Breast Cancer Clinical Trial
Official title:
A Phase III, Randomized, Double-Blind, Placebo-Controlled Evaluation of Pregabalin for Alleviating Hot Flashes
RATIONALE: Pregabalin may help relieve hot flashes in women with a history of breast cancer
or those who have no history and do not wish to take estrogen therapy for fear of increased
risk of breast cancer. It is not yet known what dose of pregabalin may be more effective in
treating hot flashes.
PURPOSE: This is a randomized phase III trial to determine the efficacy of two doses of
pregabalin, in comparison to placebo, in the prevention of hot flashes.
OBJECTIVES:
- To evaluate the efficacy of 150 mg of pregabalin versus placebo on hot flash scores in
women with a history of breast cancer or women who do not wish to take estrogen therapy
for fear of increased risk of breast cancer.
- To evaluate the side effect profile of different doses of pregabalin in these patients.
- To evaluate the effect of 150 mg of pregabalin versus placebo on the secondary outcome
of interference of activities from hot flashes in these patients.
- To evaluate the efficacy and side effect profile of 75 mg of pregabalin versus placebo
in these patients.
OUTLINE: Patients are stratified according to age (18-49 years vs ≥ 50 years); selective
estrogen-receptor modulator (i.e., tamoxifen or raloxifene) or aromatase inhibitor use (yes
vs no); duration of hot flashes (< 9 months vs ≥ 9 months); and frequency of hot flashes per
24-hour period (4-9 vs ≥ 10). Patients are randomized to 1 of 3 treatment arms.
- Arm I: Patients receive 75 mg of oral pregabalin twice daily for 6 weeks.
- Arm II: Patients receive 150 mg of oral pregabalin twice daily for 6 weeks.
- Arm III: Patients receive oral placebo twice daily for 6 weeks. Treatment in all arms
continues in the absence of unacceptable toxicity.
Patients complete Hot Flash Diaries at baseline and once daily during treatment and the
Symptom Experience Diary at baseline and once weekly during treatment. Patients also
complete the Profile of Mood States and the Hot Flash Related Daily Interference Scale
questionnaires at baseline and after completion of study treatment.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Supportive Care
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