PG2 Treatment Among Stage II/III Breast Cancer Patients Receiving Adjuvant Chemotherapy
Study Details
Study Description
Brief Summary
Adjuvant chemotherapy usually is recommended after surgery for breast cancer patients who are at significant risk for disseminated disease. Chemotherapy has been demonstrated to reduce the risk of breast cancer recurrence. Anthracycline-based regimens, including doxorubin or epilubicin, are the breast cancer adjuvant chemotherapy standards of care. Fatigue has also been identified as the most problem for breast cancer patients under adjuvant chemotherapy. In the current study, it is aimed to show that PG2 (astragalus polysaccharides) treatment among stage II/III breast patients under adjuvant EC regimen in reduction of chemotherapy-induced toxicity and encouraging compliance with chemotherapy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Placebo Comparator: Control Placebo |
Drug: Placebo
500 ml saline, 3 days via i.v. infusion per chemotherapy cycle
Procedure: EC Chemotherapy
Epirubicin plus Cyclophosphamide every 21 days
|
Experimental: Treatment Astragalus polysaccharides 500 mg |
Drug: Astragalus polysaccharides 500 mg
PG2 (500 mg in 500 ml saline), 3 days via i.v. infusion per chemotherapy cycle
Other Names:
Procedure: EC Chemotherapy
Epirubicin plus Cyclophosphamide every 21 days
|
Outcome Measures
Primary Outcome Measures
- Change in chemotherapy-related fatigue by brief fatigue Inventory [through 4 chemotherapy cycles (each cycle is 21 days)]
- Incidence of Grade 3/4 neutropenia [through 4 chemotherapy cycles (each cycle is 21 days)]
Secondary Outcome Measures
- Incidence of other Grade 3/4 Hematologic Toxicities [through study completion, an average 6-8 chemotherapy cycles (each cycle is 21 days)]
- Chemotherapy Dose Reductions [through study completion, an average 6-8 chemotherapy cycles (each cycle is 21 days)]
- Days of chemotherapy delay [through study completion, an average 6-8 chemotherapy cycles (each cycle is 21 days)]
- Cumulative Doses of G-CSF consumption [through study completion, an average 6-8 chemotherapy cycles (each cycle is 21 days)]
- Health-related Quality of Life by EORTC QLQ-C30 & Br23 [through study completion, an average 6-8 chemotherapy cycles (each cycle is 21 days)]
- ECOG [through study completion, an average 6-8 chemotherapy cycles (each cycle is 21 days)]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Women who are able to provide informed consent
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Age 20 years and older
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Diagnosis of stage II to III breast cancer
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Patients who had undergone surgery for breast cancer treatment.
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Planning to receive anthracycline -based adjuvant chemotherapy
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Have adequate bone marrow, liver, and renal function
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ECOG ≦1
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Willing and able to complete quality of life questionnaires.
Exclusion Criteria:
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Pregnancy or lactating women.
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Baseline BFI score >3.
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History of chronic fatigue syndrome, uncontrolled active infection, active cardiac disease, poor controlled hypertension or diabetes mellitus, any serious medical condition, psychiatric illness, and regular steroid therapy as determined by investigators.
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History of previous breast cancer or other malignancy within the past 3 years with the exception of adequately treated basal cell carcinoma, squamous cell skin cancer, or thyroid cancer.
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Known severe allergy to Astragalus membranaceus or its mayor extracts (polysaccharides).
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | E-Da Cancer Hospital | Kaohsiung City | Taiwan | 824 | |
2 | Chang Gung Memorial Hospital, Kaohsiung Branch | Kaohsiung City | Taiwan | 833 | |
3 | Chang Gung Memorial Hospital, Lakeview Branch | Keelung City | Taiwan | 204 | |
4 | Chang Gung Memorial Hospital, Taipei Branch | Taipei | Taiwan | 105 | |
5 | Chang Gung Memorial Hospital, Linkou Branch | Taoyuan | Taiwan | 333 |
Sponsors and Collaborators
- PhytoHealth Corporation
Investigators
- Principal Investigator: Kun-Ming Rau, MD, E-Da Cancer Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PH-CP026