summary
Longitudinal Evaluation of Taxane induced neuropathy in early stage breast cancer.
Detailed description
A study assessing the feasibility of evaluating neuropathy symptoms prospectively using testing of gate and balance parameters.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients (men and women) diagnosed with breast cancer stages I-III initiating first line adjuvant or neoadjuvant therapy with paclitaxel or docetaxel * Ability to understand and the willingness to sign a written informed consent document. * Patients with functional limitations due to musculoskeletal conditions can be included, because these conditions are known to remain stable over the relatively short duration of the study. * Concurrent standard and investigational agents are permissible with the standard chemotherapy drugs.
Exclusion criteria
* Prior known chemotherapy or targeted therapy (for breast cancer or other malignancies that is known to be associated with neuropathy in the last 12 months(platinum therapy, bortezomib, vinblastine, etc.) * Prior taxane exposure at any time * Preexisting known diagnosis of any type of neuropathy prior to start of paclitaxel or docetaxel chemotherapy * Pregnant or nursing women. * Unable to give informed consent. * Preexisting lower extremity amputation * Inability to walk or stand without assistance due to any condition * Neuropathic pain medications prior to start of study including gabapentin, pregabalin, amytriptyline, and duloxetine (but initiation of neuropathic pain medications during treatment are permissible) * Patients needing ambulatory assist devices * Back or lower extremity surgery in the last 6 months * Back or lower extremity surgery at any timepoint that interferes with gait and balance per patient or provider report
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Identify gait and balance parameters that are affected by during adjuvant/neoadjuvant taxane (paclitaxel or docetaxel) chemotherapy. | Up to 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate the natural history of changes in these gait and balance parameters and their relationships with validated self-reported assessment tools of CIPN such as CIPN-20 and TNS | Up to 2 years |
| Identify gait and balance changes as a consequence of chemotherapy with paclitaxel or docetaxel in the laboratory measuring the motion of the entire body in three dimensions with great accuracy. | Up to 2 years |
Countries
United States