Page last updated: 2024-10-30

loratadine and Breast Neoplasms

loratadine has been researched along with Breast Neoplasms in 3 studies

Loratadine: A second-generation histamine H1 receptor antagonist used in the treatment of allergic rhinitis and urticaria. Unlike most classical antihistamines (HISTAMINE H1 ANTAGONISTS) it lacks central nervous system depressing effects such as drowsiness.
loratadine : A benzocycloheptapyridine that is 6,11-dihydro-5H-benzo[5,6]cyclohepta[1,2-b]pyridine substituted by a chloro group at position 8 and a 1-(ethoxycarbonyl)piperidin-4-ylidene group at position 11. It is a H1-receptor antagonist commonly employed in the treatment of allergic disorders.

Breast Neoplasms: Tumors or cancer of the human BREAST.

Research Excerpts

ExcerptRelevanceReference
"In this open-label study (NCT01712009), women ≥ 18 years of age with newly diagnosed stage I-III breast cancer and an ECOG performance status ≤ 2 who were planning ≥ 4 cycles of adjuvant or neoadjuvant chemotherapy with pegfilgrastim support starting in cycle 1 were randomized 1:1:1 to receive naproxen, loratadine, or no treatment to prevent pegfilgrastim-associated bone pain."9.27NOLAN: a randomized, phase 2 study to estimate the effect of prophylactic naproxen or loratadine vs no prophylactic treatment on bone pain in patients with early-stage breast cancer receiving chemotherapy and pegfilgrastim. ( Garcia, J; Guinigundo, AS; Kirshner, JJ; Kruter, F; Maxwell, CL; McDonald, MC; Morrow, PK; Reiner, M; Upchurch, TE; Vanni, L, 2018)
"In this open-label study (NCT01712009), women ≥ 18 years of age with newly diagnosed stage I-III breast cancer and an ECOG performance status ≤ 2 who were planning ≥ 4 cycles of adjuvant or neoadjuvant chemotherapy with pegfilgrastim support starting in cycle 1 were randomized 1:1:1 to receive naproxen, loratadine, or no treatment to prevent pegfilgrastim-associated bone pain."5.27NOLAN: a randomized, phase 2 study to estimate the effect of prophylactic naproxen or loratadine vs no prophylactic treatment on bone pain in patients with early-stage breast cancer receiving chemotherapy and pegfilgrastim. ( Garcia, J; Guinigundo, AS; Kirshner, JJ; Kruter, F; Maxwell, CL; McDonald, MC; Morrow, PK; Reiner, M; Upchurch, TE; Vanni, L, 2018)
"Based on their safety and current use within the patient population, together with our observations, we suggest the initiation of trials of desloratadine and loratadine as treatment of breast cancer as well as studies of the mechanism behind their possible effect."3.96Desloratadine and loratadine stand out among common H ( Broberg, P; Einefors, R; Fritz, I; Olsson, H; Wagner, P, 2020)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's2 (66.67)24.3611
2020's1 (33.33)2.80

Authors

AuthorsStudies
Liu, W1
Zhou, J1
Zhang, T1
Zhu, H1
Qian, H1
Zhang, H1
Huang, W1
Gust, R1
Fritz, I1
Wagner, P1
Broberg, P1
Einefors, R1
Olsson, H1
Kirshner, JJ1
McDonald, MC1
Kruter, F1
Guinigundo, AS1
Vanni, L1
Maxwell, CL1
Reiner, M1
Upchurch, TE1
Garcia, J1
Morrow, PK1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomized, Phase 2 Study to Estimate the Effect of Prophylactic Intervention With Naproxen or Loratadine on Bone Pain in Breast Cancer Subjects Receiving Chemotherapy and Pegfilgrastim[NCT01712009]Phase 2600 participants (Actual)Interventional2012-11-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percentage of Participants With Bone Pain (All Grades) in Cycle 1

Bone pain data were captured as part of standard adverse event (AE) reporting. (NCT01712009)
Timeframe: Cycle 1 (approximately 4 weeks, depending on the chemotherapy dosing interval)

Interventionpercentage of participants (Number)
No Prophylaxis46.6
Naproxen 500 mg BID40.3
Loratadine 10 mg QD42.5

Area Under the Curve (AUC) for Patient-reported Bone Pain

Patient-reported bone pain AUC was calculated using the trapezoidal rule with bone pain scores from day 1 to 5 for each cycle. The AUC across cycles is the average of AUCs across the cycle. (NCT01712009)
Timeframe: Five consecutive days during each cycle beginning on the day of pegfilgrastim administration (Day 2, 3, or 4 of each cycle)

,,
Interventionunits on a scale * days (Least Squares Mean)
Cycle 1 (n=191, 196, 200)Cycle 2 (n=178, 180, 193)Cycle 3 (n=165, 176, 188)Cycle 4 (n=162, 169, 179)Across All Cycles (n=191, 196, 200)
Loratadine 10 mg QD7.05.96.15.66.3
Naproxen 500 mg BID7.75.65.55.26.6
No Prophylaxis9.37.36.87.28.0

Maximum Patient-reported Bone Pain by Cycle and Across Cycles

Participants completed a brief bone pain survey once per day for 5 days beginning the day they received their pegfilgrastim injection. The bone pain survey collected the severity of pain using a 0 (no pain) to 10 (worst pain) scale. Maximum patient-reported bone pain is the maximum of each participant's bone pain values across survey Days 1-5 within each cycle. Across all cycles the maximum is the maximum of each patient-reported bone pain value across all survey days 1-5 and across all cycles. An ANOVA model with treatment as explanatory term was used. (NCT01712009)
Timeframe: Five consecutive days during each cycle beginning on the day of pegfilgrastim administration (Day 2, 3, or 4 of each cycle)

,,
Interventionunits on a scale (Least Squares Mean)
Cycle 1 (n=191, 196, 200)Cycle 2 (n=178, 180, 193)Cycle 3 (n=165, 176, 188)Cycle 4 (n=162, 169, 179)Across All Cycles (n=191, 196, 200)
Loratadine 10 mg QD3.02.62.52.14.1
Naproxen 500 mg BID3.32.42.22.14.2
No Prophylaxis3.93.02.72.84.7

Mean Patient-reported Bone Pain by Cycle and Across Cycles

Participants completed a brief bone pain survey once per day for 5 days beginning the day they received their pegfilgrastim injection. The bone pain survey collected the severity of pain using a 0 (no pain) to 10 (worst pain) scale. Mean patient-reported bone pain values are the average of each participant's bone pain values across survey days 1-5 within each cycle. Across all cycles the mean is the average of each patient-reported bone pain value across all survey days 1-5 and across all cycles. An analysis of variance (ANOVA) model with treatment as explanatory term was used. (NCT01712009)
Timeframe: Five consecutive days during each cycle beginning on the day of pegfilgrastim administration (Day 2, 3, or 4 of each cycle)

,,
Interventionunits on a scale (Least Squares Mean)
Cycle 1 (n=191, 196, 200)Cycle 2 (n=178, 180, 193)Cycle 3 (n=165, 176, 188)Cycle 4 (n=162, 169, 179)Across all Cycles (n=191, 196, 200)
Loratadine 10 mg QD1.71.41.41.31.5
Naproxen 500 mg BID1.81.31.31.21.5
No Prophylaxis2.21.71.61.71.9

Number of Participants With Adverse Events (AEs)

"Severity was graded using CTCAE version 3. A serious adverse event (SAE) is defined as an adverse event that meets at least 1 of the following serious criteria: • fatal; • life threatening; • requires in-patient hospitalization or prolongation of existing hospitalization; • results in persistent or significant disability/incapacity; • congenital anomaly/birth defect; • other medically important serious event.~The investigator assessed each adverse event for relatedness to investigational product(s) or other protocol-required therapies." (NCT01712009)
Timeframe: From first dose of investigational product (IP, naproxen or loratidine) or first dose of pegfilgrastim (Peg), whichever occurred first, until 30 days after last dose, up to 24 weeks.

,,
Interventionparticipants (Number)
Any adverse eventWorst grade of ≥ 2Worst grade of ≥ 3Worst grade of ≥ 4Serious adverse eventsFatal adverse eventsAE leading to discontinuation from studySAE leading to discontinuation from studyAny adverse event related to IPSAE related to IPAE related to IP leading to discontinuation of IPSAE related to IP leading to discontinuation of IPAny adverse event related to pegfilgrastimSAE related to pegfilgrastimAE related to / leading to discontinuation of PegSAE related to / leading to discontinuation of Peg
Loratadine 10 mg QD1941686320140327000105160
Naproxen 500 mg BID1921697330300533019196030
No Prophylaxis188164741834031000087461

Percentage of Participants With Bone Pain (All Grades) by Cycle (2-4) and Across Cycles

Bone pain data were captured as part of standard adverse event (AE) reporting. (NCT01712009)
Timeframe: Cycles 1, 2, 3 and 4 (approximately 4 weeks each, depending on the chemotherapy dosing interval)

,,
Interventionpercentage of participants (Number)
Cycle 2 (n=178, 180, 193)Cycle 3 (n=165, 176, 188)Cycle 4 (n=162, 169, 179)Across All Cycles (n=191, 196, 200)
Loratadine 10 mg QD34.736.238.061.0
Naproxen 500 mg BID34.434.140.259.2
No Prophylaxis34.333.940.763.4

Percentage of Participants With Severe Bone Pain by Cycle and Across Cycles

Bone pain data were captured as part of standard adverse event reporting. Severe bone pain is defined as grade 3 or 4 according to common terminology criteria for adverse events (CTCAE) version 3 grading criteria: Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, and Grade 4 = Life-threatening or disabling. (NCT01712009)
Timeframe: Cycles 1, 2, 3 and 4 (approximately 4 weeks each, depending on the chemotherapy dosing interval)

,,
Interventionpercentage of participants (Number)
Cycle 1 (n=191, 196, 200)Cycle 2 (n=178, 180, 193)Cycle 3 (n=165, 176, 188)Cycle 4 (n=162, 169, 179)Across All Cycles (n=191, 196, 200)
Loratadine 10 mg QD4.50.00.00.04.5
Naproxen 500 mg BID3.11.71.10.64.1
No Prophylaxis4.71.11.81.95.8

Trials

1 trial available for loratadine and Breast Neoplasms

ArticleYear
NOLAN: a randomized, phase 2 study to estimate the effect of prophylactic naproxen or loratadine vs no prophylactic treatment on bone pain in patients with early-stage breast cancer receiving chemotherapy and pegfilgrastim.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018, Volume: 26, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Bone Diseases; Breas

2018

Other Studies

2 other studies available for loratadine and Breast Neoplasms

ArticleYear
Design and synthesis of thiourea derivatives containing a benzo[5,6]cyclohepta[1,2-b]pyridine moiety as potential antitumor and anti-inflammatory agents.
    Bioorganic & medicinal chemistry letters, 2012, Apr-15, Volume: 22, Issue:8

    Topics: Animals; Anti-Inflammatory Agents; Antineoplastic Agents; Biological Assay; Breast Neoplasms; Cell L

2012
Desloratadine and loratadine stand out among common H
    Acta oncologica (Stockholm, Sweden), 2020, Volume: 59, Issue:9

    Topics: Breast; Breast Neoplasms; Drug Prescriptions; Female; Follow-Up Studies; Histamine H1 Antagonists, N

2020