Pilot Study of Anti-oxidant Supplementation With N-Acetyl Cysteine in Stage 0/I Breast Cancer
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 13
- 试验地点
- 1
- 主要终点
- Efficacy
研究概览
简要总结
NAC is the N-acetyl derivative of the naturally occurring amino acid, L-cysteine. It is a common over-the-counter supplement and also is available as an injectable pharmaceutical that protects the liver in cases of acetaminophen overdose. In the exercise physiology literature, both oral and injectable NAC have been shown to reduce fatigue and improve recovery from exertion which has interesting implications for exploring cancer-related fatigue.
In terms of cancer cell biology, reactive oxygen species (ROS) may play an important role in the development and progression of breast cancer
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Demographic • Females ≥18 years of age
- •Disease related
- •Stage 0/I breast cancer by biopsy (patients may be consented and screened with suspected breast cancer, but no treatment will occur until cancer is confirmed by their biopsy).
- •Awaiting surgery which will consist of either lumpectomy or mastectomy.
- •ECOG performance status 0-1
- •Laboratory values that would not prevent the patient from receiving treatment as determined by the PI or study oncologist
- •Serum creatinine ≤2.0 mg/dL
- •Serum bilirubin ≤2.0 X ULN
- •Serum HgB ≥8.0 mg/dL
- •Competent to comprehend, sign, and date an IRB-approved informed consent form
- •Female subjects of childbearing potential have a negative pregnancy test
排除标准
- •Disease Related
- •History or known presence of metastases
- •History of another primary cancer, except:
- •Curatively treated cervical carcinoma in situ, or
- •Curatively resected non-melanomatous skin cancer, or
- •Other primary solid tumor curatively treated with no known active disease present and no treatment administered for ≤ 3 years prior to enrollment
- •Other concurrent anticancer chemotherapy within 4 weeks as determined by the PI
- •Any co-morbid disease that would increase risk of toxicity as determined by PI
- •Medications/Treatments
- •Subjects requiring chronic use of immunosuppressive agents (eg, methotrexate, cyclosporine, corticosteroids)
- •Recent infection requiring a course of systemic anti-infectives that was completed ≤ 14 days prior to enrollment (exception can be made at the judgment of the PI for oral treatment of an uncomplicated urinary tract infection ([UTI])
- •History of any medical or psychiatric condition or addictive disorder, or laboratory abnormality that, in the opinion of the PI, may increase the risks associated with study participation or study drug administration or may interfere with the conduct of the study or interpretation of study requirements
- •History of bronchospasm or severe asthma as determined by the PI
- •Subject unwilling or unable to comply with study requirements
- •Known positive test(s) for human immunodeficiency virus infection, hepatitis C virus, chronic active hepatitis B infection
- •Documented history of alcohol, cocaine or intravenous drug abuse ≤ 6 months of enrollment
研究组 & 干预措施
IV and oral n-acetylcysteine
50-150mg/kg of n-acetylcysteine intravenously once a week for at least two weeks.
600mg n-acetylcysteine orally twice daily except on day of infusion
干预措施: IV/oral n-acetylcysteine (Drug)
结局指标
主要结局
Efficacy
时间窗: 2-4 weeks
To assess the feasibility of evaluating the effect of n-acetylcysteine on tumor cell metabolism by assessing the changes in expression of caveolin -1 and MCT4 in cancer associated fibroblasts in pre and post therapy breast tissue treated with NAC.
次要结局
- 2. To access the changes in HIF-1 alpha and p65 subunit of NFB in tumor stroma in pre and post therapy breast tissue treated with NAC(2-4 weeks)
- Safety(2-4 weeks)
- To evaluate potential effects of NAC on quality of life and fatigue(2-4 weeks)