Improving 5-Fluorouracil (5-FU) Continuous Infusion Comfort With a New Corset Design in People Affected by Cancer (RCT)
Improving 5-Fluorouracil (5-FU) Continuous Infusion Comfort With a New Corset Design in People Affected by Cancer: A Feasibility Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Continuous infusion of 5-Fluorouracil (5-FU) via portable pumps is a common treatment modality for colorectal cancer, offering clinical benefits such as stable plasma drug levels and improved tolerability. However, patients often experience physical discomfort, restricted mobility, sleep disturbances, anxiety, and aesthetic concerns related to the infusion pump. Technical issues such as unstable connections and medication flow interruptions may further compromise treatment safety.
To address these challenges, this study introduces a newly designed supportive corset aimed at stabilizing the infusion pump and serum set during continuous 5-FU therapy. The corset is designed to enhance comfort, reduce movement-related anxiety, and improve sleep quality and overall treatment experience. This feasibility trial enrolled 40 patients diagnosed with colorectal cancer from an outpatient chemotherapy unit in Türkiye. Participants were randomized into two groups: the intervention group received the corset in addition to standard care, while the control group received standard care only.
Data were collected at baseline and after four weeks using the Visual Analog Scale (VAS) for infusion-related experiences and the EORTC QLQ-C30 for quality of life. The primary outcomes include changes in physical restrictions, insomnia, anxiety during movement, aesthetic concerns, and overall quality of life. Secondary outcomes include patient satisfaction with the corset. The study was approved by the Clinical Research Ethics Committee (Approval No: 2023-19-09) and conducted in accordance with ethical standards. Findings will inform the feasibility and potential integration of supportive physical devices into cancer care protocols.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Bakirköy
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Istanbul, Bakirköy, Turkey (Türkiye), 34500
- Istanbul University - Cerrahpasa
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosed with colorectal cancer
- Currently receiving chemotherapy
- Having received at least one cycle of 5-FU therapy via continuous infusion
- Volunteering to participate in the study
- Aged 18 years or older
Exclusion Criteria:
- Diagnosis of brain cancer (excluded due to potential impact on cognitive function and reliability of self-reported data)
- Presence of bone metastases
- Pregnancy and/or lactation
- Communication barriers
- Physician-diagnosed mental illness
- Inability to speak or understand Turkish
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Standard of Care + Supportive Corset
Participants receive standard care plus a specially designed supportive corset during continuous 5-FU infusion.
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A specially designed supportive corset developed to stabilize the 5-FU infusion pump and serum set during continuous infusion therapy.
It includes a body-wrapping belt, adjustable shoulder strap aligned with the port catheter, and a fluid-proof pouch for carrying the infusion pump.
The corset aims to enhance comfort, reduce physical and psychological distress, and improve overall treatment experience.
|
|
Other: Standard of Care
Participants receive routine care without any additional intervention.
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Routine care provided during continuous 5-FU infusion without any additional supportive device.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Physical Restrictions Score (Visual Analog Scale)
Time Frame: 4 weeks
|
Assessed using Visual Analog Scale (0 = never experienced, 10 = experienced very frequently).
Higher scores indicate worse outcome.
|
4 weeks
|
|
Insomnia Score (Visual Analog Scale)
Time Frame: 4 weeks
|
Assessed using Visual Analog Scale (0 = never experienced, 10 = experienced very frequently).
Higher scores indicate worse outcome.
|
4 weeks
|
|
Anxiety During Movement Score (Visual Analog Scale)
Time Frame: 4 weeks
|
Assessed using Visual Analog Scale (0 = never experienced, 10 = experienced very frequently).
Higher scores indicate worse outcome.
|
4 weeks
|
|
Skin Contact Discomfort Score (Visual Analog Scale)
Time Frame: 4 weeks
|
Assessed using Visual Analog Scale (0 = never experienced, 10 = experienced very frequently).
Higher scores indicate worse outcome.
|
4 weeks
|
|
Medication Flow Issues Score (Visual Analog Scale)
Time Frame: 4 weeks
|
Assessed using Visual Analog Scale (0 = never experienced, 10 = experienced very frequently).
Higher scores indicate worse outcome.
|
4 weeks
|
|
Aesthetic Concerns Score (Visual Analog Scale)
Time Frame: 4 weeks
|
Assessed using Visual Analog Scale (0 = never experienced, 10 = experienced very frequently).
Higher scores indicate worse outcome.
|
4 weeks
|
|
Nausea Score (Visual Analog Scale)
Time Frame: 4 weeks
|
Assessed using Visual Analog Scale (0 = never experienced, 10 = experienced very frequently).
Higher scores indicate worse outcome.
|
4 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Quality of Life Score (EORTC QLQ-C30)
Time Frame: 4 weeks
|
Assessed using EORTC QLQ-C30 questionnaire (30 items).
Functional scales: higher scores = better functioning; symptom scales: higher scores = worse symptoms.
Range: 0-100.
|
4 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Gülcan Bağçivan, PHD, University of Massachusetts Dartmouth, North Dartmouth, United States, Department of Adult Nursing, College of Nursing and Health Sciences
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
- Neoplasms by Site
- Neoplasms
- Intestinal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Colonic Diseases
- Colorectal Neoplasms
- Health Services Administration
- Health Care Quality, Access, and Evaluation
- Quality of Health Care
- Quality Indicators, Health Care
- Standard of Care
Other Study ID Numbers
Other Study ID Numbers
- 2023-19-09
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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