- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04934293
Virtual Reality for Children in Radiotherapy (REVER) (REVER)
For a young patient, the conditions of proton therapy treatment can be stressful. Adjusting the environment can be a source of avoiding this physical and psychological discomfort impacting the quality of treatment.
A fixed, long, uncomfortable position is the main cause of stress, already present due to the cancerous therapeutic course. It extends the positioning time. For the patient and the optimization of his treatment, solutions must be sought.
Relaxation in virtual reality is efficient, simple and non-medicinal and could reduce stress in children and allow irradiation in very good conditions.
We will assess the effectiveness of the virtual reality session using objective (placement time, helmet tolerance) and subjective (perceived anxiety via a dedicated questionnaire) criteria. This is the first pediatric virtual reality study, supported by the French Group of Pediatric Radiotherapists, to reduce anxiety in radiotherapy.
Multiple benefits from this pilot study are expected, such as improved reception conditions, treatment parameters and better acceptance of proton therapy sessions.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The treatment of certain pediatric cancers requires irradiation. These treatments are stressful in children because it is necessary to keep a fixed position that is often uncomfortable. The more the stress increases, the longer the positioning, which again generates stress making the treatment position more and more uncomfortable. This irradiation can be carried out by various conventional techniques, tomotherapy, proton therapy. In all cases, the precise positioning, essential for the successful completion of the treatment, under the treatment machine is an iterative process, requiring long and tedious checks. This positioning step on the treatment table takes about 15 minutes, but depending on the technical difficulty can be extended up to 45 minutes in the most complex cases and depending on the patient's apprehension. This positioning is then checked by placement verification images.
At the Antoine LACASSAGNE Center, the investigators have a new generation proton therapy device. This device allows radiotherapy doses to be delivered extremely precisely, subject to very rigorous positioning, and is therefore particularly suitable for pediatric treatment by protecting organs near the radiation. In addition, proton therapy requires longer sessions than conventional radiotherapy; which generates even more anxiety for the children for whom it is the treatment of choice. Non-drug solutions to reduce this stress are therefore necessary to allow the irradiation to be carried out under optimal conditions in order to ensure the effectiveness and safety of the treatment. In this context, virtual reality (VR) headsets, using relaxation techniques in virtual reality or digital sedation, are presented as a simple solution to reduce the anxiety of children regarding the treatment and would therefore be tested mainly on this modality.
To allow us to assess the effectiveness of this technique on anxiety, the investigators will therefore measure the positioning time necessary before carrying out a treatment session and its reduction via its impact on perceived anxiety thanks to a dedicated questionnaire.
The strength of our study is that it uses simple and reproductive measurement systems such as the measurement of placement time and a validated anxiety scale during Marie POURCHET's science thesis. This is the easy EVAN (Anxiety Assessment) scale adapted to several age groups and developed in pediatric wards.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Anne GARCIA
- Phone Number: 04-92-03-19-44
- Email: Anne.GARCIA@nice.unicancer.fr
Study Contact Backup
- Name: Pierre-Yves BONDIAU, M.D, PhD
- Phone Number: 04-92-03-12-73
- Email: pierre-yves.bondiau@nice.unicancer.fr
Study Locations
-
-
-
Nice, France
- Recruiting
- Centre Antoine Lacassagne
-
Contact:
- Anne GARCIA
- Email: anne.garcia@nice.unicancer.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient treated at the Antoine LACASSAGNE Center for treatment by proton therapy
- Age ≥ 7 years old and ≤ 18 years old
- Patient, and parents for minor children, having read the information notice and signed the informed consent,
- Patient with social security coverage.
Exclusion Criteria:
- Age < 7 years old and > 18 years old,
- Patient under general anesthesia,
- Patient suffering from wounds or infections in the head, deemed incompatible with the use of the helmet by the investigator,
- Patient suffering from respiratory problems,
- Patient suffering from a high level of claustrophobia,
- Patient followed for a psychiatric pathology,
- Patient suffering from unbalanced epilepsy,
- Patient suffering from visual (binocular vision) and / or hearing disorders preventing the use of virtual reality,
- Patient whose head circumference is insufficient for the use of the helmet, deemed incompatible with the use of the helmet by the investigator,
- Patient treated by radio chemotherapy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Arm A_ first with RV then without
Use of the virtual reality headset from the first week of proton therapy
|
Before proton therapy, virtual reality sessions will be performed.
|
Experimental: Arm B- first without RV than with
Use of the virtual reality headset from the second week of proton therapy
|
Before proton therapy, virtual reality sessions will be performed.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Impact of sedation
Time Frame: 2 weeks
|
The first co-primary endpoint of the study is the measurement of the duration of positioning before irradiation; from installation on the table in a lying position to return to the console to start the irradiation (imaging time included).
The measurement of this parameter will make it possible to compare the difference in positioning time with and without digital sedation during the first 5 proton therapy sessions.
|
2 weeks
|
Benefits of using the virtual reality headset from the first proton therapy session
Time Frame: 2 weeks
|
The second co-primary endpoint of the study is the comparison of the difference in positioning time over the first 10 sessions when the virtual reality headset is used from the first session or when it is used from the sixth proton therapy session
|
2 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in anxiety before irradiation
Time Frame: 2 weeks
|
The measurement before each irradiation session of the anxiety in the child using the EVAN questionnaire.
Measuring this parameter will assess: the difference in anxiety before irradiation with and without digital sedation
|
2 weeks
|
The tolerance of the virtual reality procedure
Time Frame: 2 weeks
|
The evaluation of the tolerance of the virtual reality procedure before the proton therapy session by recording the appearance and intensity of an adverse event during the digital sedation session, mainly headache, drowsiness, dizziness, anxiety, creation of false memories, dizziness, eye or muscle twitching or loss of consciousness on light stimulation, eye strain, impaired vision, disorientation, imbalance, coordination disorder, panic or anxiety attack, nausea, vomiting.
The toxicities will be reported in the evaluation grid.
|
2 weeks
|
Collaborators and Investigators
Sponsor
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
Other Study ID Numbers
- 2020/04
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.
Clinical Trials on Pediatric Cancer
-
Emory UniversityNational Cancer Institute (NCI)Recruiting
-
Ann & Robert H Lurie Children's Hospital of ChicagoSilicon Valley Community FoundationUnknownCancer | Pediatric CancerUnited States
-
University of BirminghamCompletedCancer | Pediatric ALL | Pediatric Solid Tumor | Pediatric AMLUnited Kingdom, Australia, Netherlands
-
Alexandria UniversityCompletedPediatric Cancer | Invasive CancerEgypt
-
Nemours Children's ClinicM.D. Anderson Cancer Center; University of Virginia; Children's Hospital Los...RecruitingPediatric CancerUnited States
-
Indiana UniversityNational Cancer Institute (NCI)Not yet recruitingPediatric Cancer
-
Wake Forest University Health SciencesAtrium Health Levine Cancer InstituteRecruitingPediatric CancerUnited States
-
Gustave Roussy, Cancer Campus, Grand ParisSociété Française des Cancers de l'Enfant (SFCE)Recruiting
-
M.D. Anderson Cancer CenterActive, not recruitingPediatric CancerUnited States
-
Akdeniz UniversityCompletedPediatric CancerTurkey
Clinical Trials on Virtual reality
-
Institut National de la Santé Et de la Recherche...Not yet recruitingSchizophrenia | Bipolar Disorder
-
Eskisehir Osmangazi UniversityNot yet recruiting
-
The University of Hong KongRecruiting
-
Universidad Rey Juan CarlosCompleted
-
University of PennsylvaniaNot yet recruitingEnd Stage Kidney Disease
-
National University of MalaysiaRecruitingPleural EffusionMalaysia
-
Stanford UniversityTerminatedConversion Disorder | Non-epileptic Seizures | Functional Neurological Disorder | Functional Movement Disorder | Psychogenic Movement DisorderUnited States
-
University of WashingtonNational Institutes of Health (NIH); University of Texas; National Institute...Completed
-
Centre Hospitalier Universitaire de Saint EtienneInstitut de Cancérologie de la Loire; Gustave Roussy, Cancer Campus, Grand... and other collaboratorsTerminated
-
Hacettepe UniversityRecruitingGonarthrosis; PrimaryTurkey