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Effects of Mediterranean Diet and Naltrexone/Bupropion Treatment in Obese Breast Cancer Patients

Not Applicable
Completed
Conditions
Overweight
Breast Cancer
Obesity
Interventions
Drug: naltrexone/bupropion
Behavioral: Mediterranean Diet
Registration Number
NCT03581630
Lead Sponsor
Gangnam Severance Hospital
Brief Summary

Obesity among breast cancer survivors is known to be associated with recurrence and other co-morbidities. However, there have been no studies on weight reduction program combining diet and anti-obesity drug for obese breast cancer survivors. The purpose of this randomized clinical trial is to examine the effects of Mediterranean Diet and naltrexone/bupropion treatment on inflammation and metabolic risk factors in overweight or obese breast cancer patients after breast cancer treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
72
Inclusion Criteria
  • Female, 20 to 65 years of age
  • Diagnosed with breast cancer stage Ⅰ-Ⅲ, and have completed cancer treatment including breast surgery and/or adjuvant chemotherapy, radiotherapy, hormonal therapy
  • BMI ≥25 kg/m2, or BMI ≥23 kg/m2 with one or more of the metabolic risk factors (waist circumference ≥80 cm, fasting glucose ≥100 mg/dL, BP ≥130/85 mmHg, HDL-cholesterol <50 mg/dL or controlled diabetes, hypertension, dyslipidemia with medications)
  • If woman of child bearing potential, agree to use effective contraception throughout the study period and 30 days after discontinuation of study drug
  • Able to speak and read Korean
  • Able to comply with all required study procedures and schedule
  • Willing and able to give written informed consent
Exclusion Criteria
  • Participants with cancer recurrence or metastasis
  • Participants with uncontrolled hypertension (systolic blood pressure (SBP) >180 mmHg, or diastolic blood pressure (DBP) >120 mmHg)
  • Participants with hepatic disease (aspartate aminotransferase (AST)/alanine aminotransferase (ALT) >3 x institutional upper limit of normal) or renal disease (serum creatinine >2.0 mg/dL)
  • Participants with significant cardiovascular disease or stroke
  • Participants with history of seizures
  • Participants with serious psychiatric illness, including bipolar disorder, schizophrenia, or other psychosis, bulimia, anorexia nervosa, or suicidal ideation
  • Participants who are taking medications such as monoamine oxidase (MAO) inhibitors, opioid-containing medications, other naltrexone or bupropion containing medications, and Tamoxifen
  • Current smokers or use of nicotine replacement products in the previous 6 months
  • Pregnant or breast-feeding women
  • Any condition which in the opinion of the investigator makes the subject unsuitable for inclusion in this study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Breast cancer subjects-naltrexone/bupropion+Mediterranean Dietnaltrexone/bupropion-
Breast cancer subjects-naltrexone/bupropion+Mediterranean DietMediterranean Diet-
Breast cancer subjects-Mediterranean DietMediterranean Diet-
Healthy subjects-naltrexone/bupropion+Mediterranean Dietnaltrexone/bupropion-
Healthy subjects-naltrexone/bupropion+Mediterranean DietMediterranean Diet-
Primary Outcome Measures
NameTimeMethod
Change in body weightbaseline, 8 weeks

body weight (kg)

Change in fat massbaseline, 8 weeks

fat mass (kg) measured by bioelectrical impedance analyzer

Change in muscle massbaseline, 8 weeks

muscle mass (kg) measured by bioelectrical impedance analyzer

Change in fasting glucosebaseline, 8 weeks

fasting glucose (mg/dL)

Change in insulinbaseline, 8 weeks

insulin (mcIU/mL)

Change in high-density lipoprotein cholesterol (HDL-cholesterol)baseline, 8 weeks

HDL-cholesterol (mg/dL)

Change in leukocyte countbaseline, 8 weeks

leukocyte count (/μL)

Change in triglyceridebaseline, 8 weeks

triglyceride (mg/dL)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

GangnamSeverance Hospital

🇰🇷

Seoul, Korea, Republic of

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