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CompletedNCT00087399Updated Jul 14, 2016

Gabapentin With or Without Antidepressants in Treating Hot Flashes in Women Who Have Had Breast Cancer or Have Concerns About Taking Hormone Therapy

A Phase 3 interventional study of gabapentin and antidepressant in Breast Cancer and Hot Flashes, sponsored by Alliance for Clinical Trials in Oncology. Completed at 162 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-07-14.

Sponsored by Alliance for Clinical Trials in Oncology · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
118
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

RATIONALE: Gabapentin may be effective in relieving hot flashes in women who have had breast cancer or who have concerns about taking hormone therapy to treat hot flashes. It is not yet known whether gabapentin is more effective with or without antidepressants in treating hot flashes.

PURPOSE: This randomized phase III trial is studying gabapentin and antidepressants to see how well they work compared to antidepressants alone in treating hot flashes in women who have had breast cancer or who have concerns about taking hormones to treat hot flashes.

Read the detailed description

OBJECTIVES:

  • Compare the efficacy of gabapentin with vs without an antidepressant, as measured by the frequency and intensity of hot flashes, in patients with a history of breast cancer or a concern about taking hormonal therapy due to a fear of developing breast cancer.
  • Compare adverse events in patients treated with these regimens.
  • Correlate a reduction in hot flash scores with improvement in quality of life and related outcomes in patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to duration of hot flash symptoms (\< 9 months vs ≥ 9 months), average frequency of hot flashes per day (2-3 vs 4-9 vs ≥ 10), and antidepressant currently being used (venlafaxine vs paroxetine vs other). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients continue to receive the same antidepressant (as before study entry) on weeks 1-5. During weeks 2-5, patients also receive oral gabapentin once daily on days 8-10, twice daily on days 11-13, and then three times daily on days 14-35 in the absence of unacceptable toxicity.
  • Arm II: Patients receive gabapentin as in arm I. Patients are tapered off their antidepressant over 7-10 days and remain on gabapentin alone (per arm I schedule).

Patients in both arms complete a hot flash diary at baseline and then daily during study treatment.

Quality of life is assessed at baseline and then weekly during study treatment.

PROJECTED ACCRUAL: A total of 110 patients (55 per treatment arm) will be accrued for this study within 2 years.

02

Conditions studied

  • Breast Cancer
  • Hot Flashes

Keywords

  • breast cancer
  • hot flashes
03

In context

Breast Neoplasms

12,547 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 118 is above the median of 72 across 9,305 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Alliance for Clinical Trials in Oncology is the lead sponsor of 499 studies on the registry; 27 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • History of breast cancer OR a concern about taking hormonal therapy due to a fear of developing breast cancer
  • Experiencing bothersome hot flashes, defined as patient-reported occurrence ≥ 14 times per week AND sufficiently severe to prompt desire for additional therapeutic intervention despite current use of an antidepressant

    • Currently (≥ 2 weeks) being treated with a stable dose of an antidepressant

      • No monoamine oxidase inhibitors or tricyclics
  • No current evidence of malignant disease
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Sex

  • Female

Performance status

  • ECOG 0-1

Life expectancy

  • At least 6 months

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception

PRIOR CONCURRENT THERAPY:

Chemotherapy

  • More than 4 weeks since prior antineoplastic chemotherapy
  • No concurrent antineoplastic chemotherapy

Endocrine therapy

  • More than 4 weeks since prior androgens, estrogens, or progestational agents
  • More than 2 weeks since prior dehydroepiandrosterone (DHEA) for treatment of hot flashes
  • No concurrent androgens, estrogens, or progestational agents, including oral contraceptives
  • No concurrent DHEA for treatment of hot flashes
  • Concurrent tamoxifen, raloxifene, or aromatase inhibitor therapy allowed if on a stable dose for at least 4 weeks prior to study entry and during study treatment

Other

  • No prior gabapentin
  • More than 2 weeks since other prior treatment for hot flashes (e.g., clonidine or Bellergal-S®)
  • Concurrent vitamin E or soy supplements allowed if on a stable dose for at least 1 month prior to study entry and during study treatment
  • No other concurrent treatment for hot flashes (e.g., clonidine or Bellergal-S®)
  • No other concurrent antidepressants
05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
118 participants (actual)

Study arms

  • Experimental
    gabapentin + antidepressant

    Patients continue to receive the same antidepressant (as before study entry) on weeks 1-5. During weeks 2-5, patients also receive oral gabapentin once daily on days 8-10, twice daily on days 11-13, and then three times daily on days 14-35 in the absence of unacceptable toxicity. Patients complete a hot flash diary at baseline and then daily during study treatment.

    Drug: gabapentin · Drug: antidepressant

  • Experimental
    gabapentin

    Patients receive gabapentin once daily on days 8-10, twice daily on days 11-13, and then three times daily on days 14-35 in the absence of unacceptable toxicity. Patients are tapered off their antidepressant over 7-10 days and remain on gabapentin alone. Patients complete a hot flash diary at baseline and then daily during study treatment.

    Drug: gabapentin

Interventions

  • Druggabapentin
  • Drugantidepressant
06

What researchers measure

Primary outcomes

  1. Hot flash reduction by diary record at 4 weeks

    Time frame: at 4 weeks

Secondary outcomes

  1. Toxicity by questionnaires at 4 weeks

    Time frame: at 4 weeks

07

Study locations

162 sites
  • CCOP - Mayo Clinic Scottsdale Oncology Program
    Scottsdale, Arizona 85259, United States
  • Mayo Clinic - Jacksonville
    Jacksonville, Florida 32224-9980, United States
  • MBCCOP-Medical College of Georgia Cancer Center
    Augusta, Georgia 30912, United States
  • Rush-Copley Cancer Care Center
    Aurora, Illinois 60507, United States
  • St. Joseph Medical Center
    Bloomington, Illinois 61701, United States
  • Graham Hospital
    Canton, Illinois 61520, United States
  • Memorial Hospital
    Carthage, Illinois 62321, United States
  • Eureka Hospital
    Eureka, Illinois 61530, United States
  • Galesburg Clinic
    Galesburg, Illinois 61401, United States
  • Galesburg Cottage Hospital
    Galesburg, Illinois 61401, United States
  • InterCommunity Cancer Center of Western Illinois
    Galesburg, Illinois 61401, United States
  • Mason District Hospital
    Havana, Illinois 62644, United States
  • Hopedale Medical Complex
    Hopedale, Illinois 61747, United States
  • Joliet Oncology Hematology Associates, Limited - West
    Joliet, Illinois 60435, United States
  • Kewanee Hospital
    Kewanee, Illinois 61443, United States
  • McDonough District Hospital
    Macomb, Illinois 61455, United States
  • Trinity Medical Center - East
    Moline, Illinois 61265, United States
  • BroMenn Regional Medical Center
    Normal, Illinois 61761, United States
  • Community Cancer Center
    Normal, Illinois 61761, United States
  • Community Hospital of Ottawa
    Ottawa, Illinois 61350, United States
  • Oncology Hematology Associates of Central Illinois - Ottawa
    Ottawa, Illinois 61350, United States
  • Cancer Treatment Center at Pekin Hospital
    Pekin, Illinois 61554, United States
  • Methodist Medical Center of Illinois
    Peoria, Illinois 61603, United States
  • Proctor Hospital
    Peoria, Illinois 61614, United States
  • CCOP - Illinois Oncology Research Association
    Peoria, Illinois 61615, United States
  • Oncology/Hematology Associates of Central Illinois, P.C.
    Peoria, Illinois 61615, United States
  • OSF St. Francis Medical Center
    Peoria, Illinois 61637, United States
  • Illinois Valley Community Hospital
    Peru, Illinois 61354, United States
  • Perry Memorial Hospital
    Princeton, Illinois 61356, United States
  • St. Margaret's Hospital
    Spring Valley, Illinois 61362, United States
  • Valley Cancer Center
    Spring Valley, Illinois 61362, United States
  • Carle Cancer Center at Carle Foundation Hospital
    Urbana, Illinois 61801, United States
  • CCOP - Carle Cancer Center
    Urbana, Illinois 61801, United States
  • St. Francis Hospital and Health Centers
    Beech Grove, Indiana 46107, United States
  • Saint Anthony Memorial Health Centers
    Michigan City, Indiana 46360, United States
  • McFarland Clinic, P.C.
    Ames, Iowa 50010, United States
  • Saint Anthony Regional Hospital
    Carroll, Iowa 51401, United States
  • St. Luke's Hospital
    Cedar Rapids, Iowa 52402, United States
  • Cedar Rapids Oncology Associates
    Cedar Rapids, Iowa 52403, United States
  • Mercy Cancer Center at Mercy Medical Center
    Cedar Rapids, Iowa 52403, United States
  • Alegent Health Mercy Hospital
    Council Bluffs, Iowa 51503, United States
  • Mercy Capitol Hospital
    Des Moines, Iowa 50307, United States
  • CCOP - Iowa Oncology Research Association
    Des Moines, Iowa 50309, United States
  • John Stoddard Cancer Center at Iowa Methodist Medical Center
    Des Moines, Iowa 50309, United States
  • Medical Oncology and Hematology Associates at John Stoddard Cancer Center
    Des Moines, Iowa 50309, United States
  • Medical Oncology and Hematology Associates at Mercy Cancer Center
    Des Moines, Iowa 50314, United States
  • Mercy Cancer Center at Mercy Medical Center - Des Moines
    Des Moines, Iowa 50314, United States
  • John Stoddard Cancer Center at Iowa Lutheran Hospital
    Des Moines, Iowa 50316, United States
  • Mercy Cancer Center at Mercy Medical Center - North Iowa
    Mason City, Iowa 50401, United States
  • Alegent Health Community Memorial Hospital
    Missouri Valley, Iowa 51555, United States
  • Burgess Health Center
    Onawa, Iowa 51040, United States
  • Cancer Center at Ottumwa Regional Health Center
    Ottumwa, Iowa 52501, United States
  • Siouxland Regional Cancer Center
    Sioux City, Iowa 51101-1733, United States
  • Siouxland Hematology-Oncology Associates
    Sioux City, Iowa 51101, United States
  • Mercy Medical Center - Sioux City
    Sioux City, Iowa 51104, United States
  • St. Luke's Regional Medical Center
    Sioux City, Iowa 51104, United States
  • Medical Oncology and Hematology Associates - West Des Moines
    West Des Moines, Iowa 50266, United States
  • Cancer Center of Kansas - Chanute
    Chanute, Kansas 66720, United States
  • Cancer Center of Kansas - Dodge City
    Dodge City, Kansas 67801, United States
  • Cancer Center of Kansas, P.A. - El Dorado
    El Dorado, Kansas 67042, United States
  • Cancer Center of Kansas - Kingman
    Kingman, Kansas 67068, United States
  • Southwest Medical Center
    Liberal, Kansas 67901, United States
  • Cancer Center of Kansas - Newton
    Newton, Kansas 67114, United States
  • Cancer Center of Kansas, P.A. - Parsons
    Parsons, Kansas 67357, United States
  • Pratt Cancer Center of Kansas
    Pratt, Kansas 67124, United States
  • Cancer Center of Kansas - Salina
    Salina, Kansas 67042, United States
  • Cancer Center of Kansas - Wellington
    Wellington, Kansas 67152, United States
  • Associates in Womens Health
    Wichita, Kansas 67203, United States
  • Cancer Center of Kansas, P.A.
    Wichita, Kansas 67208, United States
  • Cancer Center of Kansas, P.A. - Wichita
    Wichita, Kansas 67214, United States
  • CCOP - Wichita
    Wichita, Kansas 67214, United States
  • Via Christi Cancer Center at Via Christi Regional Medical Center
    Wichita, Kansas 67214, United States
  • Cancer Center of Kansas - Winfield
    Winfield, Kansas 67156, United States
  • CCOP - Michigan Cancer Research Consortium
    Ann Arbor, Michigan 48100, United States
  • St. Joseph Mercy Cancer Center at St. Joseph Mercy Hospital
    Ann Arbor, Michigan 48106-0995, United States
  • Green Bay Oncology, Limited - Escanaba
    Escanaba, Michigan 49431, United States
  • Genesys Hurley Cancer Institute
    Flint, Michigan 48532, United States
  • Green Bay Oncology, Limited - Iron Mountain
    Iron Mountain, Michigan 49801, United States
  • Sparrow Regional Cancer Center
    Lansing, Michigan 48909, United States
  • Seton Cancer Institute - Saginaw
    Saginaw, Michigan 48601, United States
  • St. John Macomb Hospital
    Warren, Michigan 48903, United States
  • MeritCare Clinic - Bemidji
    Bemidji, Minnesota 56601, United States
  • Brainerd Medical Center
    Brainerd, Minnesota 56401, United States
  • St. Joseph's Medical Center
    Brainerd, Minnesota 56401, United States
  • Fairview Ridges Hospital
    Burnsville, Minnesota 55337, United States
  • Mercy Hospital
    Coon Rapids, Minnesota 55433, United States
  • Fairview Southdale Hospital
    Edina, Minnesota 55435, United States
  • Mercy and Unity Cancer Center at Mercy and Unity Hospitals
    Fridley, Minnesota 55432, United States
  • Hutchinson Area Health Care
    Hutchinson, Minnesota 55350, United States
  • Meeker County Memorial Hospital
    Litchfield, Minnesota 55355, United States
  • St. John's Hospital
    Maplewood, Minnesota 55109, United States
  • Virginia Piper Cancer Institute at Abbott-Northwestern Hospital
    Minneapolis, Minnesota 55407, United States
  • Hennepin County Medical Center - Minneapolis
    Minneapolis, Minnesota 55415, United States
  • Chippewa County - Montevideo Hospital
    Montevideo, Minnesota 56265, United States
  • Hubert H. Humphrey Cancer Center at North Memorial Medical Center
    Robbinsdale, Minnesota 55422, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • St. Cloud Hospital
    Saint Cloud, Minnesota 56303, United States
  • CCOP - Metro-Minnesota
    Saint Louis Park, Minnesota 55416, United States
  • Cancer Care Center at Regions Hospital
    Saint Paul, Minnesota 55101, United States
  • Saint Francis Cancer Center
    Shakopee, Minnesota 55379, United States

Showing the first 100 of 162 sites.

08

References and documents

Publications

  • Loprinzi CL, Kugler JW, Barton DL, Dueck AC, Tschetter LK, Nelimark RA, Balcueva EP, Burger KN, Novotny PJ, Carlson MD, Duane SF, Corso SW, Johnson DB, Jaslowski AJ. Phase III trial of gabapentin alone or in conjunction with an antidepressant in the management of hot flashes in women who have inadequate control with an antidepressant alone: NCCTG N03C5. J Clin Oncol. 2007 Jan 20;25(3):308-12. doi: 10.1200/JCO.2006.07.5390. Epub 2006 Dec 4. PubMed 17146104 ↗
  • Loprinzi CL, Kugler JW, Barton DL, et al.: Phase III randomized trial to evaluate the use of gabapentin alone vs with continuing an antidepressant in women failing an antidepressant for the treatment of hot flashes: North Central Cancer Treatment Group study N03C5. [Abstract] J Clin Oncol 24 (Suppl 18): A-526, 9s, 2006.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 14, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00087399
Lead sponsor
Alliance for Clinical Trials in Oncology
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jul 12, 2004
Start date
Nov 2004
Primary completion
Apr 2007
Completion
Apr 2007
Last update
Jul 14, 2016

Study contacts

Charles L. Loprinzi, MD
study chair · Mayo Clinic

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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