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Breast NeoplasmsPhase 1NCT02658708

Bright Light on Fatigue in Women Being Treated for Breast Cancer

A Phase 1 study testing Bright blue-green light using light visor cap, Dim red light using light visor cap and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire in people with Breast Neoplasms and Breast Cancer, run by Washington University School of Medicine at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This proposed study will examine feasibility and implement therapeutic bright light that is tailored to the individual's circadian typology to estimate its therapeutic effects on sleep/wake patterns and fatigue in breast cancer patients undergoing chemotherapy. Read more about this study

Who is it for?
Ages 21 years and older, women only
Conditions the study is for
Breast Neoplasms, Breast Cancer, Cancer of Breast
What is being tested?
Bright blue-green light using light visor cap, Dim red light using light visor cap and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire
Could I receive a placebo?
No, everyone receives an active treatment
How many people
19 participants
Where
1 siteUnited States
Study dates
12 Oct 2015to 9 May 2017
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 21 years of age or older
  • Newly diagnosed with stage I-III breast cancer
  • Scheduled to receive 21-day cycles of intravenous chemotherapy
  • Experiencing disrupted sleep (determined by Pittsburgh Sleep Quality Index)
  • Morning or evening types (determined by Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ)
  • Sighted
  • Mentally competent to consent
  • Able to under English

Who cannot join

  • Concurrent malignancy
  • Undergoing other cancer treatments
  • Engage in shift work or travel across more than 3 time zones within 2 weeks prior to study
  • Known history of seasonal affective disorder or substance abuse
  • Current diagnosis of major Axis I psychiatric disorders, neurological impairments, or muscular dystrophies
  • Regularly use steroid or other immunosuppressive medications
  • Take prescribed sedative hypnotics or sleep medications because these conditions may affect fatigue and/or sleep/wake patterns.
  • Have eye conditions (glaucoma or retinal disease), problems triggered by bright light (e.g. migraine), or take photosensitizing medications (e.g. some porphyrin drugs, antipsychotics, antiarrhythmic agents)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Washington University School of Medicine

    St Louis, Missouri, 63110

Other trials in United States

About this study

Official title: Bright Light on Fatigue in Women Being Treated for Breast Cancer: A Pilot Study

This proposed study will examine feasibility and implement therapeutic bright light that is tailored to the individual's circadian typology to estimate its therapeutic effects on sleep/wake patterns and fatigue in breast cancer patients undergoing chemotherapy.

Being tested
Bright blue-green light using light visor cap, Dim red light using light visor cap, European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bright blue-green light using light visor capOther

  • Dim red light using light visor capOther

  • European Organization for Research and Treatment of Cancer-Quality of Life QuestionnaireOther

    Also called EORCT QLQ C-30

    -Consists of 30 items with a 4-point rating scale (1=not at all to 4=very much) measuring functioning, symptom intensity, and global health status/quality of life

  • Epworth Sleepiness ScaleOther

    Also called ESS

    -Consists of 8 common daily activities with a 4-point rating scale (0=would never doze to 3=a high chance of dozing) measuring usual daytime sleepiness over a recent time period

  • Pittsburgh Sleep Quality IndexOther

    Also called PSQI

    -Contains 19 self-report items measuring sleep quality, latency, duration, efficiency, disturbance, medication use, and daytime dysfunction. Each item is rated on a 0-3 rating scale. The global PSQI score ranges 0-21, with higher scores indicating more severe sleep disturbance

  • Patient-Reported Outcomes Measurement Information System (PROMIS)-Sleep DisturbanceOther

    -Consists of 8 items with 5-point rating scales measuring overall sleep and sleep-related impairments. Higher scores indicate worse sleep disturbances

  • Patient-Reported Outcomes Measurement Information System (PROMIS)-Cancer-FatigueOther

    -Consists of 8 items with a 5-point rating scale (1=not at all to 5 =very much) measuring fatigue experience and fatigue impact. Higher scores indicate worse fatigue.

  • Digital foot candle datalogging light meter (Extech Instrument, Model SDL400)Diagnostic test

    -The light-weight light sensor is approximately 2 inches in diameter and comes with a clip and strap that makes it comfortable to wear just below the neck.

  • Polysomnography (Easy Ambulatory 2 Cadwell, Kennewick, WA)Diagnostic test

    Also called PSG

    -A standard sleep montage of electroencephalography following the 10/20 procedure for electrode placement, left and right electrooculography referenced to the opposite mastoid and mentalis electromyography will be followed

  • Horne-Ostberg Morningness-Eveningness QuestionnaireOther

    Also called MEQ

  • Daily Fatigue and Sleep LogOther

    • Two visual analog scales (VAS) for diurnal fatigue and daytime sleepiness
    • Two 0-10 point rating scales (average and worst fatigue levels in 24 hours)
Study groups in NCT02658708
Study groupRoleWhat they receive
Arm 1: Bright blue-green lightExperimentalComplete the MEQ at screening, the day before 2nd cycle of chemo, and on the day of 3rd cycle of chemo, -21 day light intervention at home for 30 min once a day during 2nd cycle of chemo, Scores of ≤41 (evening types) on MEQ will have light delivered within 30 minutes of waking for 21 consecutive mornings. Score of ≥59 (morning types) on MEQ will have light delivered between 1900-2000 hours for 21 consecutive evenings. Light therapy will be self-administered using a light visor cap. On 2 randomly selected days ambient light will be recorded continuously during waking hours using a digital foot candle datalogging light meter, Continuous ambulatory PSG for 24 hours at the participant's home before and after the light intervention, Complete the fatigue and sleep log on a daily basis and two visual analog scales (VAS) (diurnal fatigue and daytime sleepiness) within half an hour upon awakening, at 1200 hours, 1600 hours, 2000 hours, and within half an hour before going to bed
Receives: Other: Bright blue-green light using light visor cap; Other: European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire; Other: Epworth Sleepiness Scale; Other: Pittsburgh Sleep Quality Index; Other: Patient-Reported Outcomes Measurement Information System (PROMIS)-Sleep Disturbance; Other: Patient-Reported Outcomes Measurement Information System (PROMIS)-Cancer-Fatigue; Diagnostic Test: Digital foot candle datalogging light meter (Extech Instrument, Model SDL400); Diagnostic Test: Polysomnography (Easy Ambulatory 2 Cadwell, Kennewick, WA); Other: Horne-Ostberg Morningness-Eveningness Questionnaire; Other: Daily Fatigue and Sleep Log
Arm 2: Dim red lightActive comparatorComplete the MEQ at screening, the day before 2nd cycle of chemo, and on the day of 3rd cycle of chemo, 21 day light intervention at home for 30 min once a day during 2nd cycle of chemo, Scores of ≤41 (evening types) on MEQ will have light delivered within 30 minutes of waking for 21 consecutive mornings. Score of ≥59 (morning types) on MEQ will have light delivered between 1900-2000 hours for 21 consecutive evenings. Light therapy will be self-administered using a light visor cap. On 2 days randomly selected days ambient light will be recorded continuously during waking hours using a digital foot candle datalogging light meter, Continuous ambulatory PSG for 24 hours at the participant's home before and after the light intervention, Complete the fatigue and sleep log on a daily basis and two visual analog scales (VAS) (diurnal fatigue and daytime sleepiness) within half an hour upon awakening, at 1200 hours, 1600 hours, 2000 hours, and within half an hour before going to bed
Receives: Other: Dim red light using light visor cap; Other: European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire; Other: Epworth Sleepiness Scale; Other: Pittsburgh Sleep Quality Index; Other: Patient-Reported Outcomes Measurement Information System (PROMIS)-Sleep Disturbance; Other: Patient-Reported Outcomes Measurement Information System (PROMIS)-Cancer-Fatigue; Diagnostic Test: Digital foot candle datalogging light meter (Extech Instrument, Model SDL400); Diagnostic Test: Polysomnography (Easy Ambulatory 2 Cadwell, Kennewick, WA); Other: Horne-Ostberg Morningness-Eveningness Questionnaire; Other: Daily Fatigue and Sleep Log

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Feasibility of implementing a bright light intervention as measured by estimating completion of scheduled PSG recording

    -Feasibility of the procedures will be assessed by descriptive analysis

    Measured: Through completion of study (approximately 50 days)

  2. Effect of bright light on fatigue as measured by PROMIS-Cancer Fatigue

    Measured: Through completion of study (approximately 50 days)

  3. Effect of bright light on fatigue as measured by VAS (diurnal fatigue) in Daily Fatigue and Sleep Log

    Measured: Through of completion of study (approximately 43 days)

  4. Effect of bright light on sleep patterns as measured by PSG

    Measured: Through completion of study (approximately 50 days)

  5. Effect of bright light on sleep patterns as measured by PROMIS-Sleep Disturbance

    Measured: Through of completion of study (approximately 43 days)

  6. Effect of bight light on sleep patterns as measured by PSQI

    Measured: Through completion of study (approximately 50 days)

  7. Effect of bright light on wake patterns as measured by PSG

    Measured: Through completion of study (approximately 50 days)

  8. Effect of bright light on wake patterns as measured by ESS

    Measured: Through completion of study (approximately 50 days)

  9. Effect of bright light on wake patterns as measured by VAS (daytime sleepiness) in Daily Fatigue and Sleep Log

    Measured: Through completion of study (approximately 50 days)

  10. Effect of bright light on quality of life as measured by EORCT QLQ C-30

    Measured: Through completion of study (approximately 50 days)

  11. Feasibility of implementing a bright light intervention as measured by completion rates of self-report forms

    -Feasibility of the procedures will be assessed by descriptive analysis

    Measured: Through completion of study (approximately 50 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jan 2016 (estimated)
  2. Study start12 Oct 2015
  3. Primary completion9 May 2017
  4. Study completion9 May 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02658708
Sponsor's protocol ID
201503075
Status last verified
Sep 2017
First submitted
6 Jan 2016
Last updated
25 Sep 2017
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wu HS, Davis JE, Chen L. Bright light shows promise in improving sleep, depression, and quality of life in women with breast cancer during chemotherapy: findings of a pilot study. Chronobiol Int. 2021 May;38(5):694-704. doi: 10.1080/07420528.2021.1871914. Epub 2021 Jan 21.

    PubMed 33478260

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Bright blue-green light using light visor cap, Dim red light using light visor cap and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire in people with Breast Neoplasms and Breast Cancer, run by Washington University School of Medicine at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility of implementing a bright light intervention as measured by estimating completion of scheduled PSG recording (time frame: Through completion of study (approximately 50 days)). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02658708, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2017.

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