Administration of a standard multivitamin dietary supplement was evaluated in patients with cancer for the management of fatigue. A variety of individual vitamins also have been examined for their effects in treating different symptoms. Interventions involving specific individual or combined vitamins are identified as separate interventions.
Colodny, L., Lynch, K., Farber, C., Papish, S., Phillips, K., Sanchez, M., . . . Block, J. (2000). Results of a study to evaluate the use of Propax to reduce adverse effects of chemotherapy. Journal of the American Nutraceutical Association, 3, 17–25.
In both studies, the dose of Propax was given to patients three times daily in a packet that contained four tablets and one softgel capsule. Supplements were administered with food to limit potential gastrointestinal upset. In the open-label study, patients received the Propax nutritional supplementation five to seven days prior to chemotherapy treatments and continued throughout the next 12 weeks of the chemotherapy regimen. After six weeks of chemotherapy, patients crossed over to the other product (placebo to Propax or Propax to placebo). Outcomes were evaluated at baseline, week 6 (mid-point), and week 12 (end of the intervention).
Outpatient chemotherapy centers in California, Florida, Maine, Massachusetts, New Jersey, and New York
Patients were undergoing the active treatment phase of care.
This was a crossover, placebo-controlled, randomized, controlled, trial and a pilot open-label study.
The article did not discuss which measurement instruments were used.
In the open-label trial, patients reported significant improvements in fatigue (>0.5 change in score). Patients who began with Propax in the crossover randomized, controlled trial reported improvement in fatigue during the 12-week study period. Patients who began with the placebo experienced improved quality of life; however, fatigue was not specifically mentioned.
de Souza Fêde, A. B., Bensi, C. G., Trufelli, D. C., de Oliveira Campos, M. P., Pecoroni, P. G., Ranzatti, R. P., . . . Del Giglio, A. (2007). Multivitamins do not improve radiation therapy-related fatigue: results of a double-blind randomized crossover trial. American Journal of Clinical Oncology, 30, 432–436.
Patients were randomized to two groups. Group A received the placebo for the first phase of the study and then switched to receiving multivitamins for the second phase. Group B received multivitamins for the first phase of the study and then switched to receiving placebo for the second phase. The multivitamins provided for patients were Centrum Silver tablets. To keep patients and researchers blinded, Centrum Silver tablets were crushed and offered to patients within capsules identical to those containing placebo. Randomization was centralized by a pharmacist to maintain the blinding of patients and investigators. Patient outcomes were assessed at baseline (phase I), at the time of switching (phase II), and right before the start of the last radiation treatment (phase III).
Patients were undergoing the active treatment phase of care.
This was a double-blind, randomized, crossover trial with two groups: multivitamin and placebo.
No significant changes were elicited in fatigue outcomes by the multivitamin intervention. When groups were compared at phase I, no significant differences were found in fatigue. At phase II, group A had a significantly lower rate of general and physical fatigue than group B (p = 0.035). The Chalder Fatigue Scale scores of both general and physical fatigue reflected a trend in the same direction (p = 0.048).