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CompletedNCT03103243LUPPUpdated Mar 14, 2019

Pilot Study to Investigate Contemplative Intervention in Lupus Patients

An interventional study of Mindfulness Based Group Sessions in Lupus Erythematosus, Systemic, sponsored by University of Virginia. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-03-14.

Sponsored by University of Virginia · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The study tests whether contemplative-based intervention can modify pathogenic processes in participants with Lupus. Techniques such as meditation, mindfulness and yoga may have an impact on the disease and may decrease psychological distress, increase self-regulation capabilities, and reduce pain. Additionally, incorporating patients' caregivers may strengthen their relationships and, thereby, improve their health and well-being.

Read the detailed description

The objective of this pilot study is to test the feasibility of an innovative contemplative-based and caregiver-inclusive intervention can modify pathogenic processes in systemic lupus erythematosus (SLE). Contemplative techniques such as meditation, mindfulness and yoga may have an impact on the disease burden and may decrease psychological distress, increase self-regulation capabilities, and reduce pain. Research also suggests that contemplative practices, such as an intensive mindfulness intervention, may have a direct effect on the underlying disease process itself by altering epigenetic control of gene expression, decreasing proinflammatory cytokine production and reestablishing immunologic homeostasis. It is also well documented that social relationships moderate physical health. Incorporating patients' caregivers may strengthen their relationships and thereby improve their health and well-being. It is anticipated that the successful outcome of the intervention described in this proposal will provide the basis for a new and effective contemplative-based and caregiver-inclusive therapy for SLE and other rheumatic diseases.

02

Conditions studied

  • Lupus Erythematosus, Systemic

Keywords

  • Lupus
  • SLE
  • Erythematosus
03

In context

Lupus Erythematosus, Systemic

1,202 studies on the registry are indexed under Lupus Erythematosus, Systemic; 399 are open to participants now.

This study's enrollment of 30 is below the median of 50 across 867 interventional studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

University of Virginia is the lead sponsor of 653 studies on the registry; 134 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 41 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Males and females who have given written informed consent
  • 18 and older
  • Literate in English: able to read, understand, follow instructions, and complete the rating scales and questionnaires accurately
  • Have a clinical diagnosis of systemic lupus erythematosus
  • Must pass the initial MRI screening administered over the phone
  • Inclusion criteria for support person: must be able to attend sessions with SLE patient.

Exclusion criteria

Exclusion Criteria:

  • Significant previous mindfulness training and experience (e.g. MBSR course, daily meditation practice)
  • Any current Axis I DSM-IV-TR psychiatric disorder that, in the clinician's opinion, warrants treatment or would preclude safe participation in the protocol, including, but not limited to: psychosis, schizophrenia, dementia, schizotypal personality disorder, borderline personality disorder, bipolar disorder, primary diagnosis of eating disorder, or chronic suicidality or homicidality.
  • Have clinical evidence of significant unstable or uncontrolled acute or chronic diseases not related to SLE (i.e., diabetes, cardiovascular, pulmonary, hematologic, gastrointestinal, neurological, or infectious) which, in the opinion of the treating physician, could confound the results of the study or put the patients at undue risk
  • Chronic use of prescribed or recreational psychoactive drugs (self-reported)
  • Have current drug or alcohol abuse or dependence, or a history of drug or alcohol abuse or dependence within 364 days prior to Baseline (self-reported)
  • Diagnosis of lupus for over 20 years
  • Too sick to meaningfully participate (e.g. hospitalized, flaring at the time of screening)
  • In order to participate in the MRI portion of the study, participants must pass the in-person MRI screening administered by the MRI technician before each MRI. If participants fail the in-person MRI screening, they will be excluded from the MRI portion of the study, but can still participate in the intervention and blood draw portions of the study.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Other
    Intervention

    This is a single arm trial. All participants will be administered two baseline fMRIs and blood analysis prior to participation in a mindfulness group and individual mindfulness intervention sessions. A post intervention fMRI and blood analysis will complete the trial participation.

    Behavioral: Mindfulness Based Group Sessions

Interventions

  • BehavioralMindfulness Based Group Sessions

    In-person group intervention sessions conducted with a combination of meditation, group exercise (yoga), group discussions, deep breathing and other mindfulness based practices.

06

What researchers measure

Primary outcomes

  1. Change from baseline in blood

    Number of participants with abnormal lab values (Complete Blood Count, Chemistry Panel, Autoantibodies, Complement C3 \& C4, Cytokines)

    Time frame: Baseline Assessment, within 2 weeks prior to intervention, within 2 weeks after intervention

Secondary outcomes

  1. Change from baseline in brain activity during functional MRI

    Number of participants with change in brain activity during functional MRI tasks (Handholding, Balloon Analog Risk Task, Penn Emotion Recognition Task, Operation Span Task, Resting State Task)

    Time frame: Baseline Assessment, within 2 weeks prior to intervention, within 2 weeks after intervention

  2. Change from baseline in Patient Reported Outcomes

    Patient-reported change in health and symptoms

    Time frame: Baseline Assessment, within 2 weeks prior to intervention, throughout the 6-week intervention, within 2 weeks after intervention

  3. Change from baseline in SLE disease activity

    Systemic Lupus Activity Questionnaire (SLAQ)

    Time frame: Baseline Assessment, within 2 weeks prior to intervention, within 2 weeks after intervention

  4. Change from baseline in psychosocial function

    Self reported psychosocial function

    Time frame: Baseline Assessment, within 2 weeks prior to intervention, throughout the 6-week intervention, within 2 weeks after intervention

  5. Change from baseline in Heart Rate Variability

    Collected using emWave device

    Time frame: Throughout the entire 6-week intervention

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Study locations

1 site
  • University of Virginia
    Charlottesville, Virginia 22903, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03103243
Lead sponsor
University of Virginia
Collaborators
Lupus Research Alliance
Responsible party
Sponsor
First posted
Apr 6, 2017
Start date
Apr 27, 2017
Primary completion
Jun 4, 2018
Completion
Jun 4, 2018
Last update
Mar 14, 2019

Study contacts

James A Coan, Ph.D.
principal investigator · University of Virginia

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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