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Sponsored by: |
Royal Marsden - Surrey |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00022204 |
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 |
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Breast Cancer Cancer-Related Problem/Condition |
Dietary Supplement: vitamin E Drug: pentoxifylline Procedure: quality-of-life assessment |
Phase II |
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 |
Study Start Date: | January 2000 |
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.
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
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
United Kingdom, England | |
Royal Marsden Hospital | |
Sutton, England, United Kingdom, SM2 5PT |
Study Chair: | John R. Yarnold, MD, FRCR | Royal Marsden - Surrey |
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 |
stage I breast cancer stage II breast cancer stage IIIA breast cancer |
lymphedema male breast cancer quality of life |
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 |
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 |