Effects of Bromelain and Boswellia Serrata Casperome With Centella Asiatica and Vitamins on Edema, Paresthesia and Postoperative Pain After Quadrantectomy With or Without Sentinel Lymph Node Biopsy.
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| ClinicalTrials.gov Identifier: NCT04669119 |
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Recruitment Status :
Recruiting
First Posted : December 16, 2020
Last Update Posted : December 16, 2020
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Aim: to investigate the effects of dietary supplements on postoperative edema and pain in patients undergoing quadrantectomy for breast cancer.
Methods: 120 patients will be randomized into 3 groups: A, treated with Bromelain/Boswellia Serrata Casperome and Centella Asiatica with Vitamins for 30 days; B, treated with Bromelain/Bosswellia Serrata and placebo for 30 days; C, treated with 2 placebos. Inclusion criteria: adult (>18 years) patients with breast cancer undergoing quadrantectomy with or without sentinel lymph node biopsy. Exclusion criteria: diabetic neuropathy, previous breast/chest surgeries, allergies to studied drugs, severe kidney failure, alcohol and toxics addiction, axillary lymphadenectomy. Patients will be studied through ultrasound examination for edema and collections, VAS and DN4 for pain, during 30 postoperative days. Patients will also be studied through psychological and physiatric evaluations. Wilcoxon, T student, Chi-Squared tests will be used to evaluate the outcomes. STATA 14 (StataCorp LP, College Station, Tex, USA) will be used for the analysis. P<0.05 will be statistically significant.
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Breast Cancer Female Pain, Postoperative | Dietary Supplement: Bromelain/Boswellia Serrata Casperome Dietary Supplement: Centella Asiatica/Vitamins Dietary Supplement: Placebo | Phase 4 |
| Study Type : | Interventional (Clinical Trial) |
| Estimated Enrollment : | 120 participants |
| Allocation: | Randomized |
| Intervention Model: | Parallel Assignment |
| Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
| Primary Purpose: | Treatment |
| Official Title: | Effects of Bromelain and Boswellia Serrata Casperome With Centella Asiatica and Thiamine, Riboflavin, Pyridoxine, Vitamin D, Superoxide Dismutase on Edema, Paresthesia and Postoperative Pain After Quadrantectomy With or Without Sentinel Lymph Node Biopsy: Blinded Randomized Controlled Study |
| Estimated Study Start Date : | December 31, 2020 |
| Estimated Primary Completion Date : | December 31, 2021 |
| Estimated Study Completion Date : | January 31, 2022 |
| Arm | Intervention/treatment |
|---|---|
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Experimental: Bromelain/Boswellia Serrata Casperome and Centella Asiatica/Vitamins
Patients treated post-operatively for 30 days with Bromelain/Boswellia Serrata Casperome and Centella Asiatica/Vitamins
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Dietary Supplement: Bromelain/Boswellia Serrata Casperome
Dietary supplement already commercialized based on Bromelain/Boswellia Serrata Casperome (Arm A and B), called Siben by Agaton Dietary Supplement: Centella Asiatica/Vitamins Dietary supplement already commercialized based on Centella Asiatica/Vitamins (Arm B), called Kardinal V by Agaton |
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Experimental: Bromelain/Boswellia Serrata Casperome and placebo
Patients treated post-operatively for 30 days with Bromelain/Boswellia Serrata Casperome and placebo
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Dietary Supplement: Bromelain/Boswellia Serrata Casperome
Dietary supplement already commercialized based on Bromelain/Boswellia Serrata Casperome (Arm A and B), called Siben by Agaton Dietary Supplement: Placebo Placebo |
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Placebo Comparator: Placebo
Patients treated post-operatively for 30 days with placebo
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Dietary Supplement: Placebo
Placebo |
- Change in postoperative normalized echogenicity of breast and subcutaneous tissue from the first to the 30th day after quadrantectomy with or without sentinel lymph node biopsy [ Time Frame: 30 days ]Ultrasound measured postoperative edema, obtained through the evaluation of normalized echogenicity, of breast and subcutaneous tissue after quadrantectomy with or without sentinel lymph node biopsy
- Number of participants with postoperative fluid collections in the breast and or subcutaneous tissue during 30 days after quadrantectomy with or without sentinel lymph node biopsy [ Time Frame: 30 days ]Ultrasound measured postoperative collections of breast and subcutaneous tissue after quadrantectomy with or without sentinel lymph node biopsy
- Change in postoperative pain measured daily through VAS (visual analogue scale) from the first to the 30th day after quadrantectomy with or without sentinel lymph node biopsy [ Time Frame: 30 days ]VAS (visual analogue scale) from 0 (absence of pain) to 10 (worst pain)
- Change in postoperative probability of neuropathic pain measured daily through DN4 (Douleur Neuropathique en 4 Questions) from the first to the 30th day after quadrantectomy with or without sentinel lymph node biopsy [ Time Frame: 30 days ]DN4 (Douleur Neuropathique en 4 Questions) from 0 (low probability of neuropathic pain) to 10 (high probability of neuropathic pain)
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| Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
| Sexes Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult patients (>18 years) with breast cancer undergoing quadrantectomy with or without sentinel lymph node biopsy
Exclusion Criteria:
- Diabetical neuropathy
- Previous breast/chest surgery
- Allergies to studied drugs
- Severe kidney failure
- Alcohol and toxics addiction
- Axillary lymphadenectomy
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04669119
| Italy | |
| Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari | Recruiting |
| Bari, Italy, 70124 | |
| Contact: Angela Gurrado, Prof 00390805595092 ruggierodimonte@yahoo.it | |
| Responsible Party: | Angela Gurrado, Prof., University of Bari Aldo Moro |
| ClinicalTrials.gov Identifier: | NCT04669119 |
| Other Study ID Numbers: |
2020/6422 |
| First Posted: | December 16, 2020 Key Record Dates |
| Last Update Posted: | December 16, 2020 |
| Last Verified: | December 2020 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
| Studies a U.S. FDA-regulated Drug Product: | No |
| Studies a U.S. FDA-regulated Device Product: | No |
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Dietary Supplements Breast Cancer Postoperative pain Postoperative edema Postoperative collections |
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Paresthesia Pain, Postoperative Postoperative Complications Pathologic Processes Pain |
Neurologic Manifestations Somatosensory Disorders Sensation Disorders Nervous System Diseases |

