Mindfulness Relaxation Compared With Relaxing Music and Standard Symptom Management Education in Treating Patients Who Are Undergoing Chemotherapy For Newly Diagnosed Solid Tumors

NCT ID: NCT00086762

Last Updated: 2022-09-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

474 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-06-30

Study Completion Date

2022-08-11

Brief Summary

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RATIONALE: Mindfulness relaxation, a technique to help patients quiet their thoughts and relax their bodies before and during chemotherapy, may reduce or prevent nausea and vomiting. It may also help improve mental health, quality of life, and immune function in patients receiving chemotherapy.

PURPOSE: This randomized clinical trial is studying mindfulness relaxation to see how well it works compared to relaxing music or standard symptom management education in treating patients who are receiving chemotherapy for newly diagnosed solid tumors.

Detailed Description

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OBJECTIVES:

Primary

* Compare the effect of mindfulness relaxation vs relaxing music vs standard symptom management education on conditioned and nonconditioned nausea and vomiting in patients with newly diagnosed solid tumors undergoing chemotherapy.

Secondary

* Compare mental health (anxiety, depression, and distress), quality of life (cancer-related symptoms, fatigue, sleep, and pain), and immune function in patients receiving these interventions.

OUTLINE: This is a multicenter study comprising a pilot phase followed by a randomized phase. (Pilot phase completed as of 3/10/2012.)

* Pilot phase: Patients undergo mindfulness relaxation (MR) therapy comprising listening to instructions on breathing techniques and other mind and body relaxation practices on compact disc for 30 minutes before and during each chemotherapy session AND at least once daily for the entire duration of chemotherapy treatment. (Pilot phase completed as of 3/10/2012.)
* Randomized phase: Patients are randomized to 1 of 3 treatment arms.

* Arm I: Patients undergo MR therapy as in the pilot phase.
* Arm II: Patients listen to relaxing music (with no instructions on relaxation techniques) for 30 minutes before and during each chemotherapy session AND at least once daily for the entire duration of chemotherapy treatment.
* Arm III: Patients receive standard symptom management education. In both phases, nausea and vomiting, mental health (anxiety, depression, and distress), and quality of life (cancer-related symptoms, fatigue, sleep, and pain) are assessed at baseline, periodically during treatment, and then at 3 months.

Patients are followed annually for up to 5 years for survival.

PROJECTED ACCRUAL: A total of 474 patients will be accrued for this study.

Conditions

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Chemotherapy-induced Nausea and Vomiting Unspecified Adult Solid Tumor, Protocol Specific Breast Cancer Gastrointestinal Cancer Disease (or Disorder); Gynecological Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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MR Therapy

Participants receive Mindfulness Relaxation (MR) therapy as in the pilot phase. A CD with the mindfulness relaxation technique recorded on it will be given to participant. Participant to listen to the recording for about 30 minutes before receiving chemotherapy and during the time they are receiving chemotherapy. In addition to the mindfulness relaxation technique, they will also receive general information about how to manage symptoms that develop due to the chemotherapy they are receiving.

Group Type EXPERIMENTAL

MR Therapy

Intervention Type BEHAVIORAL

Arm I: Participants receive Mindfulness Relaxation (MR) therapy as in the pilot phase. Instructions given on breathing techniques and other practices to help relax mind and body.

Questionnaires

Intervention Type BEHAVIORAL

Questionnaire completion at baseline, during the middle of chemotherapy treatment, and at chemotherapy completion.

Relaxing Music (RM) Therapy

Arm II: Participants listen to relaxing music (with no instructions on relaxation techniques) for 30 minutes before and during each chemotherapy session AND at least once daily for the entire duration of chemotherapy treatment.

Group Type EXPERIMENTAL

Relaxing Music (RM) Therapy

Intervention Type BEHAVIORAL

Participants listen to relaxing music (with no instructions on relaxation techniques) for 30 minutes before and during each chemotherapy session AND at least once daily for the entire duration of chemotherapy treatment

Questionnaires

Intervention Type BEHAVIORAL

Questionnaire completion at baseline, during the middle of chemotherapy treatment, and at chemotherapy completion.

Standard Symptom Management

Arm III: Participants receive standard symptom management education.

Group Type ACTIVE_COMPARATOR

Standard Symptom Management

Intervention Type BEHAVIORAL

Participants receive standard symptom management education. General information received about how to manage symptoms that develop due to the chemotherapy.

Questionnaires

Intervention Type BEHAVIORAL

Questionnaire completion at baseline, during the middle of chemotherapy treatment, and at chemotherapy completion.

Interventions

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MR Therapy

Arm I: Participants receive Mindfulness Relaxation (MR) therapy as in the pilot phase. Instructions given on breathing techniques and other practices to help relax mind and body.

Intervention Type BEHAVIORAL

Relaxing Music (RM) Therapy

Participants listen to relaxing music (with no instructions on relaxation techniques) for 30 minutes before and during each chemotherapy session AND at least once daily for the entire duration of chemotherapy treatment

Intervention Type BEHAVIORAL

Standard Symptom Management

Participants receive standard symptom management education. General information received about how to manage symptoms that develop due to the chemotherapy.

Intervention Type BEHAVIORAL

Questionnaires

Questionnaire completion at baseline, during the middle of chemotherapy treatment, and at chemotherapy completion.

Intervention Type BEHAVIORAL

Other Intervention Names

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surveys

Eligibility Criteria

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Inclusion Criteria

1. are \>/= 18 years of age
2. are anticipated to undergo at least four cycles of chemotherapy treatment
3. have had no previous treatment with chemotherapy
4. have no evidence of distant metastatic disease
5. can read/speak in English or Spanish
6. have no known psychotic diagnosis
7. have an expected survival of at least 6 months

Exclusion Criteria

1. have a known psychotic diagnosis
2. will undergo an undefined number of chemotherapy regimens
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jon Hunter, MD, FRCP

Role: PRINCIPAL_INVESTIGATOR

Mount Sinai Hospital, Canada

Lorenzo Cohen, PHD

Role: STUDY_CHAIR

M.D. Anderson Cancer Center

Locations

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CCOP - Wichita

Wichita, Kansas, United States

Site Status

CCOP - Michigan Cancer Research Consortium

Ann Arbor, Michigan, United States

Site Status

CCOP - Grand Rapids

Grand Rapids, Michigan, United States

Site Status

CCOP - Kalamazoo

Kalamazoo, Michigan, United States

Site Status

CCOP - Main Line Health

Wynnewood, Pennsylvania, United States

Site Status

CCOP - Greenville

Greenville, South Carolina, United States

Site Status

University of Texas M.D. Anderson CCOP Research Base

Houston, Texas, United States

Site Status

CCOP - Scott and White Hospital

Temple, Texas, United States

Site Status

CCOP - Marshfield Clinic Research Foundation

Marshfield, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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MDA-CCC-0106

Identifier Type: -

Identifier Source: secondary_id

CDR0000357213

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-2009-00860

Identifier Type: REGISTRY

Identifier Source: secondary_id

2004-0024

Identifier Type: -

Identifier Source: org_study_id

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