- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01697891
A Pilot Study of ALTENS in Improving Dysphagia Induced by IMRT for Head and Neck Cancers
Effectiveness of Acupuncture-like Transcutaneous Nerve Stimulation (ALTENS) in Improving Dysphagia and Associated Symptoms of Chemotherapy and/or Intensity Modulated Radiation Therapy (IMRT) for Head and Neck Cancers: A Pilot Study
Study hypothesis: ALTENS techniques, administered within the first 3 months after radiation completion, can improve radiation-induced dysphagia and associated symptoms in head and neck cancer patients. This beneficial effect is mediated by the reduction of chronic inflammatory response of swallowing musculature to radiation, consequently a reduction in muscle fibrosis.
Primary study objective: To evaluate the effectiveness of ALTENS in relieving radiation-induced dysphagia. Eating Assessment Tool (EAT-10) scores will be used for this primary study endpoint.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
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Ontario
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Hamilton, Ontario, Canada, L8V5C2
- Juravinski Cancer Centre
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:This study will recruit patients with head and neck cancers treated with radiation+/- chemotherapy and who meet the following criteria (EAT-10 assessment will be used for screening):
Inclusion Criteria
- present with dysphagia symptoms
- with no evidence of residue cancer
- are within 3 months (but past 1 month) after treatment completion
- show positive dysphagia (EAT-10 score of > 3) and/ or aspiration on barium swallow study
- are over 18 years old
- are able to read and write fluent English
- can give informed consent
Exclusion Criteria:
- have unstable heart disease
- have infectious disease transmissible by blood or body fluid, including hepatitis and HIV
- have skin disease at site of study acupuncture points that prevents the application of electrodes
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ALTENS
Patients in this arm will be treated with Acupuncture-like Transcutaneous Electrical Nerve Stimulation using Codetron (Codetron ALTENS)
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ALTENS stimulation of a set of selected acupuncture points for 20 minutes in each treatment.
Two treatments per week for a total of 12 treatments to be delivered within 8 weeks.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Subjective Dysphagia Assessment Score: EAT-10 from baseline
Time Frame: 3 months after treatment completion
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EAT-10 is a self-administered questionnaire for subjective assessment of dysphagia.
It consists of 10 items and each item is scored using a 5-point Likert scale.
The higher the point, the more severe the problem being scored.
Normative data suggested that a total score of 3 or higher is abnormal.
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3 months after treatment completion
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in M. D. Anderson dysphagia inventory from baseline
Time Frame: 3 months after treatment completion
|
M. D. Anderson dysphagia inventory (MDADI) is a self-administered questionnaire designed specifically to assess the quality of life for head and neck cancer patients who suffer from dysphagia.
It incorporated three domains: emotional, functional and physical, and one global question.
There are a total of 20 items.Each item is scored on a scale of 1 to 5 with 1 being strongly agree and 5 strongly disagree except for two items, one on the emotional subscale and the other on the functional subscale.
The global question is scored and interpreted separately.
The scores of all the items in each domain are summed and a mean score is calculated.
The final score for each subscale is calculated by multiplying the calculated mean score by 20 with a final range from 0 to 100.
The final score of the global question is also calculated in the same way.
The higher the final score represents better functioning and quality of life.
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3 months after treatment completion
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Raimond Wong, MD, McMaster University
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- MU12-530
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.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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Radiation Therapy Oncology GroupNational Cancer Institute (NCI); NRG OncologyCompletedHead and Neck Cancer | XerostomiaUnited States, Canada