NCT00486525

Brief Summary

RATIONALE: Yoga may improve inflammation, fatigue, and depression in female breast cancer survivors. PURPOSE: This randomized clinical trial is studying how well Hatha yoga works in improving physical activity, inflammation, fatigue, and distress in female breast cancer survivors.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P50-P75 for not_applicable breast-cancer

Timeline
Completed

Started Aug 2007

Longer than P75 for not_applicable breast-cancer

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 13, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

June 14, 2007

Completed
2 months until next milestone

Study Start

First participant enrolled

August 1, 2007

Completed
5.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2012

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2013

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

April 10, 2014

Completed
Last Updated

May 5, 2014

Status Verified

April 1, 2014

Enrollment Period

5.3 years

First QC Date

June 13, 2007

Results QC Date

November 14, 2013

Last Update Submit

April 17, 2014

Conditions

Keywords

fatiguedepressionpaincancer survivorstage IA breast cancerstage IB breast cancerstage II breast cancerstage IIIA breast cancerbreast cancer in situ

Outcome Measures

Primary Outcomes (6)

  • Stimulated ln (TNF-a)

    log-transformed Lipopolysaccharide (LPS) stimulated Tumor Necrosis Factor-alpha (TNF-alpha)

    Immediately post-treatment and 3 months post-treatment

  • Stimulated ln (IL-6)

    log-transformed Lipopolysaccharide (LPS) stimulated Interleukin-6 (IL-6)

    Immediately post-treatment and 3 months post-treatment

  • Stimulated ln (IL-1b)

    log-transformed Lipopolysaccharide (LPS) stimulated Interleukin-1 beta (IL-1b)

    Immediately post-treatment and 3 months post-treatment

  • MFSI-SF Fatigue

    The 30-item Multidimensional Fatigue Symptom Inventory-Short form (MFSI-SF) assesses behavioral, cognitive, physical, and affective expressions of fatigue. Items are rated on a 5-point scale indicating how true each statement was for the respondent during the last week (0=not at all; 4=extremely). The total score represents the sum of the subscales measuring general, physical, emotional, and mental fatigue, minus the vigor scale, providing a possible range of scores from -24 to 96, with higher scores indicating greater fatigue.

    Immediately post-treatment and 3 months post-treatment

  • Vitality, SF-36

    The SF-36's (RAND Health Survey) energy/fatigue (vitality) scale focuses on the frequency of feelings of fatigue over the last month. Standardized scores on the RAND SF-36 vigor/vitality scale range from 0-100, with higher scores indicating less fatigue.

    Immediately post-treatment and 3 months post-treatment

  • CES-D

    The Center for Epidemiological Studies Depression Scale (CES-D) is a self-report scale designed to measure current symptoms of depression rated on a four-point likert scale. Scores range from 0-60, with higher scores indicating a higher frequency of depressive symptoms.

    Immediately post-treatment and 3 months post-treatment

Study Arms (2)

Arm I: Yoga Therapy

EXPERIMENTAL

Patients participate in a Hatha yoga session over 90 minutes twice weekly for 12 weeks. Patients are also encouraged to practice yoga at home using the appropriate DVD/video segments for the month.

Procedure: Yoga Therapy

Arm II: Wait-List

NO INTERVENTION

Wait-listed women were told to continue performing their usual activities, and to refrain from beginning any yoga practice. After their final assessment they were offered the yoga classes.

Interventions

Yoga TherapyPROCEDURE

Patients will undergo yoga therapy

Also known as: Yoga
Arm I: Yoga Therapy

Eligibility Criteria

Age21 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Hemoglobin ≥ 10 g/dL (patients with a hemoglobin of \< 10 g/dL may be retested in 6 weeks after treatment of anemia and allowed to participate in study if blood counts recovered)
  • Physically able to fully participate in yoga intervention

You may not qualify if:

  • Inability to comfortably get up and down from the floor 2-3 times in a session
  • Breathing problems requiring use of oxygen
  • Problems walking without a cane or walker assistance
  • Prior knee or hip replacement with limited movement in the joint
  • Inability to comfortably lie on the stomach
  • Alcohol, or drug abuse
  • Diagnosis of any of the following conditions:
  • Diabetes
  • Chronic obstructive pulmonary disease
  • Uncontrolled hypertension
  • Evidence of liver or kidney failure
  • Symptomatic ischemic heart disease
  • Significant visual or auditory problems
  • Mental disorder or cognitive impairment
  • Notable serious cardiovascular history (e.g., prior life-threatening abnormal heart rhythms)
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center

Columbus, Ohio, 43210-1240, United States

Location

Related Publications (1)

  • Kiecolt-Glaser JK, Bennett JM, Andridge R, Peng J, Shapiro CL, Malarkey WB, Emery CF, Layman R, Mrozek EE, Glaser R. Yoga's impact on inflammation, mood, and fatigue in breast cancer survivors: a randomized controlled trial. J Clin Oncol. 2014 Apr 1;32(10):1040-9. doi: 10.1200/JCO.2013.51.8860. Epub 2014 Jan 27.

Related Links

MeSH Terms

Conditions

Breast NeoplasmsDepressionFatiguePainBreast Carcinoma In Situ

Interventions

Yoga

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesBehavioral SymptomsBehaviorSigns and SymptomsPathological Conditions, Signs and SymptomsNeurologic ManifestationsCarcinoma in SituCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic Type

Intervention Hierarchy (Ancestors)

Mind-Body TherapiesComplementary TherapiesTherapeuticsSpiritual TherapiesExercise Movement TechniquesPhysical Therapy Modalities

Limitations and Caveats

We did not compare yoga to an active control group; Fatigue and depressive symptoms were not used as part of the inclusion criteria. Accordingly, our data may underestimate yoga's potential benefit.

Results Point of Contact

Title
Janice Kiecolt-Glaser, Principal Investigator
Organization
Ohio State University Comprehensive Cancer Center

Study Officials

  • Janice Kiecolt-Glaser, PhD

    Ohio State University Comprehensive Cancer Center

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 13, 2007

First Posted

June 14, 2007

Study Start

August 1, 2007

Primary Completion

November 1, 2012

Study Completion

March 1, 2013

Last Updated

May 5, 2014

Results First Posted

April 10, 2014

Record last verified: 2014-04

Locations