Bupropion to Reduce Cancer Related Fatigue in Cancer Survivors
This phase III trial studies how well bupropion works in reducing cancer related fatigue in cancer survivors. Cancer and its treatment can cause fatigue. Bupropion is a drug that is used to treat depression, as well as to help people quit smoking. It belongs to the family of drugs called antidepressants and works by increasing certain types of activity in the brain. Bupropion may reduce cancer-related fatigue by causing changes in inflammation and stress hormones.
Eligibility
Inclusion Criterea
			
				- Be at least 18 years of age
 
		 
		
			
				- Be diagnosed with cancer
 
		 
		
			
				- Have stable disease or no evidence of disease
 
		 
		
			
				- Report WORST level of fatigue in the past week as moderate to severe (i.e., a score >= 4 on a 0-10 scale, screening measures, question 1)
 
		 
		
			
				- Have completed surgery, radiation, and/or systemic intravenous anticancer therapy (e.g., chemotherapy, targeted therapy, immunotherapy) 2 or more months prior to enrollment. Participants currently receiving oral maintenance, targeted, or hormonal therapy are eligible. Participants receiving intravenous supportive therapy (e.g., bisphosphonates) are eligible
 
		 
		
			
				- Able to read and speak English
 
		 
		
			
				- Currently not pregnant or breastfeeding. Women of child-bearing potential must agree to use adequate contraception, i.e, abstinence, IUD (intrauterine device), hormonal contraceptive (birth control pills) or barrier method (condoms) prior to study entry and for the duration of study participation
 
		 
		
			
				- Be capable of providing written informed consent
 
		 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
	
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
			 
		
			
				
		- Be receiving intravenous anti-cancer therapy (e.g., intravenous immune checkpoint inhibitor therapy, targeted therapy)
 
		
		 
		
			
				
		- Be currently taking any medications that contain bupropion (e.g., Wellbutrin, Forfivo, Aplenzin, or Zyban)
 
		
		 
		
			
				
		- Be taking an monoamine oxidase inhibitor (MAOI), linezolid, or methylene blue within two weeks prior to enrollment
 
		
		 
		
			
				
		- Be taking any anti-psychotic medications within a week prior to enrollment
 
		
		 
		
			
				
		- Have a history of renal impairment (i.e., glomerular filtration rate < 45)
 
		
		 
		
			
				
		- Have a history of cirrhosis (i.e., Child-Pugh score >= 5)
 
		
		 
		
			
				
		- Have a history of seizures
 
		
		 
		
			
				
		- Have a history of bulimia or anorexia nervosa
 
		
		 
		
			
				
		- Report a history of sensitivity to bupropion
 
		
		 
		
			
				
		- Report an allergy to lactose
 
		
		 
		
			
				
		- Have psychiatric or neurological disorder(s) that would interfere with study participation per physician or physician’s designee
 
		
		 
		
	
Participating Clinics
	
		
		North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
		
	 
		
		OptumCare Cancer Care at MountainView
		
	 
		
		
		
		Comprehensive Cancer Centers of Nevada - Northwest
		
	 
		
		HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
		
	 
		
		Las Vegas Cancer Center-Henderson
		
	 
		
		Comprehensive Cancer Centers of Nevada-Horizon Ridge
		
	 
		
		
		GenesisCare USA - Las Vegas
		
	 
		
		OptumCare Cancer Care at Seven Hills
		
	 
		
		OptumCare Cancer Care at Fort Apache
		
	 
		
		HealthCare Partners Medical Group Oncology/Hematology-San Martin
		
	 
		
		Comprehensive Cancer Centers of Nevada-Southeast Henderson
		
	 
		
		Las Vegas Cancer Center-Medical Center
		
	 
		
		Hope Cancer Care of Nevada-Pahrump
		
	 
		
		Radiation Oncology Centers of Nevada Central
		
	 
		
		Comprehensive Cancer Centers of Nevada - Henderson
		
	 
		
		Comprehensive Cancer Centers of Nevada
		
	 
		
		Hope Cancer Care of Nevada
		
	 
		
		
		Comprehensive Cancer Centers of Nevada - Town Center
		
	 
		
		
		Renown Regional Medical Center
		
	 
		
		GenesisCare USA - Henderson
		
	 
		
		Summerlin Hospital Medical Center
		
	 
		
		Lake Huron Medical Center
		
	 
		
		HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
		
	 
		
		GenesisCare USA - Fort Apache
		
	 
		
		Comprehensive Cancer Centers of Nevada-Summerlin
		
	 
		
		Carson Tahoe Regional Medical Center
		
	 
		
		University Medical Center of Southern Nevada
		
	 
		
		GenesisCare USA - Vegas Tenaya
		
	 
		
		Cancer and Blood Specialists-Shadow
		
	 
		
		Cancer and Blood Specialists-Tenaya
		
	 
		
		Sunrise Hospital and Medical Center
		
	 
		
		Alliance for Childhood Diseases/Cure 4 the Kids Foundation
		
	 
		
		Saint Mary's Regional Medical Center
		
	 
		
		Radiation Oncology Centers of Nevada Southeast
		
	 
		
		OptumCare Cancer Care at Charleston
		
	 
		
		Radiation Oncology Associates
		
	 
		
		Cancer and Blood Specialists-Henderson
		
	 
		
		HealthCare Partners Medical Group Oncology/Hematology-Tenaya
		
	 
		
		Comprehensive Cancer Centers of Nevada - Central Valley
		
	 
		
		Kingman Regional Medical Center
		
	 
		
		Urology Specialists of Nevada - Southwest
		
	 
		
		Las Vegas Urology - Pecos
		
	 
		
		Las Vegas Urology - Green Valley
		
	 
		
		Urology Specialists of Nevada - Northwest
		
	 
		
		Las Vegas Prostate Cancer Center
		
	 
		
		Las Vegas Urology - Cathedral Rock
		
	 
		
		Urology Specialists of Nevada - Green Valley
		
	 
		
		Las Vegas Urology - Sunset
		
	 
		
		Urology Specialists of Nevada - Central
		
	 
		
		Las Vegas Urology - Pebble