Lorcaserin in Treating Chemotherapy-Induced Peripheral Neuropathy in Patients With Stage I-IV Gastrointestinal or Breast Cancer
Study Details
Study Description
Brief Summary
This phase I trial studies how well lorcaserin works in treating chemotherapy-induced peripheral neuropathy in patients with stage I-IV gastrointestinal or breast cancer. Chemotherapy-induced peripheral neuropathy is a nerve problem that causes pain, numbness, tingling, swelling, or muscle weakness in different parts of the body. This condition can occur in patients who have received taxane chemotherapy drugs, or the chemotherapy drug oxaliplatin. Lorcaserin may improve chemotherapy-induced peripheral neuropathy by reducing pain, preventing or relieving joint symptoms, and improving balance.
Detailed Description
PRIMARY OBJECTIVES:
- To evaluate preliminary efficacy of lorcaserin to improve balance decrements in patients with chronic chemotherapy-induced peripheral neuropathy (CIPN).
SECONDARY OBJECTIVES:
- To evaluate patient reported outcomes (PROs) after a one time dose of lorcaserin in patients with chronic CIPN.
OUTLINE:
Patients receive lorcaserin orally (PO) on day 1.
After completion of study treatment, patients are followed for 4 weeks.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Treatment (lorcaserin) Patients receive lorcaserin PO on day 1. The starting dose of lorcaserin will be 10 mg. |
Drug: Lorcaserin
Given PO
Drug: Lorcaserin Hydrochloride
Given PO
Other Names:
Other: Questionnaire Administration
Ancillary studies
|
Outcome Measures
Primary Outcome Measures
- Measure the improvement in balance for patients with chronic CIPN [Up to 4 weeks]
Will be evaluated using a measure of postural control: root-mean-squared amplitude of center of pressure (COP) excursion for the medial-lateral axis of the body .
Secondary Outcome Measures
- Improvement in patient-reported chemotherapy-induced peripheral neuropathy symptoms [Baseline up to 4 weeks]
Evaluate using Brief Pain Inventory-Short Form (BPI-SF). The BPI-SF is an additional PRO. It is a validated instrument that has been used to evaluate pain symptoms and functional capacity in our target population.45
Other Outcome Measures
- Nerve conduction test (NCT) result analysis [Baseline up to 4 weeks]
The study will compare baseline variables of patients with abnormal NCT results to those with normal NCT results. Will present descriptive statistics and perform t-tests comparing the two groups with respect to demographics (age, BMI), RMSml, and patient-reported outcomes (CIPN 20, BPI-SF).
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patient with known diagnosis of gastrointestinal (GI) cancer or breast cancer stages I-IV
-
Prior exposure to paclitaxel or oxaliplatin within last 24 months
-
Have symptomatic CIPN confirmed by self-report, as demonstrated by PRO measure, CIPN-20
-
If a female subject is with child bearing potential, she must have a negative pregnancy test at screening
-
Female subjects of child-bearing potential and men must agree to use adequate contraception prior to study entry, for the duration of study participation and for 3 months after completion of study treatment administration. Adequate contraception includes methods such as oral contraceptives, double barrier method (condom plus spermicide or diaphragm), or abstaining from sexual intercourse
-
Be willing and able to understand and sign the written informed consent document
Exclusion Criteria:
-
Is beyond 24 months out from completion of oxaliplatin or paclitaxel
-
Is asymptomatic for CIPN
-
Is currently pregnant or breast feeding as there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with lorcaserin
-
Has any other medical or psychiatric condition that in the opinion of the investigator would make the study therapy unsafe for the patient
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Ohio State University Comprehensive Cancer Center
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Maryam B Lustberg, MD, Ohio State University Comprehensive Cancer Center
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- OSU-19085
- NCI-2019-03368
- P30CA016058