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Breast CancerIMPACT-NCT07549685

Music Therapy in Patients With Breast Cancer (IMPACT)

A study testing Music Therapy in people with Breast Cancer, run by Istituto di Studi Superiori Musicali (ISSM) Conservatorio Antonio Vivaldi di Alessandria at 1 site in Italy.

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 study aims to evaluate the feasibility and potential benefits of music therapy in patients with breast cancer undergoing adjuvant chemotherapy. Breast cancer patients often experience significant physical and psychological symptoms during treatment, including anxiety, fatigue and reduced quality of life. Read more about this study

Who is it for?
Ages 25 to 75 years, women only
Conditions the study is for
Breast Cancer
What is being tested?
Music Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteItaly
Study dates
12 Nov 2025to 30 Jun 2026
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 25 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants will be eligible for inclusion if they meet all of the following criteria: - women age 25-75 years;
  • histologically confirmed diagnosis of BC;
  • undergoing adjuvant chemotherapy following surgery;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1;
  • ability to understand the Italian language and comply with study procedures;
  • provide written informed consent to study participation.

Who cannot join

  • Participants will be excluded if they meet any of the following criteria:
  • active neurological disorders;
  • active psychiatric disorders;
  • current or past substance abuse;
  • significant uncorrected visual, auditory or speech impairments;
  • have primary or metastatic brain tumours, as confirmed clinically or radiologically;
  • any condition that, in the opinion of the investigators, may interfere with participation in the study.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Azienda Ospedaliero - Universitaria SS. Antonio e Biagio e Cesare Arrigo - Alessandria

    Alessandria, 15121

Other trials in Italy

About this study

Official title: Feasibility of N-of-1 Trials to Evaluate Music Therapy in Patients With Breast Cancer Undergoing Adjuvant Chemotherapy: a Multicentre Pilot Study Protocol Integrated Music Therapy Program for Advanced Care in Breast Cancer Treatment (IMPACT)

This study aims to evaluate the feasibility and potential benefits of music therapy in patients with breast cancer undergoing adjuvant chemotherapy.

Breast cancer patients often experience significant physical and psychological symptoms during treatment, including anxiety, fatigue and reduced quality of life. Music therapy is a promising non-pharmacological intervention that may help improve psychological well-being and symptom management. However, current evidence is mainly based on group-level studies and does not account for individual variability in response.

Read more

This pilot study is designed as a series of combined N-of-1 trials, in which each participant alternates periods with and without music therapy, acting as her own control. A total of 24 patients will be recruited from two Italian oncology centres and randomly assigned to different intervention sequences.

The intervention consists of weekly group music therapy sessions lasting approximately 60 minutes, including both active and receptive techniques, along with personalized music playlists for home use.

The primary objective is to assess the feasibility of this study design, including recruitment, retention, data completeness and acceptability of the intervention. Secondary objectives include exploring the effects of music therapy on psychological and physical well-being, as well as estimating variability in individual responses.

The results of this study will inform the design of future larger studies aimed at evaluating the effectiveness of music therapy using personalised trial approaches.

Read the detailed description

Breast cancer is the most commonly diagnosed cancer among women worldwide and is frequently associated with a substantial burden of physical and psychological symptoms during treatment. Patients undergoing adjuvant chemotherapy often experience anxiety, fatigue, sleep disturbances and reduced quality of life, which may negatively affect treatment adherence and overall well-being. Addressing these multidimensional needs requires integrated, patient-centred supportive care approaches.

Music therapy (MT) is a clinical and evidence-based intervention delivered by trained therapists, using both active and receptive techniques to support psychological and emotional well-being. Previous studies have shown that MT may reduce anxiety and improve mood and quality of life in oncology settings. However, most available evidence is based on conventional group-level study designs, which do not adequately capture the variability in individual responses to the intervention.

N-of-1 trials represent an innovative methodological approach in which repeated treatment and control periods are compared within the same individual, allowing each patient to act as her own control. This design enables the evaluation of personalised treatment effects and intra-individual variability, which is particularly relevant for supportive care interventions such as music therapy.

This study is a multicentre, non-profit, interventional pilot study designed as a series of combined N-of-1 trials. A total of 24 patients with histologically confirmed breast cancer undergoing adjuvant chemotherapy will be recruited from two oncology centres in Italy. Participants will be randomly assigned to one of two intervention sequences, alternating periods with music therapy and periods without intervention according to a crossover design consisting of four consecutive phases (A-1, B-1, A-2, B-2), each lasting four weeks.

During intervention phases, participants will attend weekly group music therapy sessions lasting approximately 60 minutes. Sessions will include both receptive techniques (such as guided listening and music imagery) and active techniques (such as instrumental or vocal improvisation and songwriting). In addition, participants will receive personalised music playlists to be used between sessions.

Assessments will be conducted at baseline and at predefined follow-up time points throughout the study (T1, T2 and T3), as well as before and after MT sessions where applicable. Patient-reported outcome measures will include validated instruments assessing anxiety, depression, quality of life, emotional distress, symptom intensity and sleep quality.

The primary objective of the study is to assess the feasibility of conducting an N-of-1 trial design in this population, including recruitment, retention, data completeness and acceptability of the intervention. Secondary objectives include exploring changes in psychological and physical well-being and estimating intra- and inter-patient variability in treatment response.

As a pilot study, this trial is not powered to detect definitive treatment effects. The results will be used to inform the design, methodological assumptions and sample size calculation of future adequately powered studies evaluating the effectiveness of music therapy using personalised trial approaches.

Conditions
Breast Cancer
Being tested
Music Therapy
Keywords
Medical Music Therapy, Quality of life, Anxiety, Distress, Pain, Cancer, Woman, Integrative
Medical subject headings
Breast Neoplasms, Anxiety Disorders, Pain, Neoplasms

What participants receive

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

  • Music TherapyOther

    Group sessions of music therapy last approximately 60 minutes, on a weekly basis. Sessions will include both receptive (eg guided listening and music imagery) and active techniques (eg instrumental or vocal improvisation, songwriting). All the sessions will be conducted by a qualified music therapist

Study groups in NCT07549685
Study groupRoleWhat they receive
Group 1-Musictherapy AActive comparatorMusic therapy in phase A1 and B1, no music therapy in phase A2 and B2
Receives: Other: Music Therapy
Group 2 -Musictherapy BActive comparatorMusic therapy in phase A2 and B2, no music therapy in phase A1 and B1
Receives: Other: Music Therapy

What is being measured

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

  1. State-Trait Anxiety Inventory

    Level of anxiety ( score 20-80)

    Measured: Every single session : 5 minutes before and 10 minutes after

Secondary outcomes (5)
  1. Self-Rating Depression Scale (SDS),

    Level of depression . Score (0-15)

    Measured: Baseline (T0) - At the end of Cycle 1 (each cycle is 28 days) (T1) - At the end of Cycle 2 (each cycle is 28 days) (T2) - through study completion, up to 4 month (T3)

  2. Quality of Life (QoL)

    Changing in perceived quality of life. Score (0-100)

    Measured: Baseline (T0) - At the end of Cycle 1 (each cycle is 28 days) (T1) - At the end of Cycle 2 (each cycle is 28 days) (T2) - through study completion, up to 4 month (T3)

  3. Emotion Thermometers (ET)

    Changing in level of emotions. Score (0-10)

    Measured: every single session: 5 minutes before and 10 minutes after.

  4. Visual Analogue Scale (VAS)

    Level of pain

    Measured: pre-post sessions

  5. Pittsburgh Sleep Quality Index (PSQI).

    Changing in quality of sleep. Score (0-21)

    Measured: Baseline (T0) - At the end of Cycle 1 (each cycle is 28 days) (T1) - At the end of Cycle 2 (each cycle is 28 days) (T2) - through study completion, up to 4 month (T3)

Timeline

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

  1. First posted24 Apr 2026
  2. Study start12 Nov 2025
  3. Primary completion11 Mar 2026
  4. Study completion30 Jun 2026

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 N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Crossover
Model description
Music therapy will be provided in group sessions lasting approximately 60 minutes, on a weekly basis. Sessions will include both receptive (eg guided listening and music imagery) and active techniques (eg instrumental or vocal improvisation, songwriting). All the session will be conducted by qualified music therapist affiliated with "Antonio Vivaldi" Conservatory of Music in Alessandria and the "A. Scarlatti" Conservatory of Music in Palermo, with support from trained doctoral students when required. At the end of each session, participants receiving MT will be provide with customized playlists prepared by the music therapist. Each playlist will last approximately 20 minutes and will be designed to support relaxation and improve sleep quality. Study procedures The study consists of four consecutive phases (A-1,B-1,A-2 and B-2), each lasting 4 weeks. Participants will be randomly assigned to two groups (GR1 and GR2), which will alternate between periods with MT and periods without MT.
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07549685
Sponsor's protocol ID
ConsAL - IMPACT
Acronym
IMPACT-
Status last verified
Apr 2026
First submitted
1 Apr 2026
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Due to the nature of the study

Publications

  • Giordano F, Rutigliano C, Ugolini C, Iacona E, Ronconi L, Raguseo C, Perillo T, Rosa A, Santoro N, Testoni I. Effect of Music Therapy on Chemotherapy Anticipatory Symptoms in Adolescents: A Mixed Methods Study. J Pain Symptom Manage. 2024 Jul;68(1):e62-e74. doi: 10.1016/j.jpainsymman.2024.04.019. Epub 2024 Apr 27.

    PubMed 38679306
  • Palmer JB, Lane D, Mayo D, Schluchter M, Leeming R. Effects of Music Therapy on Anesthesia Requirements and Anxiety in Women Undergoing Ambulatory Breast Surgery for Cancer Diagnosis and Treatment: A Randomized Controlled Trial. J Clin Oncol. 2015 Oct 1;33(28):3162-8. doi: 10.1200/JCO.2014.59.6049. Epub 2015 Aug 17.

    PubMed 26282640
  • Bradt J, Potvin N, Kesslick A, Shim M, Radl D, Schriver E, Gracely EJ, Komarnicky-Kocher LT. The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: a mixed methods study. Support Care Cancer. 2015 May;23(5):1261-71. doi: 10.1007/s00520-014-2478-7. Epub 2014 Oct 17.

    PubMed 25322972
  • Bradt J, Dileo C, Myers-Coffman K, Biondo J. Music interventions for improving psychological and physical outcomes in people with cancer. Cochrane Database Syst Rev. 2021 Oct 12;10(10):CD006911. doi: 10.1002/14651858.CD006911.pub4.

    PubMed 34637527
  • Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, Jemal A. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.

    PubMed 38572751
  • Chang L, Wang Y, Zhang J, Zhao W, Li X, Yang L. Effect of music therapy combined with aerobic exercise on sleep quality among breast cancer patients undergoing chemotherapy after a radical mastectomy: a randomized controlled trial. BMC Womens Health. 2024 Jul 18;24(1):408. doi: 10.1186/s12905-024-03241-6.

    PubMed 39026220
  • Giordano F, Baroni M, Zingarelli M, Scarlata E, Pelazza C, Mazzucco R, Santi M, Albini G, Visconti M, Rossi M, Blasi L, Santinon P. Feasibility of an N-of-1 trial using a crossover design to evaluate music therapy in patients with breast cancer undergoing adjuvant chemotherapy: a multicentre pilot study protocol in two Italian centres (IMPACT-CASTA DIVA). BMJ Open. 2026 Sep 15;16(9):e122143. doi: 10.1136/bmjopen-2026-122143.

    PubMed 42744377

Questions about this trial

What is this clinical trial studying?

A study testing Music Therapy in people with Breast Cancer, run by Istituto di Studi Superiori Musicali (ISSM) Conservatorio Antonio Vivaldi di Alessandria at 1 site in Italy.

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 7 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 26 Oct 2026. 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 Italy. 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?

State-Trait Anxiety Inventory (time frame: Every single session : 5 minutes before and 10 minutes after). 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 NCT07549685, which also lists 7 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 26 Oct 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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