Paullinia Cupana for Anorexia in Oncologic Patients
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Purpose
Denutrition, lost of weight and anorexia are present in many oncologic patients at any time of the disease. Anorexia is the spontaneous loss of appetite and many changes in the metabolism are made in this case, leading to this syndrome called anorexia-cachexia, that includes changes in the tumoral response and inflammatory pathways. The guaraná (Paullinia cupana) is originally from Brazil and Venezuela and has been used culturally for headaches, muscle pains, depression and others. As it has shown a good response and tolerability for fatigue, the investigators decide to try guaraná for anorexia. Patients will receive guaraná as capsules of 50 mg twice daily, for 4 weeks, and will be weighted and respond questionaries about quality of life.
| Condition | Intervention | Phase |
|---|---|---|
|
Cancer-related Problem/Condition Anorexia Loss of Weight |
Drug: Paullinia cupana |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Guarana (Paullinia Cupana) for Anorexia Related to Cancer |
- weight [ Time Frame: eight weeks ] [ Designated as safety issue: No ]Patients will considered to respond to guaraná if the gain 5% or more of his inicial weight during the treatment period
- quality of life [ Time Frame: eight weeks ] [ Designated as safety issue: No ]Weekly patients will answer questionaries about quality of life like FACT-G
| Estimated Enrollment: | 35 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | July 2013 |
| Estimated Primary Completion Date: | July 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Paullinea cupana
50mg of Paullinia cupana as capsule, twice daily
|
Drug: Paullinia cupana
50mg of Paullinia cupana as capsule, twice daily
|
Detailed Description:
Patients 18 years and older, diagnosed with any cancer, that is losing weight and have anorexia will be selected. They must have normal levels of creatinine, thyroid evaluation and hepatic function. If they are taking corticosteroid, they must keep losing weight and refer anorexia, as well as if they are on treatment with chemotherapy.
Patients will receive 50mg of the guaraná twice daily for 4 weeks. Every week will be an evaluation of the weight, level of appetite and answer 2 questionaries of quality of life and level of symptoms (FACT-G and MDASI).
This is a fase II study, open-label, no randomized, with two steps following ¨two stages of Simon¨ model. First step 18 patients will be included and if there are 3 good responses second step will follow, including 17 more patients. Response will be considered if there is at least 5% of gain in the weight.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- adults (18 years old and older)
- palliative care or oncologic treatment
- loss of weight
- anorexia
Exclusion Criteria:
- gastrointestinal obstruction
- blood pressure not controlled
- diabetes not treated
Contacts and Locations| Brazil | |
| Faculdade de Medicina do ABC | Recruiting |
| Santo André, São Paulo, Brazil, 09060-650 | |
| Contact: Claudia Latorre 55117717-3241 claudiaglatorre@gmail.com | |
| Study Chair: | Claudia Latorre | Faculdade de Medicina do ABC |
More Information
No publications provided
| Responsible Party: | Felipe Melo Cruz, MsC, Faculdade de Medicina do ABC |
| ClinicalTrials.gov Identifier: | NCT01540019 History of Changes |
| Other Study ID Numbers: | FaculdadeMABC |
| Study First Received: | January 29, 2012 |
| Last Updated: | February 22, 2012 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Faculdade de Medicina do ABC:
|
anorexia Paullinia cupana loss of weight |
Additional relevant MeSH terms:
|
Anorexia Weight Loss Signs and Symptoms, Digestive |
Signs and Symptoms Body Weight Changes Body Weight |
ClinicalTrials.gov processed this record on May 19, 2013