NCT04345952

Brief Summary

Chemotherapy is a common strategy used to treat colorectal cancer patients, but is often leads patients and survivors to experience a host of symptoms, of which acute emotional distress is a major concern. Smartphone-based meditation via an already-developed app (i.e., Calm) is a unique and novel way of providing a potentially helpful symptom-management strategy to colorectal cancer patients and survivors both during their chemotherapy treatment sessions for the management of distress and between treatment sessions for the management of other more chronic symptoms. Our hypothesis is that colorectal cancer patients using the Calm smartphone app throughout their chemotherapy treatment will see lower psychological distress during individual chemotherapy treatment sessions, greater chemotherapy tolerability, lower chemotherapy toxicity symptoms, lesser fatigue, and higher quality of life as compared to a usual care control group. Colorectal cancer patients (N=30) will be randomly assigned to an intervention (n=15) or control group (n=15) for the duration of their chemotherapy treatment, with study outcome measurement occurring throughout their treatment.

Trial Health

30
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Feb 2022

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
withdrawn

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

April 9, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 15, 2020

Completed
1.8 years until next milestone

Study Start

First participant enrolled

February 1, 2022

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2023

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2023

Completed
Last Updated

March 31, 2022

Status Verified

December 1, 2021

Enrollment Period

1 year

First QC Date

April 9, 2020

Last Update Submit

March 18, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in Distress

    Distress will be measured with the Distress Thermometer at the beginning and end of each chemotherapy treatment session over the course of the approximate 6-month study duration. The Distress Thermometer is a 10-point visual analog scale and a higher score indicates greater distress.

    6-month average change from baseline (beginning of chemotherapy treatment session) to post-treatment (end of chemotherapy treatment session)

Secondary Outcomes (4)

  • Chemotherapy toxicity and tolerability

    Post-intervention (month 6)

  • Change in Fatigue

    Change from baseline (week 0) to post-intervention (month 6)

  • Change in Cancer Treatment-Related Quality of Life

    Change from baseline (week 0) to post-intervention (month 6)

  • Change in Cancer Health-Related Quality of Life

    Change from baseline (week 0) to post-intervention (month 6)

Study Arms (2)

Calm Meditation

EXPERIMENTAL

Participants in the Calm group will be asked to use the Calm app ad libitum during their time spent receiving chemotherapy at the Mays Cancer Center (\~2 hours) and while at home between treatment cycles ad libitum. Participation will be measured during the entire intervention using internal tracking systems within the app (i.e., # of times logged in, type of meditation accessed, time spent meditating, date and time of meditation accessed). This data will be provided to us through data coordinator of the app.

Behavioral: Calm Meditation Mobile App

Usual Care

NO INTERVENTION

The usual care control group will not be offered anything to listen to during their chemotherapy treatment cycles or when they are between chemotherapy treatment cycles. They will receive their treatment as intended without any additional intervention.

Interventions

The Calm Meditation Mobile App will be used to deliver the meditation intervention to study participants. The Calm app is downloaded onto the participant's smartphone.

Calm Meditation

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Have a colorectal cancer diagnosis and waiting the beginning of adjuvant chemotherapy treatment at the Mays Cancer Center University of Texas (UT) Health San Antonio
  • Own a mobile smartphone (iPhone with iOS 9.0 or later or an Android 4.1 or later)
  • Willing to download a mobile app
  • Able to read and understand English or Spanish
  • Aged 18 years or older
  • Willing to be randomized to one of two groups

You may not qualify if:

  • Meditation or meditative movement practice (i.e., yoga, tai chi, qigong) of greater than or equal to 60 min/month in the past six months
  • Use of any consumer-based meditation app
  • Reside outside of the united states

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Texas Health Science Center at San Antonio

San Antonio, Texas, 78229, United States

Location

MeSH Terms

Conditions

Colonic Neoplasms

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal Diseases

Study Officials

  • Ruben Mesa

    Mays Cancer Center at UT Health San Antonio MD Anderson

    PRINCIPAL INVESTIGATOR
0

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

April 9, 2020

First Posted

April 15, 2020

Study Start

February 1, 2022

Primary Completion

February 1, 2023

Study Completion

December 1, 2023

Last Updated

March 31, 2022

Record last verified: 2021-12

Data Sharing

IPD Sharing
Will not share

Locations