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NCT01823991

COGNUTRIN in Breast Cancer Survivors

Completed EARLY_PHASE1 Results posted Last updated 14 July 2020
What this trial tests

EARLY_PHASE1 trial testing VitaBlue™ in Breast Cancer in 36 participants. Completed in 2 May 2018.

Timeline
30 July 2014
Primary endpoint
5 April 2017
2 May 2018

Quick facts

Lead sponsorH. Lee Moffitt Cancer Center and Research Institute
PhaseEARLY_PHASE1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposesupportive care
Enrollment36
Start date30 July 2014
Primary completion5 April 2017
Estimated completion2 May 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

H. Lee Moffitt Cancer Center and Research Institute

Who can join

Adults 40 to 70, female only, with Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Cognitive Function Scores With Intervention - HVLT and COWA Primary · Baseline (Time 1) and at 3 months +/- 7 days (Time 2)

Mean change in cognitive function scores measured from baseline to post intervention with Cognutrin compared to placebo. Mean cognitive function scores by group and compared by time of testing (Time 1, Time 2). The HVLT test assesses verbal learning and memory. Subjects are given a list of words and asked to repeat as many words as they can recall at 3 times. There is no absolute low \& high, as scores are age adjusted. Reported scores are T-scores- average score should be 50, with a standard deviation of 10. Any score below 50 indicates performance below population averages and any score abov

HVLT-total recall
GroupValue95% CI
A - Cognutrin #149.04± 6.41
B - Cognutrin #244.93± 7.55
C - Placebo #142.28± 4.21
D - Placebo #243.33± 4.96
HVLT-delayed recall
GroupValue95% CI
A - Cognutrin #144.82± 5.33
B - Cognutrin #241.59± 7.02
C - Placebo #147.49± 3.5
D - Placebo #244.1± 4.62
COWA-z score
GroupValue95% CI
A - Cognutrin #1-.341± .686
B - Cognutrin #2-.452± .577
C - Placebo #1-0.001± 0.451
D - Placebo #20.332± 0.379
Change in Cognitive Function Scores With Intervention - Color Trails 1 & 2 Primary · Baseline (Time 1) and at 3 months +/- 7 days (Time 2)

Mean change in cognitive function scores measured from baseline to post intervention with Cognutrin compared to placebo arms of the trial. Mean cognitive function scores by group and compared by time of testing (Time 1, Time 2). Tests: Color Trails 1 \& Color Trails 2. Color Trails 1 consists of a page with scattered circles numbered from 1-25. Even numbered circles are colored yellow and odd numbered ones are colored pink. Respondents are instructed to connect the circles in consecutive numeric order with a continuous line as quickly as possible. Score is determined by recording the number of

Color Trails 1
GroupValue95% CI
A - Cognutrin #159.82± 11.5
B - Cognutrin #261.25± 4.87
C - Placebo #147.47± 2.89
D - Placebo #250.80± 2.76
Color Trails 2
GroupValue95% CI
A - Cognutrin #160.35± 4.35
B - Cognutrin #260.57± 4.64
C - Placebo #154.96± 2.47
D - Placebo #259.97± 2.63
Change in Cognitive Function Scores With Intervention - Digit Span Primary · Baseline (Time 1) and at 3 months +/- 7 days (Time 2)

Mean change in cognitive function scores measured from baseline to post intervention with Cognutrin compared to placebo. Mean cognitive function scores by group and compared by time of testing (Time 1, Time 2). The Digit Span assesses immediate verbal memory and auditory attention. The examiner reads increasingly longer series of numbers and the respondent is required to repeat them in the same order. The examiner then reads additional sequences of numbers and the respondent is required to repeat them in reverse order. Digit Span yields one score, number of items completed correctly. Scores ar

GroupValue95% CI
A - Cognutrin #19.58± 1.43
B - Cognutrin #212.69± 1.75
C - Placebo #110.01± .89
D - Placebo #210.05± 1.09
Change in Cognitive Function Scores With Intervention - Symbol Digit Modalities Test Primary · Baseline (Time 1) and at 3 months +/- 7 days (Time 2)

Mean change in cognitive function scores measured from baseline to post intervention with Cognutrin compared to placebo arms of the trial. Mean cognitive function scores by group and compared by time of testing (Time 1, Time 2). The Symbol Digit Modalities Test requires respondents to write the number that corresponds with each symbol for a series of 110 items in which the symbol but not the number appears. Respondents identify the correct number using a key provided in which symbols are matched with numbers. Total score is determined by calculating the number of items correctly completed in 9

GroupValue95% CI
A - Cognutrin #1.17± .72
B - Cognutrin #2.39± .62
C - Placebo #1.53± .39
D - Placebo #2.72± .33
Number of Participants With Adverse Events (AEs) Secondary · 3 months from baseline +/- 7 days

The primary safety endpoint is incidence and severity of AEs occurring during intervention with either COGNUTRIN or placebo. All AEs that are reported by the participant, detected during a visit, physical examination, or laboratory work-up will be recorded in the participant's medical record and recorded on the case report form (CRF). All AEs that occur after the informed consent is signed will be recorded on the AE CRF whether or not related to study agent, using the NCI Common Terminology Criteria for AEs (CTCAE) version 4.0.

GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)10
Matching Placebo Twice a Day (BID)4
Occurrence of Adverse Events (AEs) by Causality Secondary · 3 months from baseline +/- 7 days

Number of Adverse events according to relation to study treatment category: Definitely related, Probably related, Possibly related, Unlikely to be related, Unrelated.

Definitely related to treatment
GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)5
Matching Placebo Twice a Day (BID)0
Probably related to treatment
GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)1
Matching Placebo Twice a Day (BID)0
Possibly related to treatment
GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)0
Matching Placebo Twice a Day (BID)0
Unlikely to be related to treatment
GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)0
Matching Placebo Twice a Day (BID)0
Unrelated to treatment
GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)11
Matching Placebo Twice a Day (BID)8
Number of Participants Experiencing Grade 3 or Higher Adverse Events Secondary · 3 months from baseline +/- 7 days

The primary safety endpoint is incidence and severity of AEs occurring during intervention with either COGNUTRIN or placebo. All AEs that are reported by the subject, detected during a visit, physical examination, or laboratory work-up will be recorded in the participant's medical record and recorded on the case report form (CRF). All AEs that occur after the informed consent is signed will be recorded on the AE CRF whether or not related to study agent, using the NCI Common Terminology Criteria for AEs (CTCAE) version 4.0.

GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)0
Matching Placebo Twice a Day (BID)0
Number of Participants With Improvement in Function MRI and Structural MRI Post-Intervention Secondary · 3 months

Functional: Improved cortical activation in multiple areas of the brain on examination of functional MRI post study intervention. Imaging including: 1) Extended resting state functional MRI with data post-processed on Philips EWS. Performed with patient's eyes closed and minds wandering. 2) Diffusion tensor imaging (DTI) with effective slice thickness of 2.3mm. Post-processed on Philips EWS with color-coded DTI tractography images obtained, absolute FA calculations performed in 9 anatomic areas in both right and left brain with total of 18 FA values obtained per examination. Structural: Improv

Functional MRI
GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)2
Matching Placebo Twice a Day (BID)0
Structural MRI
GroupValue95% CI
Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)0
Matching Placebo Twice a Day (BID)0
Change in Plasma Cytokines Secondary · 3 months

Mean change plasma cytokines from baseline to post intervention with Cognutrin vs. placebo. Inflammatory markers-Cytokines were measured with a panel including IFN-g, IL-6, IL-8 and INF-alpha.

IFN-g
GroupValue95% CI
A - Cognutrin #16.23± 2.3
B - Cognutrin #28.3± 2.48
C - Placebo #16.2± 1.72
D - Placebo #24.64± 1.85
IL-10
GroupValue95% CI
A - Cognutrin #10.29± 0.07
B - Cognutrin #20.2± 0.03
C - Placebo #10.18± 0.05
D - Placebo #20.22± 0.03
IL-6
GroupValue95% CI
A - Cognutrin #10.55± 0.21
B - Cognutrin #22.07± 1.05
C - Placebo #11.14± 0.16
D - Placebo #21.5± 0.78
IL-8
GroupValue95% CI
A - Cognutrin #15.56± 0.92
B - Cognutrin #28.55± 2
C - Placebo #17.82± 0.69
D - Placebo #28.02± 1.49
INF-α
GroupValue95% CI
A - Cognutrin #12.29± 0.19
B - Cognutrin #22.53± 0.36
C - Placebo #12.61± 0.14
D - Placebo #22.61± 2.61

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years, 10 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cognutrin (n-3 Fatty Acids + Anthocyanins) Twice a Day (BID)
Serious: 1/18 (6%)
Deaths: 0/18
Matching Placebo Twice a Day (BID)
Serious: 0/18 (0%)
Deaths: 0/18

Serious adverse events (1 terms)

ReactionSystemCognutrin (n-3 Fatty Acids…Matching Placebo Twice a D…
PsychosisPsychiatric disorders
Other adverse events (19 terms — click to expand)

ReactionSystemCognutrin (n-3 Fatty Acids…Matching Placebo Twice a D…
NauseaGastrointestinal disorders
Gastrointestinal disorders - OtherGastrointestinal disorders
VomitingGastrointestinal disorders
Flu like symptomsGeneral disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
ChillsGeneral disorders
Edema limbsGeneral disorders
PainGeneral disorders
Hot flashesVascular disorders
FlushingVascular disorders
HyperkalemiaMetabolism and nutrition disorders
Metabolism and nutrition disorders, OtherMetabolism and nutrition disorders
HeadacheNervous system disorders
SomnolenceNervous system disorders
InsomniaPsychiatric disorders
Allergic reactionImmune system disorders
Rash acneiformSkin and subcutaneous tissue disorders

Most-reported serious reactions: Psychosis.

Data from ClinicalTrials.gov NCT01823991 adverse events section.

Sponsor's own description

The purpose of this study is to examine the safety and influence of an intervention (COGNUTRIN) using nutritional supplements (n-3 fatty acids and blueberry anthocyanins) on cognitive performance in breast cancer survivors following chemotherapy. The investigators' goal is to treat or lessen the late effects of cancer treatment. The supplement to be used will be a combination of the following: (1) VitaBlue (40% polyphenolics, 12.5% anthocyanins from blueberries (BB) and (2) n-3 fatty acids - Lovaza.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Natural Products as Anticancer Agents: Current Status and Future Perspectives.
    Naeem A, Hu P, Yang M, Zhang J, et al · · 2022 · cited 292× · PMID 36500466 · DOI 10.3390/molecules27238367
  2. The Role of PPARγ Ligands in Breast Cancer: From Basic Research to Clinical Studies.
    Augimeri G, Giordano C, Gelsomino L, Plastina P, et al · · 2020 · cited 42× · PMID 32937951 · DOI 10.3390/cancers12092623
  3. Omega-3 fatty acids: molecular weapons against chemoresistance in breast cancer.
    Marchio V, Augimeri G, Morelli C, Vivacqua A, et al · · 2025 · cited 11× · PMID 39863855 · DOI 10.1186/s11658-025-00694-x

Verify or expand the search:

Other recruiting trials for Breast Cancer

Currently open trials in the same condition.

Other H. Lee Moffitt Cancer Center and Research Institute trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing