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Venlafaxine and gabapentin for the management of hot flashes in breast cancer survivors: a randomized crossover trial
ISRCTN ISRCTN12237417
ClinicalTrials.gov identifier
Public title Venlafaxine and gabapentin for the management of hot flashes in breast cancer survivors: a randomized crossover trial
Scientific title
Acronym Vibrant Study
Serial number at source N/A
Study hypothesis We hypothesize that breast cancer survivors will prefer gabapentin over venlafaxine based on perceived lower side effects and equivalent efficacy.
Lay summary
Ethics approval Mount Sinai Hospital Research Ethics Board intial approval on 6th July 2006 (last continued approval is 8th July 2008) (ref: MSH REB # 06-0145-A)
Study design Randomized crossover open-label trial
Countries of recruitment Canada
Disease/condition/study domain Breast cancer
Participants - inclusion criteria 1. Women with a history of breast cancer, ductal carcinoma in situ (DCIS), or lobular carcinoma in situ (LCIS) (currently without evidence of malignant disease and who have completed chemotherapy or radiation therapy for 8 weeks)
2. Age 18 or above
3. Bothersome hot flashes (at least 14 hot flashes per week and of sufficient severity for the patients to desire pharmacologic intervention)
4. Presence of hot flashes for at least one month prior to study entry
5. Life expectancy of at least six months
6. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
7. Normal creatinine clearance
Participants - exclusion criteria 1. Previous use of venlafaxine or the use of any other antidepressants (including St. John's Wort) within a year prior to study entry
2. Current (less than or equal to 2 weeks) or planned use of other agents for the treatment of hot flashes
3. Calcium channel antagonist or gabapentin within two weeks of study entry
4. Tamoxifen, aromatase inhibitors and gonadotropin-releasing hormone (GnRH) analogues are allowed unless started less than or equal to 4 weeks and or if the plan is to stop these agents during the study period (i.e. 12 weeks)
Anticipated start date 01/07/2006
Anticipated end date 01/07/2009
Status of trial Completed
Patient information material
Target number of participants 120
Interventions Venlafaxine versus gabapentin
Primary outcome measure(s) To compare patient preference for venlafaxine versus gabapentin in a randomized crossover single blind trial
Secondary outcome measure(s) 1. To compare hot flash frequency, severity, and composite scores
2. To compare quality of life measured using the medical outcomes study-short form 36 (MOS-SF36) and mood measured using the profile of mood states (POMS)
3. To compare toxicities
4. To correlate patient preferences with standard outcome measurements
Sources of funding Canadian Breast Cancer Foundation (Canada)
Trial website
Publications 1. 2010 results in http://www.ncbi.nlm.nih.gov/pubmed/21060031
Contact name Dr  Louise  Bordeleau
  Address 600 University Avenue
Room 1286
  City/town Toronto
  Zip/Postcode M5G 1X5
  Country Canada
Sponsor Canadian Breast Cancer Foundation
  Address 600 University Avenue
Room 1286
  City/town Toronto
  Zip/Postcode M5C 2N8
  Country Canada
  Sponsor website: http://www.cbcf.org/ontario
Date applied 10/05/2006
Last edited 27/01/2011
Date ISRCTN assigned 05/06/2006
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