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Individualized Education for Bortezomib-Related Symptom Management in Multiple Myeloma

19 de agosto de 2026 actualizado por: Can Lafci

Investigation of the Effect of Education Given to Patients With Multiple Myeloma on Symptom Severity

This study evaluated an individualized, nurse-delivered education program for managing treatment-related symptoms in patients with newly diagnosed multiple myeloma receiving bortezomib for the first time. A total of 40 patients participated. Twenty patients received two individual education sessions in addition to routine care, while 20 patients in the control group received routine care. The education focused on recognition, prevention, and management of common bortezomib-related symptoms, including peripheral neuropathy, pain, nausea, vomiting, diarrhea, constipation, fatigue, anemia, bleeding risk, infection risk, and dyspnea. Treatment-related symptoms were assessed before treatment and education (baseline), on day 21, and on day 63. The study aimed to evaluate whether individualized patient education was associated with differences in the occurrence and severity of treatment-related symptoms over time.

Descripción general del estudio

Estado

Terminado

Condiciones

Tipo de estudio

Intervencionista

Inscripción (Actual)

49

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • Istanbul
      • İzmir, Istanbul, Turquía (Türkiye), 34854
        • Ege University Faculty of Medicine, Berna Türek Chemotherapy Center

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto
  • Adulto Mayor

Acepta Voluntarios Saludables

No

Descripción

Inclusion Criteria:

  • Age 18 years or older
  • Newly diagnosed with multiple myeloma
  • Scheduled to receive bortezomib 1.3 mg/m² on days 1, 4, 8, and 11
  • Able to communicate
  • Able to read and write
  • Willing to participate in the study

Exclusion Criteria:

  • Younger than 18 years
  • Presence of a disease or condition that could affect the nervous system, such as brain metastasis or diabetes
  • Cognitive impairment
  • Unstable vital signs
  • History of alcohol use
  • Communication impairment
  • Unwilling to participate in the study

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Cuidados de apoyo
  • Asignación: No aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Individualized Education Group
Participants received two individualized, nurse-delivered education sessions in addition to routine care. The education addressed recognition, prevention, and management of common bortezomib-related symptoms. Written and visual educational materials were used, and participants were encouraged to monitor symptoms and contact the researcher when needed.
The intervention consisted of two individualized education sessions delivered by the researcher using a Care and Treatment Guide for Patients and Families. The program addressed multiple myeloma and management of bortezomib-related peripheral neuropathy, pain, nausea, vomiting, diarrhea, constipation, fatigue, anemia, bleeding risk, infection risk, and dyspnea. Written and visual materials were used. The second session reinforced topics that were not fully understood, encouraged symptom monitoring with a diary, and provided telephone access to the researcher.
Sin intervención: Routine Care Control Group
Participants received routine care during the study follow-up period without the individualized education intervention. The education booklet was provided after the final study assessment on day 63.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Motor Neuropathy Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Motor neuropathy severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 motor neuropathy grading scale. Severity was graded from 0 to 4, with 0 indicating no motor neuropathy and higher grades indicating greater severity; grade 4 indicates paralysis.
Baseline before treatment and education, Day 21, and Day 63
Sensory Neuropathy Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Sensory neuropathy severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 sensory neuropathy grading scale. Severity was graded from 0 to 4, with 0 indicating no sensory neuropathy and higher grades indicating greater symptom severity.
Baseline before treatment and education, Day 21, and Day 63
Abdominal Pain Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Abdominal pain severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 abdominal pain grading scale. Severity was graded from 0 to 4, with 0 indicating no abdominal pain and higher grades indicating greater severity; grade 4 indicates life-threatening severity.
Baseline before treatment and education, Day 21, and Day 63
Nausea Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Nausea severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 nausea grading scale. Severity was graded from 0 to 3, with 0 indicating no nausea and higher grades indicating greater symptom severity.
Baseline before treatment and education, Day 21, and Day 63
Vomiting Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Vomiting severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 vomiting grading scale. Severity was graded from 0 to 4, with 0 indicating no vomiting and higher grades indicating greater symptom severity; grade 4 indicates life-threatening severity.
Baseline before treatment and education, Day 21, and Day 63
Diarrhea Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Diarrhea severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 diarrhea grading scale. Severity was graded from 0 to 4, with 0 indicating no diarrhea and higher grades indicating greater symptom severity.
Baseline before treatment and education, Day 21, and Day 63
Constipation Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Constipation severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 constipation grading scale. Severity was graded from 0 to 4, with 0 indicating no constipation and higher grades indicating greater symptom severity; grade 4 indicates obstruction or toxic megacolon.
Baseline before treatment and education, Day 21, and Day 63
Fatigue Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Fatigue severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 fatigue grading scale. Severity was graded from 0 to 4, with 0 indicating no fatigue and higher grades indicating greater symptom severity.
Baseline before treatment and education, Day 21, and Day 63
Dyspnea Severity Assessed by NCI-CTC Version 2.0
Periodo de tiempo: Baseline before treatment and education, Day 21, and Day 63
Dyspnea severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 dyspnea grading scale. Severity was graded from 0 to 4, with 0 indicating no dyspnea and higher grades indicating greater symptom severity; grade 4 indicates dyspnea at rest or a need for ventilatory support.
Baseline before treatment and education, Day 21, and Day 63

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

5 de febrero de 2018

Finalización primaria (Actual)

31 de agosto de 2018

Finalización del estudio (Actual)

31 de agosto de 2018

Fechas de registro del estudio

Enviado por primera vez

15 de agosto de 2026

Primero enviado que cumplió con los criterios de control de calidad

15 de agosto de 2026

Publicado por primera vez (Actual)

19 de agosto de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

20 de agosto de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

19 de agosto de 2026

Última verificación

1 de agosto de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Descripción del plan IPD

Individual participant data are not planned to be shared.

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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