NCT05227898

Brief Summary

This is a 2-arm randomized controlled study comparing how effective two therapeutic digital software devices are at improving anxiety and other indicators of psychological and physical health in patients with cancer. The study will be completely virtual, meaning participants can take part completely from home without visiting a clinic or study site. The digital software devices, called called attune™ and cerena™, are designed to be used for approximately 12 weeks alongside oncology usual care regimens (medical, psychosocial). The study will enroll at least 352 stage I-III cancer patients with elevated anxiety symptoms who are currently receiving systemic treatment (radiation, chemotherapy, immunotherapy), have received systemic treatment within the last 6 months, or who have an established treatment plan that includes systemic treatment.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
352

participants targeted

Target at P75+ for not_applicable cancer

Timeline
Completed

Started Mar 2022

Shorter than P25 for not_applicable cancer

Geographic Reach
1 country

1 active site

Status
unknown

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

January 6, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

February 8, 2022

Completed
1 month until next milestone

Study Start

First participant enrolled

March 10, 2022

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 2, 2022

Completed
13 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 15, 2022

Completed
Last Updated

October 25, 2022

Status Verified

October 1, 2022

Enrollment Period

9 months

First QC Date

January 6, 2022

Last Update Submit

October 18, 2022

Conditions

Keywords

Breast CancerColon/Rectal CancerEndometrial CancerLymphomaLeukemiaLung CancerOvarian CancerPancreatic CancerProstate CancerThyroid Cancer

Outcome Measures

Primary Outcomes (1)

  • Symptoms of anxiety

    The PROMIS-Anxiety (PROMIS-A) is a validated PRO consisting of 8 questions measuring anxiety symptoms. The change in PROMIS-A score over time will be assessed (reduction indicates reduced anxiety).

    Baseline up to week 12

Secondary Outcomes (15)

  • Symptoms of depression

    Baseline up to week 12

  • Symptoms of emotional distress

    Baseline up to week 12

  • Positive and negative affect

    Baseline up to week 12

  • Cancer-related symptoms of anxiety (thought intrusions)

    Baseline up to week 12

  • Wellbeing and quality of life

    Baseline up to Week 12

  • +10 more secondary outcomes

Other Outcomes (1)

  • Healthcare utilization

    Baseline up to Week 12

Study Arms (2)

Attune™

ACTIVE COMPARATOR

Attune™ is a completely digital therapeutic intervention.

Device: Device: Attune™

Cerena™

ACTIVE COMPARATOR

Cerena™ is a completely digital therapeutic intervention.

Device: Device: Cerena™

Interventions

People enrolled in the study use the app to complete ten informational sessions, each approximately 60-minute in length. The app also include guided exercises and other interactive opportunities.

Attune™

People enrolled in the study use the app to complete ten informational sessions, each approximately 60-minute in length. The app also include guided exercises and other interactive opportunities.

Cerena™

Eligibility Criteria

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

You may qualify if:

  • Stage I-III cancer diagnosis
  • Currently in active systemic treatment of chemotherapy, radiation or immunotherapy, have completed systemic treatment within the past 6 months, or have a treatment plan including planned systemic treatment.
  • Are experiencing at least moderate anxiety
  • years of age or older
  • Are fluent in English
  • Have access to a smartphone (a mobile phone that performs many of the functions of a computer, typically having a touchscreen interface, internet access, and an operating system capable of running downloaded applications) or tablet that runs iOS or Android software, with cellular data service or wifi access.
  • Willing to download software onto smartphone or tablet from Apple store or Android store

You may not qualify if:

  • Systemic treatment plan includes only endocrine therapy.
  • Treatment plan includes stem cell/bone marrow transplant.
  • Currently participating in any other investigative CBT trial for treatment of anxiety or depression.
  • Participant is unable to complete training, has cognitive deficits, more severe psychiatric conditions, lack of access to internet accessible device or psycho-social conditions (e.g., other social conditions, that would interfere with adherence to self-directed care), such that in investigator's opinion the participant would be unable to complete the study
  • Recently completed use of Blue Note Therapeutics Covid Cancer Care Program or other Blue Note Therapeutics device or Blue Note Therapeutics-sponsored study
  • Are experiencing severe levels of depression OR indicate suicidal risk (measured by surveys during screening for the study)
  • Are experiencing anxiety below the required level (measured by a survey during screening for the study)
  • Cancer diagnosis is melanoma, multiple myeloma, unstaged cancer.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Www.Restoreclinicaltrial.Com

San Francisco, California, 94104, United States

Location

Related Publications (2)

  • Taub CJ, Zion SR, Ream M, Ramiller A, Heathcote LC, Eich G, Mendelsohn M, Birckbichler J, Ganz PA, Cella D, Penedo FJ, Antoni M, Shumay DM. Cognitive behavioral digital therapeutic effects on distress and quality of life in patients with cancer: National randomized controlled trial. J Consult Clin Psychol. 2024 Nov;92(11):727-741. doi: 10.1037/ccp0000911.

  • Zion SR, Taub CJ, Heathcote LC, Ramiller A, Tinianov S, McKinley M, Eich G, Penedo FJ, Ganz PA, Antoni M, Shumay DM. Effects of a Cognitive Behavioral Digital Therapeutic on Anxiety and Depression Symptoms in Patients With Cancer: A Randomized Controlled Trial. JCO Oncol Pract. 2023 Dec;19(12):1179-1189. doi: 10.1200/OP.23.00210. Epub 2023 Oct 20.

MeSH Terms

Conditions

NeoplasmsBreast NeoplasmsColonic NeoplasmsEndometrial NeoplasmsLymphomaLeukemiaLung NeoplasmsOvarian NeoplasmsPancreatic NeoplasmsProstatic NeoplasmsThyroid Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesColorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesUterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesNeoplasms by Histologic TypeLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesHematologic DiseasesRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesEndocrine System DiseasesGonadal DisordersPancreatic DiseasesGenital Neoplasms, MaleGenital Diseases, MaleProstatic DiseasesMale Urogenital DiseasesHead and Neck NeoplasmsThyroid Diseases

Study Officials

  • Dianne M Shumay

    Blue Note Therapeutics

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 6, 2022

First Posted

February 8, 2022

Study Start

March 10, 2022

Primary Completion

December 2, 2022

Study Completion

December 15, 2022

Last Updated

October 25, 2022

Record last verified: 2022-10

Locations