Symptoms and Signs Clinical Trial
Official title:
Examining the Impact of an Integrative Oncology Program on Patient Symptoms and Quality of Life: a Prospective Pragmatic Registry Protocol Study
The use of complementary and integrative medicine (CIM) among oncology patients is widespread, with a large body of research-based evidence supporting the ability of these therapies to alleviate symptoms related to cancer and its treatment. Organizations such as the American Society for Clinical Oncology and the European Society for Medical Oncology have included CIM modalities in their treatment guidelines, and many of today's leading cancer centers include CIM in their supportive care service. The proposed study will prospectively examine the impact of a CIM treatment program on the symptom burden, quality of life and function of patients undergoing active oncology treatment. A total of 750 patients will undergo an integrative oncologist (IP) consultation followed by a series of 8 CIM treatments consisting of either acupuncture or touch-related therapies (reflexology, Shiatsu, Tuina, etc.) with the goal of relieving their symptoms. Patients will be allocated to one of the two study treatment arms: the "Patient-Preference Arm", for patients who specify their preference for either acupuncture or touch therapy; and the "Randomized Treatment Arm", for those with no preference, to be randomly allocated to either the acupuncture or touch-therapy subgroup. Patients will be asked to complete the following study questionnaires before and after the treatment regimen: the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30); the Edmonton Symptom Assessment System (ESAS); and the Measure Yourself Concerns and Wellbeing (MYCAW) tool. The primary study outcome will be the change in EORTC Global Health-Status / Quality of Life scores, from pre- to post-treatment. Secondary study outcomes will include EORTC QLQ-C30 functional and symptom scales, single items assessing additional symptoms commonly reported by cancer patients, and perceived financial impact of the disease; ESAS severity scores for 10 quality-of life related items; and MYCAW severity scores for the 2 most significant symptoms, as well as post-treatment narratives. Other secondary outcomes to be assessed include the safety of the study treatments (adverse effects); adherence to conventional treatment regimen; and narratives from the patient's informal caregiver (spouse, parent/child, sibling, friend, etc.).
Status | Recruiting |
Enrollment | 750 |
Est. completion date | January 1, 2025 |
Est. primary completion date | July 31, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - age = 18 years - undergoing active oncology treatment - fully understand the study plan - agree to sign the study informed consent form. Exclusion Criteria: - not fulfilling all of the study criteria - not interested in attending all 8 weekly CIM treatments sessions |
Country | Name | City | State |
---|---|---|---|
Israel | Institute of Oncology, Shaare Zedek Medical Center | Jerusalem |
Lead Sponsor | Collaborator |
---|---|
Shaare Zedek Medical Center |
Israel,
Ben-Arye E, Dahly H, Keshet Y, Dagash J, Samuels N. Providing integrative care in the pre-chemotherapy setting: a pragmatic controlled patient-centered trial with implications for supportive cancer care. J Cancer Res Clin Oncol. 2018 Sep;144(9):1825-1833. doi: 10.1007/s00432-018-2700-y. Epub 2018 Jul 6. — View Citation
Samuels N, Ben-Arye E. Integrative Approaches to Chemotherapy-Induced Peripheral Neuropathy. Curr Oncol Rep. 2020 Feb 11;22(3):23. doi: 10.1007/s11912-020-0891-2. — View Citation
Samuels N, Oberbaum M, Ben-Arye E. Expectations of Patients and Their Informal Caregivers from an Integrative Oncology Consultation. Integr Cancer Ther. 2021 Jan-Dec;20:1534735421990080. doi: 10.1177/1534735421990080. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | EORTC QLQ-C30 global health status / QoL scale | Change from baseline to the end of the 8-week integrative treatment program | 8 weeks | |
Secondary | EORTC QLQ-C30 global health status / QoL scale | Change from baseline and 8-week assessment to 16 week follow-up | 16 weeks | |
Secondary | EORTC QLQ-C30 - additional outcomes | Change in functional and symptom scores | From baseline to 8- (end of treatment program) and 16-week (post-program) assessment | |
Secondary | ESAS symptom severity scores | Change in severity scores for 10 quality-of life related items | From baseline to 8- (end of treatment program) and 16-week (post-program) assessment | |
Secondary | MYCAW symptom severity scores | Change in severity scores for the 2 most significant symptoms, as well as post-treatment narratives | From baseline to 8- (end of treatment program) and 16-week (post-program) assessment | |
Secondary | Frequency of adverse effects | Any reported adverse events taking place during the study period which are considered to have possibly/probably resulted from the CIM intervention | At the end of the series of 8 weekly CIM treatment sessions (= 2 weeks after the last treatment session); after 16 weeks from baseline. | |
Secondary | Adherence to conventional oncology treatment regimen | Adherence to oncology treatment to be measured using the Relative Dose Intensity (RDI) calculation | At 16 weeks from baseline. | |
Secondary | Caregiver expectations | Narratives from the patient's informal caregiver (spouse, parent/child, sibling, friend, etc.). | At baseline |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04892004 -
Symptom Recognition Improves Self-care in Patients With Heart Failure.
|
N/A | |
Recruiting |
NCT06446999 -
Yoga-Based Breathing Exercise, Colorectal Cancer Surgery
|
N/A | |
Not yet recruiting |
NCT05505188 -
Predictive and Impact of Pain After 6 Months of Radiotherapy, in Head and Neck Cancer
|
N/A | |
Completed |
NCT04864600 -
CANDLE - A Study of Acute Health Effects of Exposure to Particles Generated by Candles
|
N/A | |
Completed |
NCT03336177 -
Understanding Low Gynecological Cancer Delay and Help-seeking Behavior in Older Patients.
|
||
Completed |
NCT06395025 -
Blinded User Study for the Evaluation of the Acceptability and Efficacy of One Medical Device in Venous Return in Comparison With a Control Group
|
N/A | |
Completed |
NCT04292665 -
Effects of Classical Massage and Benson Relaxation Exercise on Heart Failure Patients
|
N/A | |
Recruiting |
NCT05680831 -
Pulmonary and Inflammatory Responses Following Exposure to a Low Concentration of Ozone or Clean Air
|
Phase 1 | |
Recruiting |
NCT05681975 -
Immunoglobulin G4 and Immunoglobulin E Antibodies in a Population With Adverse Reactions to Foodstuffs-related Symptoms
|
||
Completed |
NCT04169919 -
Modified Treatment for Epidemic Keratoconjunctivitis (EKC)
|
N/A | |
Recruiting |
NCT06436651 -
Digital Storytelling in Symptom Management Pediatric Oncology
|
N/A | |
Not yet recruiting |
NCT05837988 -
Construction of Symptom Network in Maintenance Hemodialysis Patients
|
||
Recruiting |
NCT05092568 -
Comparison of General Characteristics of Patients Diagnosed COVID-19 (Coronavirus )Positive Followed In Service
|
||
Recruiting |
NCT03968718 -
PATIENT VOICES Integration of Systematic Assessment of Patient Reported Outcomes Within Clinical Oncology Practice
|
N/A | |
Completed |
NCT05556707 -
Symptom Clusters and Risk Factors of COVID-19 Patients
|
||
Completed |
NCT06153680 -
Consumer Study for the Evaluation of the Usability and Efficacy of One Medical Device in Venous Return
|
N/A | |
Completed |
NCT04873349 -
Standardized Olive Leaf Capsules; as a Co-therapy in the Treatment of COVID-19 Patients
|
N/A | |
Recruiting |
NCT06136221 -
Testing LiverWatch, a Home-Based Remote-Monitoring Intervention for Advanced Liver Disease
|
N/A | |
Recruiting |
NCT05827406 -
A Useful Support System for Psychiatric Diagnostics and Follow-up in Adult Psychiatry and Primary Care (ASPP)
|
||
Completed |
NCT06215339 -
Diet Therapy in Hemodialysis Patients
|
N/A |