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Virtual Reality Therapy for Gastrointestinal Cancer Pain
N/A
Recruiting
Led By Brennan Spiegel, MD, MSHS
Research Sponsored by Cedars-Sinai Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Have a primary malignancy of the biliary tract, colon, liver, pancreas, peritoneum, rectum, small intestine, or stomach, with no plan for resection during the study period
Have clinically significant visceral pain, measured using the standardized NIH PROMIS GI Pain Scale defined as scoring at least 5 points above the nationally normed score
Must not have
Have brain metastases
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at baseline, week of day 30, and week of day 60
Summary
This trial will assess the impact of immersive VR on pain and other patient-reported outcomes for people with digestive tract malignancies, as well as differences between skills-based VR therapy and distraction VR therapy.
Who is the study for?
This trial is for adults with certain types of digestive tract cancers (like colon, liver, or stomach cancer) who are not planning surgery soon and have significant pain. They must be able to read/write in English and score high on a specific pain scale. People can't join if they have seizures, severe visual impairments, cognitive issues that affect understanding the study, brain metastases, or a life expectancy less than 3 months.
What is being tested?
The trial tests how virtual reality (VR) affects patient-reported outcomes like pain levels and opioid use in patients with visceral cancer pain. It compares three groups: one using VR with skills training; another using VR for distraction; and a control group watching 2-D content on VR headsets.
What are the potential side effects?
While not explicitly listed in the provided information, potential side effects may include discomfort from wearing the headset, dizziness or motion sickness from VR usage. However, these side effects are generally mild.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My cancer is in the digestive system and surgery isn't planned.
Select...
I experience significant stomach pain, scoring 5 points above the average on a pain scale.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
My cancer has spread to my brain.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ at baseline, week of day 30, and week of day 60
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at baseline, week of day 30, and week of day 60
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Patient-Reported Outcomes Measurement Information System Gastrointestinal Belly Pain over 30 days from the baseline
Secondary study objectives
Daily pain intensity
Opioid prescriptions of Morphine Milligram Equivalents (MME)
Patient-Reported Outcomes Measurement Information System Gastrointestinal Belly Pain
+1 moreOther study objectives
Dosage of VR (minutes per week)
Minutes of sleep over time
Pain Catastrophizing scale 4 item short form.
+6 moreTrial Design
3Treatment groups
Experimental Treatment
Placebo Group
Group I: Virtual Reality Program BExperimental Treatment1 Intervention
This arm will include software that provides immersive distraction based content for pain reduction.
Group II: Virtual Reality Program AExperimental Treatment1 Intervention
This arm will include software that provides immersive skills-based content for pain reduction.
Group III: Virtual Reality Program CPlacebo Group1 Intervention
This arm will include software that provides nonimmersive distraction based content for pain reduction.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
PICO G2 4k
2020
N/A
~390
Find a Location
Who is running the clinical trial?
Cedars-Sinai Medical CenterLead Sponsor
513 Previous Clinical Trials
163,029 Total Patients Enrolled
National Cancer Institute (NCI)NIH
13,958 Previous Clinical Trials
41,112,220 Total Patients Enrolled
Brennan Spiegel, MD, MSHSPrincipal InvestigatorCedars-Sinai Medical Center
8 Previous Clinical Trials
1,782 Total Patients Enrolled
Scott Irwin, MD, PhDPrincipal InvestigatorCedars-Sinai Medical Center
3 Previous Clinical Trials
24 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My cancer type is one of the following: adenocarcinoma, squamous cell, neuroendocrine, or mesenchymal.I don't have seizures, facial injuries, or visual problems that prevent using VR.I can think and understand well enough to follow study instructions.My cancer is in the digestive system and surgery isn't planned.My cancer has spread to my brain.Your doctor expects that you will live for less than 3 months from the time you join the study.I experience significant stomach pain, scoring 5 points above the average on a pain scale.
Research Study Groups:
This trial has the following groups:- Group 1: Virtual Reality Program C
- Group 2: Virtual Reality Program B
- Group 3: Virtual Reality Program A
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.