Peripheral Neuropathy in Breast Cancer Patient
Conditions
Keywords
Breast Neoplasms, Peripheral Neuropathies
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.
Interventions
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)
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chemotherapy Induced Peripheral Neuropathy Assessment | 12 months | 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
| Measure | Time frame |
|---|---|
| Delay in the onset of grade 1 or decrease in the severity of CIPN | 12 months after initiation of chemotherapy |
| Affect of Usage of Nutraceuticals on Response to treatment | 24 months |
Other
| Measure | Time frame |
|---|---|
| Association of specific SNPs to CIPN | 24 months |
| Association of SNPs and Therapeutic response | 24 months |
Countries
Canada