Coenzyme Q10 in Relieving Treatment-Related Fatigue in Women With Breast Cancer

NCT ID: NCT00096356

Last Updated: 2021-09-29

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

236 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-08-27

Study Completion Date

2009-08-31

Brief Summary

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RATIONALE: Coenzyme Q10 is a vitamin that may be effective in relieving fatigue and depression in women who are undergoing chemotherapy for breast cancer.

PURPOSE: This randomized clinical trial is studying how well coenzyme Q10 works in relieving treatment-related fatigue in women with breast cancer.

Detailed Description

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OBJECTIVES:

Primary

* Determine the effect of coenzyme Q\_10 on cancer treatment-related fatigue in women with breast cancer.

Secondary

* Determine the effect of this drug on overall quality of life of these patients.
* Determine the effect of this drug on depression in these patients.

OUTLINE: This is a randomized, double-blind, placebo-controlled study. Patients are stratified according to planned radiotherapy (yes vs no) and type of chemotherapy (anthracycline vs non-anthracycline). Patients are randomized to 1 of 2 treatment arms.

* Arm I: Beginning on the first day of chemotherapy treatment, patients receive oral coenzyme Q\_10 and oral vitamin E three times daily.
* Arm II: Beginning on the first day of chemotherapy treatment, patients receive oral vitamin E and an oral placebo three times daily.

Treatment in both arms continues for 24 weeks in the absence of unacceptable toxicity.

Quality of life, fatigue, and depression are assessed at baseline and at 8, 16, and 24 weeks.

PROJECTED ACCRUAL: A total of 101-236 patients will be accrued for this study.

Conditions

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Breast Cancer Fatigue

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Arm 1 - CoQ10 & Vitamin E

CoQ10 100mg capsule combined with Vitamin E 100 IU taken orally three times per day.

Group Type ACTIVE_COMPARATOR

CoQ10 & Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Placebo & Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Arm 2 - Placebo & Vitamin E

Placebo-Vitamin E 100 mg/day in 3 doses

Group Type PLACEBO_COMPARATOR

Placebo & Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Interventions

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CoQ10 & Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Placebo & Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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CoenzymeQ10

Eligibility Criteria

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Inclusion Criteria

* Signed consent
* Hg \> 11g/dl; supportive measures (erythropoietin, transfusion, iron therapy) should be utilized to assist with maintaining Hgb levels
* Total cholesterol \> 160mg/dL.
* Female with primary cancer diagnosis (breast)
* Planned adjuvant chemotherapy (neoadjuvant chemotherapy is excluded)
* KPS \> 60
* Bilirubin \< 1.5 x ULN
* SGOT \< 2.5 x ULN
* SGPT \< 2.5 x ULN

Exclusion Criteria

* Recent involuntary weight loss (\> 5% of body weight in the past 3 months)
* Statin therapy - current or planned during study. Below is a list of some commonly used statin drugs.(Note: This is a helpful guide, not a complete list.)

* Atorvastatin (Lipitor)
* Cerivastatin
* Fluvastatin (Lescol)
* Lovastatin (Mevacor, Altocor, Advicor)
* Mevastatin
* Pravastatin (Pravachol)
* Rosuvastatin
* Simvastatin (Zocor)
* Current or planned use of the following medications for fatigue

* Corticosteroids (intermittent use as part of chemotherapy regimen is allowed)
* Amphetamines or other stimulants including methylphenidate (Ritalin)or modafinil (Provigil)
* Patients diagnosed with uncontrolled hypertension
* Breast cancer patients who are male
* Pregnant women are excluded from participation in this study. A Serum pregnancy test is required within 1 week of registration if the patient is a woman of childbearing potential.
* Anticoagulant therapy - current or planned during study (except for maintenance of catheter patency)
* Patients with uncontrolled thyroid dysfunction
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Glenn J. Lesser, MD

Role: PRINCIPAL_INVESTIGATOR

Wake Forest University Health Sciences

Locations

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CCOP - Western Regional, Arizona

Phoenix, Arizona, United States

Site Status

CCOP - Santa Rosa Memorial Hospital

Santa Rosa, California, United States

Site Status

CCOP - Christiana Care Health Services

Newark, Delaware, United States

Site Status

Helen F. Graham Cancer Center at Christiana Hospital

Newark, Delaware, United States

Site Status

MBCCOP - Howard University Cancer Center

Washington D.C., District of Columbia, United States

Site Status

CCOP - Mount Sinai Medical Center

Miami Beach, Florida, United States

Site Status

MBCCOP - JHS Hospital of Cook County

Chicago, Illinois, United States

Site Status

CCOP - Central Illinois

Decatur, Illinois, United States

Site Status

CCOP - Northern Indiana CR Consortium

South Bend, Indiana, United States

Site Status

CCOP - Cedar Rapids Oncology Project

Cedar Rapids, Iowa, United States

Site Status

MBCCOP - LSU Health Sciences Center

New Orleans, Louisiana, United States

Site Status

CCOP - Michigan Cancer Research Consortium

Ann Arbor, Michigan, United States

Site Status

CCOP - Beaumont

Royal Oak, Michigan, United States

Site Status

CCOP - Metro-Minnesota

Saint Louis Park, Minnesota, United States

Site Status

CCOP - Cancer Research for the Ozarks

Springfield, Missouri, United States

Site Status

CCOP - Heartland Research Consortium

St Louis, Missouri, United States

Site Status

Missouri Baptist Cancer Center

St Louis, Missouri, United States

Site Status

CCOP - St. Louis-Cape Girardeau

St Louis, Missouri, United States

Site Status

Alamance Cancer Center at Alamance Regional Medical Center

Burlington, North Carolina, United States

Site Status

Southeastern Medical Oncology Center - Goldsboro

Goldsboro, North Carolina, United States

Site Status

Pardee Memorial Hospital

Hendersonville, North Carolina, United States

Site Status

High Point Regional Hospital

High Point, North Carolina, United States

Site Status

Caldwell Memorial Hospital

Lenoir, North Carolina, United States

Site Status

CCOP - Southeast Cancer Control Consortium

Winston-Salem, North Carolina, United States

Site Status

Wake Forest University Comprehensive Cancer Center

Winston-Salem, North Carolina, United States

Site Status

CCOP - Columbus

Columbus, Ohio, United States

Site Status

Cancer Centers of the Carolinas - Eastside

Greenville, South Carolina, United States

Site Status

South Carolina Cancer Specialists, PA at Hilton Head Medical Center

Hilton Head Island, South Carolina, United States

Site Status

CCOP - Upstate Carolina

Spartanburg, South Carolina, United States

Site Status

Danville Regional Medical Center

Danville, Virginia, United States

Site Status

Ravenel Oncology Center at Memorial Hospital of Martinsville and Henry County

Martinsville, Virginia, United States

Site Status

Countries

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United States

References

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Vitolins MZ, Case LD, Rapp SR, Lively MO, Shaw EG, Naughton MJ, Giguere J, Lesser GJ. Self-reported adherence and biomarker levels of CoQ10 and alpha-tocopherol. Patient Prefer Adherence. 2018 Apr 24;12:637-646. doi: 10.2147/PPA.S158682. eCollection 2018.

Reference Type BACKGROUND
PMID: 29731611 (View on PubMed)

Lesser GJ, Case D, Stark N, Williford S, Giguere J, Garino LA, Naughton MJ, Vitolins MZ, Lively MO, Shaw EG; Wake Forest University Community Clinical Oncology Program Research Base. A randomized, double-blind, placebo-controlled study of oral coenzyme Q10 to relieve self-reported treatment-related fatigue in newly diagnosed patients with breast cancer. J Support Oncol. 2013 Mar;11(1):31-42. doi: 10.1016/j.suponc.2012.03.003.

Reference Type RESULT
PMID: 22682875 (View on PubMed)

Other Identifiers

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U10CA081851

Identifier Type: NIH

Identifier Source: secondary_id

View Link

REBACCCWFU-97202

Identifier Type: -

Identifier Source: org_study_id

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