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Novel Preventive Approach Against Filgrastim-Induced Bone Pain in Cancer Patients

Efficacy and Safety of Loratadine and Famotidine Combination on Preventing Filgrastim-Induced Bone Pain in Breast Cancer Patients

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06265077
Enrollment
58
Registered
2024-02-20
Start date
2024-02-01
Completion date
2024-10-17
Last updated
2024-12-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Cancer, Filgrastim Adverse Reaction

Brief summary

No randomized controlled trial evaluated the safety and efficacy of double blockade on G-CSF induced bone pain. Therefore, this study aims to evaluate the efficacy and safety of double blockade on the incidence and severity of G-CSF induced bone pain.

Interventions

DRUGPlacebo

Placebo

DRUGfamotidine and loratadine

famotidine 20 mg once daily and loratadine 10 mg once daily

Sponsors

Noha Mansour
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Eligible patients were 18 years or older. 2. Confirmed diagnosis of breast cancer. 3. Patients completed adriamycin and cyclophosphamide (AC) regimen and are planned to receive four cycles or more of paclitaxel chemotherapy with G-CSF support starting in cycle 1 and continuing throughout each of the four paclitaxel cycles. 4. Eastern Cooperative Oncology Group (ECOG) performance status from 0 to 2.

Exclusion criteria

1. Patients with signs and symptoms of grade 2 or 3 bone pain at baseline. 2. Patients receiving famotidine in the previous 72 hours. 3. Patient receiving any antihistaminic in the previous 72 hours. 4. Hypersensitivity to famotidine or loratadine. 5. Patient receiving opioid or adjuvant analgesic.

Design outcomes

Primary

MeasureTime frameDescription
The incidence of grade 2 or 3 bone pain in cycle 1 according to Common Terminology Criteria for Adverse Eventstwo weeksDifference between the two arms regarding the incidence of grade 2 or 3 bone pain in cycle 1 according to Common Terminology Criteria for Adverse Events

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026