Acute Post-Radiation Hyperbaric Oxygen (HBO2) for Breast Cancer Patients Who Have Recently Completed Radiation Therapy

NCT ID: NCT03916068

Last Updated: 2023-10-04

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2023-10-02

Brief Summary

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This study aims to compare patients that receive hyperbaric oxygen or Trental and Vitamin E immediately after completion of radiation therapy to evaluate which treatment best reduces radiation fibrosis.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Hyperbaric Oxygen Therapy

Hyperbaric oxygen (HBO2) - 100% oxygen at 2.4 atmospheres ATA for 90 minutes, Monday-Friday for 30 sessions (six weeks)

Group Type EXPERIMENTAL

Hyperbaric Oxygen Therapy

Intervention Type PROCEDURE

Hyperbaric oxygen therapy at 2.4 atmospheres for 90 minutes for 30 sessions.

Trental and Vitamin E

Trental (pentoxifylline), 400 milligrams three times a day in combination with Vitamin E, 400 international units orally twice daily for six months

Group Type ACTIVE_COMPARATOR

Trental Pill

Intervention Type DRUG

Trental 400 mg three times daily, in combination with Vitamin E 400 IU twice daily

Vitamin E

Intervention Type DIETARY_SUPPLEMENT

Vitamin E 400 IU twice daily, in combination with Trental 400 mg three times daily

Interventions

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Hyperbaric Oxygen Therapy

Hyperbaric oxygen therapy at 2.4 atmospheres for 90 minutes for 30 sessions.

Intervention Type PROCEDURE

Trental Pill

Trental 400 mg three times daily, in combination with Vitamin E 400 IU twice daily

Intervention Type DRUG

Vitamin E

Vitamin E 400 IU twice daily, in combination with Trental 400 mg three times daily

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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pentoxifylline

Eligibility Criteria

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Inclusion Criteria

* \> 18 years of age
* Patient is currently undergoing treatment for breast cancer and is on one of two pathways:

* Pathway 1 involves lumpectomy with radiation therapy, recurrence years later, mastectomy and tissue expander with further radiation therapy
* Pathway 2 involves mastectomy and tissue expander, 6 weeks of radiation therapy, and an implant in 6 months
* Undergone mastectomy with expander or implant reconstruction \> 2 weeks before starting radiation therapy
* Completed chest wall irradiation in the past 3 days
* Willing to stop herbal medications as directed by provider
* Willing to stop daily use of supplemental vitamin E (Multivitamin with vitamin E component is acceptable, vitamin E cream is also acceptable)
* Willing to have photographs of chest area taken for research purposes only
* Therapeutic PT-INR for participants taking Coumadin
* If tissue expanders remain intact during radiation, plan for conversion to the final implants must occur \> 4 months after completing radiation
* Willing to travel to a Legacy Health facility for study related visits
* Agree to attend study visits outside of standard of care visits, if needed
* Willing to engage in pre/post testing and survey/phone calls
* Willing to attend all 6 weeks of HBOT if randomized to that group

Exclusion Criteria

* \< 18 years of age
* Pregnant or lactating
* Have final implant placed \< 2 weeks before start of radiation therapy
* Plan to place final impacts \< 4 months from the completion of radiation therapy, if tissue expanders are intact during radiation therapy
* Have evidence of ongoing infection or implant exposure before start of radiation therapy
* Radiation completed more than 3 days prior to study start
* Unable to comply with protocol
* Unable to provide written informed consent
* Unwilling or unable to stop oral supplemental Vitamin E
* PT-INR outside of acceptable range for participants taking Coumadin
* Any delay in radiation treatment greater than 14 days
* Investigator does not believe study participation is in the best interest of the patient
* History of a seizure within the last 5 years
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Legacy Health System

OTHER

Sponsor Role lead

Responsible Party

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Enoch Huang

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Enoch Huang, MD

Role: PRINCIPAL_INVESTIGATOR

Legacy Health System

Locations

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Legacy Emanuel Medical Center

Portland, Oregon, United States

Site Status

Countries

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United States

Other Identifiers

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HBO001

Identifier Type: -

Identifier Source: org_study_id

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