Working...
ClinicalTrials.gov
ClinicalTrials.gov Menu
Trial record 39 of 59 for:    Behaviors and Mental Disorders[CONDITION-BROWSE-BRANCH] | Recruiting, Not yet recruiting, Available Studies | ( Map: Minnesota, United States ) | NIH, U.S. Fed

Reducing Lung Cancer-Related Anxiety (RELAX) (RELAX)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT02063828
Recruitment Status : Recruiting
First Posted : February 14, 2014
Last Update Posted : May 30, 2019
Sponsor:
Collaborator:
National Cancer Institute (NCI)
Information provided by (Responsible Party):
Wake Forest University Health Sciences

Brief Summary:
The purpose of this research study is to compare the effects of music and different levels of device-guided breathing on anxiety and shortness of breath in lung cancer survivors.

Condition or disease Intervention/treatment Phase
Lung Cancer Device: Group A - Device guided breathing low dose Device: Group B - Device guided breathing high dose Device: Group C - Usual Breathing Control Group Not Applicable

Detailed Description:

OBJECTIVES

  1. To assess feasibility (accrual, participation, adherence, retention) of a randomized study of device-guided breathing and music in 75 post-treatment ESLC survivors with significant anxiety.
  2. To obtain preliminary data on the variability and efficacy of two doses of a device-guided breathing intervention versus a music control group for reducing anxiety (primary outcome) and for improving self-reported dyspnea and respiratory functioning (secondary outcomes) in post-treatment lung cancer survivors.
  3. To select the optimal dose of the device-guided breathing intervention (15 minutes once/day or twice/day) for subsequent randomized study.

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 75 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Reducing Lung Cancer-Related Anxiety (RELAX)
Actual Study Start Date : July 30, 2015
Estimated Primary Completion Date : April 2020
Estimated Study Completion Date : April 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anxiety Lung Cancer

Arm Intervention/treatment
Experimental: Group A
Group A - Device Guided Breathing Low Dose
Device: Group A - Device guided breathing low dose
Group A: 15 minutes once a day, 5 days a week for 12 weeks.
Other Name: Resperate Device

Active Comparator: Group B
Group B - Device guided breathing high dose
Device: Group B - Device guided breathing high dose
Group B - 15 minutes twice a day, 5 days a week for 12 weeks.
Other Name: Resperate Device

Active Comparator: Group C
Group C - Usual Breathing Control Group
Device: Group C - Usual Breathing Control Group
Group C - 15 minutes per day, 5 days a week for 12 weeks.
Other Name: Resperate Device




Primary Outcome Measures :
  1. Participation Rate [ Time Frame: 12 weeks ]
    The participation rate will be calculated as the proportion of eligible patients who agree to participate

  2. Accrual Rate- number of patients accrued to the study [ Time Frame: 12 weeks ]
    The accrual rate will be calculated as the number of patients accrued to the study divided by the number of months of accrual.

  3. Adherence- amount of time the device is used [ Time Frame: 12 weeks ]
    Adherence will be calculated as the actual amount of time the device is used divided by the prescribed time. Successful adherence will be defined as use of the device ≥75% of the time assigned.

  4. Retention- number of participants who complete the final assessment [ Time Frame: 12 weeks ]
    Retention will be calculated as the number of participants who complete the final assessment divided by number randomized.


Secondary Outcome Measures :
  1. DNA methylation levels [ Time Frame: 12 weeks ]
    DNA methylation levels will be measured To determine if changes in anxiety are associated with methylation

  2. Gene Expression Levels [ Time Frame: 12 weeks ]
    The DNA methylation and gene expression patterns between the different groups.

  3. Salivary Cortisol Levels [ Time Frame: 12 weeks ]
    Cortisol levels will be assessed upon awakening, 30 minutes post-awakening, and at bedtime for three consecutive days at baseline and three consecutive days.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Past History of any lung cancer
  • For Stage I-III disease, patients should be 2-24 months post-completion of surgery, radiation therapy and/or chemotherapy with no further planned treatment during the 12-week study and no evidence of disease.
  • For Stage IV disease, patients may be receiving no treatment or may be receiving maintenance treatment with a target agent, chemotherapy, or immunotherapy provided the most recent imaging does not demonstrate progressive disease.
  • After completion of all three screening questionnaires, participant must score accordingly on at least one questionnaire to be eligible.
  • Willing/able to attend brief introductory session and use assigned device for the assigned period of time (15 minutes once or twice per day), at least 5 days per week for 12 weeks
  • Age ≥ 18 years
  • Must have telephone

Exclusion Criteria:

  • Patient does not understand English
  • Active lung infection
  • Progressive cancer (must be considered no evidence of disease or stable)
  • Any change in psychotropic medications in past 30 days
  • Hearing loss that would preclude participating in interventions. Adequate hearing to participate will be determined via: (1) Response of "no" to the question ["Do you have a hearing problem now?"] Participants with hearing aids will be allowed to enroll as long as their hearing is adequate to hear the sounds on the study devices. If necessary, potential study participants will receive a brief test trial with the RESPeRATE device. If they indicate inability to hear the guiding tones, they will not be enrolled in the study.

Cortisol Exclusion

- Participants with endocrine disorders (e.g., diabetes and thyroid disorders) or on steroid-based medications are excluded from the cortisol portion of the study (with the exception of topical hydrocortisone that is permitted).


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02063828


Contacts
Layout table for location contacts
Contact: Magan Lane, BS (336) 716-5992 mlane@wakehealth.edu
Contact: Karen Craver, MT, MHA (336) 713-4394 kcraver@wakehealth.edu

Locations
Layout table for location information
United States, Delaware
Beebe Health Campus Recruiting
Rehoboth Beach, Delaware, United States, 19971
Contact: Jacyne Burdett       jburdett@beebehealthcare.org   
United States, Kansas
Cancer Center of Kansas, PA - Wichita Recruiting
Wichita, Kansas, United States, 67214
Contact: Shaker R. Dakhil, MD, FACP    316-262-4467      
Via Christi Hospitals, Wichita Recruiting
Wichita, Kansas, United States, 67214
Contact: Keisha Humphries, RN    316-268-5374    keisha.humphries@ascension.org   
United States, Minnesota
St Johns Hospital-Healtheast Recruiting
Maplewood, Minnesota, United States, 55109
United States, North Carolina
Margaret R Pardee Memorial Hospital Recruiting
Hendersonville, North Carolina, United States, 28791
Wake Forest University Health Sciences Recruiting
Winston-Salem, North Carolina, United States, 27157
Contact: Tammy Vogler, RN    336-713-6907    tvogler@wakehealth.edu   
United States, South Carolina
Greenville Health System NCORP Recruiting
Greenville, South Carolina, United States, 29605
Contact: Megan Hanschke    864-522-2067    mhanschke@ghs.org   
Greenville Memorial Hospital Recruiting
Greenville, South Carolina, United States, 29605
Spartanburg Medical Center Recruiting
Spartanburg, South Carolina, United States, 29303
Contact: Melissa Foust       mfoust@gibbscc.org   
RB Upstate Carolinas CCOP Recruiting
Spartanburg, South Carolina, United States, 29605
Contact: Heather Farmer    864-560-1060    hfarmer@gibbscc.org   
United States, Wisconsin
Aurora NCORP Recruiting
Milwaukee, Wisconsin, United States, 53204
Contact: Patti Allard    414-778-4346    patti.allard@aurora.org   
Sponsors and Collaborators
Wake Forest University Health Sciences
National Cancer Institute (NCI)
Investigators
Layout table for investigator information
Study Chair: Suzanne C Danhauer, PhD Wake Forest University Health Sciences
Principal Investigator: Glenn Lesser, MD Wake Forest University Health Sciences

Publications:
Jacobsen PB DKSZetal. Management of anxiety and depression in adult cancer patients: Toward an evidence-based approach. In: Chang AE GPHDea, editor. Oncology: An Evidence-Based Approach. Philadelphia, PA: Springer; 2006. p. 1552-79.
Stanton AL, Bower JE, Low CA. Posttraumatic Growth After Cancer. In 2006. p. 138-75.
Eisen AR, Rapee RM, Barlow DH. The effects of breathing rate and pCO2 levels on relaxation and anxiety in a non-clinical population. Journal of Anxiety Disorders 1990;4(3):183-90
Hazlett-Stevens H, Craske MG. BREATHING RETRAINING AND DIAPHRAGMATIC BREATHING. In General principles and empirically supported techniques of cognitive behavior therapy. 2009.
Hewitt M, Greenfield S, Stovall E. From cancer patient to cancer survivor: Lost in Transition. 2006. National Academies Press.
Stamm BH, Piland NF, Lambert D, Speck NC. A Rural Perspective on Health Care for the Whole Person. Professional Psychology: Research and Practice 2007;38(3):298-304
American Psychological Association, Practice Directorate, Office of Rural Health (2002a). Caring for the rural community: 2000-2001 report. Washington, DC: APA Press; 2001.
Cancer of the Lung and Bronchus - SEER Stat Fact Sheets [Internet]. [cited 2012 Jul 17]. Available from: http://seer.cancer.gov/statfacts/html/lungb.html
Wilson EB. Probable inference, the law of succession, and statistical inference. JASA1927;22: 209-212.
Garcia SF, George J, Rosenbloom SK, Cella D. Adapting chronic illness health related quality of life item banks for cancer populations. In Poster presented at the International Society for Quality of LifeResearch on Patient-Reported Outcomes in Clinical Practice, Budapest, Hungary. In 2007.
Aldwin, C M, The physiology of stress, in Stress, Coping, and Development Guilford Press: New York, NY. 2007; 39-54.

Layout table for additonal information
Responsible Party: Wake Forest University Health Sciences
ClinicalTrials.gov Identifier: NCT02063828     History of Changes
Other Study ID Numbers: IRB00038743
U10CA081851 ( U.S. NIH Grant/Contract )
WF-01213 ( Other Identifier: NCI )
1UG1CA189824 ( U.S. NIH Grant/Contract )
2R25CA122061-07 ( U.S. NIH Grant/Contract )
R21CA182111-01 ( U.S. NIH Grant/Contract )
First Posted: February 14, 2014    Key Record Dates
Last Update Posted: May 30, 2019
Last Verified: May 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Layout table for additional information
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Device Product Not Approved or Cleared by U.S. FDA: No
Pediatric Postmarket Surveillance of a Device Product: No
Product Manufactured in and Exported from the U.S.: No

Keywords provided by Wake Forest University Health Sciences:
anxiety
Dyspnea
respiratory functioning

Additional relevant MeSH terms:
Layout table for MeSH terms
Lung Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Neoplasms
Lung Diseases
Respiratory Tract Diseases