NCT02489422

Brief Summary

This randomized pilot trial studies how well two supportive programs work for improving fatigue and depressive symptoms in patients with GI undergoing chemotherapy. Possible mediators such as psychological stress, circadian disruption, and inflammation, will also be explored.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
44

participants targeted

Target at P25-P50 for not_applicable depression

Timeline
Completed

Started Aug 2016

Typical duration for not_applicable depression

Geographic Reach
1 country

2 active sites

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 29, 2015

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 3, 2015

Completed
1.1 years until next milestone

Study Start

First participant enrolled

August 1, 2016

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2020

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

May 27, 2021

Completed
Last Updated

October 14, 2022

Status Verified

September 1, 2022

Enrollment Period

3.4 years

First QC Date

June 29, 2015

Results QC Date

February 8, 2021

Last Update Submit

September 15, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Fatigue Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS)

    Fatigue will be assessed with the 7-item measure of Fatigue from the PROMIS-cancer specifically designed for use in cancer patients. These tests will be evaluated using mixed-effects (or multilevel) generalized linear modeling procedures. Score range 1 - never, 2 - rarely, 3 - sometimes, 4 - often and 5 - always. Total scores can range from 24 to 86, with higher scores indicating greater fatigue.

    At baseline, 8 weeks, 10 weeks and 14 weeks after start of intervention

Secondary Outcomes (19)

  • Circadian Disruption (Daily)

    At 0-2 weeks after start of intervention

  • Circadian Disruption (Daily)

    At 8-10 weeks after start of intervention

  • Circadian Disruption (Recalled)

    At baseline, 8 weeks, 10 weeks and 14 weeks after start of intervention

  • Depressive Symptoms Assessed by PROMIS

    At baseline, 8 weeks, 10 weeks and 14 weeks after start of intervention

  • Fatigue (Daily)

    At 0-2 weeks and 8-10 weeks after start of intervention

  • +14 more secondary outcomes

Study Arms (2)

Group I (Yoga Skills Training)

EXPERIMENTAL

Patients participate in YST consisting of four 30 minute in-person yoga sessions at weeks 2, 4, 6, and 8 that instructs skills to enhance mindfulness and promote relaxation, through instruction of awareness, movement, breathing practices, and meditation.

Other: Laboratory Biomarker AnalysisOther: Questionnaire AdministrationOther: Daily Survey AdministrationBehavioral: Yoga Skills TrainingOther: Actigraphy Assessment

Group II (Attention Control)

ACTIVE COMPARATOR

Patients participate in four 30 minute in-person sessions of supportive conversation at weeks 2, 4, 6, 8.

Other: Laboratory Biomarker AnalysisOther: Questionnaire AdministrationOther: Daily Survey AdministrationBehavioral: Attention ControlOther: Actigraphy Assessment

Interventions

Correlative studies

Group I (Yoga Skills Training)Group II (Attention Control)

Ancillary studies

Group I (Yoga Skills Training)Group II (Attention Control)

Ancillary studies

Group I (Yoga Skills Training)Group II (Attention Control)

The YST intervention consists of four 30 minute in-person sessions that instructs skills to enhance mindfulness and promote relaxation. Participants will also be encouraged to practice daily at home.

Also known as: yoga, YST
Group I (Yoga Skills Training)

The AC intervention consists of four 30 minute in-person sessions of supportive conversation. In addition, the interventionist will recommend that the patients write brief diary entries daily at home.

Also known as: empathic attention control, supportive conversation, caring attention control
Group II (Attention Control)

Ancillary studies

Also known as: Circadian Disruption - daily
Group I (Yoga Skills Training)Group II (Attention Control)

Eligibility Criteria

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

You may qualify if:

  • Scheduled to receive first-line Fluorouracil (5FU)-based intravenous chemotherapy treatment for a gastrointestinal cancer (stages II-IV)
  • Have an Eastern Cooperative Oncology Group performance status of =\< 1
  • Ability to understand and the willingness to sign and informed consent document in English

You may not qualify if:

  • Has a self-reported history of diagnosed uncontrolled obstructive sleep apnea (ok if using CPAP), sleep-related seizures, sleep walking more than one time per week, restless leg syndrome, or a job with night shifts

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Wake Forest Baptist Comprehensive Cancer Center

Winston-Salem, North Carolina, 27157, United States

Location

Vanderbilt University/Ingram Cancer Center

Nashville, Tennessee, 37232, United States

Location

Related Links

MeSH Terms

Conditions

DepressionFatigueColorectal NeoplasmsPancreatic NeoplasmsEsophageal NeoplasmsAppendiceal NeoplasmsStomach NeoplasmsGallbladder NeoplasmsLiver NeoplasmsColonic NeoplasmsAnus NeoplasmsBiliary Tract Neoplasms

Interventions

Yoga

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorSigns and SymptomsPathological Conditions, Signs and SymptomsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesEndocrine Gland NeoplasmsPancreatic DiseasesEndocrine System DiseasesHead and Neck NeoplasmsEsophageal DiseasesCecal NeoplasmsCecal DiseasesStomach DiseasesBiliary Tract DiseasesGallbladder DiseasesLiver DiseasesRectal NeoplasmsAnus Diseases

Intervention Hierarchy (Ancestors)

Mind-Body TherapiesComplementary TherapiesTherapeuticsSpiritual TherapiesExercise Movement TechniquesPhysical Therapy Modalities

Results Point of Contact

Title
Study coordinator
Organization
Wake Forest University Health Sciences

Study Officials

  • Stephanie Sohl, MD

    Vanderbilt University/Ingram Cancer Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 29, 2015

First Posted

July 3, 2015

Study Start

August 1, 2016

Primary Completion

January 1, 2020

Study Completion

January 1, 2020

Last Updated

October 14, 2022

Results First Posted

May 27, 2021

Record last verified: 2022-09

Locations