Wearable Focal Vibration for Chemotherapy-Induced Peripheral Neuropathy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Josiah Rippetoe, BS
- Phone Number: 4052711529
- Email: josiah-rippetoe@ouhsc.edu
Study Contact Backup
- Name: Abby Cha, BS
- Phone Number: 4052711529
- Email: abby-cha@ouhsc.edu
Study Locations
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73104
- Stephenson Cancer Center, OU Health
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18 years or older
- Cancer patients with current symptoms of chemotherapy induced peripheral neuropathy affecting the feet, persisting for at least 3 months after completion of chemotherapy, and not substantially improving in recent weeks. The CIPN must be painful, or severe enough to interfere with function, activities, or participation (generally NCI-CTCAE Grade II)
- Clinically stable to participate in study assessments and the intervention (at a minimum, able to stand independently from a chair and walk household distances without help from another person)
- Able to read and speak English, give a voluntary written consent
- Sufficient cognition to consent, confirmed by recall of key study points
- Use of pain medications (opioids, anti-convulsants, and antidepressants) must be stable in the two weeks prior to study enrollment, and the participant must agree to avoid significant changes in pain medication regimen during the period of active study participation, and to notify the study team if medications change
Exclusion Criteria:
- Neuropathy (known or suspected) of any etiology other than chemotherapy or diabetes (for example, due to alcohol, vitamin deficiency, autoimmune disorder, CMT, idiopathic
- Unsafe/unable to self-apply the focal vibration intervention for any reason (for example, insufficient hand dexterity or cognitive executive function
- Recent or fluctuating musculoskeletal injury or lesion that would impact physical performance
- Lower limb deficiency/amputations
- Pregnant, or planning to get pregnant in the next 6 months. Pre-menopausal females who enroll agree to notify the study team as soon as possible should they become pregnant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Focal vibration therapy
Myovolt delivers vibration with a frequency between 50-80 Hz.
Myovolt intensity will be set to ~up to 2X the participant's initial Myovolt perception threshold.
If the stimulation does not feel strong, the participant will be asked to manually increase the intensity until it feels strong but comfortable.
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Myovolt is a wearable rehabilitative device that delivers vibration to the region of the body where the motors are worn.
Participants are asked to apply the vibration to specific leg locations twice a day, for about 30 minutes at a time, and to record their response using a provided log.
They may be asked to try applying the device at different location or using different vibration parameters (pulse frequency or intensity).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Feasibility of Enrollment
Time Frame: Baseline
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Percent of interested individuals who enrolled.
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Baseline
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Adherence to Myovolt Focal Vibration
Time Frame: After 6-week intervention
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Number of completed sessions the intervention was worn, as a percentage of the number of sessions prescribed.
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After 6-week intervention
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity-12 (FACT-GOG/NTX-12) Symptom Inventory
Time Frame: Change from Baseline after 6-week Intervention
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The FACT-GOG/Ntx-12 is a composite measure of CIPN symptoms and functional impairments and related quality of life, scored from 0 to 48 where a higher score indicates worse neuropathy symptoms.
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Change from Baseline after 6-week Intervention
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Neuropathy Total Symptom Score-6 (NTSS-6)
Time Frame: Change from Baseline after 6-week Intervention
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The NTSS-6 rates neuropathic symptoms (severity and frequency) in 6-categories.
Scores range from 0 to 21.96, and higher scores indicate higher symptom burden.
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Change from Baseline after 6-week Intervention
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Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity-12 (FACT-GOG/NTX-12) Physical Well-Being Subscale
Time Frame: Change from Baseline after 6-week Intervention
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The FACT-GOG/Ntx-12 PWB subscale is a patient-report measure of physical symptoms and function.
Scored from 0 to 28, higher scores indicate better well-being.
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Change from Baseline after 6-week Intervention
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Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity-12 (FACT-GOG/NTX-12) Functional Well-Being Subscale
Time Frame: Change from Baseline after 6-week Intervention
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The FACT-GOG/Ntx-12 FWB subscale is a patient-report measure of functional well-being with questions about work, leisure and sleep, and a summary quality of life(QoL)rating.
Scores range from 0 to 28, higher scores indicate better well-being and QoL.
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Change from Baseline after 6-week Intervention
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Patient Neurotoxicity Questionnaire (PNQ)
Time Frame: Change from Baseline after 6-week Intervention
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The PNQ grades the extent of sensory and motor neuropathy in cancer cohorts scored from grade A (no neuropathy, also Grade 0) to grade E (severe neuropathy, also Grade 4).
Sensory and motor severity are rated separately.
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Change from Baseline after 6-week Intervention
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Global Rating of Change (GROC) Scale
Time Frame: After 6-week intervention
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The GROC scale is a universal clinical outcome providing a simple but comprehensive "umbrella" patient-perspective of change.
Scores on a 9-point ordinal scale centered around 0 (Unchanged) ranged from -4 (very much worse) to 0 (unchanged) to +4 (very much better).
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After 6-week intervention
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Manual Muscle Testing (MMT) of Toes
Time Frame: Change from Baseline after 6-week Intervention
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MMT assesses muscle strength by an assessor applying pressure against the hallux as the participant lifts and holds 1st metatarsophalangeal extension.
Strength is rated from 0 (weakest) to 5 (strongest).
Change of 1 grade from the baseline values is categorized as improvement or decline.
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Change from Baseline after 6-week Intervention
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Change in Toe Strength Using a Proprietary Quantifiable Toe Measurement Device, Quantification of Hallux Extension Strength or QuHalEx(TM), U.S. Patent 11402284 Issued to the University of Oklahoma on 08/02/2022, and Provisional Patent 63/627,850.
Time Frame: Change from Baseline after 6-week Intervention
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QuHalEx(TM) measures toe strength by reading force measurements (higher is stronger) when participants sit with foot strapped on a portable base of a proprietary University of Oklahoma QuHalEx(TM) load-cell prototype device (U.S. Patent 11402284 issued to the University of Oklahoma on 08/02/2022, and provisional patent 63/627,850).
With the great toe inserted into a cap, the participant pulls up and holds isometrically for a few seconds.
The peak force is the highest value recorded over the hold time.
We report the change in peak force from baseline to the 6-week visit.
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Change from Baseline after 6-week Intervention
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Vibration Perception Threshold Using Biothesiometer
Time Frame: Change from Baseline after 6-week Intervention
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Vibratory threshold is measured by a non-invasive vibrating probe (biothesiometer) placed on the skin and increased from 0 Hz until the amplitude when the participant first reports detection (eyes closed) or the maximum amplitude available on the biothesiometer scale (50 Volts).
Higher indicates worse sensation.
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Change from Baseline after 6-week Intervention
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Elizabeth Hile, PhD, University of Oklahoma
Publications and helpful links
General Publications
- Murillo N, Valls-Sole J, Vidal J, Opisso E, Medina J, Kumru H. Focal vibration in neurorehabilitation. Eur J Phys Rehabil Med. 2014 Apr;50(2):231-42.
- Winters-Stone KM, Horak F, Jacobs PG, Trubowitz P, Dieckmann NF, Stoyles S, Faithfull S. Falls, Functioning, and Disability Among Women With Persistent Symptoms of Chemotherapy-Induced Peripheral Neuropathy. J Clin Oncol. 2017 Aug 10;35(23):2604-2612. doi: 10.1200/JCO.2016.71.3552. Epub 2017 Jun 6.
- Monfort SM, Pan X, Patrick R, Ramaswamy B, Wesolowski R, Naughton MJ, Loprinzi CL, Chaudhari AMW, Lustberg MB. Gait, balance, and patient-reported outcomes during taxane-based chemotherapy in early-stage breast cancer patients. Breast Cancer Res Treat. 2017 Jul;164(1):69-77. doi: 10.1007/s10549-017-4230-8. Epub 2017 Apr 3.
- Miaskowski C, Mastick J, Paul SM, Abrams G, Cheung S, Sabes JH, Kober KM, Schumacher M, Conley YP, Topp K, Smoot B, Mausisa G, Mazor M, Wallhagen M, Levine JD. Impact of chemotherapy-induced neurotoxicities on adult cancer survivors' symptom burden and quality of life. J Cancer Surviv. 2018 Apr;12(2):234-245. doi: 10.1007/s11764-017-0662-8. Epub 2017 Nov 20.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 12621P
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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