- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02442635
Yoga During Chemotherapy Study
November 12, 2019 updated by: University of California, San Francisco
Developing a Yoga Intervention During Cancer Chemotherapy
This proposal aims to expand non-pharmacologic options for the control of symptoms during chemotherapy using yoga practices.
It is particularly focused on sleep disturbance with a secondary focus on fatigue.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Sleep disturbance is among the most common symptoms experienced by cancer patients, occurs in up to 80% of patients during chemotherapy, and results in serious impairments in quality of life.
Although pharmacologic therapies improve sleep disturbance, they have numerous side effects, problems with tolerance and dependence, and are not well studied in oncology patients.
While non-pharmacologic therapies may decrease sleep disturbance, the current level of evidence on their efficacy is insufficient.
Fatigue occurs in up to 95% of those receiving chemotherapy, and results in major impairments in functioning and quality of life.
Despite its significance, few effective treatments currently exist for fatigue.
Prior studies suggest that yoga may be helpful for sleep disturbance and fatigue, but these studies have limitations.
An important challenge in yoga research is that it is typically a multi-modality practice that can include physical postures, breathing practices, and/or meditation components.
Prior studies have not adequately addressed the effects of individual components.
Therefore, key questions remain unanswered about the most effective elements of yoga; how to best combine them for particular problems such as chemotherapy symptoms; and optimal dosing.
The current study will address these gaps in the literature and perform key developmental steps to prepare for a large randomized, controlled trial (RCT).
It builds on preliminary work in which yoga breathing practices during chemotherapy were found to improve sleep disturbance, showed trends toward improvements in fatigue, and were feasible to implement in patients undergoing chemotherapy.
Using a mixed-methods approach to evaluate each intervention component, the investigators will pursue three closely interlinked steps in cancer patients receiving chemotherapy.
In Aim 1 (n=10), the investigators will manualize an individualized approach to the yoga breathing intervention and iteratively refine it to insure feasibility and acceptability.
In Aim 2 (n=20), the investigators will manualize a yoga posture intervention, evaluating both restorative/static poses and flowing poses, and perform iterative refinement to test feasibility and acceptability.
In Aim 3 (n=70), the investigators will assess the final multi-modality yoga intervention to select final intervention elements and delivery methods for testing in a planned future RCT.
This proposal will help to improve the treatment of debilitating cancer associated symptoms and advance approaches to developing therapeutic yoga intervention trials.
Study Type
Interventional
Enrollment (Actual)
73
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
California
-
San Francisco, California, United States, 94110
- UCSF
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age 18 and older
- Have a Karnofsky Performance Status Score of 60 or above
- Diagnosed with any cancer except acute leukemia
- Self-reported poor quality of sleep
- Receiving Chemotherapy
- Able to read, write, and understand English
- Ability to give informed consent
Exclusion Criteria:
- Diagnosed with brain metastasis
- Diagnosed with severe Chronic Obstructive Pulmonary Disease (COPD) or emphysema
- Have New York Heart Association class II or greater congestive heart failure
- Requiring chronic home oxygen therapy
- Diagnosed with a sleep disorder (e.g., sleep apnea or narcolepsy)
- Have received more than 3 prior chemotherapy regimens
- Receiving radiation therapy
- Has a less than 6 month life expectancy
- Regular yoga practice within the last 2 months
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Condition 1
Yoga Breathing
|
Yoga breathing and postures; After this initial 3 arm experiment, yoga breathing and postures will be studied in combination.
|
Experimental: Condition 2
Static Yoga
|
Yoga breathing and postures; After this initial 3 arm experiment, yoga breathing and postures will be studied in combination.
|
Experimental: Condition 3
Flowing Yoga
|
Yoga breathing and postures; After this initial 3 arm experiment, yoga breathing and postures will be studied in combination.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Sleep Disturbance as measured by the General Sleep Disturbance Scale
Time Frame: 6 weeks
|
6 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Fatigue as measured by the Lee Fatigue Scale
Time Frame: 6 weeks
|
6 weeks
|
Other Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Quality of Life as measured by the Multidimensional Quality of Life Scale--Cancer
Time Frame: 6 weeks
|
6 weeks
|
Depressive Symptoms as measured by the CES-D
Time Frame: 6 weeks
|
6 weeks
|
Anxiety as measured by the Spielberger State Anxiety Inventory
Time Frame: 6 weeks
|
6 weeks
|
Pain as measured by the modified Brief Pain Inventory
Time Frame: 6 weeks
|
6 weeks
|
Hot Flashes as measured by the Hot Flash Related Daily Interference Scale
Time Frame: 6 weeks
|
6 weeks
|
Mindfulness as measured by the Five Facet Mindfulness Questionnaire
Time Frame: 6 weeks
|
6 weeks
|
Body Awareness as measured by the Multidimensional Assessment of Interoceptive Awareness
Time Frame: 6 weeks
|
6 weeks
|
Coping and Self Efficacy as measured by the Coping and Self Efficacy Scale
Time Frame: 6 weeks
|
6 weeks
|
Social Support as measured by single items on social support
Time Frame: 6 weeks
|
6 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Anand Dhruva, MD, University of California, San Francisco
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
May 1, 2015
Primary Completion (Actual)
October 1, 2019
Study Completion (Actual)
October 1, 2019
Study Registration Dates
First Submitted
April 30, 2015
First Submitted That Met QC Criteria
May 8, 2015
First Posted (Estimate)
May 13, 2015
Study Record Updates
Last Update Posted (Actual)
November 14, 2019
Last Update Submitted That Met QC Criteria
November 12, 2019
Last Verified
November 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15-15691
- R34AT007935 (U.S. NIH Grant/Contract)
- 15991 (Other Identifier: University of California, San Francisco)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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