DAANCE FOR CHEMOTHERAPY-INDUCED NEUROPATHY
DAANCE
DANCE-BASED AVENUES TO ADVANCE NONPHARMACOLOGIC TREATMENT OF CHEMOTHERAPY EFFECTS (DAANCE): A MULTICENTER TRIAL
2 other identifiers
interventional
140
1 country
2
Brief Summary
Up to 80% of breast cancer survivors experience chemotherapy-induced neuropathy that impairs quality of life and increases fall risk long into survivorship, yet treatment options for neuropathy remain limited. The successful treatment will target neurophysiologic mechanisms for restoring function while addressing patient-reported symptoms and participation in treatment. Toward this end, the investigators propose to study a noninvasive, social sensorimotor intervention - Adapted Argentine Tango - which targets motor control restoration, symptom alleviation, and treatment participation in concert.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Feb 2025
Typical duration for phase_2
2 active sites
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
December 17, 2024
CompletedFirst Posted
Study publicly available on registry
December 27, 2024
CompletedStudy Start
First participant enrolled
February 19, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 15, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 15, 2029
November 5, 2025
July 1, 2025
4.5 years
December 17, 2024
November 3, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Patient-Reported Outcome (PRO) - CIN sensation
Sensation of numbness/tingling on 0-10 scale; minimum value 0 (no numbness/tingling); maximum value 10 (worst numbness/tingling)
4 weeks
Dual-task function
Ability to move and think at the same time as measured by time to complete the Timed-Up-and-Go (TUG) test with concurrent cognitive task (i.e., counting backward by some number while completing a defined movement task)
4 weeks
Secondary Outcomes (13)
Patient-Reported Outcome (PRO) - hot/cold sensation
4 weeks; 8 weeks; 12 weeks
EORTC-CIPN 20
mid-intervention (4weeks); post -intervention (8 weeks); 1 month follow up post intervention
Brief Fatigue Inventory
4 weeks; 8 weeks; 12 weeks
Brief Pain Inventory
4 weeks; 8 weeks; 12 weeks
Patient Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE)
4 weeks; 8 weeks; 12 weeks
- +8 more secondary outcomes
Other Outcomes (4)
Brain Activity
4 weeks (Control group); 8 weeks (Intervention group)
Blood-based biomarkers of inflammation
4 weeks (Control group); 8 weeks (Intervention group)
Blood-based biomarkers of neurotoxity
4 weeks (Control group); 8 weeks (Intervention group)
- +1 more other outcomes
Study Arms (2)
Control
NO INTERVENTION4 weeks of usual care followed by optional 1-way crossover to 8 weeks of Intervention (partnered, adapted tango dance)
Experimental
EXPERIMENTAL8 weeks of intervention (partnered, adapted tango dance)
Interventions
The intervention being studied is a 16 session intervention (2x4-week modules), delivered over an 8-week period by community-based individuals with expertise in dance and patient care and certified in Adapted Tango or AdapTango dance instruction. Steps available to teach, including order and cues to teach them, are detailed in Hackney's AdapTango manual. All steps are based on the Argentine Tango steps that emerged within working class community centers in Buenos Aires, Argentina (milongas) in the late 1800s and have been adapted by the investigators for use as medical exercise among people with mobility deficits. Of note, Argentine Tango is distinct from, and the precursor for, the American Tango style of competitive ballroom dance: where American Tango highlights showmanship and complicated footwork, Argentine Tango prioritizes connection between partners and musicality within a basic walk motion.
Eligibility Criteria
You may qualify if:
- Breast Cancer (BC) diagnosis of Stage I-IV including metastatic disease
- completed taxane-based chemotherapy for BC at least 3 months ago (no limit on how long ago)
- symptomatic for chemotherapy-induced neuropathy (self-report)
- postural control score that indicates potential fall-risk
- able to understand and comply with directions associated with testing and study treatments
You may not qualify if:
- pre-existing vestibular dysfunction
- poorly controlled diabetes (hgA1C\>=8)
- non-ambulatory (assistive and prosthetic devices allowed)
- hearing impairment resulting in less than 10% hearing bilaterally
- contraindication to participate in the experimental physical activity per the treating oncologist due to additional condition (e.g., herniated disc, unstable bone metastases)
- currently in activity-based therapy (e.g., physical therapy, occupational therapy). May enroll if still meet eligibility criteria once activity-based therapy is complete.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ohio State University Comprehensive Cancer Centerlead
- National Institute on Aging (NIA)collaborator
- Yale Universitycollaborator
- Emory Universitycollaborator
Study Sites (2)
Yale University
New Haven, Connecticut, 06520, United States
The Ohio State University
Columbus, Ohio, 43220, United States
Related Publications (7)
Worthen-Chaudhari L, Bing J, Schmiedeler JP, Basso DM. A new look at an old problem: defining weight acceptance in human walking. Gait Posture. 2014;39(1):588-92. doi: 10.1016/j.gaitpost.2013.09.012. Epub 2013 Sep 28.
PMID: 24139684BACKGROUNDWorthen-Chaudhari L, Schnell PM, Hackney ME, Lustberg MB. Partnered dance evokes greater intrinsic motivation than home exercise as therapeutic activity for chemotherapy-induced deficits: secondary results of a randomized, controlled clinical trial. Front Psychol. 2024 Jun 19;15:1383143. doi: 10.3389/fpsyg.2024.1383143. eCollection 2024.
PMID: 38962217BACKGROUNDWorthen-Chaudhari LC, Crasta JE, Schnell PM, Lantis K, Martis J, Wilder J, Bland CR, Hackney ME, Lustberg MB. Neurologic dance training and home exercise improve motor-cognitive dual-task function similarly, but through potentially different mechanisms, among breast cancer survivors with chemotherapy-induced neuropathy: Initial results of a randomized, controlled clinical trial. J Alzheimers Dis. 2025 Jun;105(4):1114-1130. doi: 10.1177/13872877241291440. Epub 2024 Nov 25.
PMID: 39584292BACKGROUNDWorthen-Chaudhari L, Lamantia MT, Monfort SM, Mysiw W, Chaudhari AMW, Lustberg MB. Partnered, adapted argentine tango dance for cancer survivors: A feasibility study and pilot study of efficacy. Clin Biomech (Bristol). 2019 Dec;70:257-264. doi: 10.1016/j.clinbiomech.2019.08.010. Epub 2019 Aug 22.
PMID: 31751861BACKGROUNDWorthen-Chaudhari LC, Monfort SM, Bland C, Pan X, Chaudhari AMW. Characterizing within-subject variability in quantified measures of balance control: A cohort study. Gait Posture. 2018 Jul;64:141-146. doi: 10.1016/j.gaitpost.2018.05.031. Epub 2018 Jun 2.
PMID: 29908434BACKGROUNDMezzanotte JN, Grimm M, Shinde NV, Nolan T, Worthen-Chaudhari L, Williams NO, Lustberg MB. Updates in the Treatment of Chemotherapy-Induced Peripheral Neuropathy. Curr Treat Options Oncol. 2022 Jan;23(1):29-42. doi: 10.1007/s11864-021-00926-0. Epub 2022 Feb 15.
PMID: 35167004BACKGROUNDLuciani B, Carlson M, McNally G, Hackney ME, Crasta JE, Schnell P, Lustberg MB, Worthen-Chaudhari L. Dance-based avenues to advance nonpharmacologic treatment of chemotherapy effects (DAANCE): Study protocol for a multi-center, randomized controlled trial. Res Sq [Preprint]. 2025 Jul 7:rs.3.rs-6814353. doi: 10.21203/rs.3.rs-6814353/v1.
PMID: 40671809DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lise B Worthen-Chaudhari, PhD, MFA, CMES
Ohio State University
- PRINCIPAL INVESTIGATOR
Maryam B Lustberg, MD, MPH
Yale University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
December 17, 2024
First Posted
December 27, 2024
Study Start
February 19, 2025
Primary Completion (Estimated)
August 15, 2029
Study Completion (Estimated)
August 15, 2029
Last Updated
November 5, 2025
Record last verified: 2025-07
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ICF, CSR, ANALYTIC CODE
- Time Frame
- Data will be made available upon publication within a peer-reviewed journal. Data will be available for as long as the NCI Cancer Research Data Commons (CRDC) supports access.
- Access Criteria
- Anyone with access to the NCI Cancer Research Data Commons (CRDC)
All data collected will be preserved and shared publicly upon publication to the NCI Cancer Research Data Commons (CRDC), a family of data repositories that provide cancer researchers with the ability to share diverse data types to maximize FAIR (i.e., Findable, Accessible, Interoperable, and Reusable) sharing of data. Shared data will be coded using unique filename identifiers that are not traceable to protected health information in order to enable future researchers to confirm results and/or incorporate these data in a metanalysis or similar larger study of relevant effects. The rationale is to share data for public access for other scientific learning and informational purposes to advance the knowledge base in these fields and to help researchers conduct secondary analysis on our broad range of datasets.