Daily Hand-Held Vibration Therapy
Primary Purpose
Neuropathy, Cancer, Chemotherapeutic Drug - Induced Nephropathy
Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Vibration therapy
Sponsored by
About this trial
This is an interventional supportive care trial for Neuropathy focused on measuring Neuropathy, Vibration
Eligibility Criteria
Inclusion Criteria:
- 18 years or older at enrollment
- Able to provide informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization
- Have completed chemotherapy ≥ 60 days prior to enrollment
- Were exposed to neurotoxic chemotherapy with one or more of the following agents in the following doses: Paclitaxel (cumulative dose: ≥ 300 mg/m2) Docetaxel (cumulative dose: ≥ 100 mg/m2) Nab-paclitaxel (cumulative dose: ≥ 750 mg/m2) Oxaliplatin (cumulative dose: ≥ 510 mg/m2) Carboplatin (cumulative dose: ≥ 600 mg/m2) Cisplatin (cumulative dose: ≥ 200 mg/m2) Vincristine (cumulative dose: ≥ 4 mg/m2) Bortezomib (cumulative dose: ≥ 16 mg/m)
- Continue to display evidence of sensory CIPN in the hands rated at a Grade ≥ 2 according the National Cancer Institute's Common Toxicity Criteria-Adverse Events (NCI-CTC-AE, Version 5.0) Scale ≥ 60 days post-chemotherapy
- If solid tumor cancer, must have non-metastatic cancer
- Agree to return to clinic for required study related measurements at specified intervals
Exclusion Criteria:
- Have pre-existing neuropathy affecting the hands not related to chemotherapy (e.g., carpal tunnel syndrome, nerve compression, etc.)
- Known diagnosis of diabetes mellitus.
- Known contraindications for vibration therapy to hands, including deep venous thrombosis of the upper extremity or ongoing skin infection.
- Will be receiving concurrent radiation of the upper-extremity
Sites / Locations
- Indiana University Melvin & Bren Simon Cancer CenterRecruiting
- IU Health Joe & Shelly Schwarz Cancer CenterRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Vibration Therapy
Arm Description
Patients will hold a hand held vibrating device for 3 minutes on each hand daily for 4 weeks.
Outcomes
Primary Outcome Measures
Feasibility of recruitment- percentage of patients who agree to participate in the study after screening
Feasibility of compliance- percentage of vibration therapy sessions completed
Compliance with the daily vibration therapy sessions will be evaluated using data from a Daily Compliance Form Researchers will calculate the percentage of sessions that were completed calculated for each participant, on each hand. Participant compliance with the intervention will be considered acceptable if participants complete ≥ 80% of the sessions they were assigned.
Acceptability of Intervention- percentage of patients who answer agree on acceptability form
percentage of participants who answer "somewhat agree," "agree," or "strongly agree" on the intervention acceptability form
Change in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Chemotherapy Induced Peripheral Neuropathy twenty-item scale (CIPN20) scores
CIPN 20 questionnaire scores will be compared to baseline weekly to identify an increase of 30% during the intervention period. The CIPN scores range from 20 to 80 with 80 being consistent with the most severe neuropathy symptoms
Secondary Outcome Measures
Change in CIPN Severity via the CIPN20 questionnaire scores
Summary statistics for the weekly CIPN-20 (n, mean, standard deviation, median, minimum, maximum)
Change in CIPN related Quality of Life via the Chemotherapy Induced Peripheral Neuropathy Quality of Life Scale
Descriptive statistics (frequency and percentage for each category, mean and standard deviation of scores assigned to each category (range: 0-7)) will be used to describe the CIPN-related QOL participants have on each of the three categories related to quality of life
Full Information
NCT ID
NCT04207437
First Posted
December 11, 2019
Last Updated
July 24, 2023
Sponsor
Indiana University
Collaborators
Indiana Clinical and Translational Sciences Institute
1. Study Identification
Unique Protocol Identification Number
NCT04207437
Brief Title
Daily Hand-Held Vibration Therapy
Official Title
Daily Hand-Held Vibration Therapy for the Treatment of Chemotherapy Induced Peripheral Neuropathy (CIPN): A Pilot Study
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 6, 2021 (Actual)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
January 31, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Indiana University
Collaborators
Indiana Clinical and Translational Sciences Institute
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this pilot study is to determine the safety and feasibility of a daily 3-minute hand-held vibration therapy intervention to reduce the severity of CIPN in the hands. The investigators hypothesize that daily vibration therapy can reduce the severity of patient's CIPN in their hands and improve CIPN-related quality of life. The hope is that results from this study will provide early data on the feasibility, efficacy, and most importantly, safety, of daily 3-minute hand-held vibration therapy needed to justify future clinical trials examining vibration therapy as a potential option for treating CIPN in the future.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neuropathy, Cancer, Chemotherapeutic Drug - Induced Nephropathy, Chemotherapeutic Toxicity
Keywords
Neuropathy, Vibration
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Subjects will be instructed to perform 3-minutes of vibration therapy per hand each day using a hand held vibration device for 4 weeks. The amount of time that subjects perform vibration therapy will be recorded on their Daily Compliance form and subjects will complete questionnaires daily and weekly.
Masking
None (Open Label)
Allocation
N/A
Enrollment
16 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Vibration Therapy
Arm Type
Experimental
Arm Description
Patients will hold a hand held vibrating device for 3 minutes on each hand daily for 4 weeks.
Intervention Type
Device
Intervention Name(s)
Vibration therapy
Intervention Description
vibration therapy using hand held vibration device
Primary Outcome Measure Information:
Title
Feasibility of recruitment- percentage of patients who agree to participate in the study after screening
Time Frame
recruitment period (up to 1 year after study starts)
Title
Feasibility of compliance- percentage of vibration therapy sessions completed
Description
Compliance with the daily vibration therapy sessions will be evaluated using data from a Daily Compliance Form Researchers will calculate the percentage of sessions that were completed calculated for each participant, on each hand. Participant compliance with the intervention will be considered acceptable if participants complete ≥ 80% of the sessions they were assigned.
Time Frame
4 weeks
Title
Acceptability of Intervention- percentage of patients who answer agree on acceptability form
Description
percentage of participants who answer "somewhat agree," "agree," or "strongly agree" on the intervention acceptability form
Time Frame
4 weeks
Title
Change in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Chemotherapy Induced Peripheral Neuropathy twenty-item scale (CIPN20) scores
Description
CIPN 20 questionnaire scores will be compared to baseline weekly to identify an increase of 30% during the intervention period. The CIPN scores range from 20 to 80 with 80 being consistent with the most severe neuropathy symptoms
Time Frame
baseline, week 1, week 2, week 3, week 4
Secondary Outcome Measure Information:
Title
Change in CIPN Severity via the CIPN20 questionnaire scores
Description
Summary statistics for the weekly CIPN-20 (n, mean, standard deviation, median, minimum, maximum)
Time Frame
baseline, weeks 1, 2, 3, and 4, 5, 6, 7, and week 8
Title
Change in CIPN related Quality of Life via the Chemotherapy Induced Peripheral Neuropathy Quality of Life Scale
Description
Descriptive statistics (frequency and percentage for each category, mean and standard deviation of scores assigned to each category (range: 0-7)) will be used to describe the CIPN-related QOL participants have on each of the three categories related to quality of life
Time Frame
baseline, week 4, week 8
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
18 years or older at enrollment
Able to provide informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization
Have completed chemotherapy ≥ 60 days prior to enrollment
Were exposed to neurotoxic chemotherapy with one or more of the following agents in the following doses: Paclitaxel (cumulative dose: ≥ 300 mg/m2) Docetaxel (cumulative dose: ≥ 100 mg/m2) Nab-paclitaxel (cumulative dose: ≥ 750 mg/m2) Oxaliplatin (cumulative dose: ≥ 510 mg/m2) Carboplatin (cumulative dose: ≥ 600 mg/m2) Cisplatin (cumulative dose: ≥ 200 mg/m2) Vincristine (cumulative dose: ≥ 4 mg/m2) Bortezomib (cumulative dose: ≥ 16 mg/m)
Continue to display evidence of sensory CIPN in the hands rated at a Grade ≥ 2 according the National Cancer Institute's Common Toxicity Criteria-Adverse Events (NCI-CTC-AE, Version 5.0) Scale ≥ 60 days post-chemotherapy
If solid tumor cancer, must have non-metastatic cancer
Agree to return to clinic for required study related measurements at specified intervals
Exclusion Criteria:
Have pre-existing neuropathy affecting the hands not related to chemotherapy (e.g., carpal tunnel syndrome, nerve compression, etc.)
Known diagnosis of diabetes mellitus.
Known contraindications for vibration therapy to hands, including deep venous thrombosis of the upper extremity or ongoing skin infection.
Will be receiving concurrent radiation of the upper-extremity
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nada Kassem
Phone
317-278-5238
Email
nakassem@iu.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Erin Newton, MD
Organizational Affiliation
Indiana University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Indiana University Melvin & Bren Simon Cancer Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nada Kassem
Phone
317-278-5238
Email
nakassem@iu.edu
Facility Name
IU Health Joe & Shelly Schwarz Cancer Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Nada Kassem
Phone
317-278-5238
Email
nakassem@iu.edu
12. IPD Sharing Statement
Plan to Share IPD
No
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