About this trial
The goal of this randomized intrapatient cross-over study is to assess the efficacy of oxybutynin versus venlafaxine in reducing hot flashes in women using endocrine therapy after breast cancer.
The objectives it aims to answer are:
* To assess the efficacy of oxybutynin versus venlafaxine in reducing hot flashes in women using endocrine therapy after breast cancer * To assess side effects of oxybutynin versus venlafaxine. * To assess the personal preference of women for oxybutynin versus venlafaxine in reducing hot flashes. * To assess quality of life of women when reducing hot flashes in women using endocrine therapy after breast cancer.
Participants will fill-out a patient diary during 15 weeks total on a daily basis and receive an (online) questionnaire three times total.
Researchers will compare two groups (venlafaxine group versus oxubutynine group) to assess its efficacy concerning hot flashes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pre-, peri- or postmenopausal women of 18 years or above;
Indication for endocrine therapy and already started with tamoxifen, aromatase inhibitors or luteinizing hormone-releasing hormone analogues for at least 4 weeks and planning to continue for the duration of the study;
Experiencing hot flashes with a minimum of 14 per week for at least 1 month and desire to start a pharmacologic intervention.
Disqualifiers
Pregnant;
Breast feeding;
Patients who receive chemotherapy or immunotherapy/HER2 antibodies within the prior 8 weeks, and patients scheduled for chemotherapy during the study period;
Palliative setting;
Trial design
Crossover
Treatments tested in this trial
Oxybutynin
DrugOxybutynin 5 mg twice per day for 6 weeks
Venlafaxine
DrugVenlafaxine 37.5 mg once daily for 7 days followed by 75 mg once daily for 5 weeks
Treatment groups
Trial outcomes
Primary outcomes
Number and severity of hot flashes
Number and severity of hot flashes during 6-weeks of therapy measured by the Hot Flash Diary.
Secondary outcomes
Quality of life and health status
Quality of life and health status at baseline and after 6 weeks of treatment measured by the EORTC-QLQ-C30
Adverse effects of treatments
Adverse effects of treatments weekly measured by the National Cancer Institute Common Toxicity Criteria scale, version 5
Sleep quality
Sleep quality at baseline and after 6 weeks of treatment measured by the Groningen Sleep Quality Scale (GSQ)
Anxiety and depression
Anxiety and depression measured at baseline and after 6 weeks of treatment with the Hospital Anxiety and Depression Scale (HADS)
Sponsors and contacts
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