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Not yet recruitingNCT07372144IARAUpdated Jan 28, 2026

Creatine and Cognitive Health in Patients With Early-stage Breast Cancer During and After Chemotherapy Treatment

A Phase 3 interventional study of Creatine and Placebo in Breast Cancer, sponsored by D'Or Institute for Research and Education. Not yet recruiting at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-28.

Sponsored by D'Or Institute for Research and Education · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
227
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The goal of this clinical trial is to evaluate whether oral creatine supplementation can prevent chemotherapy-related cognitive impairment in patients with early-stage breast cancer undergoing neoadjuvant or adjuvant chemotherapy. The main questions it aims to answer are:

  • Does creatine supplementation reduce the occurrence and severity of chemotherapy-related cognitive impairment, as measured by patient-reported cognitive function?
  • Does creatine supplementation preserve objective cognitive performance compared with placebo during and after chemotherapy?

Researchers will compare creatine supplementation (5 g/day) with placebo to assess differences in cognitive outcomes, safety, and exploratory biological markers.

Participants will:

  • Receive oral creatine or placebo starting 7 days before chemotherapy and continuing until 12 months after chemotherapy completion
  • Complete patient-reported cognitive assessments and objective neuropsychological tests at predefined time points
  • Undergo clinical follow-up for safety and oncologic outcomes
  • Provide blood samples for biomarker analyses and stool samples for gut microbiota assessment
  • Undergo brain magnetic resonance imaging at selected study visits
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Conditions studied

  • Breast Cancer

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03

In context

Breast Neoplasms

12,543 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 227 is above the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

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Lead sponsor

D'Or Institute for Research and Education is the lead sponsor of 42 studies on the registry; 13 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Age ≥18 years.
  • Histologically confirmed invasive breast cancer (stages I-III).
  • Indication for neoadjuvant or adjuvant chemotherapy containing an anthracycline or a taxane.
  • Targeted therapies and hormone therapy are permitted according to clinical indication.
  • Ability to provide informed consent and comply with study procedures.
  • ECOG performance status 0-2.
  • Ability to maintain adequate hydration.

Exclusion criteria

Exclusion Criteria:

  • Prior neurologic conditions that may impair cognitive assessment, including previous stroke, dementia, traumatic brain injury with neurologic sequelae, or other neurologic disorders affecting cognition.
  • Uncorrected sensory impairments that preclude cognitive assessment and/or completion of study instruments.
  • History of uncontrolled psychiatric disorders that may interfere with cognitive evaluation.
  • Creatinine clearance \<60 mL/min, calculated using the Cockcroft-Gault formula.
  • Known liver disease.
  • Pregnancy.
  • Heart failure.
  • Presence of ascites.
  • Inflammatory bowel disease.
  • Chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Lactation.
  • Chronic use of immunosuppressive agents, including doses greater than 10 mg/day or equivalent.
  • Prior chronic creatine supplementation within the last 3 months.
  • Known allergy to any component of the supplement or placebo.
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Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
227 participants (estimated)

Study arms

  • Placebo comparator
    Arm A: Placebo

    Participants assigned to this arm will receive a placebo powder matched in appearance, taste, and packaging to the investigational product. The placebo will be administered orally once daily, dissolved in water, starting 7 days before the first cycle of chemotherapy and continuing until 12 months after completion of chemotherapy.

    Other: Placebo

  • Active comparator
    Arm B: Creatine Supplementation

    Participants assigned to this arm will receive oral creatine monohydrate at a dose of 5 g per day, dissolved in water and administered once daily. Treatment will begin 7 days before the first cycle of chemotherapy and will continue until 12 months after completion of chemotherapy.

    Drug: Creatine

Interventions

  • DrugCreatine

    Oral creatine monohydrate supplementation administered at a fixed dose of 5 g per day, dissolved in water and taken once daily. The intervention starts 7 days before initiation of neoadjuvant or adjuvant chemotherapy and continues through chemotherapy and up to 12 months after chemotherapy completion. The intervention is designed to evaluate the preventive effect of creatine on chemotherapy-related cognitive impairment, with longitudinal cognitive, clinical, imaging, and translational assessments. The comparator is a matched placebo identical in appearance, taste, and packaging.

  • OtherPlacebo

    Oral placebo powder matched in appearance, taste, and packaging to the investigational product, administered once daily dissolved in water. The placebo is initiated 7 days before the start of neoadjuvant or adjuvant chemotherapy and continued through chemotherapy and up to 12 months after chemotherapy completion. The placebo contains no active ingredients and is used as the comparator to assess the preventive effect of creatine supplementation on chemotherapy-related cognitive impairment.

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What researchers measure

Primary outcomes

  1. Change in patient-reported cognitive function

    Measured by the Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog), version 3, from baseline to 1 month after completion of chemotherapy. A clinically significant cognitive decline is defined as a decrease of at least 7.5 points in the total FACT-Cog score.

    Time frame: Baseline and 1 month after completion of chemotherapy

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Study locations

1 site
  • Instituto D'Or de Pesquisa e Ensino de São Paulo
    São Paulo, São Paulo, Brazil
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07372144
Lead sponsor
D'Or Institute for Research and Education
Responsible party
Renata Rodrigues da Cunha Colombo Bonadio (Doctor, Principal Investigator, D'Or Institute for Research and Education) — Principal investigator
First posted
Jan 28, 2026
Start date
Aug 1, 2026 (estimated)
Primary completion
Jun 1, 2028 (estimated)
Completion
Jun 1, 2028 (estimated)
Last update
Jan 28, 2026

Study contacts

Intituto D'Or de Pesquisa e Ensino São Paulo
Contact
oncologia.projetos@idor.org
pesquisaclinica@idor.org

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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