- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01880996
Tai-chi / Qi-gong in Patients With Patients With Gynecological Malignancies
The Effect of Tai-chi/Qi-gong on Quality of Life (QOL), Sleep, and Fatigue in Patients With Gynecological Malignancies
Oncologic patients often report increased fatigue during and after chemotherapy. Evidence suggests Tai-chi/Qi-gong may improve quality of life (QOL) in oncologic patients treated with chemotherapy. Previous studies, mostly performed in a population of breast cancer patients, have demonstrated the benefits of Tai-chi/Qi-gong practice in improving quality of life (1), reducing bone resorption (2), preventing the decrease of blood counts (WBC and Hb) (3), and reducing inflammation (4).
The aim of this pilot study is to evaluate the effect of Tai-chi/Qi-gong on QOL, sleep, and fatigue in patients with gynecological malignancies, particularly in patients with ovarian cancer.
Study Overview
Status
Intervention / Treatment
Detailed Description
Tai-chi/Qi-gong is a complementary medicine technique that synergizes the mind-body connection. The technique employs a series of positions and movements that are performed in a slow, flowing manner to help a person concentrate on breathing and motion.
The effect of Tai-chi/Qi-gong on fatigue, quality of life, and quality of sleep will be assessed in gynecological cancer patients. This trial will recruit 60 patients with gynecological malignancies, who receive first or second line chemotherapy. The patients will be allocated according to their preference to either the study or the control group. The Tai-chi/Qi-gong classes will take place once a week, for 10 consecutive weeks, at the facilities of the gyneco-oncology department. All patients will fill out the questionnaires at the beginning of the study, after 5 weeks, and upon the completion of the study (10 weeks).
Study Type
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Ramat Gan, Israel
- Sheba Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women with gynecological malignancies undergoing primary or secondary chemotherapy
Exclusion Criteria:
- Motor disability;
- Less than 1 month since the last abdominal surgery;
- Ascites
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Tai-chi/Qi-gong
30 gynecological cancer patients scheduled for the first or second line of chemotherapy treatment will be recruited for this study to receive Tai-chi/qigong treatment initiated at the beginning of chemotherapy therapy, once a week (45 min each), for 10 weeks.
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Tai-chi/Qi-gong employs a series of positions and movements that are performed in a slow, flowing manner to help a person concentrate on breathing and motion.
The treatments will take place once a week at the Dept. of the Gyneco-oncology and the patients will be instructed to practice tai-chi at home on a daily basis
Other Names:
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No Intervention: Usual Care
30 gynecological cancer patients scheduled for primary or secondary chemotherapy treatment, will be evaluated by the same measures as the intervention group.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change in the Multidimensional Quality of Life Scale cancer MQOLS-CA
Time Frame: Week 0, Week 5, Week 10
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The Multidimensional Quality of Life Scale cancer MQOLS-CA was written by Padilla (5) and translated into Hebrew by Dorit Pud (6).
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Week 0, Week 5, Week 10
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in the Lee Fatigue Scale (LFS)
Time Frame: Week 0, Week 5, Week 10
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The Lee Fatigue Scale (LFS).
The questionnaire was compiled by Lee (7) and translated into Hebrew by Dr. Dorit Pud (6).
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Week 0, Week 5, Week 10
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Change in the Visual Analog Scale for Pain
Time Frame: Week 0, Week 5, Week 10
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Week 0, Week 5, Week 10
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Change in the White Blood Cell Count
Time Frame: Week 0, Week 3, Week 6, Week 9
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Results of the routine blood exams will be documented
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Week 0, Week 3, Week 6, Week 9
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Change in the Hemoglobin in blood
Time Frame: Week 0, Week 3, Week 6, Week 9
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Results of the routine blood exams will be documented
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Week 0, Week 3, Week 6, Week 9
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Change in the C-reactive protein in blood
Time Frame: Week 0, Week 3, Week 6, Week 9
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Week 0, Week 3, Week 6, Week 9
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Change in the Body Weight
Time Frame: Week 0, Week 5, Week 10
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Week 0, Week 5, Week 10
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Change in the number of Emergency Room visits
Time Frame: Week 0, Week 5, Week 10
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Emergency Room visits for nausea, vomiting, or dehydration
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Week 0, Week 5, Week 10
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Pattern of use of Complementary Medicine
Time Frame: Week 0, Week 5, Week 10
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List of Complementary modalities used including Medical Cannabis
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Week 0, Week 5, Week 10
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Dorit Gamus, M.D. Ph.D., Sheba Medical Center
Publications and helpful links
General Publications
- Lee KA, Hicks G, Nino-Murcia G. Validity and reliability of a scale to assess fatigue. Psychiatry Res. 1991 Mar;36(3):291-8. doi: 10.1016/0165-1781(91)90027-m.
- Oh B, Butow P, Mullan B, Clarke S, Beale P, Pavlakis N, Kothe E, Lam L, Rosenthal D. Impact of medical Qigong on quality of life, fatigue, mood and inflammation in cancer patients: a randomized controlled trial. Ann Oncol. 2010 Mar;21(3):608-614. doi: 10.1093/annonc/mdp479. Epub 2009 Oct 30.
- Peppone LJ, Mustian KM, Janelsins MC, Palesh OG, Rosier RN, Piazza KM, Purnell JQ, Darling TV, Morrow GR. Effects of a structured weight-bearing exercise program on bone metabolism among breast cancer survivors: a feasibility trial. Clin Breast Cancer. 2010 Jun;10(3):224-9. doi: 10.3816/CBC.2010.n.030.
- Yeh ML, Lee TI, Chen HH, Chao TY. The influences of Chan-Chuang qi-gong therapy on complete blood cell counts in breast cancer patients treated with chemotherapy. Cancer Nurs. 2006 Mar-Apr;29(2):149-55. doi: 10.1097/00002820-200603000-00012.
- Padilla GV, Mishel MH, Grant MM. Uncertainty, appraisal and quality of life. Qual Life Res. 1992 Jun;1(3):155-65. doi: 10.1007/BF00635615.
- Pud D, Ben Ami S, Cooper BA, Aouizerat BE, Cohen D, Radiano R, Naveh P, Nikkhou-Abeles R, Hagbi V, Kachta O, Yaffe A, Miaskowski C. The symptom experience of oncology outpatients has a different impact on quality-of-life outcomes. J Pain Symptom Manage. 2008 Feb;35(2):162-70. doi: 10.1016/j.jpainsymman.2007.03.010. Epub 2007 Dec 21.
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SHEBA-13-0112-DG-CTIL
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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