Breast Cancer Clinical Trial
Official title:
The Use of Ginkgo Biloba For The Prevention Of Chemotherapy-Related Cognitive Dysfunction
RATIONALE: Chemotherapy may cause memory loss, attention loss, and other problems that make
it difficult for patients to think clearly. EGb761 may help maintain mental clarity in
patients undergoing chemotherapy.
PURPOSE: Randomized clinical trial to study the effectiveness of EGb761 in preventing loss
of mental clarity in women who are receiving chemotherapy for newly diagnosed breast cancer.
OBJECTIVES:
- Determine the effectiveness of EGb761 in the prevention of chemotherapy-related
cognitive dysfunction in women with breast cancer.
- Determine the safety and tolerability of this drug when administered during adjuvant
chemotherapy in these patients.
- Assess the onset and trajectory of cognitive loss that may occur during chemotherapy in
these patients.
- Assess the quality of life and cognitive role functioning of patients treated with this
drug.
OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients
are stratified according to type of chemotherapy (doxorubicin/cyclophosphamide vs
doxorubicin/cyclophosphamide with taxane vs other anthracycline-based chemotherapy vs other
non-anthracycline-based chemotherapy), age (18 to 49 vs 50 and over), menopausal status at
start of therapy (premenopausal vs postmenopausal vs unknown for surgical reasons), and
lymph node involvement (0-3 vs 4 or more). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral EGb761 twice daily.
- Arm II: Patients receive oral placebo twice daily. Patients in both arms receive
treatment beginning no later than the start of the second course of chemotherapy and
continuing until 1 month after the completion of chemotherapy.
Quality of life and cognitive function are assessed at baseline, monthly during
chemotherapy, and then at 1, 6, 12, 18, and 24 months.
Patients are followed every 6 months for 2 years.
PROJECTED ACCRUAL: A total of 220 patients (110 per treatment arm) will be accrued for this
study within 11 months.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Supportive Care
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