Cognition in Breast Cancer Patients: The Impact of Cancer-related Stress

NCT ID: NCT01264562

Last Updated: 2016-05-03

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

Total Enrollment

254 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-01-31

Study Completion Date

2014-10-31

Brief Summary

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The study will investigate the impact of cancer-related stress and its consequences (acute and posttraumatic stress symptoms, altered cortisol secretion) on cognitive function in breast cancer patients. The hypothesis that stress associated with the cancer diagnosis and the cancer treatment is a major cause of cognitive dysfunction in breast cancer patients shall be evaluated.

Detailed Description

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Primary hypothesis:

\*The adverse effects of cancer and cancer therapy on cognitive function in breast cancer patients are entirely or partly mediated by stress and the ensuing dysfunction of the HPA-axis.

Secondary objectives:

* Determining the effect of cancer diagnosis, chemotherapy, disease-related stress, acute stress response, posttraumatic stress disorder, posttraumatic stress symptoms, anxiety, and depression on the HPA-axis in breast cancer patients
* Determining the effect of cognitive dysfunction assessed with neuropsychological tests, cancer diagnosis, chemotherapy, disease-related stress, acute stress response, posttraumatic stress disorder, posttraumatic stress symptoms, anxiety, and depression on subjective cognitive function in breast cancer patients
* Prevalence of acute stress response, posttraumatic stress disorder and posttraumatic stress symptoms, and extent of cancer-specific stress in breast cancer patients treated with or without chemotherapy

Conditions

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Breast Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Chemotherapy group

Breast cancer patients treated with chemotherapy

No interventions assigned to this group

Non-chemotherapy group

Breast cancer patients not treated with chemotherapy

No interventions assigned to this group

Healthy controls

Women without a cancer diagnosis, matched for age and education

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* primary breast cancer, stage 0-IIIc, therapy not yet started
* informed consent


* breast diagnostics with benign result (no treatment necessary)
* informed consent

Exclusion Criteria

* not fluent in German
* substance abuse
* history of psychosis
* history of neurologic disorder
* previous systemic cancer treatment
* Addison' disease
* Cushing's syndrome
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Deutsche Krebshilfe e.V., Bonn (Germany)

OTHER

Sponsor Role collaborator

Ludwig-Maximilians - University of Munich

OTHER

Sponsor Role lead

Responsible Party

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Kerstin Hermelink

Study Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kerstin Hermelink, PhD

Role: PRINCIPAL_INVESTIGATOR

Ludwig Maximilian University, Department of Gynecology and Obstetrics

Locations

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Frauenklinik des Helios Amper Klinikums Dachau

Dachau, Bavaria, Germany

Site Status

Kreisklinik Ebersberg

Ebersberg, Bavaria, Germany

Site Status

Klinikum Landshut, Department of Obstetrics and Gynecology and Breast Cancer Services

Landshut, Bavaria, Germany

Site Status

Rotkreuzklinikum Muenchen

Munich, Bavaria, Germany

Site Status

Klinikum Dritter Orden

Munich, Bavaria, Germany

Site Status

Ludwig Maximilian University, Department of Gynecology and Obstetrics

Munich, Bavaria, Germany

Site Status

Countries

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Germany

References

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Hermelink K, Buhner M, Harbeck N. Response. J Natl Cancer Inst. 2016 Apr 13;108(8):djw049. doi: 10.1093/jnci/djw049. Print 2016 Aug. No abstract available.

Reference Type BACKGROUND
PMID: 27075856 (View on PubMed)

Hermelink K, Voigt V, Kaste J, Neufeld F, Wuerstlein R, Buhner M, Munzel K, Rjosk-Dendorfer D, Grandl S, Braun M, von Koch FE, Hartl K, Hasmuller S, Bauerfeind I, Debus G, Herschbach P, Harbeck N. Elucidating pretreatment cognitive impairment in breast cancer patients: the impact of cancer-related post-traumatic stress. J Natl Cancer Inst. 2015 Apr 16;107(7):djv099. doi: 10.1093/jnci/djv099. Print 2015 Jul.

Reference Type RESULT
PMID: 25882713 (View on PubMed)

Voigt V, Neufeld F, Kaste J, Buhner M, Sckopke P, Wuerstlein R, Hellerhoff K, Sztrokay-Gaul A, Braun M, von Koch FE, Silva-Zurcher E, Hasmuller S, Bauerfeind I, Debus G, Herschbach P, Mahner S, Harbeck N, Hermelink K. Clinically assessed posttraumatic stress in patients with breast cancer during the first year after diagnosis in the prospective, longitudinal, controlled COGNICARES study. Psychooncology. 2017 Jan;26(1):74-80. doi: 10.1002/pon.4102. Epub 2016 Feb 22.

Reference Type RESULT
PMID: 26898732 (View on PubMed)

Related Links

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http://www.klinikum.uni-muenchen.de/Brustzentrum/de/psychoonko/psy_grh/index.html

website of the Ludwig Maximilian University of Munich, Breast Cancer Center, Psycho-Oncology

Other Identifiers

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DKH 109132

Identifier Type: -

Identifier Source: org_study_id

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