Traditional Chinese medicine (TCM) for cancer-related fatigue in patients with breast cancer

ISRCTN ISRCTN12702489
DOI https://doi.org/10.1186/ISRCTN12702489
Secondary identifying numbers D131100002213001
Submission date
27/07/2013
Registration date
14/08/2013
Last edited
01/05/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Cancer-related weakness (fatigue) is a symptom frequently experienced by survivors regardless of the type of cancer or its treatment. Evidence of better ways to manage this is scarce. This purpose of this study is to find out the safety and effectiveness of Traditional Chinese Medicine (TCM) for the management of cancer-related weakness.

Who can participate?
Women with definite diagnosis of breast cancer who feel fatigue or tired can participate in this study.

What does the study involve?
Participants are randomly allocated to one of two groups: the intervention group and the control group. Participants in the intervention group will be treated with TCM granules. Participants in the control group will receive placebo (dummy) granules. They will complete some questionnaires at the start of the study and at fortnightly intervals to find out about any changes in fatigue level, sleep and emotion. They will undergo some tests at the start of the study and after treatment in order to find out about the safety. They will be followed up for one month to assess long-term effectiveness.

What are the possible benefits and risks of participating?
All participants will receive free treatment for one month and a series of free examinations. The fatigue could be relieved. The result of this study may help to provide evidence that Traditional Chinese Medicine is safe and effective for managing cancer-related fatigue. Participants have to visit the hospital regularly, which may be inconvenient and disturb their routine. They will have some mild side effects when they start taking TCM granules, such as loss of appetite. That will relieve gradually as they adapt to the smell and taste of TCM.

Where is the study run?
The study is run from three locations in China:
1. Beijing Hospital of Traditional Chinese Medicine
2. Beijing Cancer Hospital
3. People's Hospital of Beijing Daxing District

When is the study starting and how long is it expected to run for?
The study will start in August 2013 and will end in December 2015.

Who is funding the study?
Beijing Municipal Science and Technology Commission, China.

Who is the main contact?
Dr Xiaomin Wang
lichen0701326@163.com

Contact information

Dr Xiaomin Wang
Scientific

No.23, Back Road of Gallery
Dong Cheng District
Beijing
100010
China

Study information

Study designMulticentre randomized double-blinded placebo-controlled study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleTraditional Chinese medicine for cancer-related fatigue in patients with breast cancer: a randomized, double-blinded, placebo-controlled trial
Study objectivesThe purpose of this study is to determine whether traditional Chinese medicine is effective in managing cancer-related fatigue.
Ethics approval(s)Research Ethics Committee of the Beijing Hospital of Traditional Chinese Medicine, 22/04/2013, ref: 201338
Health condition(s) or problem(s) studiedCancer-related fatigue
InterventionThe 118 eligible participants are randomly assigned to two different groups:
1. Intervention group: Chinese medicine granules (15.75g granules per bag, 2 bags per day) twice a day for one month.
2. Control group: placebo granules (15.75g granules per bag, 2 bags per day) twice a day for one month.
The patients receive assessments fortnightly interval and one month after treatment.
Intervention typeOther
Primary outcome measure1. TCM symptoms scale is a instrument for detecting states of the TCM Symptoms.
2. Revised Piper Fatigue Scale-Chinese Version(RPFS-CV), a multidimensional assessment tool for measuring the level of fatigue subjectively for patients with cancer.
3. Eastern Cooperative Oncology Group Performance Status (ECOG PS)
These scales and criteria are used by researchers to assess how a patient's disease is progressing, assess how the disease affects the daily life of the patient.
The outcome measures above will be assessed before the treatment, at 2 and 4 weeks during the treatment, the assessments will be repeated at the end of the first month after the treatment.
Secondary outcome measures1. Self-Rating Scale of Sleep (SRSS) is a instrument for detecting states of sleeping.
2. The Hospital Anxiety and Depression Scale (HADS) is an instrument for detecting states of depression and anxiety.
The outcome measures above will be assessed before the treatment, at 2 and 4 weeks during the treatment, the assessments will be repeated at the end of the first month after the treatment.
Overall study start date01/08/2013
Completion date31/12/2015

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants118
Key inclusion criteria1. Women patients having definite pathologic diagnosis of breast cancer in outpatient
2. Patients who had chemotherapy and /or radiotherapy at least 1 month and mastectomy within 5 years
3. Stage I to III breast cancer with no evidence of recurrence and metastasis
4. Eastern Cooperative Oncology Group (ECOG) performance status 0-2
5. Traditional Chinese Medicine (TCM) syndrome is differentiated as liver depression and spleen deficiency
6. Anticipated survival time more than six months
7. Patients having no plan to receive chemoradiotherapy during the study
8. patients who are suffering from at least moderate fatigue by Revised Piper Fatigue Scale-Chinese Version(RPFS-CV)
9. All patients who have provided signed informed consent before enrollment
Key exclusion criteria1. Patients with serious diseases of heart, liver and kidney, immune and hematopoietic system
2. Children, women who are pregnant
3. Active treatment for anemia with erythropoietin or blood transfusions
4. Patients using steroids to cure cancer-related fatigue
5. Patients having a diagnosis of depression, mental disease and cognitive impairment
6. Patients allergic to Chinese herbal compound
Date of first enrolment01/08/2013
Date of final enrolment31/12/2015

Locations

Countries of recruitment

  • China

Study participating centres

Beijing Hospital of Traditional Chinese Medicine
China
Beijing Cancer Hospital
China
People's Hospital of Beijing Daxing District
China

Sponsor information

Beijing Municipal Science and Technology Commission (China)
Government

No.16 Xizhimen South Street
Xi Cheng District
Beijing
100035
China

ROR logo "ROR" https://ror.org/034k14f91

Funders

Funder type

Government

Beijing Municipal Science and Technology Commission (China)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 26/04/2015 Yes No