Cancer Clinical Trial
Official title:
HEalth-Related Quality of Life-intervention in Survivors of Breast and Other Cancers Experiencing Cancer-related Fatigue Using TraditionAL Chinese Medicine: The HERBAL Trial
This study is a phase 2, randomized, double-blinded, placebo-controlled trial to evaluate the efficacy and safety of a Traditional Chinese Medicine decoction, the modified Xiang Bei Yang Rong Tang, in alleviating cancer related fatigue in cancer survivors.
Cancer-related fatigue (CRF) is a distressing, persistent and subjective sense of physical,
emotional, or cognitive tiredness related to cancer or its treatment. Currently there is a
lack of effective conventional pharmacological intervention for treating this condition.
Traditional Chinese Medicine (TCM) could be alternative therapy for managing CRF.
This study is a phase 2, randomized, double-blinded, placebo-controlled trial to examine the
efficacy and safety of a TCM decoction, the modified Xiang Bei Yang Rong Tang (XBYRT) in
alleviating CRF in cancer survivors. Study participants recruited from National Cancer Centre
Singapore (NCCS) will be randomized to receive either the XBYRT or placebo decoction.
Participants will take their assigned decoction daily for a duration of 8 weeks and will be
assessed using patient reported outcome (PRO) questionnaires. PROs used are the European
Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ
30) for QOL, the Multidimensional Fatigue Symptom Inventory Short Form (MFSI-SF) for fatigue
and Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) Version 3 for
cognitive abilities. The changes in scores measured by these assessment tools will be
compared between the XBYRT intervention and placebo groups. Blood biomarkers such as
inflammatory cytokines, mitochondrial DNA and oxidative stress markers will also be evaluated
in the study participants. Additionally, adverse events or serious adverse events in
participants will be monitored for safety.
Results from this study will provide a better understanding on the role of TCM in managing
CRF.
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