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Yoga for Symptoms of Nerve Damage Caused by Chemotherapy

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StatusActive, not recruiting
Sponsors
Memorial Sloan Kettering Cancer Center

Keywords

Abstract

Some types of chemotherapy used to treat breast cancer can cause damage to nerves with symptoms like tingling, numbness, muscle weakness, and pain in the hands and feet that can last and can affect functioning. The purpose of this study is to find out the effects of yoga on reducing symptoms caused by such nerve damage.

Dates

Last Verified: 09/30/2019
First Submitted: 09/18/2017
Estimated Enrollment Submitted: 09/19/2017
First Posted: 09/24/2017
Last Update Submitted: 03/01/2020
Last Update Posted: 03/02/2020
Actual Study Start Date: 09/17/2017
Estimated Primary Completion Date: 09/17/2021
Estimated Study Completion Date: 09/17/2021

Condition or disease

Breast Cancer
Peripheral Neuropathy
Gynecologic Cancer

Intervention/treatment

Other: Yoga Arm

Other: Wait List Control Arm (WLC)

Phase

-

Arm Groups

ArmIntervention/treatment
Experimental: Yoga Arm
After randomization, participants in the Yoga group will meet twice weekly for 8 weeks of classes taught by MSK yoga instructors. Each class will last for sixty minutes. In addition to these group classes, participants will utilize a home-based program on the days group classes are not held. The daily home practice will continue for four weeks after the group classes are finished.
Other: Yoga Arm
Participants in the Yoga group will meet twice weekly for 8 weeks of classes taught by MSK yoga instructors. Each class will last for sixty minutes. In addition to these group classes, participants will utilize a home-based program on the days group classes are not held. The daily home practice will continue for four weeks after the group classes are finished.
Active Comparator: Wait List Control Arm (WLC)
Participants in the WLC group will continue usual care for twelve weeks before participating in Yoga classes for eight weeks. At the end of the twelve week follow-up, these participants will receive eight weeks of group Yoga classes and the home Yoga practice recording. At week 20, they will complete a final follow-up visit.
Other: Wait List Control Arm (WLC)
Participants in the WLC group will continue usual care for twelve weeks before participating in Yoga classes for eight weeks. At the end of the twelve week follow-up, these subjects will receive eight weeks of group Yoga classes and the home Yoga practice recording. At week 20, they will complete a final follow-up visit.

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- English-speaking

- Age >/= 18 years old

- Survivors with a primary diagnosis of stage I-III breast, ovarian uterine, or endometrial cancer

- Moderate to severe chemotherapy induced peripheral neuropathy, defined by symptoms such as numbness, tingling, or pain ratings of 4 or greater on a 0-10 numeric rating scale

- Have completed neurotoxic chemotherapy, i.e. taxanes (paclitaxel, docetaxel) and platinum (carboplatin) at least 3 months prior to enrollment

- If taking anti-neuropathy medications, they are on a stable regiment (no change in 3 months)

- ECOG performance status 0-2

Exclusion Criteria:

- Participants with metastatic disease

- Participants who are currently receiving physical therapy or practicing yoga for any reason

Control Group - Inclusion/Exclusion Criteria

Inclusion Criteria:

- English speaking

- Age >/= 18 years old

- Survivors with a primary diagnosis of Stage I-III breast, ovarian, uterine, or endometrial cancer

- CIPN symptoms such as numbness, tingling, or pain ratings < 2 on a 0-10 NRS scale

- Have completed neurotoxic chemotherapy, i.e. taxanes (paclitaxel, docetaxel) and platinum (carboplatin) at least 3 months prior to enrollment

- ECOG performance status 0-2

Exclusion Criteria:

- Patients with metastatic disease

- Patients taking anti-neuropathy medication

- Patients who are currently receiving physical therapy or practicing yoga for any reason

Outcome

Primary Outcome Measures

1. Change in treatment related peripheral neuropathy symptoms [8 weeks of the participants' most bothersome peripheral neuropathy symptom]

Treatment related symptoms will be evaluated by using NCI CTCAE v4.0

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