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WithdrawnNCT03436680Updated Mar 4, 2022

Home-Based Neurofeedback Program in Treating Participants With Chemotherapy-Induced Peripheral Neuropathy

An interventional study of Best Practice and Neurofeedback in Neuropathy, sponsored by M.D. Anderson Cancer Center. Withdrawn. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-04.

Sponsored by M.D. Anderson Cancer Center · Not applicable, Interventional, and Supportive care

Why this study was withdrawn
Due to lack of funds, time, and staff cannot activate the study.
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This trial studies how well a home-based neurofeedback program works in treating participants with chemotherapy-induced peripheral neuropathy (nerve damage that affects motor function). Neurofeedback training is a type of therapy that uses an electroencephalograph and a computer software program to measure brain wave activity. It may help teach participants how to change their own brain waves to lower their perception of pain symptoms and improve overall quality of life.

Read the detailed description

PRIMARY OBJECTIVES:

I. Examine the feasibility of using a home-based neurofeedback system and dry electroencephalography (EEG) cap to treat chemotherapy-induced peripheral neuropathy (CIPN).

SECONDARY OBJECTIVES:

I. Estimate the effects of home-based neurofeedback (HBNF) on symptoms of (CIPN) versus a wait list (WL) control group in cancer patients.

II. Estimate the effects of home-based neurofeedback (HBNF), versus WL, on the cortical and subcortical brain regions associated with CIPN.

III. Estimate the effects of a HBNF on other aspects of pain, cancer-related symptoms, quality of life (QOL), and mental health.

OUTLINE: Participants are randomized to 1 of 2 groups.

GROUP I: Participants complete at least neurofeedback training sessions over 30 minutes 2 times a week for up to 5 weeks.

GROUP II: Participants receive standard of care.

After completion of study, participants are followed up at 1 week for Group I and 6 weeks for Group II.

02

Conditions studied

  • Neuropathy
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients must have the ability to understand and read English, sign a written informed consent, and be willing to follow protocol requirements.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
  • Neuropathic pain score >= 4 on a 0-10 numeric pain scale (numeric rating scale [NRS]) and/or grade 3 or higher neuropathic symptoms according to the National Cancer Institute's 4 point grading scale.
  • Neuropathic symptoms must be related to chemotherapy (in the opinion of the treating physician).
  • Patients must have had neuropathic symptoms for a minimum of 3 months.
  • No plans to change pain medication regimen during the course of the study.
  • Off active chemotherapy treatment for minimum of 6 months.
  • Hormonal (e.g., tamoxifen or arimidex, etc.) and targeted (tarceva and avastin, etc.) therapies allowed as long as they will be continued during the course of the study.
  • Willing to come to MD Anderson for the intake and follow up data acquisition and to receive their equipment.
  • Willing to allow research staff to come to their homes or to return the equipment to MD Anderson (MDA) in the case of equipment malfunction.
  • Have had a diagnosis of cancer treated with chemotherapy.
  • Live within a 50 mile radius of MD Anderson's main campus.

Exclusion criteria

Exclusion Criteria:

  • Patients who are taking any antipsychotic medications.
  • Patients with active central nervous system (CNS) disease, such as clinically-evident metastases or leptomeningeal disease, dementia, or encephalopathy.
  • Patients who have ever been diagnosed with bipolar disorder or schizophrenia.
  • Patients with known, previously diagnosed peripheral neuropathy from causes other than chemotherapy.
  • Patients who have a history of head injury or who have known seizure activity.
04

Study design

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

Study arms

  • Experimental
    Group I (neurofeedback)

    Participants complete at least neurofeedback training sessions over 30 minutes 2 times a week for up to 5 weeks.

    Other: Best Practice · Behavioral: Neurofeedback · Other: Quality-of-Life Assessment · Other: Questionnaire Administration

  • Active comparator
    Group II (standard of care)

    Participants receive standard of care.

    Other: Best Practice · Other: Quality-of-Life Assessment · Other: Questionnaire Administration

Interventions

  • OtherBest Practice

    Receive standard of care

    Also known as: standard of care, standard therapy

  • BehavioralNeurofeedback

    Complete neurofeedback training sessions

    Also known as: EEG biofeedback

  • OtherQuality-of-Life Assessment

    Ancillary studies

    Also known as: Quality of Life Assessment

  • OtherQuestionnaire Administration

    Ancillary studies

05

What researchers measure

Primary outcomes

  1. Feasibility of a Home-Based Neurofeedback (HBNF) System

    HBNF intervention feasible if the average number of HBNF sessions completed across patients in the HBNF arm is \>= 15.0 (or on average the proportion of sessions completed is \>= 75%).

    Time frame: 6 weeks

Secondary outcomes

  1. Effects of Home-Based Neurofeedback (HBNF) on Symptoms of Chemotherapy-Induced Peripheral Neuropathy (CIPN) Versus a Waitlist (WL) Control Group in Cancer Patients

    Summary statistics and 90% confidence intervals calculated for the Pain Quality Assessment Scale (PQAS) rated from 0 - 10 by study arm at baseline and at the end of treatment.

    Time frame: Baseline and at 6 weeks

  2. Effects of Neurofeedback on the Cortical and Subcortical Brain Regions Associated with Chemotherapy-Induced Peripheral Neuropathy (CIPN) and Effects of Home-Based Neurofeedback (HBNF) versus Waitlist (WL) Control Group determined by EEG,

    Time frame: Baseline and at 6 weeks

  3. Effects of Home-Based Neurofeedback (HBNF) on Other Aspects of Cancer-Related Symptoms Using Patient Surveys

    Time frame: Baseline and within 7 days of the conclusion of treatment.

  4. Effects of Home-Based Neurofeedback (HBNF) on Symptoms of Chemotherapy-Induced Peripheral Neuropathy (CIPN) Versus a Waitlist (WL) Control Group in Cancer Patients

    Summary statistics and 90% confidence intervals calculated for the Brief Pain Inventory Short Form (BPI) by study arm at baseline and at the end of treatment.

    Time frame: Baseline and at 6 weeks

  5. Effects of Neurofeedback on the Cortical and Subcortical Brain Regions Associated with CIPN Determined by Changes in EEG as Measured by Low Resolution Electromagnetic Tomography (LORETA).

    Time frame: Baseline and at 6 weeks

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Study locations

No study locations are listed for this record.

07

References and documents

08

Registry details

Key details

Study ID
NCT03436680
Lead sponsor
M.D. Anderson Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
Sep 1, 2020 (estimated)
Primary completion
Dec 31, 2020 (estimated)
Completion
Dec 31, 2021 (estimated)
Last update
Mar 4, 2022

Study contacts

Sarah Prinsloo
principal investigator · M.D. Anderson Cancer Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
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