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Trial Title: Coenzyme Q10 and Chemotherapeutic Toxicity in Breast Cancer Patients

NCT ID: NCT06570811

Condition: Breast Cancer
Chemotherapeutic Toxicity

Conditions: Official terms:
Breast Neoplasms
Ubiquinone
Coenzyme Q10

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: This study is a parallel study

Primary purpose: Treatment

Masking: None (Open Label)

Masking description: This is an open label study where Patients will be classified as follow: Control arm :20 Patients will receive 80 mg/m2 of paclitaxel chemotherapy weekly for 12 weeks after receiving 4 cycles of AC protocol (Adriamycin and cyclophosphamide) Treatment arm : 20 Patients will receive the same regimen as group1 in addition to 200 mg Coenzyme Q10 twice daily for 3 months

Intervention:

Intervention type: Drug
Intervention name: Placebo
Description: Placebo tablets is supplied to breast cancer patients who receive 80 mg/ m2 paclitaxel (taxol®) chemotherapy.
Arm group label: Placebo Comparator

Intervention type: Drug
Intervention name: Coenzyme Q10 200mg twice daily
Description: 400 mg daily (200mg twice daily) of Coenzyme Q10 (an antioxidant that's in many foods, and it's made naturally in the investigator's bodies) is supplied to breast cancer patients who receive 80 mg/ m2 paclitaxel (taxol®) chemotherapy.
Arm group label: Active Comparator

Other name: Coenzyme Q10 (Ubiquinol) -200mg ®

Summary: investigating the potential effect of Coenzyme Q10 in ameliorating and preventing the development of paclitaxel chemotherapeutic toxicity in breast cancer patients

Detailed description: 1. Ethical committee approval is obtained from ethics committee of Faculty of Pharmacy, Damanhour University. 2. All participants should agree to take part in this clinical study and will provide informed consent. 3. Forty female patients with newly diagnosed breast cancer who are candidates for will be recruited from Damanhour oncology center. 4. All enrolled patients will be randomly assigned into two arms: - Control arm (n=20): will receive 80 mg/m2 of paclitaxel chemotherapy weekly for 4 cycles (12 weeks) after receiving 4 cycles of Adriamycin and cyclophosphamide (AC) protocol - Treatment arm (n=20): will receive the same regimen as control arm in addition to Coenzyme Q10 400 mg daily (200 mg twice daily). 5. All patients will be submitted to: - Full patient history and clinical examination. - Routine follow up before and after each chemotherapy cycle (complete blood picture, liver function tests, renal function tests). - Assessing the effect of coenzyme Q10 on the following: fatigue, sleep disturbance, peripheral neuropathy, nausea , vomiting , mucositis, Anemia , febrile neutropenia and pruritis using common terminology criteria for adverse event (NCI-CTCAE) version 5. - Assessing of the patient's QoL by the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group Neurotoxicity (FACT-GOG-NTx) subscale

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. women with newly diagnosed breast cancer r ≥18 years old. 2. Naive to chemotherapy. 3. Eastern Cooperative Oncology Group (ECOG) performance status from 0-2 Exclusion Criteria: 1. Advanced liver disease (defined as liver enzyme elevation >3-fold upper limit of normality, or cirrhosis); chronic kidney disease (CKD, defined as an estimated glomerular filtration rate (eGFR) <60 ml min-1 1.73 m-2). 2. Patients with a history of allergy to Coenzyme Q10 and similar compounds. 3. Concomitant use of opioids, anticonvulsants, tricyclic antidepressants, other neuropathic pain medication. 4. Pregnancy or breast feeding. 5. hereditary muscle disorders.

Gender: Female

Gender based: Yes

Gender description: Female breast cancer patients

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: Damanhour Oncology Center

Address:
City: Damanhūr
Zip: 22511
Country: Egypt

Status: Recruiting

Contact:
Last name: Damanhour Oncology center

Investigator:
Last name: Gehad Hassoub, Demonstrator
Email: Principal Investigator

Start date: August 1, 2024

Completion date: March 2025

Lead sponsor:
Agency: Damanhour University
Agency class: Other

Source: Damanhour University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06570811

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