E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
The effect on quality of life of Vitamin D administration for advanced cancer treatment. A randomized controlled trial |
El efecto sobre la calidad de vida de la administración de Vitamina D para el tratamiento del cáncer avanzado.Un ensayo clínico controlado aleatorizado |
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E.1.1.1 | Medical condition in easily understood language |
The effect on quality of life of Vitamin D administration for advanced cancer treatment. |
El efecto sobre la calidad de vida de la administración de Vitamina D para el tratamiento del cáncer avanzado |
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E.1.1.2 | Therapeutic area | Health Care [N] - Health Care Quality, Access, and Evaluation [N05] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Evaluate the efficacy of a new therapeutic modality with vitamin D3 to enhance patient?s reported health-related quality of life of these patients. |
Evaluar la eficacia de una nueva modalidad terapéutica con vitamina D3 para mejorar la calidad de vida relacionada con la salud valorada por el paciente |
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E.2.2 | Secondary objectives of the trial |
1) Evaluate the efficacy of a new therapeutic modality with vitamin D3 to enhance physical performance (Karnofsky and PPS scales). 2) Evaluate the efficacy of a new therapeutic modality with vitamin D3 to enhance perceived fatigue (FACT-F). 3) Evaluate the efficacy of the proposed therapeutic modality with vitamin D3 to achive serum levels of 25-hydroxy vitamin D above 30 ng/mL. 4) Evaluate the effect on tumor biomarkers. 5) Explore the relationship between vitamin D treatment compliance and serum levels of vitamin D. 5) Explore the relationship between serum levels of vitamin D and renal function. 6) Explore the dose-response relationship in the group of patients with vitamin D3 for the main outcome. 7) Assess the cost-utility of the proposed therapeutic modality with vitamin D3. |
1) Evaluar la eficacia para mejorar la capacidad funcional (Karnofsky & PPS scales); 2) Evaluar la eficacia para disminuir la fatiga (FACT-F); 3) Evaluar la eficacia para alcanzar niveles séricos de 25- hidroxivitamina D por encima de 30 ng/mL; 4) Evaluar el efecto sobre biomarcadores tumorales; 5) Explorar la relación entre el cumplimiento del tratamiento con vitamina D3 y los niveles séricos de vitamina D; 6) Explorar la relación entre los niveles séricos de vitamina D y la función renal; 7) Explorar la relación dosis-respuesta en el grupo con vitamina D sobre la calidad de vida; 8) Evaluar el coste-utilidad de la intervención (EQ5D). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients satisfying inclusion criteria will be randomly assigned to receive vitamin D or placebo. Eligible patients will be adults (18 years or older) having a locally advanced or metastatic or inoperable solid cancer under palliative care, upon signed informed consent |
Los pacientes que cumplan con los criterios de inclusión se asignarán aleatoriamente a vitamina D o placebo. Los pacientes elegibles son adultos (18 años o más) con un cáncer sólido avanzado, tanto localizado como metastático, inoperable y en cuidados paliativos que firme el consentimiento informado |
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E.4 | Principal exclusion criteria |
Exclusion criteria will be having a Karnofsky < 30%, being pregnant or breast-feeding females, undergoing severe liver or renal (GRF<60) failure, having a cognitive deterioration (more than 5 mistakes in Pfeiffer test)., suffering from significant (more than 6 out of 10 in a Numerical Rating Scale 0:10) pain, dyspnea, nausea or vomits, or having received chemo or radiation therapy within the last 3 weeks prior to inclusion, or with the possibility of iniciating a new cycle of chemo or radiation therapy within a period of 6 weeks after their inclusion date. |
Criterios de exclusión serán tener un Karnofsky < 30%, estar embarazada o en período de lactancia, sufrir fallo renal (GRF<60) o hepático severo, mostrar un deterioro cognitivo (más de 5 errores en la prueba de Pfeiffer), sufrimiento significativo (más de 6 sobre 10 en una escala numérica 0:10) de dolor, disnea, náuseas, vómitos, o haber recibido radio o quimioterapia (R-QT) en las últimas 3 semanas previas a la inclusión o con perspectivas de iniciar un nuevo ciclo de R-QT en las 6 semanas posteriores a la fecha de inclusión. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Quality of life questionnaires EORTC QLQ-C15-PAL |
Cuestionarios de calidad de vida EORTC QLQ-C15-PAL |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
FACT-F questionnaires, serum 25-hydroxyvitamin, tumor biomarkers, cumpliemto treatment, relationship of vitamin D serum levels with renal function, EQ5D questionnaire. |
Cuestionarios FACT-F, niveles séricos de 25 -hidroxivitamina, biomarcadores tumorales, cumpliemto de tratamiento, relación de niveles séricos de vitamina D con función renal, cuestionario EQ5D. |
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E.5.2 | Secondary end point(s) |
Day 0, day 14, day 28 and day 42 |
Día 0, día 14, día 28 y día 42 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Day 0, day 14, day 28 and day 42 |
Día 0, día 14, día 28 y día 42 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Patients will be in treatment with trial medication since day 14 to 28 and then made ??two visits post treatment (day 28 and day 42), it will be completed for each patient study. |
Los pacientes estaran en tratamiento con la medicación del ensayo des del día 14 hasta el 28 y después se realizarán dos visitas post tratamiento (día 28 y día 42), se dará por finalizado el estudio para cada paciente. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 12 |
E.8.9.1 | In the Member State concerned days | |