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