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. Giving bupropion may improve cancer related fatigue in cancer survivors.
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
Comprehensive Cancer Centers of Nevada - Town Center
Sunrise Hospital and Medical Center
Las Vegas Cancer Center-Medical Center
OptumCare Cancer Care at Seven Hills
Hope Cancer Care of Nevada-Pahrump
Comprehensive Cancer Centers of Nevada-Horizon Ridge
Kingman Regional Medical Center
OptumCare Cancer Care at Charleston
Radiation Oncology Centers of Nevada Southeast
GenesisCare USA - Fort Apache
GenesisCare USA - Vegas Tenaya
Cancer and Blood Specialists-Shadow
OptumCare Cancer Care at Fort Apache
HealthCare Partners Medical Group Oncology/Hematology-San Martin
HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
Comprehensive Cancer Centers of Nevada-Summerlin
Hope Cancer Care of Nevada
Summerlin Hospital Medical Center
Cancer and Blood Specialists-Tenaya
Comprehensive Cancer Centers of Nevada-Southeast Henderson
Las Vegas Cancer Center-Henderson
GenesisCare USA - Henderson
GenesisCare USA - Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-Tenaya
Comprehensive Cancer Centers of Nevada - Henderson
Carson Tahoe Regional Medical Center
Comprehensive Cancer Centers of Nevada - Northwest
Radiation Oncology Centers of Nevada Central
Radiation Oncology Associates
OptumCare Cancer Care at MountainView
Comprehensive Cancer Centers of Nevada
Alliance for Childhood Diseases/Cure 4 the Kids Foundation
Cancer and Blood Specialists-Henderson
Comprehensive Cancer Centers of Nevada - Central Valley
HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
University Medical Center of Southern Nevada
Saint Mary's Regional Medical Center
Renown Regional Medical Center
Lake Huron Medical Center
Las Vegas Urology - Sunset
Urology Specialists of Nevada - Southwest
Las Vegas Urology - Cathedral Rock
Las Vegas Urology - Pebble
Urology Specialists of Nevada - Central
Urology Specialists of Nevada - Green Valley
Las Vegas Prostate Cancer Center
Las Vegas Urology - Pecos
Urology Specialists of Nevada - Northwest
Las Vegas Urology - Green Valley