NCT05310565

Brief Summary

The main objectives of this single-arm pilot trial are to investigate the feasibility of our protocol in terms of 1) recruitment, 2) adherence, 3) tolerability, 4) acceptability and 5) retention. We aim to recruit 20 participants with advanced colon cancer (stage 3-4) who will have assessments of their autonomic nervous system function, carcinoembryonic antigen (CEA) levels, and patient-reported outcomes. Thereafter, patients will be directed to a nearby field clinic to receive twice-weekly cervical assessments \& high-velocity, low-amplitude (HVLA) cervical adjustments for a period of 6 weeks. Re-assessments will be performed following 2 weeks and 6 weeks of chiropractic care.

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 Jan 2025

Shorter than P25 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withdrawn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

March 7, 2022

Completed
29 days until next milestone

First Posted

Study publicly available on registry

April 5, 2022

Completed
2.7 years until next milestone

Study Start

First participant enrolled

January 1, 2025

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2025

Completed
Last Updated

April 3, 2024

Status Verified

April 1, 2024

Enrollment Period

2 months

First QC Date

March 7, 2022

Last Update Submit

April 2, 2024

Conditions

Keywords

ChiropracticColon CancerSpinal manipulationAutonomic nervous systemCEApatient reported outcomes

Outcome Measures

Primary Outcomes (5)

  • Recruitment rate

    Length of time needed to recruit target number of participants

    Upon reaching target number of completed participant trials

  • Patient adherence rate

    Proportion of participants able to adhere to the testing \& treatment protocol/schedule

    Upon reaching target number of completed participant trials

  • Patient tolerability rate

    Proportion of participants able to perform all aspects of the testing regimen

    Upon reaching target number of completed participant trials

  • Acceptability of treatment regimen to participants

    8-item Theoretical Framework of Acceptability questionnaire

    Week 6

  • Patient Retention

    Proportion of enrolled participants who complete the full trial

    Upon reaching target number of completed participant trials

Secondary Outcomes (30)

  • Electrodermal activity (EDA) skin conductance level (SCL)

    Day 1

  • Electrodermal activity (EDA) skin conductance level (SCL)

    Week 2

  • Electrodermal activity (EDA) skin conductance level (SCL)

    Week 6

  • Electrodermal activity (EDA) power spectral density (PSD)

    Day 1

  • Electrodermal activity (EDA) power spectral density (PSD)

    Week 2

  • +25 more secondary outcomes

Study Arms (1)

Chiropractic

EXPERIMENTAL

Cervical chiropractic care

Procedure: HVLA cervical chiropractic adjustments

Interventions

Chiropractic high velocity low amplitude adjustment

Chiropractic

Eligibility Criteria

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

You may qualify if:

  • Males \& females 18 years of age or older
  • Able to provide informed consent
  • Diagnosed with stage 3 or stage 4 colon cancer and currently receiving standard of care with a medical doctor.

You may not qualify if:

  • Individuals with a known disorder resulting in syncope/fainting during postural changes (e.g., POTS, orthostatic hypotension)
  • Cancer has metastasized to the cervical spine
  • Individuals who have had a serious injury or surgery to the head, torso, lower body within the past 6 months.
  • Individuals with evidence or medical history of clinically significant psychiatric disorder like anti-social disorder, schizophrenia, or borderline personality disorder that is uncontrolled or untreated.
  • Individuals who currently have pending health related legal litigation.
  • Individuals with a known heart condition (e.g., arrhythmia) that could result in an aberrant electrocardiogram.
  • Individuals with a pacemaker
  • Individuals who are on short benzodiazepines which include midazolam \& triazolam
  • Individuals with conditions that could result in neck instability such as rheumatoid arthritis.
  • Individuals who do not present with a subluxation in the upper cervical region (C1/C2) at any point during the 6 weeks of chiropractic care.
  • Individuals with a condition that may cause weak or brittle bones such as osteoporosis
  • Since x-rays may be requested for care, participants who are pregnant will be excluded from the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Dr. Sid E. Williams Center for Chiropractic Research

Atlanta, Georgia, 30308, 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

  • Stephanie Sullivan, DC, PhD

    Life University

    STUDY DIRECTOR
  • Yoram Gidron, PhD

    University of Haifa

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Model Details: Single-Arm pilot
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 7, 2022

First Posted

April 5, 2022

Study Start

January 1, 2025

Primary Completion

March 1, 2025

Study Completion

March 1, 2025

Last Updated

April 3, 2024

Record last verified: 2024-04

Data Sharing

IPD Sharing
Will not share

Locations