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CompletedNCT05267704Updated Mar 12, 2026Results posted

Evaluating the Feasibility of VR for Pediatric Renal Biopsies

An interventional study of Oculus Go Virtual Reality Headset in Pain, Procedural, Procedural Anxiety and Sedation Complication, sponsored by University of California, San Francisco. Completed at 1 site in United States. Open to participants aged 5 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-12.

Sponsored by University of California, San Francisco · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Not applicable
Ages
5 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to assess the use of virtual reality (VR) as an adjunct or alternative to pharmacologic sedation in pediatric patients undergoing renal biopsy.

Read the detailed description

Children aged 5-17 scheduled for renal biopsy will be offered the option to use a virtual reality (VR) headset that displays an interactive game as part of their renal biopsy experience. The standard of care of sedation medications will still be available to patients who are unable to complete the procedure with only the VR headset without pharmacologic sedation. Pain and anxiety will be monitored continuously using validated scales by a pediatric hospitalist and sedation nurse. These providers, as well as patients and parents, may ask for additional medications for adequate analgesia and anxiolysis.

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Conditions studied

  • Pain, Procedural
  • Procedural Anxiety
  • Sedation Complication

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03

In context

Pain, Procedural

237 studies on the registry are indexed under Pain, Procedural; 64 are open to participants now.

This study's enrollment of 32 is below the median of 83 across 223 interventional studies indexed under Pain, Procedural.

Browse Pain, Procedural studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

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

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Who can participate

Ages eligible
5 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

- Patients age 5-17 receiving a renal biopsy at the University of California, San Francisco (UCSF) Benioff Children's Hospital

Exclusion criteria

Exclusion Criteria:

  • Patients who cannot lie supine for their renal biopsy will be excluded from the study
  • Patients with injuries to the head/face that would prohibit wearing a headset
  • Patients with loss of consciousness, altered mental status, life-threatening injuries/illness or multi-trauma
  • Patients with open skin, lice, scabies, or other infectious skin conditions on the head/face
  • Patients with a history of or current symptoms of vertigo
  • Patients who are blind
  • Patients with significant developmental or cognitive delays who may not be able to engage with or tolerate the virtual reality environment, as determined by their parent/caregiver
  • Patients on whom the VR headset does not fit appropriately
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Study design

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

Study arms

  • Experimental
    VR Arm

    Pediatric patients age 5-17 using the VR headset during renal biopsy.

    Device: Oculus Go Virtual Reality Headset

Interventions

  • DeviceOculus Go Virtual Reality Headset

    VR headset displaying preselected game during renal biopsy

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What researchers measure

Primary outcomes

  1. Number of Participants Who "Strongly Agreed" They Would Recommend VR to Others Undergoing Similar Procedures

    Acceptability of VR as non-pharmacologic sedation was assessed based on a team-made Likert scale survey given to patients and parents (Likert scale, with 1 = "strongly disagree" as most dissatisfied with VR experience and 5 = "strongly agree" as most satisfied with VR experience and a better perceived outcome

    Time frame: From arrival to procedural room to completion of procedure (~30 minutes)

  2. Number of Parents Who "Agreed" or "Strongly Agreed" They Would Recommend VR to Others Undergoing Similar Procedures

    Acceptability of VR as non-pharmacologic sedation was assessed based on a team-made Likert scale survey given to patients and parents (Likert scale, with 1 = "strongly disagree" as most dissatisfied with VR experience and 5 = "strongly agree" as most satisfied with VR experience and a better perceived outcome

    Time frame: From arrival to procedural room to completion of procedure (~30 minutes)

Secondary outcomes

  1. Mean Difference in Self-reported Procedural Anxiety (Change in Childhood Anxiety Meter)

    Anxiety as recorded on the Childhood Anxiety Meter was assessed at the start of the procedure and after the procedure was completed with the VR experience. CAM is recorded on a 0-10 scale using an analogy of mercury thermometer to ask children to their rate level of anxiety, with a higher score indicating a greater level anxiety.

    Time frame: From arrival to procedural room to completion of procedure (~30 minutes)

  2. Mean Difference in Self-reported Procedural Anxiety (Change in Child Fear Scale)

    Anxiety as recorded on the Children's Fear Scale was assessed at the start of the procedure and after the procedure was completed with the VR experience. CFS is recorded on a 0-4 numeric scale, with 4 being the highest fear/anxiety related to the procedure.

    Time frame: From arrival to procedural room to completion of procedure (~30 minutes)

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Results

Posted Mar 12, 2026
Limitations and caveats
Limitations include selection bias for those who want to participate in VR experience and also the team's inability to blind participants/providers. In addition, the selection of an appropriate VR environment is challenging for various procedures and age groups.

Participant flow

Participant flow — Overall Study
MilestoneVR Arm
Started32
Completed32
Not completed0

Outcome measures

PrimaryNumber of Participants Who "Strongly Agreed" They Would Recommend VR to Others Undergoing Similar Procedures

Acceptability of VR as non-pharmacologic sedation was assessed based on a team-made Likert scale survey given to patients and parents (Likert scale, with 1 = "strongly disagree" as most dissatisfied with VR experience and 5 = "strongly agree" as most satisfied with VR experience and a better perceived outcome

Time frame:
From arrival to procedural room to completion of procedure (~30 minutes)
Reported as:
Number · participants (patients)
Number of Participants Who "Strongly Agreed" They Would Recommend VR to Others Undergoing Similar Procedures
participants (patients)VR Arm
Agree0
Strongly Agree32
SecondaryMean Difference in Self-reported Procedural Anxiety (Change in Childhood Anxiety Meter)

Anxiety as recorded on the Childhood Anxiety Meter was assessed at the start of the procedure and after the procedure was completed with the VR experience. CAM is recorded on a 0-10 scale using an analogy of mercury thermometer to ask children to their rate level of anxiety, with a higher score indicating a greater level anxiety.

Time frame:
From arrival to procedural room to completion of procedure (~30 minutes)
Reported as:
Mean · score on a scale
Mean Difference in Self-reported Procedural Anxiety (Change in Childhood Anxiety Meter)
score on a scaleVR Arm
Mean Difference in Self-reported Procedural Anxiety (Change in Childhood Anxiety Meter)3.47 (2.47 to 4.46)
Statistical analysis
  • VR Arm · t-test, 2 sided · p = 0.001 · Mean difference (final values): 3.47 · 95% CI 2.47 to 4.46A paired t-test was completed to evaluate the mean change in pre- and post-CAM scores in patients undergoing renal biopsies while engaging in the VR environment.
SecondaryMean Difference in Self-reported Procedural Anxiety (Change in Child Fear Scale)

Anxiety as recorded on the Children's Fear Scale was assessed at the start of the procedure and after the procedure was completed with the VR experience. CFS is recorded on a 0-4 numeric scale, with 4 being the highest fear/anxiety related to the procedure.

Time frame:
From arrival to procedural room to completion of procedure (~30 minutes)
Reported as:
Mean · score on a scale
Mean Difference in Self-reported Procedural Anxiety (Change in Child Fear Scale)
score on a scaleVR Arm
Mean Difference in Self-reported Procedural Anxiety (Change in Child Fear Scale)1.47 (1.09 to 1.85)
Statistical analysis
  • VR Arm · t-test, 2 sided · p = 0.001 · Mean difference (final values): 1.47 · 95% CI 1.09 to 1.85A paired t-test was completed to evaluate the mean change in pre- and post-CFS scores in patients undergoing renal biopsies while engaging in the VR environment.
PrimaryNumber of Parents Who "Agreed" or "Strongly Agreed" They Would Recommend VR to Others Undergoing Similar Procedures

Acceptability of VR as non-pharmacologic sedation was assessed based on a team-made Likert scale survey given to patients and parents (Likert scale, with 1 = "strongly disagree" as most dissatisfied with VR experience and 5 = "strongly agree" as most satisfied with VR experience and a better perceived outcome

Time frame:
From arrival to procedural room to completion of procedure (~30 minutes)
Reported as:
Number · participants (parents)
Number of Parents Who "Agreed" or "Strongly Agreed" They Would Recommend VR to Others Undergoing Similar Procedures
participants (parents)VR Arm
Agree3
Strongly Agree29

Adverse events

Collected over From enrollment, during the renal biopsy, and until discharge from the hospital, up to 2 weeks depending on time of discharge. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
VR Arm0/32 (0%)0/32 (0%)0/32 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)VR Arm
<=18 years32
Between 18 and 65 years0
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)VR Arm
Female17
Male15
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)VR Arm
08

Study locations

1 site
  • UCSF Benioff Children's Hospital
    San Francisco, California 94143, United States
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References and documents

Publications

  • Jung MJ, Libaw JS, Ma K, Whitlock EL, Feiner JR, Sinskey JL. Pediatric Distraction on Induction of Anesthesia With Virtual Reality and Perioperative Anxiolysis: A Randomized Controlled Trial. Anesth Analg. 2021 Mar 1;132(3):798-806. doi: 10.1213/ANE.0000000000005004. PubMed 32618627 ↗
  • Taylor JS, Chandler JM, Menendez M, Diyaolu M, Austin JR, Gibson ML, Portelli KI, Caruso TJ, Rodriguez S, Chao SD. Small surgeries, big smiles: using virtual reality to reduce the need for sedation or general anesthesia during minor surgical procedures. Pediatr Surg Int. 2021 Oct;37(10):1437-1445. doi: 10.1007/s00383-021-04955-6. Epub 2021 Jul 16. PubMed 34269867 ↗
  • Goldman RD, Behboudi A. Virtual reality for intravenous placement in the emergency department-a randomized controlled trial. Eur J Pediatr. 2021 Mar;180(3):725-731. doi: 10.1007/s00431-020-03771-9. Epub 2020 Aug 10. PubMed 32779029 ↗

Study documents

  • Protocol and statistical analysis plan · Oct 9, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05267704
Lead sponsor
University of California, San Francisco
Responsible party
Sponsor
First posted
Mar 4, 2022
Start date
Oct 11, 2022
Primary completion
Sep 8, 2024
Completion
Sep 10, 2024
Results posted
Mar 12, 2026
Last update
Mar 12, 2026

Study contacts

Justin Libaw, MD, MPH
principal investigator · University of California, San Francisco

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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