A Feasibility Study of Topical Cannabinoids for Treatment of Aromatase Inhibitor-Associated Musculoskeletal Syndrome (AIMSS) in Adults With Hormone Receptor-Positive Breast Cancer (CanAroma)
试验速览
- 阶段
- 早期 1 期
- 状态
- 已完成
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- subject retention rate
研究概览
简要总结
Aromatase inhibitors (AIs) are commonly used for post-menopausal women with hormone-positive breast cancer. Compared to tamoxifen, AIs improve breast cancer recurrence rates and lower 10-year breast cancer mortality. Unfortunately, nearly 2 out of 3 women with estrogen-receptor positive breast cancer treated with AIs experiences AIMSS, such as arthralgia, joint stiffness, and bone pain, and 30% of women with AIMSS report severe pain. AIMSS leads to poor adherence with therapy and discontinuation of therapy in up to 20% of patients. Despite the large number of women affected, current therapeutic interventions have shown only limited efficacy in improving AIMSS. Therefore, the presence of AIMSS may negatively impact breast cancer recurrence and survival. In this current trial, the plan is to utilize topical cannabinoid creams from Vireo Health that have been tested for potency and purity. Two distinct products with different THC/CBD ratios will be provided to patients at no cost; a) a THC-dominant cream (Red XS Balm with 375mg/jar and <20mg of CBD) and b) a CBD-dominant cream (Violet Balm with 2210mg CBD/jar and <0.3% THC). The study will explore the feasibility of doing larger, placebo controlled trials by first ensuring adequate patient interest, acceptable tolerability/safety of cream utilization, and preliminary efficacy measures. All patients completing assessments through day 14 will be allowed to choose either Red XS or Violet creams for an additional 2-week extension period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
盲法说明
Patients will be informed as to which product they are using.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years or above at the time of signing the informed consent form.
- •Histologically proven diagnosis of stage I-III invasive breast cancer.
- •Currently taking prescribed dose of an aromatase inhibitor (e.g., anastrazole, letrozole, exemestane) for at least 60 days with a plan to continue for at least 4 weeks after time of consent.
- •Initiated AI therapy must have been within 48 months at time of consent.
- •Experiencing AIMSS in hands and/or wrists for at least 4 weeks prior to time of consent.
- •Patients must have reported a score of 4 or higher on at least one of the four M-SACRAH questions regarding pain and stiffness in hands and/or wrists over the past 7 days. Patients experiencing AIMSS symptoms in other joints are eligible, but must have pain in hands and/or wrists.
- •Must be willing and able to comply with study visits and procedures.
- •Must be willing to be registered in the Minnesota Medical Cannabis Program (MMCP).
- •Must meet qualifications for the Minnesota Medical Cannabis
- •Program (MMCP). This includes:
- •Must have a qualifying condition, as per MMCP requirements, that is certified by a Health Care Practitioner.
- •Must be a Minnesota resident.
排除标准
- •The patient is currently using or has used cannabinoids within 4 weeks of time of consent.
- •Active skin lesions on hands/wrists that the investigator feels could impair absorption of cannabinoid cream or lead to increased toxicity (e.g., psoriasis, cellulitis, cutaneous lupus erythematosus, hand-foot syndrome).
- •Plan to start or increase doses of other analgesics aimed at improving AIMSS symptoms (e.g., duloxetine, non-steroidal anti- inflammatories, acetaminophen, opioids). Of note, patients are eligible if they have remained on stable doses of AIMSS related medications for 4 weeks prior to time of consent and do not plan to escalate the dose.
- •Current or planned initiation of acupuncture to arms, wrists or hands within study period.
- •Any known or suspected hypersensitivity to topical cannabinoids.
- •Any condition that the investigator believes would interfere with the ability to provide informed consent, comply with the study protocol, or would put the subject at undue risk.
研究组 & 干预措施
Violet
Patients receiving CBD-dominant balm
干预措施: CBD-dominant (Drug)
Red Xs
Patients receiving THC-dominant balm
干预措施: THC dominant (Drug)
结局指标
主要结局
subject retention rate
时间窗: 4 weeks
percentage of participants who completed the study
subject recruitment rate
时间窗: 4 weeks
percentage of participants actually recruited out of anticipated
次要结局
- change in Brief Pain Inventory Short Form (BPI-SF) scores(2 weeks and 4 weeks)
- tolerability of topical medical cannabis creams(2 weeks and 4 weeks)