Dexamethasone in Controlling Dyspnea in Patients With Cancer
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ClinicalTrials.gov Identifier: NCT03367156 |
Recruitment Status :
Active, not recruiting
First Posted : December 8, 2017
Results First Posted : December 21, 2022
Last Update Posted : December 21, 2022
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Sponsor:
M.D. Anderson Cancer Center
Collaborator:
National Cancer Institute (NCI)
Information provided by (Responsible Party):
M.D. Anderson Cancer Center
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Supportive Care |
Conditions |
Dyspnea Malignant Neoplasm |
Interventions |
Drug: Dexamethasone Other: Placebo Other: Questionnaire Administration |
Enrollment | 135 |
Participant Flow
Recruitment Details | Ambulatory patients with cancer age ≥18, average dyspnea intensity over the past week ≥4/10 in a 0-10 point numeric rating scale, Karnofsky performance status ≥30% and ability to communicate in English or Spanish were selected from MD Anderson Cancer Center and Lyndon B. Johnson General Hospital, Houston, Texas, United States. |
Pre-assignment Details | A total of 135 participants were enrolled but 128 were randomized. 7 participants were not randomized for various reasons. |
Arm/Group Title | Dexamethasone | Placebo |
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Participants were given 2 capsules (4mg each) by mouth twice daily (day1-day7), then 1 capsule twice daily for the next 7 days (day 8-day 14). | Placebo capsules were given 2 capsules (4mg each) by mouth twice daily (day1-day7), then 1 capsule twice daily for the next 7 days (day 8-day 14). |
Period Title: Overall Study | ||
Started | 85 | 43 |
Completed 7 Days | 76 | 38 |
Completed 14 Days | 61 | 35 |
Completed | 61 | 35 |
Not Completed | 24 | 8 |
Reason Not Completed | ||
Lack of interest | 3 | 1 |
Death | 2 | 0 |
Lost to Follow-up | 2 | 1 |
Became ineligible | 1 | 2 |
Hospitalization | 1 | 0 |
Concerned about Treatment | 11 | 3 |
Started new treatment | 4 | 1 |
Baseline Characteristics
Arm/Group Title | Dexamethasone | Placebo | Total | |
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Participants were given 2 capsules (4mg each) by mouth twice daily (day1-day7), then 1 capsule twice daily for the next 7 days (day 8-day 14). | Placebo capsules were given 2 capsules (4mg each) by mouth twice daily (day1-day7), then 1 capsule twice daily for the next 7 days (day 8-day 14). | Total of all reporting groups | |
Overall Number of Baseline Participants | 85 | 43 | 128 | |
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All randomized participants
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Age, Continuous
Median (Inter-Quartile Range) Unit of measure: Years |
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Number Analyzed | 85 participants | 43 participants | 128 participants | |
66
(61 to 73)
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63
(57 to 71)
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65
(60 to 73)
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 85 participants | 43 participants | 128 participants | |
Female |
50 58.8%
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24 55.8%
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74 57.8%
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Male |
35 41.2%
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19 44.2%
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54 42.2%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 85 participants | 43 participants | 128 participants | |
Hispanic or Latino |
11 12.9%
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10 23.3%
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21 16.4%
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Not Hispanic or Latino |
74 87.1%
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33 76.7%
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107 83.6%
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Unknown or Not Reported |
0 0.0%
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0 0.0%
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0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 85 participants | 43 participants | 128 participants | |
American Indian or Alaska Native |
0 0.0%
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0 0.0%
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0 0.0%
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Asian |
0 0.0%
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0 0.0%
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0 0.0%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
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0 0.0%
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Black or African American |
11 12.9%
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9 20.9%
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20 15.6%
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White |
71 83.5%
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34 79.1%
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105 82.0%
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More than one race |
0 0.0%
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0 0.0%
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0 0.0%
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Unknown or Not Reported |
3 3.5%
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0 0.0%
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3 2.3%
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Region of Enrollment
Measure Type: Number Unit of measure: Participants |
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United States | Number Analyzed | 85 participants | 43 participants | 128 participants |
85 | 43 | 128 | ||
Cancer Stage
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 85 participants | 43 participants | 128 participants | |
Stage I-II |
18 21.2%
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15 34.9%
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33 25.8%
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Stage III |
17 20.0%
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4 9.3%
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21 16.4%
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Stage IV |
50 58.8%
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24 55.8%
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74 57.8%
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[1]
Measure Description: Stage IV has the worst outcome.
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Cancer Type
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 85 participants | 43 participants | 128 participants | |
Breast |
5 5.9%
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2 4.7%
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7 5.5%
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Gastrointestinal |
6 7.1%
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7 16.3%
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13 10.2%
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Genitourinary |
2 2.4%
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4 9.3%
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6 4.7%
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Respiratory |
65 76.5%
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27 62.8%
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92 71.9%
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Other |
7 8.2%
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3 7.0%
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10 7.8%
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Comorbidity
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 85 participants | 43 participants | 128 participants |
COPD |
32 37.6%
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12 27.9%
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44 34.4%
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Asthma |
6 7.1%
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5 11.6%
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11 8.6%
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Bronchiectasis |
1 1.2%
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1 2.3%
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2 1.6%
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Heart Failure |
5 5.9%
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3 7.0%
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8 6.3%
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Pulmonary Embolism |
2 2.4%
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1 2.3%
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3 2.3%
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Other |
5 5.9%
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1 2.3%
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6 4.7%
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Dr. David Hui- Professor, Palliative Care Medicine |
Organization: | UT MD Anderson Cancer Center |
Phone: | (713) 792-6258 |
EMail: | dhui@mdanderson.org |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | M.D. Anderson Cancer Center |
ClinicalTrials.gov Identifier: | NCT03367156 |
Other Study ID Numbers: |
2017-0591 NCI-2018-01129 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ) 2017-0591 ( Other Identifier: M D Anderson Cancer Center ) |
First Submitted: | December 4, 2017 |
First Posted: | December 8, 2017 |
Results First Submitted: | September 22, 2022 |
Results First Posted: | December 21, 2022 |
Last Update Posted: | December 21, 2022 |