Integrative Approaches for Cancer Survivorship (IACS3)

NCT ID: NCT06633926

Last Updated: 2025-06-10

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

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-31

Study Completion Date

2027-06-30

Brief Summary

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This clinical trial is a two-arm pilot randomized controlled trial for non-metastatic breast cancer survivors to determine the feasibility, acceptability, and fidelity of two integrative health approaches and study design in a multi-site setting. Participants (n=104) will be randomized to either the Ayurveda Intervention (AVI) or Facing Forward Health Education Intervention (FFHEI). Integrative health combines biomedical and complementary approaches together in a coordinated way. AVI, a multi-modal intervention, includes nutritional education, lifestyle practices, yoga, and therapeutic touch, called marma, to help the body and mind feel balanced. FFHEI provides health education using self-directed online content and interactive videos based on the latest science in cancer survivorship. This study does not intend to conduct tests of efficacy and is focused on feasibility outcomes.

Detailed Description

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PRIMARY OBJECTIVES

I. Determine feasibility and acceptability of this design in a multi-site setting.

SECONDARY OBJECTIVES

I. Evaluate Quality of Life (QOL).

II. Evaluate Cancer Associated Symptoms.

OUTLINE: Participants are randomized in a 1:1 ratio to 1 of 2 arms.

ARM I: Participants receive usual care on study. Participants also receive nutrition education, lifestyle recommendations, and participate in yoga, as well as marma therapeutic touch during one-on-one AVI visits over 1-2 hours for up to 14 visits over 6 months. After 6 months, participants may also complete a videoconference visit over 30 minutes once monthly for 6 months.

ARM II: Participants receive usual care on study. Participants also access self-directed online HEI sessions over 1 hour each for up to 15 sessions over 6 months.

Conditions

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Anatomic Stage I Breast Cancer AJCC v8 Anatomic Stage II Breast Cancer AJCC v8 Anatomic Stage III Breast Cancer AJCC v8

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Participants will be masked to the study hypothesis. Research staff involved with data analysis will be blinded to group assignment until the database is locked. The statistician will remain blinded until the completion of the analysis.

Study Groups

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Ayurveda and Usual Care (AVI)

Participants receive usual care on study. Participants also receive nutrition education, lifestyle recommendations, and participate in yoga, as well as marma therapeutic touch during one-on-one AVI visits over 1-2 hours for up to 14 visits over 6 months. After 6 months, participants may also complete a videoconference visit over 30 minutes once monthly for 6 months. In addition, participants will complete online questionnaires at baseline and at the end of 6 months.

Group Type EXPERIMENTAL

Nutrition Education

Intervention Type BEHAVIORAL

Given nutrition education

Lifestyle Counseling

Intervention Type BEHAVIORAL

Given lifestyle recommendations

Yoga

Intervention Type OTHER

Participate in yoga

Marma therapy

Intervention Type PROCEDURE

Participate in marma therapeutic touch

Quality of Life Questionnaire Administration

Intervention Type OTHER

Self-reported questionnaires are given to participants to complete

Health Education and Usual Care (HEI)

Participants receive usual care on study. Participants also attend online HEI sessions over 1 hour each for up to 15 sessions over 6 months. In addition, participants will complete online questionnaires at baseline and at the end of 6 months.

Group Type EXPERIMENTAL

Educational Intervention

Intervention Type OTHER

Attend online HEI sessions

Quality of Life Questionnaire Administration

Intervention Type OTHER

Self-reported questionnaires are given to participants to complete

Interventions

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Nutrition Education

Given nutrition education

Intervention Type BEHAVIORAL

Lifestyle Counseling

Given lifestyle recommendations

Intervention Type BEHAVIORAL

Yoga

Participate in yoga

Intervention Type OTHER

Marma therapy

Participate in marma therapeutic touch

Intervention Type PROCEDURE

Educational Intervention

Attend online HEI sessions

Intervention Type OTHER

Quality of Life Questionnaire Administration

Self-reported questionnaires are given to participants to complete

Intervention Type OTHER

Other Intervention Names

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Yoga therapy Marma therapeutic touch therapy Therapeutic touch therapy Education for Intervention Quality of Life Survey

Eligibility Criteria

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Inclusion Criteria

1. Age \>= 18
2. Able to understand study procedures and to comply with them for the entire length of the study.
3. Able to read, write, and understand English.
4. Ability of individual or legal guardian/representative to understand a verbal informed consent document, and the willingness to sign it.
5. Non-metastatic breast cancer patients who are between 1 and 36 months after completion of primary treatment (i.e., surgery, radiotherapy, chemotherapy) and are in a complete remission.
6. Participants should have received chemotherapy as part of their primary treatment.
7. Have an impaired quality of life (report a score of 5 or less on question 30 of the European Organisation for Research and Treatment of Cancer Quality of Life Cancer questionnaire (EORTC-QLQ-C30). "How would you rate your overall quality of life during the past week?"
8. Karnofsky Performance Status Score (KPS) \>=60

Exclusion Criteria

1. Contraindication to any study-related procedure or assessment.
2. Metastatic disease and receiving chemotherapy or radiotherapy at the time of study enrollment (participants with non-metastatic disease who are receiving anti-Her2 directed treatment alone in the adjuvant setting are eligible).
3. Participants are within 1 month after surgery for cancer, including breast reconstructive surgery but not including implant exchange.
4. Cancer surgery planned during the initial 6-month study period.
5. Been on adjuvant hormone therapy (for breast cancer) less than 2 months at the time of enrollment.
6. Received Ayurvedic treatment during the 3 months preceding enrollment.
7. If a participant reports severe anxiety or depression, has severe depression assessed by Patient Health Questionnaire (PHQ)-9 using a cut-off of 20 or higher, or severe anxiety assessed by the General Anxiety Disorder-7 (GAD-7) using a cut-off 15 or higher.
8. Current suicidal ideation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Center for Complementary and Integrative Health (NCCIH)

NIH

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anand Dhruva, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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Zuckerberg San Francisco General

San Francisco, California, United States

Site Status RECRUITING

University of California, San Francisco

San Francisco, California, United States

Site Status RECRUITING

Kaiser Permanente Northwest (KPNW)

San Francisco, California, United States

Site Status RECRUITING

Vanderbilt Ingram Cancer Center

Nashville, Tennessee, United States

Site Status NOT_YET_RECRUITING

Countries

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United States

Central Contacts

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Patricia Moran, PhD

Role: CONTACT

415-476-1235

Facility Contacts

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Role: primary

415-476-1235

Patricia Moran, PhD

Role: primary

415-476-1235

Role: backup

877-827-3222

Role: primary

503-335-5639

Other Identifiers

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NCI-2024-07529

Identifier Type: REGISTRY

Identifier Source: secondary_id

R01AT012522

Identifier Type: NIH

Identifier Source: secondary_id

View Link

24807

Identifier Type: -

Identifier Source: org_study_id

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