Stellate Ganglion Nerve Block in Treating Women With Hot Flashes

NCT ID: NCT00879164

Last Updated: 2014-10-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2010-12-31

Brief Summary

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RATIONALE: A stellate ganglion nerve block may help relieve hot flashes in women.

PURPOSE: This clinical trial is studying how well a stellate ganglion nerve block works in treating women with hot flashes.

Detailed Description

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OBJECTIVES:

* To evaluate the impact of stellate ganglion blockade on hot flash scores.
* To evaluate the toxicity of stellate ganglion blockade.

OUTLINE: Patients undergo fluoroscopic-guided stellate ganglion blockade using bupivacaine hydrochloride in week 1.

Patients complete a hot flash diary daily and a symptom experience diary weekly in weeks 1-7 and the Profile of Mood States questionnaire in weeks 1 and 7.

After completion of study treatment, patients are followed at 2 months and then monthly for 1 year.

Conditions

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Hot Flashes

Study Design

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Primary Study Purpose

SUPPORTIVE_CARE

Interventions

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bupivacaine hydrochloride

Intervention Type DRUG

questionnaire administration

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Presence of hot flashes for ≥ 1 month prior to study registration

* Hot flashes considered bothersome (defined by their occurrence of ≥ 28 times per week and of sufficient severity to make the patient desire therapeutic intervention)
* Use of more conventional hot flash treatments (including newer antidepressants and gabapentin) have failed to control hot flashes (as defined by the patient)

PATIENT CHARACTERISTICS:

* ECOG performance status 0-1
* Life expectancy ≥ 6 months
* Not of childbearing potential, as judged by the attending clinician
* Able to complete questionnaires alone or with assistance
* No evidence of an active malignancy
* No von Willebrand's disease or other bleeding disorders
* No allergy to chlorhexidine or bupivacaine

PRIOR CONCURRENT THERAPY:

* More than 4 weeks since prior and no concurrent antineoplastic chemotherapy, androgens, estrogens, or progestational agents

* Tamoxifen, raloxifene, or aromatase inhibitors allowed provided the patient has been on a constant dose for ≥ 4 weeks and continues to receive medication during study treatment
* More than 10 days since prior and no concurrent anticoagulants (e.g., aspirin, clopidogrel, ticlopidine, or warfarin)

* Concurrent heparin flushes for venous catheter allowed
* No concurrent use of other agents (e.g., megestrol acetate, soy, clonidine, or Bellergal) for treating hot flashes

* Vitamin E, gabapentin, or antidepressants allowed provided the patient has been on a stable dose for \> 30 days and continues to receive medication during study treatment
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

Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Charles L. Loprinzi, MD

Role: STUDY_CHAIR

Mayo Clinic

Locations

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Mayo Clinic

Rochester, Minnesota, United States

Site Status

Countries

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United States

References

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Pachman DR, Barton D, Carns PE, Novotny PJ, Wolf S, Linquist B, Kohli S, Smith DR, Loprinzi CL. Pilot evaluation of a stellate ganglion block for the treatment of hot flashes. Support Care Cancer. 2011 Jul;19(7):941-7. doi: 10.1007/s00520-010-0907-9. Epub 2010 May 23.

Reference Type DERIVED
PMID: 20496155 (View on PubMed)

Other Identifiers

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P30CA015083

Identifier Type: NIH

Identifier Source: secondary_id

View Link

MC08C8

Identifier Type: OTHER

Identifier Source: secondary_id

08-006796

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-2009-01133

Identifier Type: OTHER

Identifier Source: secondary_id

CDR0000640197

Identifier Type: -

Identifier Source: org_study_id

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