ClinicalTrials.gg
RecruitingNCT03353584Updated May 18, 2026

Effect of Virtual Reality Technology for Pain Management of Vaso-Occlusive Crisis in Patients With Sickle Cell Disease

An interventional study of Virtual Reality Therapy in Sickle Cell Disease and Vaso-occlusive Crisis, sponsored by St. Jude Children's Research Hospital. Recruiting at 2 sites in United States. Open to participants aged 6 Years to 25 Years. Per ClinicalTrials.gov, last updated 2026-05-18.

Primary conditionVaso-Occlusive CrisesRegistry: Anemia, Sickle CellReclassifiedWhy we changed it
Registry
Anemia, Sickle Cell — the first condition term the registry derived for this study.
ClinicalTrials.gg
Vaso-Occlusive Crises
Why
  1. The study's listed conditions name Vaso-Occlusive Crises, a narrower term within Anemia, Sickle Cell.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by St. Jude Children's Research Hospital · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Feb 2018; still recruiting 8 years 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
76
Allocation
Randomized
Ages
6 Years to 25 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 60 studies in Vaso-Occlusive Crises with a site in United States — 13 open to participants now, 15 under way, 5 of them phase 3. Vaso-Occlusive Crises · United States.

Planned enrollment
24th of 56
76 · median 63
Started
2018
with 3 others
No phase
9 of 60
4 open now
Primary completion
2026-11
later than 4 of 14 live
Registered
28th of 60
by date

Among the 60 studies in Vaso-Occlusive Crises with a site in United States, this one is the 24th largest by planned enrollment of the 56 interventional ones, is one of 4 that started in 2018, is one of 9 with no phase, reaches primary completion later than 4 of the 14 other live ones, and was the 28th registered.

By phase

60 studies; the count open now beside each. This study's row is marked.

Phase 218 · 4 open
Phase 317 · 3 open
No phasethis study9 · 4 open
Phase 46 · 1 open
Observational4 · 0 open
Phase 14 · 1 open
Phase 1/22 · 0 open

By the year they started

First in 2000; this study’s year is marked. 4 started in 2018.

Size and results

Median enrollment 63 across the 56 interventional studies, 82 across the 4 observational. Of the 41 that completed or were terminated, 21 (51%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 60 studies in Vaso-Occlusive Crises with a site in United States, or all of them as a file.
02

Study summary

Acute vaso-occlusive crisis (VOC) is the most common complication in patients with sickle cell disease (SCD) and pain related to VOC is often inadequately treated. This is a phase II randomized controlled clinical trial evaluating the efficacy of virtual reality technology when added to standard pain management for patients with sickle cell disease who are experiencing acute pain crisis in the ambulatory care setting. Patients will be randomized to receive either standard management only or standard management in addition to virtual reality therapy. The remainder of care for the painful event will continue per institutional standards according to clinical indication, including reassessment and documentation of pain and additional doses of pain medicines by intravenous (IV) or oral route. Pain scores and opioid requirement will be measured and compared across treatment arms, along with the outcomes of discharge from clinic versus admission to the inpatient unit.

PRIMARY OBJECTIVE: To assess the efficacy of virtual reality (VR) technology in reducing pain at 30 minutes after intervention during an acute vaso-occlusive crisis in patients with sickle cell disease. Primary endpoint will be change in pain scores in Standard versus VR arms, between the first pain assessment at the time of presentation and the subsequent pain assessments up to 30 minutes after intervention.

Secondary Objectives:

  • To compare total opioid consumption from the time of presentation to the time of discharge from acute care setting in Standard versus VR arms.
  • To assess the efficacy of virtual reality (VR) technology in reducing pain at 60 minutes after the first IV medication administered or 60 minutes after completion VR during an acute vaso-occlusive crisis in patients with sickle cell disease.
Read the detailed description

After consenting to participate in this study, patients will be randomized to receive either standard care therapy for VOC or to receive standard care therapy plus a 15-minute virtual reality (VR) session. They will be additionally randomized into strata by age: 6 to 11 years, 12 to 18 years, and 19 to 25 years. At the end of therapy or therapy plus the VR session, they will be asked to complete a 5-minute satisfaction survey. Information will also be collected from the medical record about the pain episode, including pain scores, medicines used, and time needed for pain to lessen.

Standard care for management of an acute VOC includes parenteral hydration and pain management with non-steroidal anti-inflammatory agents, such as Toradol or Ibuprofen, and opioids. Pain scores will be measured at three different time points: baseline at presentation, at 30±10 minutes after first intravenous (IV) analgesic medication, and at 60±10 minutes after first IV analgesic medication.

Use of VR will be included in addition to the standard care for management of patients randomized to VR arm. VR is an interactive technology that allows the user to interface with a three dimensional computer-generated environment by means of a lightweight head mounted display. The user is transported into a relaxing VR environment that diverts their attention away from pain. The duration of VR session is 15 minutes. Pain scores will be measured at three different time points: baseline at presentation, at 15±10 minutes after completion of VR therapy, and at 60±10 minutes after completion of VR therapy.

03

Conditions studied

  • Sickle Cell Disease
  • Vaso-occlusive Crisis

Browse trials for

Keywords

  • Virtual reality
  • Pain
  • Nonpharmacological
04

In context

Vaso-Occlusive Crises Reclassified

104 studies on the registry are indexed under Vaso-Occlusive Crises; 31 are open to participants now.

This study's planned enrollment of 76 is close to the median of 81 across 86 interventional studies indexed under Vaso-Occlusive Crises.

Browse Vaso-Occlusive Crises studies →

Lead sponsor

St. Jude Children's Research Hospital is the lead sponsor of 440 studies on the registry; 102 are open to participants now.

Of its 61 completed or terminated interventional studies of FDA-regulated products, 37 (61%) have results posted.

Compared within Vaso-Occlusive Crises, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Anemia, Sickle Cell. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
6 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participant must have sickle cell disease (any genotype), documented in the St. Jude medical record.
  • Participant must be seeking care for acute VOC pain at St. Jude Children's Research Hospital.
  • Participant age must be ≥ 6 years and ≤ 25 years.
  • English speaking

Exclusion criteria

Exclusion Criteria:

  • Prior randomization in this study.
  • Patients are currently enrolled on another pain management interventional trial for the presenting pain crisis.
  • Mild pain (score \<4), or pain for which treatment with opioid is not indicated.
  • Pain in combination with other clinical symptoms that require additional interventions, including fever with focus, acute chest syndrome, acute injury, or splenic sequestration.
  • Developmental or psychiatric disorders like autism, claustrophobia or other disabilities like vision and hearing defects etc. that preclude the use of a head mounted device.
  • Inability or unwillingness of research participant or legal guardian/ representative to give written .
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

06

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
76 participants (estimated)

Study arms

  • No intervention
    Standard Care

    Participants receive standard care treatment for their vaso-occlusive crisis. Participants will be randomized by age.

  • Active comparator
    Virtual Reality

    Participants receive standard care treatment for their vaso-occlusive crisis. In addition, they will have a 15-minute Virtual Reality Therapy session. Participants will be randomized by age.

    Other: Virtual Reality Therapy

Interventions

  • OtherVirtual Reality Therapy

    The VR intervention consists of an interactive audio and visual underwater experience designed to serve as a calming distraction activity. The VR software (Kind VR® Aqua) was developed by KindVR specifically for the purpose of pain distraction in a hospital setting.

    Also known as: VR therapy

07

What researchers measure

Primary outcomes

  1. Change in pain scores

    The highest pain score based on all scores at different body pain locations is used as the pain score. The changes in pain scores in two arms between baseline and 30 minutes post study intervention will be summarized and compared using Wilcoxon rank sum test at a significance level of 0.1.

    Time frame: Baseline and up to 30 minutes after intervention

08

Study locations

1 of 2 sites recruiting
  • Methodist Comprehensive Sickle Cell Center
    Memphis, Tennessee 38104, United States
    Completed

    Not enrolling at this site.

  • St. Jude Children's Research Hospital
    Memphis, Tennessee 38105, United States
    Recruiting
09

References and documents

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2018 (actual). Primary completion is estimated for Nov 2026, 105 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 21, 2017
First posted
Nov 27, 2017
StartActual
Feb 5, 2018
Primary completionEst.
Nov 2026
CompletionEst.
Nov 2026
Last update
May 18, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03353584
Responsible party
Sponsor
First posted
Nov 27, 2017
Start date
Feb 5, 2018
Primary completion
Nov 2026 (estimated)
Completion
Nov 2026 (estimated)
Last update
May 18, 2026

Study contacts

Michael Frett, MD
Contact
referralinfo@stjude.org
888-226-4343
Michael Frett, MD
principal investigator · St. Jude Children's Research Hospital

Oversight

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

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