Impact on Quality of Life of Long-term Ototoxicity in Cancer Survivors

NCT ID: NCT04281953

Last Updated: 2020-03-25

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

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-09-05

Study Completion Date

2020-02-28

Brief Summary

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This project aims to explore, in depth, the burden of hearing loss and tinnitus on cancer survivors. Using semi-structured interviews, audiograms and a variety of validated questionnaires, the specific impact ototoxicity has on quality of life will be investigated.

From this, we can identify the specific needs of patients experiencing hearing loss and tinnitus following chemotherapy and develop a tailored and personalised support system.

Detailed Description

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The medical and technological advances in cancer research have caused a decline in cancer deaths in recent decades. For example, the 5-year survival rate now is above 80% for many adult cancers, including breast and testicular cancers. In breast cancer alone, the mortality rate has reduced 39% since 1989 and currently has a 5 year survival rate over 90%. Due to this increase in survival rates and the intensity of treatment, many face long-term physical and psychological challenges in survivorship. Cancer survivors may experience altered body image and changes in sexual health and energy levels in addition to distress, anxiety, the fear of recurrence and the chronic side effects of their treatment. The need to research the long-term effects of chemotherapy and the impact they have on quality of life is crucial.

There is a need to broaden research beyond the survival rates and address the need for support for those who are adapting to a life after cancer. Survivors are left with often permanent and possible life-debilitating effects from treatment. To date, there has been little research on the specific late effects of chemotherapy and the associated impact on quality of life.

Platinum-based chemotherapy, although highly effective, is known to cause ototoxicity, presenting often as permanent high frequency hearing loss and tinnitus. Hearing loss and tinnitus are associated with a higher risk of depression, social isolation and anxiety. The quality of social interactions for a person with hearing loss and tinnitus is diminished as taking part in conversations becomes challenging. This is particularly problematic as it means that the quality of life of these cancer survivors is reduced.

The impact hearing loss and tinnitus has on quality of life in cancer survivors remains unclear and under-studied. Because cancer therapies can potentially cause life-threatening side effects such as cardiotoxicity and nephrotoxicity, these become the priority. However, once these side acute effects subside, other long-term side effects remain and can permanently reduce quality of life. Cancer survivors may have already experienced a difficult journey from the diagnosis itself, the physical challenges of treatment and finally, remission. Re-adapting back to their previous life whilst in remission, but with added permanent side effects, both physically and psychologically, can be extremely difficult for some survivors.

Currently, there is little information and support offered to these patients who suffer from ototoxicity, potentially leading to many being undiagnosed and untreated. These patients can be affected by this toxicity for the rest of their lives, which can have a detrimental impact on their quality of life. It is essential that a deeper understanding and increased awareness of how hearing loss and tinnitus affects the quality of life of cancer survivors is sought to improve long-term symptoms management and support offered. This study aims to develop this and improve the support given to cancer survivors.

Conditions

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Quality of Life Cancer Hearing Loss, Sensorineural Tinnitus, Subjective Late Effect

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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People with ototoxicity

People living with and beyond who experience ototoxicity as a result of chemotherapy

High frequency audiometry

Intervention Type DIAGNOSTIC_TEST

Simple hearing test

Short-Form 36-Item Questionnaire (SF-36)

Intervention Type OTHER

Questionnaire on quality of life (Short Form 36 Item- SF-36)

Hearing handicap inventory for adults/elderly (HHIA/HHIE)

Intervention Type OTHER

Questionnaire on Hearing loss (Hearing handicap inventory for adults/elderly- HHIA/HHIE)

Tinnitus handicap inventory (THI)

Intervention Type OTHER

Questionnaire on Tinnitus (Tinnitus Handicap Inventory)

Interventions

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High frequency audiometry

Simple hearing test

Intervention Type DIAGNOSTIC_TEST

Short-Form 36-Item Questionnaire (SF-36)

Questionnaire on quality of life (Short Form 36 Item- SF-36)

Intervention Type OTHER

Hearing handicap inventory for adults/elderly (HHIA/HHIE)

Questionnaire on Hearing loss (Hearing handicap inventory for adults/elderly- HHIA/HHIE)

Intervention Type OTHER

Tinnitus handicap inventory (THI)

Questionnaire on Tinnitus (Tinnitus Handicap Inventory)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Has had platinum-based chemotherapy between 0-5 years ago
* Has had at least 1 cycle- Was an adult (over 18) at the time of cancer diagnosis

Exclusion Criteria

* Pre-existing hearing issues
* Radiotherapy to the head and neck area
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute for Health Research, United Kingdom

OTHER_GOV

Sponsor Role collaborator

International Stem Cell Forum

OTHER

Sponsor Role collaborator

University of Nottingham

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Baguley, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Nottingham

Locations

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University of Nottingham

Nottingham, Nottinghamshire, United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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18074

Identifier Type: -

Identifier Source: org_study_id

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