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Food Supplements Based on Nettle and Peppermint to Control Signs and Symptoms Induced by Cancer Therapies

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StatusRecruiting
Sponsors
Azienda Ospedaliera Universitaria di Bologna Policlinico S. Orsola Malpighi

Keywords

Abstract

The main purpose of this study is to evaluate the impact of food supplements (herbal remedies) on sign and symptoms induced by cancer therapies: Nettle will be administered for improvement of anemia and fatigue; Peppermint will be administered for improvement of nausea. Secondary aims of the trial are to evaluate the impact of these supplements on the quality of life and to evaluate their tolerability profile.

Dates

Last Verified: 06/30/2020
First Submitted: 07/13/2020
Estimated Enrollment Submitted: 07/15/2020
First Posted: 07/16/2020
Last Update Submitted: 07/15/2020
Last Update Posted: 07/16/2020
Actual Study Start Date: 06/19/2019
Estimated Primary Completion Date: 02/28/2021
Estimated Study Completion Date: 08/31/2021

Condition or disease

Breast Cancer
Gynecologic Cancer

Intervention/treatment

Dietary Supplement: Anemia

Dietary Supplement: Fatigue

Dietary Supplement: Nausea

Phase

-

Arm Groups

ArmIntervention/treatment
Experimental: Anemia
Metastatic patients with grade 1 anemia and on treatment with anti-CDK 4/6 or PARP Inhibitors (10 patients) or on adjuvant therapy with hormonal therapy (10 patients) will be enrolled. The control of the event will be evaluated during treatment with 40 drops TID of Stinging Nettle Fluid Extract; hemoglobin levels will be assessed every 4 weeks for a maximum period of 6 months.
Dietary Supplement: Anemia
Eligible patients will take 40 drops TID of Fluid Extract of Stinging Nettle for control of anemia.
Experimental: Fatigue
Patients on treatment with Epirubicin and Cyclophosphamide or Carboplatin and Taxane and showing fatigue not associated to anemia or with anemia grade 1 (10 patients) or associated to anemia grade 2 (10 patients) will be enrolled. The control of the event will be evaluated during treatment with 40 drops TID of Stinging Nettle Fluid Extract; the assessment of fatigue will be performed at every chemotherapy cycle, for a maximum period of 6 months.
Dietary Supplement: Fatigue
Eligible patients will take 40 drops TID of Fluid Extract of Stinging Nettle for control of fatigue.
Experimental: Nausea
20 patients on treatment with Epirubicin and Cyclophosphamide or Carboplatin and Taxane and showing nausea of any grade (without vomiting) will be enrolled. The control of the event will be evaluated during treatment with 40 drops TID of Peppermint Fluid Extract, associated to antiemetic therapy prescribed as per clinical practice; the assessment of nausea will be performed at every chemotherapy cycle, for a maximum period of 6 months.
Dietary Supplement: Nausea
Eligible patients will take 40 drops TID of Fluid Extract of Peppermint for control of nausea.

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Male or Female ≥ 18 years

- Karnofsky Performance Scale (KPS) ≥ 90%

- Breast or Gynecological cancer

- Informed consent signed before every procedure study specific, on day 1 of therapy cycle

- Inclusion Criteria Arm 1: presence of grade 1 anemia as per CTCAE 4.0 criteria; patients on treatment with anti-CDK 4/6 or PARP Inhibitors or in adjuvant therapy with hormone therapy

- Inclusion Criteria Arm 2: presence of fatigue of any grade; patients on treatment with Epirubicin and Cyclophosphamide or Carboplatin and Taxane

- Inclusion Criteria Arm 3: presence of nausea of any grade, without vomiting; patients on treatment with Epirubicin and Cyclophosphamide or Carboplatin and Taxane

Exclusion Criteria:

- Arm 1, 2 and 3: Previous intake of food supplements within 4 weeks from the enrollment

- Arm 2: patients with evidence of anxiety or anxious-depressive syndrome; Clinical hypothyroidism not compensated by replacement therapy; Persistent insomnia

- Arm 3: patients with evidence of anxiety or anxious-depressive syndrome

Outcome

Primary Outcome Measures

1. Anemia [Patients will be followed from date of enrollment for a maximum period of 6 months. Hemoglobin levels monitoring performed for a maximum period of 6 months or until the worsening of anemia (Hb<10 g/dL).]

Assessment of hemoglobin levels every 4 weeks.

2. Fatigue [Patients will be followed from date of enrollment for a maximum period of 6 months.]

Evaluation of fatigue with questionnaire "Brief Fatigue Inventory" - BFI, completed by the patients at day 1 of every cycle of chemotherapy.

3. Nausea [Patients will be followed from date of enrollment for a maximum period of 6 months.]

Evaluation of nausea with questionnaire "Multinational Association of Supportive Care in Cancer" - MAT, completed by the patients at day 2 and day 5 of every cycle of chemotherapy.

Secondary Outcome Measures

1. Quality of life level: questionnaire [Patients will be followed from date of enrollment for a maximum period of 6 months.]

Evaluation of quality of life with questionnaire EQ-5D, completed at day 1 of every cycle of chemotherapy by patients enrolled in the three arms.

2. Tolerability of food supplements [Patients will be followed from date of enrollment for a maximum period of 6 months.]

Evaluation of tolerability of food supplements through registration of adverse events at each patient visit.

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