Fatigue Clinical Trial
Official title:
The Use Of Valeriana Officinalis (Valerian) In Improving Sleep In Patients Who Are Undergoing Adjuvant Treatment For Cancer" A Phase III Randomized, Placebo-Controlled, Double-Blind Study
RATIONALE: The herb Valeriana officinalis (valerian) may promote sleep. It is not yet known
whether valerian is effective in improving sleep in patients who are receiving adjuvant
therapy for cancer.
PURPOSE: This randomized phase III trial is studying how well valerian improves the quality
of sleep in patients who are receiving adjuvant therapy (radiation therapy, chemotherapy, or
hormone therapy) for cancer.
OBJECTIVES:
Primary
- Determine the effect of Valeriana officinalis (Valerian) for improving the quality of
sleep in patients with cancer receiving adjuvant therapy.
Secondary
- Determine the safety of this therapy, in terms of frequency and severity of adverse
events, in these patients.
- Determine the effect of this therapy on the degree of anxiety, fatigue, and activities
of daily living in these patients.
OUTLINE: This is a double-blind, placebo-controlled, randomized, multicenter study. Patients
are stratified according to type of adjuvant treatment (radiotherapy vs parenteral
chemotherapy vs oral therapy vs combined modality), age (40 and under vs 41 to 55 vs 56 to
70 vs over 70), and numerical analogue scale for sleep difficulty (mildly impaired sleep
quality [4-7] vs moderate or severely impaired sleep quality [8-10]). Patients are
randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral Valeriana officinalis (Valerian) once daily for 8 weeks.
- Arm II: Patients receive an oral placebo once daily for 8 weeks. After 8 weeks of
treatment, patients in arm I may receive Valeriana officinalis (Valerian) for an
additional 8 weeks and patients in arm II may cross over to arm I.
Pittsburgh Sleep Quality Index, functional outcomes of sleep, brief fatigue inventory, and
profile of mood states questionnaires are completed at baseline and then at weeks 4, 8, 12,
and 16.
After completion of study treatment, patients are followed weekly for 2 weeks.
PROJECTED ACCRUAL: A total of 220 patients (110 per treatment arm) will be accrued for this
study within approximately 11-22 months.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Supportive Care
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