- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04024917
Impact of Cardiac Coherence on Anxiety in Patients Operated on for a Peritoneal Carcinosis (COCOON)
Implementation of a Cardiac Coherence Program to Reduce Anxiety in Patients With Peritoneal Carcinosis Treated by Surgery: Randomized Pilot Study
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Jean-Pierre BLEUSE, MD
- Phone Number: +33 4 67 61 31 02
- Email: DRCI-icm105@icm.unicancer.fr
Study Locations
-
-
Hérault
-
Montpellier, Hérault, France, 34298
- Recruiting
- ICM
-
Contact:
- Jean-Pierre Bleuse, MD
- Phone Number: +33 467613102
- Email: jean-pierre.bleuse@icm.unicancer.fr
-
Principal Investigator:
- Estelle Guerdoux, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age over 18 years
- Patients with peritoneal carcinosis awaiting cytoreductive surgery
- Patients who scored strictly above 3 on the visual analogue anxiety scale and/or the psychological distress scale
- Patients with sufficient command of the French language
- Patient affiliated to a French social security system
- Patient hospitalized at the Institute of cancer of Montpellier the day before his cytoreductive surgery (at T1 = D-1)
- Signing of informed consent before any specific trial procedure
Exclusion Criteria:
- Patients who already have daily practice of cardiac coherence
- Presence of proven psychiatric disorders (e.g., mental retardation, psychotic disorders, learning disabilities, attention deficit/hyperactivity, bipolar disorder, etc.) other than mood disorders that are reactive to the disease experience, or receiving psychotic treatment that may impair thinking, judgment or discernment
- Physical or sensory inability to respond to questionnaires
- Patients who have had a heart transplant or bypass surgery in the Year before surgery
- Patient with a history of uncontrolled neurological pathology within the last 6 months before inclusion in the trial
- Patients with a history of psychoactive substance dependence (excluding smoking) in the last 6 months before inclusion in the trial
- Patients with brain metastases
- Known natural bradycardia 50 beats per minute
- Beta-blocker intake in progress (digoxin, flecaine, isoptin, cordarone, diltiazem)
- Ongoing cardiac arrhythmias
- Known severe heart failure with ventricular ejection fraction strictly Below 40 %
- Chronic uncontrolled pain and making it difficult to practice the technique
- Patient with chronic obstructive pulmonary disease
- Legal incapacity (patient under guardianship or curatorship)
Study Plan
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 |
---|---|
Active Comparator: Standard care
|
Standard care
|
Experimental: Coherence cardiac
|
An initiation session to cardiac coherence will take place D-11 before the operation (during the surgical consultation) in order to obtain a breathing rate of 6 cycles/min via a free application (Respirelax) with listening to an audio tape. 3 cardiac coherence sessions per day of 5 min (before meals) during the 11 days preceding the operation. - The program cardiac coherence will be performed during 90 days after the surgery |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cardiac Coherence Program Adherence Rate
Time Frame: Around 10 days
|
Cardiac Coherence Program Adherence Rate.
Patients are considered in "success" adhere to the program) if they will perform at least 20 of the 30 sessions scheduled until surgery (minimum 1 practice per day).
|
Around 10 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anxiety by using the visual analogue scale (VAS)
Time Frame: 90 days
|
This scale measures the anxiety of patient.
It's a visual analogue scale which is also known as linear analogue scale.
These scales require respondents to place a mark on a line on which opposing statements or descriptions are placed at either end of a (usually) 10 cm line.
The points at which respondents make their mark represent where they perceive their answer to lie in this continuum.
The distance between their mark and one end (or the mid-point) of the scale is recorded.
The position on the left being the absence of anxiety and the position on the right an unbearable anxiety.
|
90 days
|
Anxiety and depression by using the hospital anxiety and depression scale (HADS)
Time Frame: 90 days
|
One subscale for evaluation of anxiety from 0 (lower anxiety) to 21 (higher anxiety) and the other subscale for depression from 0 (lower anxiety) to 21 (higher depression)
|
90 days
|
Psychological distress scale
Time Frame: 90 days
|
This scale measures the psychological distress of the patient .
Psychological distress is characterized by the presence of symptoms, most often depressive or anxious.It's a visual analogue scale which is also known as linear analogue scale.
These scales require respondents to place a mark on a line on which opposing statements or descriptions are placed at either end of a line.
The position of the mark on the top is the higher psychological distress and at the bottom the lower psychological distress.
|
90 days
|
Generalized anxiety by using Freeston's uncertainty tolerance scale
Time Frame: 90 days
|
The scale is used to identify people with generalized anxiety disorder compared to people with other anxiety disorders or people without pathologies.
Range is from 27 (lower uncertainty) to 135 (higher uncertainty)
|
90 days
|
Heart rate variability
Time Frame: 90 days
|
The heart rate variability is determined by using the software EmWave Pro which measures the ratio low frequencies/high frequencies.
|
90 days
|
Quality of life by using the quality of life questionnaire score (QLQ-C30)
Time Frame: 90 days
|
The EORTC QLQ-C30 uses for the questions 1 to 28 a 4-point scale. The scale scores from 1 to 4: 1 ("Not at all"), 2 ("A little"), 3 ("Quite a bit") and 4 ("Very much"). Half points are not allowed. The range is 3. For the raw score, less points are considered to have a better outcome. The EORTC QLQ-C30 uses for the questions 29 and 30 a 7-points scale. The scale scores from 1 to 7: 1 ("very poor") to 7 ("excellent"). Half points are not allowed. The range is 6. First of all, raw score has to be calculated with mean values. Afterwards linear transformation is performed to be comparable. More points are considered to have a better outcome. |
90 days
|
Number of days of hospitalization after surgery
Time Frame: 1 month
|
1 month
|
|
Pain by using the visual analogue scale (VAS)
Time Frame: 90 days
|
This scale measures the pain of patient.
It's a visual analogue scale which is also known as linear analogue scale.
These scales require respondents to place a mark on a line on which opposing statements or descriptions are placed at either end of a (usually) 10 cm line.
The points at which respondents make their mark represent where they perceive their answer to lie in this continuum.
The distance between their mark and one end (or the mid-point) of the scale is recorded.
The position on the left being the absence of pain and the position on the right an unbearable pain.
|
90 days
|
Concentration of salivary immunoglobulin A
Time Frame: 90 days
|
90 days
|
|
Number of cardiac coherence sessions per day and by patient
Time Frame: Through the study, an average of 1 year
|
Through the study, an average of 1 year
|
|
Reasons of non-participation reported by patients and registered in the form of inclusion
Time Frame: Through study completion, an average of 1 year
|
Through study completion, an average of 1 year
|
|
Number of patients satisfied with the cardiac coherence program
Time Frame: 90 days
|
90 days
|
|
Subjective anxiety score by using the state-trait anxiety inventory form A (STAI-Y form A) questionnaire
Time Frame: 90 days
|
State anxiety reflects the current emotional state, which allows the patient's nervousness and worry to be assessed during the session.
The range is from 20 (lower anxiety) to 80 (higher anxiety).
The patient must answer 20 questions for each part, each answer being on a 4 point Likert scale.
|
90 days
|
Subjective anxiety score by using the state-trait anxiety inventory form B (STAI-Y form B) questionnaire
Time Frame: 90 days
|
Trait anxiety reflects the usual emotional state.
The range is from 20 (lower anxiety) to 80 (higher anxiety).The patient must answer 20 questions for each part, each answer being on a 4 point Likert scale
|
90 days
|
Composite anxiety symptomatology score
Time Frame: 90 days
|
Score including psychological, physiological and biological variables
|
90 days
|
Feedback from the instructor and investigator
Time Frame: 90 days
|
90 days
|
|
Recruitment and retention rates
Time Frame: 1 year
|
1 year
|
|
Duration of cardiac coherence sessions in minutes
Time Frame: Through study completion, an average of 1 year
|
Through study completion, an average of 1 year
|
Collaborators and Investigators
Investigators
- Study Chair: Estelle Guerdoux-Ninot, MD, Institut Regional du Cancer de Montpellier
Publications and helpful links
General Publications
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- Foster C, Haviland J, Winter J, Grimmett C, Chivers Seymour K, Batehup L, Calman L, Corner J, Din A, Fenlon D, May CM, Richardson A, Smith PW; Members of the Study Advisory Committee. Pre-Surgery Depression and Confidence to Manage Problems Predict Recovery Trajectories of Health and Wellbeing in the First Two Years following Colorectal Cancer: Results from the CREW Cohort Study. PLoS One. 2016 May 12;11(5):e0155434. doi: 10.1371/journal.pone.0155434. eCollection 2016.
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Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Neoplasms, Glandular and Epithelial
- Peritoneal Diseases
- Digestive System Neoplasms
- Abdominal Neoplasms
- Neoplasms, Cystic, Mucinous, and Serous
- Adenoma
- Neoplasms, Mesothelial
- Adenocarcinoma, Mucinous
- Carcinoma
- Peritoneal Neoplasms
- Mesothelioma
- Pseudomyxoma Peritonei
Other Study ID Numbers
- PROICM 2019-12 COC
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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