Light Therapy and Occupational Therapy Fatigue Management-Based Intervention for Patients With Genitourinary Cancers

NCT ID: NCT05519878

Last Updated: 2025-12-24

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

RECRUITING

Clinical Phase

NA

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-29

Study Completion Date

2027-05-25

Brief Summary

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This clinical trial evaluates light therapy and occupational therapy in improving cancer related fatigue (CRF) patients with genitourinary cancers. Light therapy is a non-pharmacological and evidence-based intervention for managing fatigue in cancer patients. The use of light therapy can provide a low burden, inexpensive, and easy to disseminate intervention approach that can potentially have a larger impact on CRF. In addition, occupational therapy is a standard, but often underutilized, component of the multi-disciplinary approach to cancer care. Using the combination of light therapy and occupational therapy may be effective in CRF management.

Detailed Description

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PRIMARY OBJECTIVE:

I. To evaluate patient's fatigue at post-intervention (3 months from baseline).

SECONDARY OBJECTIVE:

I. To evaluate whether the change (improvement) in fatigue as measured by the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue tool, from pre-interventions to post interventions is significantly different between intervention groups in patients with genitourinary cancers.

THIRD OBJECTIVE:

I. To assess patient perceived changes in occupational performance as measured by the Canadian Occupational and Performance Measure (COPM) tool, in the occupational therapy (OT) group, compared to the control group in patients with genitourinary cancers.

OUTLINE: Patients are randomized to 1 of 4 arms.

ARM I (Bright white light \[BWL\]): Patients self-administer 30 minutes of light delivered via light glasses every morning for 3 months. Patients attend 6 follow up sessions to address any questions regarding the wearable light therapy glasses.

ARM II (OT): Patients undergo 6 occupational therapist-led sessions over 60 minutes each.

ARM III (BWL and OT): Patients self-administer 30 minutes of light delivered via light glasses every morning for 3 months. Patients attend 6 follow up sessions to address any questions regarding the wearable light therapy glasses and to complete the occupational therapist-led session over 60 minutes.

ARM IV (CONTROL): Patients undergo routine treatment and usual follow up care with their medical oncologist.

After completion of study, patients are follow-up for 3 months.

Conditions

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Bladder Carcinoma Genitourinary System Neoplasm Kidney Carcinoma Prostate Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Arm I (BWL)

Patients self-administer 30 minutes of light delivered via light glasses every morning for 3 months. Patients attend 6 follow up sessions to address any questions regarding the wearable light therapy glasses.

Group Type EXPERIMENTAL

Bright White Light Therapy

Intervention Type DEVICE

Undergo bright white therapy

Questionnaire Administration

Intervention Type OTHER

Complete questionnaires

Arm II (OT)

Patients undergo 6 occupational therapist-led sessions over 60 minutes each.

Group Type EXPERIMENTAL

Occupational Therapy

Intervention Type BEHAVIORAL

Undergo occupational therapy

Questionnaire Administration

Intervention Type OTHER

Complete questionnaires

Arm III (OT, BWL)

Patients self-administer 30 minutes of light delivered via light glasses every morning for 3 months. Patients attend 6 follow up sessions to address any questions regarding the wearable light therapy glasses and to complete the occupational therapist-led session over 60 minutes.

Group Type EXPERIMENTAL

Bright White Light Therapy

Intervention Type DEVICE

Undergo bright white therapy

Occupational Therapy

Intervention Type BEHAVIORAL

Undergo occupational therapy

Questionnaire Administration

Intervention Type OTHER

Complete questionnaires

Arm IV (Control)

Patients undergo routine treatment and usual follow up care with their medical oncologist.

Group Type ACTIVE_COMPARATOR

Best Practice

Intervention Type OTHER

Undergo routine treatment and usual follow up care

Questionnaire Administration

Intervention Type OTHER

Complete questionnaires

Interventions

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Best Practice

Undergo routine treatment and usual follow up care

Intervention Type OTHER

Bright White Light Therapy

Undergo bright white therapy

Intervention Type DEVICE

Occupational Therapy

Undergo occupational therapy

Intervention Type BEHAVIORAL

Questionnaire Administration

Complete questionnaires

Intervention Type OTHER

Other Intervention Names

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standard of care standard therapy Bright Light Therapy Bright White Light BWL OT

Eligibility Criteria

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Inclusion Criteria

* Aged 18 and over
* Sufficiently fluent in English
* On active treatment receiving systemic therapy (e.g., chemotherapy, immunotherapy, hormonal therapy, etc.) or radiotherapy
* Patients with diagnosis of a genitourinary (GU) cancer (e.g., prostate, kidney, and bladder cancer) who have grade 1 or 2 fatigue based on physician assessment at the time of study entry
* Clinician assessed prognosis of greater than or equal to six months
* Willing and independently able to provide consent
* Receive a pre-screen FACIT-Fatigue score of less than or equal to 30

Exclusion Criteria

* Severe sleep disorders (e.g. narcolepsy)
* Eye Diseases which limit the ability of light to be processed (e.g. untreated cataracts, severe glaucoma, macular degeneration, blindness, pupil dilation problems or other retinal disorder)
* Severe psychological impairment (e.g., bipolar disorder or manic episodes)
* Current employment in night shift work
* Previous use of light therapy to alleviate fatigue or depressive symptoms
* Secondary cancer diagnosis within the past 5 years
* Plans to travel across meridians during treatment
* Pregnancy
* Currently recovering from previous eye surgery within the past 6 months that causes eye irritation
* Sensitivity to light, epilepsy, or a history of seizures
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

City of Hope Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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William Dale

Role: PRINCIPAL_INVESTIGATOR

City of Hope Medical Center

Locations

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City of Hope Medical Center

Duarte, California, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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William Dale

Role: primary

Other Identifiers

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NCI-2022-05658

Identifier Type: REGISTRY

Identifier Source: secondary_id

22235

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA033572

Identifier Type: NIH

Identifier Source: secondary_id

View Link

22235

Identifier Type: -

Identifier Source: org_study_id