Chemotherapy-induced Peripheral NeuropathyNCT03824860
Yoga for Painful Chemotherapy-Induced Peripheral Neuropathy: A Pilot, Randomized-Controlled Study
A study testing Yoga in people with Chemotherapy-induced Peripheral Neuropathy and Yoga, run by Dana-Farber Cancer Institute at 1 site in United States.
Trial summary
This research study will examine the feasibility of conducting an eight-week yoga intervention for individuals with chronic painful chemotherapy-induced peripheral neuropathy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chemotherapy-induced Peripheral Neuropathy, Yoga, Chronic Pain
- What is being tested?
- Yoga
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 47 participants
- Where
- 1 siteUnited States
- Study dates
- 6 Aug 2019to 18 Feb 2021
- Phase
- Interventional
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- -≥18 years of age,
- self-report ≥ 4/10 worst chemotherapy-induced peripheral neuropathy pain over the past week,
- at least three months post neurotoxic chemotherapy completion
- signed informed consent,
- willingness to participate in all study activities
- speak/read English
Who cannot join
- prognosis of less than three months,
- documented peripheral neuropathy due to other causes (e.g., diabetes),
- planned receipt of neurotoxic chemotherapy during the study period,
- practice yoga >45 minutes per week over the past six months,
- diagnosis or documented recent history of significant psychiatric comorbidity (i.e., psychosis, suicidal ideation, or substance abuse)
- clinician deems that the patient is physically/functionally unable to participate in a yoga program
Trial locations and contacts
1 site in 1 country.
United States1 site
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
About this study
This research study will examine the feasibility of conducting an eight-week yoga intervention for individuals with chronic painful chemotherapy-induced peripheral neuropathy.
Read the detailed description
This research study will examine the feasibility of conducting an eight-week yoga intervention for individuals with chronic painful chemotherapy-induced peripheral neuropathy. The investigators will also explore participants' perceptions of acceptability and satisfaction with the yoga intervention. Lastly, the investigators will examine changes in chemotherapy-induced peripheral neuropathy severity, physical function, sleep-related impairment, fatigue, anxiety, depression, and pain following the eight-week yoga intervention.
- Being tested
- Yoga
- Keywords
- Chemotherapy-induced Peripheral Neuropathy, Yoga, Chronic Pain, Neuropathic Pain
- Medical subject headings
- Chronic Pain, Neuralgia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
YogaBehavioural
Participants will attend at least one group class per week (in-person or Zoom) and practice one self-guided yoga video class at home on their own per week, over eight weeks
Participants may choose to attend "Flow Yoga" and/or "Chair Flow Yoga" classes. These classes will be videotaped and made available to participants electronically.
Classes consist of:
- guided breathing exercises,
- upper and lower extremity stretching
- structured postures and movements to improve balance and strength
| Study group | Role | What they receive |
|---|---|---|
| Yoga Program | Experimental | Eight-weeks, therapist and self-guided yoga Receives: Behavioral: Yoga |
| Treatment as usual | No intervention | Control group participants will continue to receive usual care and symptom management strategies from clinicians during the study. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants recruited to participate in the study
Feasibility of participant recruitment to the study
Measured: From enrollment to end of treatment at 8 weeks.
Frequency of yoga practice by participants
Feasibility of participant adherence to the yoga intervention
Measured: From enrollment to end of treatment at 8 weeks.
Frequency of outcome assessments completed by participants.
Feasibility of participant adherence to outcome assessments
Measured: From enrollment to end of treatment at 8 weeks.
Secondary outcomes (9)
Acceptability and Satisfaction with Participation in Yoga Intervention
We will use semi-structured interviews to gain information about participants' experience with the yoga program
Measured: At the end of treatment, 8 weeks after enrollment
Worst Chemotherapy-Induced Peripheral Neuropathy Pain Intensity
Change in 0 - 10 numerical rating scale of worst chemotherapy-induced peripheral neuropathy pain (via 7-day pain diary) from enrollment to end of treatment at 8 weeks. Total scores range from 0 - 10, with higher scores representing worse pain.
Measured: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Chemotherapy-Induced Peripheral Neuropathy Severity
Change in European Organization of Research and Treatment of Cancer Quality of Life Questionnaire-Chemotherapy-Induced Peripheral Neuropathy Scale-20 score from enrollment to end of treatment at 8 weeks. Total scores range from 0 - 100, with higher scores representing worse chemotherapy-induced peripheral neuropathy severity.
Measured: From enrollment to end of treatment at 8 weeks.At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Pain Interference
Change in Patient Reported Outcomes Measurement Information System (PROMIS) Pain Interference 4a score from enrollment to the end of treatment at 8 weeks. Total scores range from 41.6 - 75.6, with higher scores representing worse pain interference.
Measured: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Sleep-Related Impairment
Change in Patient Reported Outcomes Measurement Information System (PROMIS) Sleep-related Impairment 8a score from enrollment to the end of treatment at 8 weeks. Total scores range from 30.0 - 80.1 with higher scores representing worse sleep-related impairment.
Measured: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Anxiety assessed by the "Change in Patient Reported Outcomes Measurement Information System (PROMIS) Anxiety"
Change in Patient Reported Outcomes Measurement Information System (PROMIS) Anxiety 4a score from enrollment to the end of treatment at 8 weeks. Total scores range from 40.3 - 81.6, with higher scores representing worse anxiety.
Measured: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Depression assessed by Change in Patient Reported Outcomes Measurement Information System (PROMIS) Depression
Change in Patient Reported Outcomes Measurement Information System (PROMIS) Depression 4a score from enrollment to the end of treatment at 8 weeks. Total scores range from 41.0 - 79.4, with higher scores representing worse depression.
Measured: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Fatigue assessed by Change in Patient Reported Outcomes Measurement Information System (PROMIS) Fatigue
Change in Patient Reported Outcomes Measurement Information System (PROMIS) Fatigue 4a score from enrollment to the end of treatment at 8 weeks. Total scores range from 33.7 - 75.8, with higher scores representing worse fatigue.
Measured: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Physical Function
Change in Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function 4a score from enrollment to the end of treatment at 8 weeks. Total scores range from 22.5 - 57.0, with higher scores representing better physical function.
Measured: At the time of enrollment and at the end of treatment, at 8 weeks.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jan 2019
- Study start6 Aug 2019
- Primary completion8 Feb 2021
- Study completion18 Feb 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Chemotherapy-induced Peripheral NeuropathyStudies of the same condition, open and under way.
- More trials run by Dana-Farber Cancer InstituteThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 47 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dana-Farber Cancer Institute
- Sponsor type
- University, hospital or other
- Collaborators
- Oncology Nursing Society
- Responsible party
- Principal investigator, Robert Knoerl, PhD, RN, Dana-Farber Cancer Institute
- Investigators
- Robert Knoerl, PhD, Principal investigator, Dana-Farber Cancer Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03824860
- Sponsor's protocol ID
- 18-578
- Status last verified
- Mar 2022
- First submitted
- 29 Jan 2019
- Last updated
- 28 Mar 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to: Robert Knoerl, PhD; Study PI. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research
Publications
Knoerl R, Giobbie-Hurder A, Berfield J, Berry D, Meyerhardt JA, Wright AA, Ligibel JA. Yoga for chronic chemotherapy-induced peripheral neuropathy pain: a pilot, randomized controlled trial. J Cancer Surviv. 2022 Aug;16(4):882-891. doi: 10.1007/s11764-021-01081-z. Epub 2021 Sep 15.
PubMed 34524631Knoerl R, Phillips CS, Berfield J, Woods H, Acosta M, Tanasijevic A, Ligibel J. Lessons learned from the delivery of virtual integrative oncology interventions in clinical practice and research during the COVID-19 pandemic. Support Care Cancer. 2021 Aug;29(8):4191-4194. doi: 10.1007/s00520-021-06174-0. Epub 2021 Mar 26.
PubMed 33772364
Study at a glance
From the registry record, last updated by the sponsor on 28 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Yoga for Painful Chemotherapy-Induced Peripheral Neuropathy: A Pilot, Randomized-Controlled Study
- ClinicalTrials.gov ID
- NCT03824860
- Acronym / sponsor ID
- 18-578
- Keywords
- Chemotherapy-induced Peripheral Neuropathy, Yoga, Chronic Pain, Neuropathic Pain
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 47 participants (actual)
- Lead sponsor
- Dana-Farber Cancer InstituteUniversity, hospital or other
- Collaborators
- Oncology Nursing Society
- Study start
- 6 Aug 2019 (actual)
- Primary completion
- 8 Feb 2021 (actual)
- Study completion
- 18 Feb 2021 (actual)
- First posted
- 31 Jan 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This research study will examine the feasibility of conducting an eight-week yoga intervention for individuals with chronic painful chemotherapy-induced peripheral neuropathy.
Detailed description
This research study will examine the feasibility of conducting an eight-week yoga intervention for individuals with chronic painful chemotherapy-induced peripheral neuropathy. The investigators will also explore participants' perceptions of acceptability and satisfaction with the yoga intervention. Lastly, the investigators will examine changes in chemotherapy-induced peripheral neuropathy severity, physical function, sleep-related impairment, fatigue, anxiety, depression, and pain following the eight-week yoga intervention.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Yoga Program | Experimental | Behavioral: YogaEight-weeks, therapist and self-guided yoga |
| Treatment as usual | No intervention | –Control group participants will continue to receive usual care and symptom management strategies from clinicians during the study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- -≥18 years of age,
- self-report ≥ 4/10 worst chemotherapy-induced peripheral neuropathy pain over the past week,
- at least three months post neurotoxic chemotherapy completion
- signed informed consent,
- willingness to participate in all study activities
Key exclusion criteria (6 listed)
- prognosis of less than three months,
- documented peripheral neuropathy due to other causes (e.g., diabetes),
- planned receipt of neurotoxic chemotherapy during the study period,
- practice yoga >45 minutes per week over the past six months,
- diagnosis or documented recent history of significant psychiatric comorbidity (i.e., psychosis, suicidal ideation, or substance abuse)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| YogaParticipants will attend at least one group class per week (in-person or Zoom) and practice one self-guided yoga video class at home on their own per week, over eight weeks Participants may choose to attend "Flow Yoga" and/or "Chair Flow Yoga" classes. These classes will be videotaped and made available to participants electronically. Classes consist of: * guided breathing exercises, * upper and lower extremity stretching * structured postures and movements to improve balance and strength | Behavioural | Yoga Program |
Primary outcome
Number of participants recruited to participate in the study
Time frame: From enrollment to end of treatment at 8 weeks.
Feasibility of participant recruitment to the study
Frequency of yoga practice by participants
Time frame: From enrollment to end of treatment at 8 weeks.
Feasibility of participant adherence to the yoga intervention
Frequency of outcome assessments completed by participants.
Time frame: From enrollment to end of treatment at 8 weeks.
Feasibility of participant adherence to outcome assessments
9 secondary outcomes
Acceptability and Satisfaction with Participation in Yoga Intervention
Time frame: At the end of treatment, 8 weeks after enrollment
Worst Chemotherapy-Induced Peripheral Neuropathy Pain Intensity
Time frame: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Chemotherapy-Induced Peripheral Neuropathy Severity
Time frame: From enrollment to end of treatment at 8 weeks.At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Pain Interference
Time frame: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Sleep-Related Impairment
Time frame: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Anxiety assessed by the "Change in Patient Reported Outcomes Measurement Information System (PROMIS) Anxiety"
Time frame: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Depression assessed by Change in Patient Reported Outcomes Measurement Information System (PROMIS) Depression
Time frame: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Fatigue assessed by Change in Patient Reported Outcomes Measurement Information System (PROMIS) Fatigue
Time frame: At the time of enrollment and at the end of treatment, 8 weeks after enrollment
Physical Function
Time frame: At the time of enrollment and at the end of treatment, at 8 weeks.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Mar 2022.
- Derived from this study: PubMed 34524631Knoerl R, Giobbie-Hurder A, Berfield J, Berry D, Meyerhardt JA, Wright AA, Ligibel JA. Yoga for chronic chemotherapy-induced peripheral neuropathy pain: a pilot, randomized controlled trial. J Cancer Surviv. 2022 Aug;16(4):882-891. doi: 10.1007/s11764-021-01081-z. Epub 2021 Sep 15.
- Derived from this study: PubMed 33772364Knoerl R, Phillips CS, Berfield J, Woods H, Acosta M, Tanasijevic A, Ligibel J. Lessons learned from the delivery of virtual integrative oncology interventions in clinical practice and research during the COVID-19 pandemic. Support Care Cancer. 2021 Aug;29(8):4191-4194. doi: 10.1007/s00520-021-06174-0. Epub 2021 Mar 26.
- Individual participant dataSharing planned: Yes. The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to: Robert Knoerl, PhD; Study PI. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert Knoerl, PhD principal investigator
Dana-Farber Cancer Institute
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Yoga in people with Chemotherapy-induced Peripheral Neuropathy and Yoga, run by Dana-Farber Cancer Institute 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 6 inclusion and 6 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 28 Mar 2022. 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.
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?
Number of participants recruited to participate in the study (time frame: From enrollment to end of treatment at 8 weeks.). The study lists 3 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 NCT03824860, which also lists 2 linked publications.
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 28 Mar 2022.