About this trial
Despite pharmaceutical innovations, chemotherapy induced nausea is frequent and largely participating to alter our patients quality of life.
Non invasive vagal stimulation is approved in other health issues, for example in headache or gastroparesis, with a reported benefit on nausea.
This study aims to analyse if a non invasive vagal stimulation could better prevent chemotherapy induced nausea, in addition to standard treatment, in breast cancer patients treated with cyclophosphamide and anthracycline.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Eastern Cooperative Oncology Group (ECOG) status 0 to 2
patient with breast cancer planned to receive Anthracycline and Cyclophosphamide chemotherapy
informed consent
compliance expected
Disqualifiers
nausea or vomiting 24h or less, before inclusion
Antiemetic drug intake in the last 72h before inclusion
Central nervous system metastasis
Daily alcohol intake
Trial design
Parallel
Treatments tested in this trial
non invasive auricular vagal stimulation
DeviceStimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles
usual medical treatment
DrugStandard anti emetic treatments to prevent emesis due to chemotherapy
sham stimulation
DeviceStimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles, with a sham device
Treatment groups
Trial outcomes
Primary outcomes
Percentage of patients with significant nausea after the first chemotherapy cycle
Nausea severity is graded daily from Day 1 (day of chemotherapy) to Day 5, using a numeric scale from 0 to 10. It is a patient reported outcome, patients using a diary. Significant nausea is a score of 2 or more.
Secondary outcomes
Percentage of patients with significant nausea after the second and the third chemotherapy cycle.
Same measurement at the second and the third chemotherapy. And global score considering the three cycles together.
Percentage of patients that did not vomit or use rescue emesis medication, from the first cycle of chemotherapy to day 5 after the third chemotherapy cycle.
Percentage of patients without any vomiting, or rescue emesis medication use, from first to third chemotherapy
Percentage of non planned visit to emergency care unit or general practioner or oncologist due to emesis, measured for the three first chemotherapy cycles.
To measure complication due to emesis from the first cycle of chemotherapy to day 5 after the third chemotherapy cycle
Percentage of non anticipated hydratation with IV fluids measured for the three first chemotherapy cycles.
To measure complication due to emesis from the first cycle of chemotherapy to day 5 after the third chemotherapy cycle
Sponsors and contacts
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