MedPath

Medroxyprogesterone Compared With Venlafaxine in Treating Hot Flashes in Women

Phase 3
Completed
Conditions
Hot Flashes
Interventions
Registration Number
NCT00030914
Lead Sponsor
Alliance for Clinical Trials in Oncology
Brief Summary

RATIONALE: Medroxyprogesterone and venlafaxine may be effective in relieving hot flashes. It is not yet known whether venlafaxine is more effective than medroxyprogesterone in relieving hot flashes.

PURPOSE: Randomized phase III trial to compare the effectiveness of medroxyprogesterone with that of venlafaxine in treating women who are experiencing hot flashes.

Detailed Description

OBJECTIVES:

* Compare the efficacy of medroxyprogesterone administered as 1 injection vs medroxyprogesterone administered as 3 injections (closed to accrual as of 1/22/03) vs venlafaxine for hot flash alleviation in women with symptomatic hot flashes.

* Compare the toxic effects of these regimens in these patients.

* Determine whether there is cross resistance between these 2 drugs in these patients.

* Compare the 1-year efficacy of these regimens in these patients.

OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to age (18 to 49 vs 50 and over), current tamoxifen use (yes vs no), current raloxifene use (yes vs no), duration of hot flash symptoms (less than 9 months vs 9 months or more), and average frequency of hot flashes per day (2-3 vs 4-9 vs 10 or more). Patients are randomized to 1 of 2 treatment arms. (Arm II closed to accrual as of 1/22/03.)

All patients complete a daily questionnaire regarding number of hot flashes beginning on day 1 and continuing for 7 weeks. Patients are randomized to one of three treatment arms.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
227
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Arm II: medroxyprogesterone - long termmedroxyprogesteroneAll patients complete a daily questionnaire regarding number of hot flashes beginning on day 1 and continuing for 7 weeks. Patients receive medroxyprogesterone intramuscularly (IM) on days 8, 22, and 36 for a total of 3 injections. After week 7, patients with unsatisfactory efficacy may cross over to arm I. Patients are followed at months 2, 3, 4, 5, 6, 8, 10, and 12.
Arm III: medroxyprogesterone - short termmedroxyprogesteroneAll patients complete a daily questionnaire regarding number of hot flashes beginning on day 1 and continuing for 7 weeks. Patients receive medroxyprogesterone IM once on day 8. After week 7, patients with unsatisfactory efficacy may cross over to arm I. Patients are followed at months 2, 3, 4, 5, 6, 8, 10, and 12.
Arm I: venlafaxinevenlafaxineAll patients complete a daily questionnaire regarding number of hot flashes beginning on day 1 and continuing for 7 weeks. Patients receive oral venlafaxine once daily for 6 weeks beginning on day 8. After week 7, patients with satisfactory efficacy may continue venlafaxine for up to 6 months. Patients with unsatisfactory efficacy may cross over to arm III. Patients are followed at months 2, 3, 4, 5, 6, 8, 10, and 12.
Primary Outcome Measures
NameTimeMethod
Compare the efficacy of the three regimensUp to one year post-treatment
Secondary Outcome Measures
NameTimeMethod
Determine whether there is cross resistance between these 2 drugs in these patientsUp to 1 year post-treatment
Compare the 1-year efficacy of these regimens in these patientsUp to 1 year post-treatment

Trial Locations

Locations (22)

Mayo Clinic - Jacksonville

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Jacksonville, Florida, United States

Coborn Cancer Center

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Saint Cloud, Minnesota, United States

Allegheny General Hospital

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Pittsburgh, Pennsylvania, United States

CCOP - Mayo Clinic Scottsdale Oncology Program

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Scottsdale, Arizona, United States

CCOP - Iowa Oncology Research Association

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Des Moines, Iowa, United States

CCOP - St. Vincent Hospital Cancer Center, Green Bay

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Green Bay, Wisconsin, United States

CCOP - Illinois Oncology Research Association

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Peoria, Illinois, United States

CCOP - Cedar Rapids Oncology Project

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Cedar Rapids, Iowa, United States

CCOP - Toledo Community Hospital

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Toledo, Ohio, United States

Medcenter One Health System

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Bismarck, North Dakota, United States

Mayo Clinic Cancer Center

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Rochester, Minnesota, United States

CCOP - Missouri Valley Cancer Consortium

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Omaha, Nebraska, United States

CCOP - Michigan Cancer Research Consortium

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Ann Arbor, Michigan, United States

CCOP - Wichita

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Wichita, Kansas, United States

Rapid City Regional Hospital

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Rapid City, South Dakota, United States

CCOP - Sioux Community Cancer Consortium

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Sioux Falls, South Dakota, United States

Siouxland Hematology-Oncology

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Sioux City, Iowa, United States

CCOP - Carle Cancer Center

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Urbana, Illinois, United States

CCOP - Duluth

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Duluth, Minnesota, United States

MBCCOP - Hawaii

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Honolulu, Hawaii, United States

CCOP - Oklahoma

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Tulsa, Oklahoma, United States

CCOP - Upstate Carolina

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Spartanburg, South Carolina, United States

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