Protocol summary

Summary
Forty patients with non-metastatic breast cancer treated with an adriamycin+cyclophosphamide regimen who have grade 2 hepatic toxicity based on NCI-CTC version4 randomly (according to a computerized list provided by randomization.com site) will assigned to one of two drug or placebo groups. Twenty patients in the drug group will receive Livergol tablets containing 140 mg of silymarin three times a day after each meal, and twenty patients in the placebo group will receive tablets similar in appearance to Livergol which contain non-active ingredients of the Livergol tablet. The liver function tests including hepatic transaminases, bilirubin (total and direct), albumin and alkaline phosphatase will be performed at the beginning of the study,after two weeks and at the end of the first month. Liver ultrasound will be done at the beginning of the study and after a month. Also, liver fibroscan will be done at the end of a month for a closer look. Then the liver status will be compared between the two groups of drugs and placebo.

General information

Acronym
IRCT registration information
IRCT registration number: IRCT2017091136125N1
Registration date: 2017-10-24, 1396/08/02
Registration timing: registered_while_recruiting

Last update:
Update count: 0
Registration date
2017-10-24, 1396/08/02
Registrant information
Name
Ghazal Saadat Askarpour Moezian
Name of organization / entity
Mashhad University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 51 3764 9222
Email address
asgarpourgh921@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Mashhad University of Medical Sciences Gol daroo Pharmaceutical Company, Isfahan, Iran
Expected recruitment start date
2017-10-23, 1396/08/01
Expected recruitment end date
2018-10-23, 1397/08/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluating the effect of silymarin oral form on the control of liver toxicity caused by AC regimn in patients with non metastatic breast cancer
Public title
Evaluating the effect of silymarin oral form on the control of liver toxicity caused by adriamycin and cyclophosphamide drugs in patients with non metastatic breast cancer
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria: Non-metastatic breast cancer that has undergone chemotherapy with cyclophosphamide + doxorubicin after mastectomy; Grade 2 or higher grade liver toxicity based on NCI-CTC version4 based on AST, ALT or Bilirubin level that will be evaluated at the beginning of each chemotherapy course; Age between 18 to 65 years Exclusion criteria: Patients with viral hepatitis (A, B and C); hepatobiliary obstruction; history of hepatic or renal; malabsorbtion syndrome ; gastrointestinal obstruction ; patients dissatisfaction; co-administration of hepatotoxic medications; consumption of antioxidant medication; chemotherapy regimen modification
Age
From 18 years old to 65 years old
Gender
Female
Phase
3
Groups that have been masked
No information
Sample size
Target sample size: 40
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Triple blinded
Blinding description
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Mashhad University of Medical Sciences
Street address
Ghoreishi Building, Daneshgah Street, Mashhad, Iran
City
Mashhad
Postal code
1394491388
Approval date
2017-07-23, 1396/05/01
Ethics committee reference number
IR.MUMS.SP.1396.161

Health conditions studied

1

Description of health condition studied
Hepatotoxicity
ICD-10 code
K71.1
ICD-10 code description
Hepatotoxicity

Primary outcomes

1

Description
Serum level of hepatic transaminases, total billirubin, direct billirubin, prothrombin time, serum albumin, alkalin phosphatase
Timepoint
at the beginning of the study, 2 weeks afterthe beginning of study, one month after the begining of the study
Method of measurement
Serum level measurement by labratory

2

Description
Liver ultrasound to determine the stage of the fatty liver
Timepoint
at the beginning of the study, one month after the begining of the study
Method of measurement
Ultrasound

3

Description
Hepatic fibroscan
Timepoint
One month after the begining of the study
Method of measurement
Fibroscan

Secondary outcomes

1

Description
Serum level of creatinine and urea
Timepoint
At the beginning of the study, 2 weeks after the beginning of study, one month after the begining of the study
Method of measurement
Serum level measurementl by labratory

Intervention groups

1

Description
Intervention group: Livergol 140 mg three tablets daily after meals (produced by Goldaroo company), oral, for 4weeks
Category
Treatment - Drugs

2

Description
Control group : Placebo tablets for Livergol, three tablet daily after meals, for 4 week, oral
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Omid hospital, affiliated to Mashhad University of Medical Sicences
Full name of responsible person
Street address
City
Mashhad

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Vice chancellor for research, Mashhad University of Medical Sciences
Full name of responsible person
Mohsen Tafaghodi
Street address
Ghoreishi Building, Daneshgah Street, Mashhad, Iran
City
Mashhad
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Vice chancellor for research, Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty

Person responsible for general inquiries

Contact
Name of organization / entity
Mashhad University of Medical Science, Faculty of Pharmacy
Full name of responsible person
Ghazal Saadat Askarpour Moezian
Position
PharmD student
Other areas of specialty/work
Street address
School of Pharmacy, Ferdowsi University campus, Vakil Abad Blvd., Mashhad
City
Mashhad
Postal code
Phone
+98 51 3882 3255
Fax
Email
asgarpourgh921@mums.ac.ir
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences, Faculty of Pharmacy
Full name of responsible person
Sepideh Elyasi
Position
Assistant Professor
Other areas of specialty/work
Street address
School of Pharmacy, Ferdowsi University Campus, Vakil Abad Blvd.
City
Mashhad
Postal code
Phone
+98 51 3882 3255
Fax
Email
elyasis@mums.ac.ir
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences, Faculty of Pharmacy
Full name of responsible person
Ghazal Saadat Askarpour Moezian
Position
PharmD student
Other areas of specialty/work
Street address
School of Pharmacy, Ferdowsi University Campus, Vakil Abad Blvd.
City
Mashhad
Postal code
Phone
00
Fax
Email
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
empty
Study Protocol
empty
Statistical Analysis Plan
empty
Informed Consent Form
empty
Clinical Study Report
empty
Analytic Code
empty
Data Dictionary
empty
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