- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03955991
VSMART (Video-Conference Stress Management and Relaxation Training for Older Women With Breast Cancer) (VSMART)
August 4, 2023 updated by: Michael H. Antoni, University of Miami
Stress Management Effects on Affective Status and Influenza Vaccine Response in Older Breast Cancer Patients
The proposed study tests the effects of a novel remotely-delivered group cognitive behavioral stress management (R-CBSM) intervention on improving health and quality of life in older women undergoing breast cancer (BCa) treatment.
This study tests if delivered home-based group CBSM (R-CBSM) improves response to influenza vaccine (IV) in parallel with improved psychological adaptation, inflammation and other immune functioning indicators in older women treated for BCa.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
120
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Dolores M Perdomo, Ph.D.
- Phone Number: 305-355-9057
- Email: dperdomo@med.miami.edu
Study Locations
-
-
Florida
-
Coral Gables, Florida, United States, 33124
- Flipse Building
-
-
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
50 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Must meet the criterion of a score of >14 on the Impact of Event Scale-Intrusion scale (IES-I48) for cancer-specific distress or self-report at least moderate distress (score of 4 or greater) on a screening question, "How would you rate your distress level, over the past week, on a scale of 0 to 10, with 0 meaning no distress and 10 being extreme distress"
- No prior history of cancer (with the exception of non-melanoma skin cancer)
- Life expectancy of > 12 months.
- No diagnosis of major psychiatric condition or mental disorder (i.e. schizophrenia, psychosis, and/or bipolar disorder) or active (in the past 12 months) Major Depressive Disorder (MDD), panic disorder, Post Traumatic Stress Disorder (PTSD) diagnosis or history of suicide thoughts, attempts or plans.
- No substance dependency in the past 12 months.
- No acute or chronic co-morbid medical condition with known effects on the immune system (e.g., HIV infection, autoimmune diseases)
- No prior neo-adjuvant therapy
- No current medications that act as direct immunomodulators (e.g., Granulocyte Macrophage Colony Stimulating Factor (GM-CSF), interferons)
- No significant cognitive impairment, must score <31 on the Telephone Interview for Cognitive Status (TICS)49.
- At least a 6th grade reading level in English and be available for follow-up
- Women age 50 and older diagnosed with stage 0-III breast cancer.
Exclusion Criteria:
- Does not meet all Inclusion Criteria.
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: R-CBSM
10 weeks of group intervention convene by a broadband connection for approximately 75-90 minutes.
Intervention given prior to Influenza Vaccine.
|
10 weekly educational modules via an electronic tablet.
A participant workbook is also provided that contains a summary of the rationale for each module, outline of each technique, and homework exercises.
Standard of care Influenza vaccine for that given year.
|
Active Comparator: Wait List Condition (WLC)
Persons assigned to this group will receive R-CBSM approximately 28 days after receiving the Influenza Vaccine.
|
10 weekly educational modules via an electronic tablet.
A participant workbook is also provided that contains a summary of the rationale for each module, outline of each technique, and homework exercises.
Standard of care Influenza vaccine for that given year.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hemagglutination inhibition assay (HAI) - Fold response to IV
Time Frame: 28 days post vaccine
|
As measure HAI antibody titers change from pre-vaccine to 28 days post vaccine
|
28 days post vaccine
|
Percent of cases that achieve a clinical vaccine response of greater than or equal to 4 fold titer increase.
Time Frame: 28 days post vaccine
|
Participant's score will be dichotomized into whether 4 fold increase was achieved.
Via serum.
|
28 days post vaccine
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Affective Status
Time Frame: Baseline (T0), 6 months (T1), 7-days post IV (T2), 28-day post IV (T3), 12 month post Baseline (T4).
|
Affective Status is comprised of the Impact of Event Score Intrusion (IES-I), Affect Balance Scale (ABS) negative affect, positive affect and Center for Epidemiologic Studies Depression (CES-D) that comprise a latent construct
|
Baseline (T0), 6 months (T1), 7-days post IV (T2), 28-day post IV (T3), 12 month post Baseline (T4).
|
Change in Circulating Cytokine levels
Time Frame: Baseline (T0), 6 months (T1), 7-days post IV (T2), 28-day post IV (T3)
|
Serum from blood samples will be evaluated for cytokine indices for Interleukin (IL) 1, IL-6 and Tumor Necrosis Factor (TNF-Alpha). |
Baseline (T0), 6 months (T1), 7-days post IV (T2), 28-day post IV (T3)
|
Change in Affective Status markers
Time Frame: Baseline (T0) to 28-day post IV (T3).
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Affective status change as measured by a Latent variable that compares the effects of the 2 groups.
|
Baseline (T0) to 28-day post IV (T3).
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Change in Immune Status measured by Activation Induced Cytidine Deaminase (AID) in response to Cytosine-phosphate -Guanine (CpG)
Time Frame: Baseline (T0) to 6 months (T1).
|
Level of AID activity in B cells
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Baseline (T0) to 6 months (T1).
|
Change in Immune Status measured by Switched B-cells (swB)
Time Frame: Baseline (T0) to 28-day post IV (T3).
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Percentage of B-cells indicator.
|
Baseline (T0) to 28-day post IV (T3).
|
Magnitude of Immune changes associated with Flu Vaccine response
Time Frame: Baseline (T0) to 28-day post IV (T3)
|
Measured by a change score in sw B-Cell and AID response with change HAI response
|
Baseline (T0) to 28-day post IV (T3)
|
Magnitude of Inflammatory changes associated with Flu Vaccine response
Time Frame: Baseline (T0) to 28-day post IV (T3)
|
Measured by a change score in inflammatory cytokines with change in HAI response
|
Baseline (T0) to 28-day post IV (T3)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Michael H Antoni, Ph.D, University of Miami
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 (Actual)
July 21, 2016
Primary Completion (Estimated)
July 1, 2024
Study Completion (Estimated)
July 1, 2024
Study Registration Dates
First Submitted
May 15, 2019
First Submitted That Met QC Criteria
May 15, 2019
First Posted (Actual)
May 20, 2019
Study Record Updates
Last Update Posted (Actual)
August 7, 2023
Last Update Submitted That Met QC Criteria
August 4, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20160525
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
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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