NCT06485869

Brief Summary

Anxiety, nausea and vomiting are common side effects in paediatric patients receiving chemotherapy. chemotherapy. New evidence supports the efficacy of immersive virtual reality in improving symptoms of anxiety and distress, including nausea and vomiting, in this vulnerable group. This research will evaluate the efficacy of virtual reality in managing anxiety, nausea and vomiting in cancer patients receiving their first line of chemotherapy and will also measure the quality of life of these patients and evaluate patient and nursing staff satisfaction

Trial Health

77
On Track

Trial Health Score

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

Enrollment
150

participants targeted

Target at P50-P75 for not_applicable cancer

Timeline
3mo left

Started Nov 2023

Typical duration for not_applicable cancer

Geographic Reach
1 country

2 active sites

Status
recruiting

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

Study Progress89%
Nov 2023Aug 2026

Study Start

First participant enrolled

November 1, 2023

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

May 3, 2024

Completed
2 months until next milestone

First Posted

Study publicly available on registry

July 3, 2024

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 29, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 29, 2026

Last Updated

July 3, 2024

Status Verified

May 1, 2024

Enrollment Period

2.8 years

First QC Date

May 3, 2024

Last Update Submit

June 26, 2024

Conditions

Outcome Measures

Primary Outcomes (3)

  • QLQ-C30

    Measurement of the quality of life observed in patients. The QLQ-C30 questionnaire consists of 30 questions on the patient's state of physical and mental health. There are 28 questions with scores ranging from 1 = not at all to 4= very much and two questions with scores ranging from 1= very poor to 7= excellent.

    at the start of cycle 1 (each cycle is 28 days); 3,6,9 months post chemo, at the beginning of the 3rd month post chemo, at the beginning of the 6th month post chemo and at the beginning of the 9th month post chemo

  • Measuring patient and nurse satisfaction with the chemotherapy procedure

    Use of a patient questionnaire with a 10-point scale assessed on a five-point scale ranging from 1=strongly disagree disagree to 5 = strongly agree

    after the first chemotherapy session on day 1 of cycle 1 and 3 (each cycle lasts 28 days)

  • MAT

    Assessment of acute nausea and vomiting in patients induced by chemotherapy. 4 questions are used to assess nausea and vomiting 24 hours after chemotherapy and these 4 questions are again used to assess late nausea and vomiting. There are 2 questions with a yes or no choice, 1 question with a numerical answer and 1 question with a 10-point numerical scale with 0= none and 10= maximum difficulty.

    after the first chemotherapy session on day 1 of cycle 2 and 3 (each cycle lasts 28 days)

Secondary Outcomes (4)

  • VAS Score

    Before the start of the first chemotherapy session on day 1 of cycle 1, 2 and 3 (each cycle is 28 days) and after the end of the first chemotherapy session on day 1 of cycle 1, 2 and 3 (each cycle is 28 days).

  • Heart rate

    Before the start of the first chemotherapy session on day 1 of cycle 1, 2 and 3 (each cycle is 28 days) and after the end of the first chemotherapy session on day 1 of cycle 1, 2 and 3 (each cycle is 28 days).

  • Blood pressure

    Before the start of the first chemotherapy session on day 1 of cycle 1, 2 and 3 (each cycle is 28 days) and after the end of the first chemotherapy session on day 1 of cycle 1, 2 and 3 (each cycle is 28 days).

  • HAD Score

    Before the start of the first chemotherapy session on day 1 of cycle 1 (each cycle is 28 days) and after the end of the first chemotherapy session on day 1 of cycle 1 and 2 (each cycle is 28 days).

Study Arms (2)

With virtual reality session

EXPERIMENTAL

Arm A patients will benefit from a 20-minute virtual reality session per chemotherapy session, for the first 3 cycles, with each session lasting more than 30 minutes.

Other: Measure the improvement in quality of lifeOther: Measure the level of satisfaction of patients and nursing staffOther: Measurement of anxiety and painOther: Measurement of depressive stateOther: measuring fatigue levelsOther: measurement of acute nausea and vomiting

Without virtual reality session

OTHER

Patients in arm B will receive conventional care without hypnotic support.

Other: Measure the improvement in quality of lifeOther: Measure the level of satisfaction of patients and nursing staffOther: Measurement of anxiety and painOther: Measurement of depressive stateOther: measuring fatigue levelsOther: measurement of acute nausea and vomiting

Interventions

Improvment of quality of life is measured by the QLQ-C30 quality of life questionnaire

With virtual reality sessionWithout virtual reality session

Patient satisfaction is measured using a five-point scale ranging from 1 = strongly disagree to 5 = strongly agree. Higher scores indicate higher levels of satisfaction.

With virtual reality sessionWithout virtual reality session

Anxiety and pain is measured by Visual Analogue Scale (VAS). This measurement is complemented by physiological responses to anxiety, measured by heart rate and mean arterial blood pressure (HR and BP)

With virtual reality sessionWithout virtual reality session

Depressive State is measured by HAD score

With virtual reality sessionWithout virtual reality session

Fatigue levels is measured by Visual Analogue Scale (VAS).

With virtual reality sessionWithout virtual reality session

acute nausea and vomiting is measured by MASCC Antiemesis Tool (MAT)

With virtual reality sessionWithout virtual reality session

Eligibility Criteria

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

You may qualify if:

  • Chemotherapy-naive patient
  • Patient with first-line indication for intravenous cyclic chemotherapy
  • Affiliated to a social security system
  • Having received full information on the organization of the research and having given free, informed and written consent signed by the participant and the investigator
  • Patient understands French or English
  • Expected duration of chemotherapy session for the first 3 cycles greater than 30 minutes

You may not qualify if:

  • Patient with communication disorders preventing informed consent
  • Patient under legal protection (guardianship, curatorship, safeguard of justice)
  • Patients suffering from epilepsy
  • Severe visual or hearing impairment preventing use of headphones
  • Psychiatric pathologies such as delusional disorders, hallucinations or schizophrenia.
  • Patients with infections or facial wounds
  • Patients with severe claustrophobia
  • Patients with pacemakers
  • Patients with known cognitive or learning problems,
  • Patients with brain tumors or metastases,
  • Patients suffering from motion sickness
  • Expected duration of chemotherapy session for the first 3 cycles of 30 minutes or less.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Centre Hospitalier de Chauny

Chauny, 02300, France

RECRUITING

Centre Hospitalier de Saint Quentin

Saint-Quentin, 02100, France

RECRUITING

Related Publications (26)

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    PMID: 33538338BACKGROUND
  • Colonna M, Boussari O, Cowppli-Bony A, Delafosse P, Romain G, Grosclaude P, Jooste V; French Network of Cancer Registries (FRANCIM). Time trends and short term projections of cancer prevalence in France. Cancer Epidemiol. 2018 Oct;56:97-105. doi: 10.1016/j.canep.2018.08.001. Epub 2018 Aug 17.

    PMID: 30125884BACKGROUND
  • Carnio S, Galetta D, Scotti V, Cortinovis DL, Antonuzzo A, Pisconti S, Rossi A, Martelli O, Cecere FL, Lunghi A, Del Conte A, Montagna ES, Topulli J, Pelizzoni D, Rapetti SG, Gianetta M, Pacchiana MV, Pegoraro V, Cataldo N, Bria E, Novello S. Chemotherapy-induced nausea and vomiting (CINV) in patients with advanced lung cancer during the first-line treatment: assessment by physicians, nurses, and patients from an Italian multicenter survey. Support Care Cancer. 2018 Jun;26(6):1841-1849. doi: 10.1007/s00520-017-4004-1. Epub 2017 Dec 21.

    PMID: 29270827BACKGROUND
  • Schneider SM, Workman ML. Effects of virtual reality on symptom distress in children receiving chemotherapy. Cyberpsychol Behav. 1999;2(2):125-34. doi: 10.1089/cpb.1999.2.125.

    PMID: 19178248BACKGROUND
  • Chan A, Kim HK, Hsieh RK, Yu S, de Lima Lopes G Jr, Su WC, Banos A, Bhatia S, Burke TA, Keefe DM. Incidence and predictors of anticipatory nausea and vomiting in Asia Pacific clinical practice--a longitudinal analysis. Support Care Cancer. 2015 Jan;23(1):283-91. doi: 10.1007/s00520-014-2375-0. Epub 2014 Aug 13.

    PMID: 25112561BACKGROUND
  • Molassiotis A, Lee PH, Burke TA, Dicato M, Gascon P, Roila F, Aapro M. Anticipatory Nausea, Risk Factors, and Its Impact on Chemotherapy-Induced Nausea and Vomiting: Results From the Pan European Emesis Registry Study. J Pain Symptom Manage. 2016 Jun;51(6):987-93. doi: 10.1016/j.jpainsymman.2015.12.317. Epub 2016 Feb 16.

    PMID: 26891606BACKGROUND
  • Morrow GR, Roscoe JA, Kirshner JJ, Hynes HE, Rosenbluth RJ. Anticipatory nausea and vomiting in the era of 5-HT3 antiemetics. Support Care Cancer. 1998 May;6(3):244-7. doi: 10.1007/s005200050161.

    PMID: 9629877BACKGROUND
  • Dupuis LL, Sung L, Molassiotis A, Orsey AD, Tissing W, van de Wetering M. 2016 updated MASCC/ESMO consensus recommendations: Prevention of acute chemotherapy-induced nausea and vomiting in children. Support Care Cancer. 2017 Jan;25(1):323-331. doi: 10.1007/s00520-016-3384-y. Epub 2016 Aug 26.

    PMID: 27565788BACKGROUND
  • Huertas-Fernandez MJ, Martinez-Bautista MJ, Sanchez-Martinez I, Zarzuela-Ramirez M, Baena-Canada JM. [Analysis of the effectiveness of an antiemetic protocol used in an oncology division]. Farm Hosp. 2010 May-Jun;34(3):125-38. doi: 10.1016/j.farma.2009.11.001. Spanish.

    PMID: 20206564BACKGROUND
  • Hesketh PJ. Chemotherapy-induced nausea and vomiting. N Engl J Med. 2008 Jun 5;358(23):2482-94. doi: 10.1056/NEJMra0706547. No abstract available.

    PMID: 18525044BACKGROUND
  • Birnie KA, Noel M, Parker JA, Chambers CT, Uman LS, Kisely SR, McGrath PJ. Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents. J Pediatr Psychol. 2014 Sep;39(8):783-808. doi: 10.1093/jpepsy/jsu029. Epub 2014 Jun 2.

    PMID: 24891439BACKGROUND
  • Vol H, Flank J, Lavoratore SR, Nathan PC, Taylor T, Zelunka E, Maloney AM, Lee Dupuis L. Poor chemotherapy-induced nausea and vomiting control in children receiving intermediate or high dose methotrexate. Support Care Cancer. 2016 Mar;24(3):1365-71. doi: 10.1007/s00520-015-2924-1. Epub 2015 Sep 3.

    PMID: 26335406BACKGROUND
  • Ovayolu N, Ovayolu O, Serce S, Tuna D, Pirbudak Cocelli L, Sevinc A. Pain and quality of life in Turkish cancer patients. Nurs Health Sci. 2013 Dec;15(4):437-43. doi: 10.1111/nhs.12047. Epub 2013 Mar 11.

    PMID: 23480371BACKGROUND
  • Ahmed RL, Prizment A, Lazovich D, Schmitz KH, Folsom AR. Lymphedema and quality of life in breast cancer survivors: the Iowa Women's Health Study. J Clin Oncol. 2008 Dec 10;26(35):5689-96. doi: 10.1200/JCO.2008.16.4731. Epub 2008 Nov 10.

    PMID: 19001331BACKGROUND
  • Dupuis LL, Robinson PD, Boodhan S, Holdsworth M, Portwine C, Gibson P, Phillips R, Maan C, Stefin N, Sung L; Pediatric Oncology Group of Ontario. Guideline for the prevention and treatment of anticipatory nausea and vomiting due to chemotherapy in pediatric cancer patients. Pediatr Blood Cancer. 2014 Aug;61(8):1506-12. doi: 10.1002/pbc.25063. Epub 2014 Apr 17.

    PMID: 24753095BACKGROUND
  • Chirico A, Lucidi F, De Laurentiis M, Milanese C, Napoli A, Giordano A. Virtual Reality in Health System: Beyond Entertainment. A Mini-Review on the Efficacy of VR During Cancer Treatment. J Cell Physiol. 2016 Feb;231(2):275-87. doi: 10.1002/jcp.25117.

    PMID: 26238976BACKGROUND
  • Wong CL, Ip WY, Kwok BMC, Choi KC, Ng BKW, Chan CWH. Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial. BMJ Open. 2018 Jul 5;8(7):e021071. doi: 10.1136/bmjopen-2017-021071.

    PMID: 29980545BACKGROUND
  • Chan CW, Lam LW, Li CK, Cheung JS, Cheng KK, Chik KW, Chan HY, So WK, Tang WP. Feasibility of psychoeducational interventions in managing chemotherapy-associated nausea and vomiting (CANV) in pediatric oncology patients. Eur J Oncol Nurs. 2015 Apr;19(2):182-90. doi: 10.1016/j.ejon.2014.09.002. Epub 2014 Oct 25.

    PMID: 25445732BACKGROUND
  • Rutter CE, Dahlquist LM, Weiss KE. Sustained efficacy of virtual reality distraction. J Pain. 2009 Apr;10(4):391-7. doi: 10.1016/j.jpain.2008.09.016. Epub 2009 Feb 23.

    PMID: 19231295BACKGROUND
  • Schneider SM, Kisby CK, Flint EP. Effect of virtual reality on time perception in patients receiving chemotherapy. Support Care Cancer. 2011 Apr;19(4):555-64. doi: 10.1007/s00520-010-0852-7. Epub 2010 Mar 26.

    PMID: 20336327BACKGROUND
  • Schneider SM, Hood LE. Virtual reality: a distraction intervention for chemotherapy. Oncol Nurs Forum. 2007 Jan;34(1):39-46. doi: 10.1188/07.ONF.39-46.

    PMID: 17562631BACKGROUND
  • Schneider SM, Workman ML. Virtual reality as a distraction intervention for older children receiving chemotherapy. Pediatr Nurs. 2000 Nov-Dec;26(6):593-7.

    PMID: 12026359BACKGROUND
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    PMID: 30994846BACKGROUND
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    PMID: 31441352BACKGROUND
  • Bani Mohammad E, Ahmad M. Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: A randomized control trial. Palliat Support Care. 2019 Feb;17(1):29-34. doi: 10.1017/S1478951518000639. Epub 2018 Sep 10.

    PMID: 30198451BACKGROUND
  • Chirico A, Maiorano P, Indovina P, Milanese C, Giordano GG, Alivernini F, Iodice G, Gallo L, De Pietro G, Lucidi F, Botti G, De Laurentiis M, Giordano A. Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. J Cell Physiol. 2020 Jun;235(6):5353-5362. doi: 10.1002/jcp.29422. Epub 2020 Jan 20.

    PMID: 31957873BACKGROUND

Related Links

MeSH Terms

Conditions

Neoplasms

Interventions

Quality of LifeNursing Staff

Intervention Hierarchy (Ancestors)

Health StatusDemographyEpidemiologic MeasurementsPublic HealthEnvironment and Public HealthHealth PersonnelHealth Care Facilities Workforce and Services

Study Officials

  • FrĂ©dĂ©rique Mm Roussel

    CH SAINT-QUENTIN

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Frédérique Mm Roussel

CONTACT

Abdelkrim Mr Boulanouar

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: non-randomized parallel two-arm comparative study with a group without virtual reality sessions and a group with virtual reality sessions
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 3, 2024

First Posted

July 3, 2024

Study Start

November 1, 2023

Primary Completion (Estimated)

August 29, 2026

Study Completion (Estimated)

August 29, 2026

Last Updated

July 3, 2024

Record last verified: 2024-05

Data Sharing

IPD Sharing
Will not share

the data will be collected on an electronic Ecrf, a single extraction is planned by the protocol, all the collected data will be analyzed centrally by the study cordernator,no data sharing is planned in the study

Locations