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CompletedNCT03449303CIPN-EOIUpdated Nov 2, 2020

Chemotherapy-Induced Peripheral Neuropathy-Essential Oil Intervention

An interventional study of EOI and Placebo in Breast Cancer and Peripheral Neuropathies, sponsored by Augusta University. Completed at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2020-11-02.

Sponsored by Augusta University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
26
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

This study will evaluate an oil blend with active ingredients for the reduction in chemotherapy-induced peripheral neuropathy in people with breast cancer. Half of the participants will receive the oil blend with active ingredients and the other half will receive a placebo (an oil blend with no active ingredients). One-fourth of the people will also take pictures of their life with chemotherapy-induced peripheral neuropathy.

Read the detailed description

Chemotherapy-induced peripheral neuropathy (CIPN) is a painful, debilitating consequence of cancer treatment and is considered the most adverse of non-hematologic events. Current pharmacological approaches to reduce CIPN symptoms can be ineffective and cause adverse effects.

Constituents of this oil blend moderate pain signal transmission through non-competing inhibition of 5-HT, AchE, and Substance P, along with antagonism of TRPA1 and TRPV1. This study will test the hypothesis that an oil blend reduces CIPN symptoms and improves quality-of-life (QOL) in breast cancer patients. The Human Response to Illness model is used to underpin a convergent-nested-parallel mixed-methods design with intervention.

02

Conditions studied

  • Breast Cancer
  • Peripheral Neuropathies

Keywords

  • breast cancer
  • CIPN
  • Pain
  • QOL
  • Essential Oils
03

Who can participate

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

Inclusion criteria

  • diagnosis of breast cancer
  • chronic CIPN symptoms in one or both lower extremities
  • three months or greater since last chemotherapy treatment
  • mean SF-MPQ-2 score of greater than or equal to three
  • a prognosis of greater than six months

Exclusion criteria

Exclusion Criteria:

  • non-English-speaking
  • blindness
  • pregnancy
  • breastfeeding
  • allergy to EOI or Peru balsam (cross-allergen)
  • illegal substance usage
  • history of severe skin reactions
  • non-intact skin on lower extremities
  • history of lower extremity trauma or amputation
  • current use of aromatherapy/Essential Oils
  • asthma or reactive airway disease triggered by constituents of EOI
  • history of mental illness or chronic depression
  • the following co-morbidities: G6PD deficiency, inherited peripheral neuropathy, active herpes varicella-zoster, herpes simplex virus, alcoholic neuropathy, repetitive stress or entrapment neuropathy, peripheral vascular disease, and multifocal mononeuropathy.
04

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
26 participants (actual)

Study arms

  • Active comparator
    EOI

    10% dilution of Curcuma longa, Piper nigrum, Pelargonium asperum, Zingiber officinale, Mentha x piperita, and Rosmarinus officinalis ct. cineole in Simmondsia chinensis

    Other: EOI

  • Placebo comparator
    Placebo

    Simmondsia chinensis

    Other: Placebo

Interventions

  • OtherEOI

    Topically-applied oil

  • OtherPlacebo

    Topically-applied oil

05

What researchers measure

Primary outcomes

  1. Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2)

    A 22-item self-report pain intensity (over past week) peripheral neuropathy questionnaire. Each item is scored from 0 -10 (0 is no pain and 10 is the worst possible pain), a mean score is obtained, yielding a mean score between 0 and 10.

    Time frame: baseline and weekly for 6 weeks

Secondary outcomes

  1. Visual Analogue Scale - Pain (VAS)

    A 10 cm horizontal line with a 0 (no pain) on the far left and 10 (worst possible pain) on the far right. Participants rate current pain intensity by drawing a mark on the line. Pain intensity is obtained by measuring from the 0 to the participant's mark on the line, yielding a score from 0 to 10. Daily pain scores will be averaged for a weekly mean.

    Time frame: Baseline and daily for 6 weeks

  2. Quality of Life Adult Cancer survivor (QLACS)

    The QLACS consists of 47 questions in two domains (generic and cancer-specific). The questionnaire offers respondents the following choices: 1=never, 2=seldom, 3=sometimes, 4=about as often as not, 5=frequently, 6=very often, and 7=always, yielding a total score of between 0 to 350. A mean score will be used.

    Time frame: Baseline, week four and week seven

  3. Quality of Life: Chemotherapy-Induced Peripheral Neuropathy-20 (QOL:CIPN20)

    The QOL: CIPN20 consists of 20 questions represented by three scales: autonomic symptoms and functioning, sensory, and motor. Participants are to rate symptoms over the past week as 1=not at all, 2=a little, 3=quite a bit, and 4=very much. Items are scored per scale as a higher score = worse, yielding a total score of between 0 and 100. A mean score will be used.

    Time frame: Baseline, week four and week seven

Other outcomes

  1. Sleep-related questions

    The following two questions are exploratory: In the past seven days, how many times have you slept through the night? In the past seven days, how many times did your pain wake you from sleep? If pain woke you from sleep, please describe your experience. If anything other than pain woke you from sleep, please list. Neither QOL questionnaire also address sleep. The answers to these questions will be integrated into QOL data.

    Time frame: Baseline, week four and week seven

06

Study locations

1 site
  • Augusta University
    Augusta, Georgia 30912, United States
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03449303
Lead sponsor
Augusta University
Collaborators
American Holistic Nurses Association, American Nurses Foundation, Ananda Apothecary, The Jojoba Company
Responsible party
Sponsor
First posted
Feb 28, 2018
Start date
Jun 25, 2018
Primary completion
Dec 30, 2019
Completion
Dec 30, 2019
Last update
Nov 2, 2020

Study contacts

Julie K Zadinsky, PhD
study chair · Augusta University

Oversight

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