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RecruitingNCT05838638Updated May 1, 2026

Serious Gaming for Chemotherapy-induced Nausea and Vomiting

An interventional study of eSSET-CINV in Neoplasms and Chemotherapy-induced Nausea and Vomiting, sponsored by University of Central Florida. Recruiting at 2 sites in United States. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by University of Central Florida · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Jun 2023; still recruiting 3 years 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
610
Allocation
Randomized
Ages
60 Years and older
Sex
All
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Study summary

The purpose of this study is to examine the effectiveness of a technology-based intervention for managing nausea and vomiting in older adults with cancer. Participants will be randomized to either an intervention or control group. Outcomes such as symptom severity, quality of life, and resource use will be examined.

Read the detailed description

The goal of this study is to increase the use of preventative self-management behaviors for nausea and vomiting in older adults receiving chemotherapy to reduce negative outcomes and emergency or hospital admissions. Early reinforcement of standard education and re-framing any preconceived beliefs about the ability of nausea and vomiting to be managed will increase preventative self-management behaviors and improve patient outcomes. Participants will be in the study for 6 chemotherapy treatment cycles. This could be 12 to 24 weeks depending on if they receive treatment every 2, 3 or 4 weeks.

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Conditions studied

  • Neoplasms
  • Chemotherapy-induced Nausea and Vomiting

Keywords

  • aged
  • digital technology
  • nausea
  • neoplasm
  • Drug related side effects and adverse reactions
  • self-management
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In context

Neoplasms

10,818 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 610 is above the median of 60 across 7,703 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

University of Central Florida is the lead sponsor of 104 studies on the registry; 42 are open to participants now.

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

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Who can participate

Ages eligible
60 Years and older
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

  • age 60 or older
  • newly diagnosed with cancer
  • treatment with any chemotherapeutic agent of moderate or high emetic potential
  • on a 2, 3 or 4 week treatment cycle
  • proficient in English
  • has a telephone

Exclusion criteria

Exclusion Criteria:

  • previous diagnosis and/or treatment for cancer
  • end stage disease with less than 6 months to live
  • visually or hearing impaired without corrective device
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Study design

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

Study arms

  • Experimental
    Intervention

    This intervention is a serious game which allows older adults under treatment for cancer to practice making self-care decisions for an avatar that is being sent home after their first chemotherapy treatment. This serious game is coupled with a discussion with the research assistant about choices related to managing nausea and vomiting at home

    Behavioral: eSSET-CINV

  • Active comparator
    Control

    The control group will receive standard education related to managing nausea and vomiting and will have the opportunity to participate in the intervention at the end of the study

    Behavioral: eSSET-CINV

Interventions

  • BehavioraleSSET-CINV

    Participants in the intervention group will be asked to play the serious game on an iPad at their first chemotherapy treatment visit. The control group will be able to play at time 6.

    Also known as: Managing at Home- CINV

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What researchers measure

Primary outcomes

  1. Healthcare resource use

    any emergency department or hospital admission will be recorded using a dichotomous variable (yes/no)

    Time frame: From baseline through the end of the study at 12 or 24 weeks

  2. CINV severity

    The Symptom Management Checklist will measure the presence and severity of nausea and vomiting. Participants will be sent a text link every day for 6 days after chemotherapy or complete this data on a form at home. This starts right after time 1. Nausea will be reported on a 0-10 scale. Higher numbers equal more nausea.

    Time frame: From baseline1 through the end of the study at 12 or 24 weeks

Secondary outcomes

  1. Self-management behaviors

    The Symptom Management Checklist will measure self-management behaviors and preventive behaviors for CINV. Participants will be sent a text link every day for 6 days after chemotherapy or complete this data on a form at home. This starts right after Time 1.

    Time frame: From baseline through the end of the study at 12 or 24 weeks

  2. Symptom severity

    The Symptom Representation Questionnaire Part 1 is a 24 item self-report measure that will be used to identify the presence and severity of common treatment-related side effects (0 to 10 scale). Higher numbers indicate more severe symptoms. This measure asks participants to think about their symptoms over the last week

    Time frame: Baseline and 12 or 24 weeks

  3. Cognitive representation

    The Symptom Representation Questionnaire Part 2 has 15 questions related to cognitive beliefs about nausea. Sub scales examine symptom cause, timeline, cure/control, and consequences. An agreement type Likert scale is used.

    Time frame: Baseline and 12 or 24 weeks

  4. Health-related Quality of Life

    The EORTC-30 will measure quality of life at each treatment cycle. Higher scores mean better quality of life

    Time frame: baseline, 4,8,12,16,20, and 24 weeks

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Study locations

2 of 2 sites recruiting
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References and documents

Publications

  • Loerzel V. Cognitive Representation of Treatment-Related Symptoms in Older Adults With Cancer. Cancer Nurs. 2017 May/Jun;40(3):230-236. doi: 10.1097/NCC.0000000000000395. PubMed 27271365 ↗
  • Loerzel V, Clochesy J, Geddie P. Using a community advisory board to develop a serious game for older adults undergoing treatment for cancer. Appl Nurs Res. 2018 Feb;39:207-210. doi: 10.1016/j.apnr.2017.11.030. Epub 2017 Nov 21. PubMed 29422160 ↗
  • Loerzel VW, Hines RB, Deatrick CW, Geddie PI, Clochesy JM. Unplanned emergency department visits and hospital admissions of older adults under treatment for cancer in the ambulatory/community setting. Support Care Cancer. 2021 Dec;29(12):7525-7533. doi: 10.1007/s00520-021-06338-y. Epub 2021 Jun 9. PubMed 34105026 ↗
  • Wochna Loerzel V, Clochesy JM, Geddie PI. Using Serious Games to Increase Prevention and Self-Management of Chemotherapy-Induced Nausea and Vomiting in Older Adults With Cancer. Oncol Nurs Forum. 2020 Sep 1;47(5):567-576. doi: 10.1188/20.ONF.567-576. PubMed 32830802 ↗
  • Loerzel V, Alamian A, Clochesy J, Geddie PI. Serious Gaming for Chemotherapy-Induced Nausea and Vomiting in Older Adults With Cancer: Protocol for a Randomized Clinical Trial. JMIR Res Protoc. 2024 Oct 2;13:e64673. doi: 10.2196/64673. PubMed 39357051 ↗

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 May 1, 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
NCT05838638
Responsible party
Sponsor
First posted
May 1, 2023
Start date
Jun 9, 2023
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
May 1, 2026

Study contacts

Victoria Loerzel, PhD
Contact
victoria.loerzel@ucf.edu
407-823-0762
Michael Owings
Contact
michaelowings@ucf.edu
407-440-1309
Victoria Loerzel, PhD
principal investigator · University of Central Florida

Oversight

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

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