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Vitamin E and Pentoxifylline in Treating Women With Lymphedema After Radiation Therapy for Breast Cancer
This study is ongoing, but not recruiting participants.
First Received: August 10, 2001   Last Updated: February 6, 2009   History of Changes
Sponsored by: Royal Marsden - Surrey
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00022204
  Purpose

RATIONALE: Vitamin E and pentoxifylline may be effective in decreasing lymphedema in women who have received radiation therapy for breast cancer.

PURPOSE: Randomized phase II trial to determine the effectiveness of combining vitamin E and pentoxifylline in treating women who have lymphedema after receiving radiation therapy for breast cancer.


Condition Intervention Phase
Breast Cancer
Cancer-Related Problem/Condition
Dietary Supplement: vitamin E
Drug: pentoxifylline
Procedure: quality-of-life assessment
Phase II

Genetics Home Reference related topics: breast cancer lymphedema-distichiasis syndrome
MedlinePlus related topics: Breast Cancer Cancer Lymphedema Radiation Therapy
Drug Information available for: alpha-Tocopheryl acetate alpha-Tocopherol Pentoxyl Vitamin E Tocopherols Pentoxifylline Tocotrienol
U.S. FDA Resources
Study Type: Interventional
Study Design: Supportive Care
Official Title: Double-Blind, Placebo-Controlled, Randomised Trial Of Alpha-Tocopherol And Oxpentifylline In Patients With Radiation Fibrosis

Further study details as provided by National Cancer Institute (NCI):

Study Start Date: January 2000
Detailed Description:

OBJECTIVES: I. Determine the effects of vitamin E and pentoxifylline on lymphedema in patients previously treated with radiotherapy for breast cancer.

II. Compare the normal tissue injury and quality of life in patients treated with this regimen vs placebo.

OUTLINE: This is a randomized, double-blind, placebo-controlled study. Patients are randomized to one of two treatment arms. Arm I: Patients receive oral vitamin E and oral pentoxifylline twice daily for 6 months. Arm II: Patients receive oral placebo twice daily for 6 months. Quality of life is assessed at baseline and at 3, 6, 9, and 12 months. Patients are followed at 6 and 12 months.

PROJECTED ACCRUAL: A total of 100 patients (50 per treatment arm) will be accrued for this study.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS: Prior diagnosis of breast cancer T1-3, N0-1, M0 Prior radiotherapy to breast/chest wall plus axilla and/or supraclavicular fossa At least 2 years since prior radiotherapy No disease recurrence Arm lymphedema due to prior radiotherapy Reduced shoulder movement, induration in breast/chest wall, radiation-induced brachial plexopathy, symptomatic lung fibrosis, or non-healing wounds (including fractures) allowed as evidence of disability in addition to arm lymphedema Hormone receptor status: Not specified

PATIENT CHARACTERISTICS: Age: Not specified Sex: Female or male Menopausal status: Not specified Performance status: Not specified Life expectancy: Not specified Hematopoietic: Not specified Hepatic: No liver failure Renal: No renal failure Cardiovascular: No ischemic heart disease No hypertension No hypotension No acute myocardial infarction No prior cerebral hemorrhage No prior retinal hemorrhage Other: Not pregnant Negative pregnancy test Fertile patients must use effective contraception No allergy to coconut oil

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: Not specified Endocrine therapy: No concurrent insulin Radiotherapy: See Disease Characteristics Surgery: No prior axillary surgery Lower axillary sampling allowed Other: At least 3 months since prior daily vitamin E supplementation of more than 30 mg/day No prior pentoxifylline after radiotherapy No concurrent ketorolac or vitamin K No other concurrent vitamin E supplementation

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00022204

Locations
United Kingdom, England
Royal Marsden Hospital
Sutton, England, United Kingdom, SM2 5PT
Sponsors and Collaborators
Royal Marsden - Surrey
Investigators
Study Chair: John R. Yarnold, MD, FRCR Royal Marsden - Surrey
  More Information

Additional Information:
Publications:
Study ID Numbers: CDR0000068794, RM-1597, EU-20050
Study First Received: August 10, 2001
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00022204     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage I breast cancer
stage II breast cancer
stage IIIA breast cancer
lymphedema
male breast cancer
quality of life

Study placed in the following topic categories:
Vasodilator Agents
Radiation-Protective Agents
Tocopherol acetate
Antioxidants
Skin Diseases
Fibrosis
Breast Neoplasms
Quality of Life
Trace Elements
Cardiovascular Agents
Breast Cancer, Male
Pentoxifylline
Alpha-Tocopherol
Lymphedema
Tocopherols
Vitamin E
Phosphodiesterase Inhibitors
Breast Neoplasms, Male
Vitamins
Tocotrienols
Platelet Aggregation Inhibitors
Micronutrients
Breast Diseases

Additional relevant MeSH terms:
Vasodilator Agents
Radiation-Protective Agents
Antioxidants
Skin Diseases
Molecular Mechanisms of Pharmacological Action
Growth Substances
Physiological Effects of Drugs
Hematologic Agents
Breast Neoplasms
Enzyme Inhibitors
Cardiovascular Agents
Protective Agents
Pentoxifylline
Pharmacologic Actions
Neoplasms
Vitamin E
Neoplasms by Site
Phosphodiesterase Inhibitors
Therapeutic Uses
Vitamins
Free Radical Scavengers
Platelet Aggregation Inhibitors
Micronutrients
Breast Diseases

ClinicalTrials.gov processed this record on May 06, 2009