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NCT06336642 | Not yet recruiting | Dyspnea


Structured Personalized Oxygen and Supportive Therapies for Dyspnea in Oncology
Sponsor:

M.D. Anderson Cancer Center

Brief Summary:

To learn about the effect of Structured Personalized Oxygen and Supportive Therapies for Dyspnea in Oncology (SPOT-ON) treatment on the severity of shortness of breath in patients with cancer.

Condition or disease

Dyspnea

Intervention/treatment

SPOT-ON Early Start

SPOT-ON Delayed Start

Phase

Phase 2

Phase 3

Detailed Description:

Primary Objectives: To determine the effect of SPOT-ON and Enhanced Usual Care on the change in intensity of dyspnea (NRS) between baseline and 24 h in hypoxemic hospitalized patients with cancer. To determine the effect of SPOT-ON and Enhanced Usual Care on the change in intensity of dyspnea (NRS) between baseline and 24 h in non-hypoxemic hospitalized patients with cancer. Secondary Objectives: To determine the effect of SPOT-ON and Enhanced Usual Care on patient outcomes over 72 h, including intensity of dyspnea (NRS), unpleasantness of dyspnea (NRS), dyspnea response, ital signs, symptom burden, health-related quality of life (EQ-5D-5L), adverse events, patterns of device use, and hospital outcomes. To identify factors associated with dyspnea response in the SPOT-ON intervention, including patient demographics, preferences, and level of usage of oxygen delivery modalities. To identify patient factors associated with their preferences (after Phase II and Phase III) for each of the oxygen delivery modalities in the SPOT-ON intervention, such as patient demographics and dyspnea characteristics.}}

Study Type : Interventional
Estimated Enrollment : 150 participants
Masking : None (Open Label)
Primary Purpose : Supportive Care
Official Title : Structured Personalized Oxygen and Supportive Therapies for Dyspnea in Oncology
Actual Study Start Date : September 30, 2024
Estimated Primary Completion Date : March 31, 2030
Estimated Study Completion Date : March 31, 2032
Arm Intervention/treatment

Experimental: Group 1: SPOT-ON

Participants will work with the healthcare team to find the best ways to reduce your shortness of breath by finding what combination of treatments work for participant. Participants will receive education about shortness of breath by the research staff in addition to information about standard treatments or medications for your shortness of breath that would be offered by your medical team.

Behavioral: SPOT-ON Early Start

Behavioral: SPOT-ON Delayed Start

Experimental: Group 2: SPOT-ON Waitlist

Participants will work with the healthcare team to find the best ways to reduce your shortness of breath by finding what combination of treatments work for participant. Participants will receive education about shortness of breath by the research staff in addition to information about standard treatments or medications for your shortness of breath that would be offered by your medical team.

Behavioral: SPOT-ON Early Start

Behavioral: SPOT-ON Delayed Start

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • Diagnosis of advanced cancer (metastatic, locally advanced, recurrent, or incurable).
  • Age 18 or older.
  • Admitted to a medical floor.
  • Dyspnea intensity at rest of at least 4 on a 0-10-point NRS (where 0 = none, 10 = worst).
  • Speak English or Spanish.
Exclusion Criteria
  • Hemodynamic instability.
  • Delirium (Memorial Delirium Assessment Scale ≥ 7).
  • Severe hypoxemia (SpO2 < 90% despite supplemental oxygen of up to 6 L/min).
  • Regular continuous positive airway pressure (CPAP) use for obstructive sleep apnea.
  • Respiratory failure necessitating mechanical ventilation (i.e., HFNC or NIV), and planned thoracentesis within 72 hours of enrollment.
  • Patients with known pregnancy.

Structured Personalized Oxygen and Supportive Therapies for Dyspnea in Oncology

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Structured Personalized Oxygen and Supportive Therapies for Dyspnea in Oncology

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Locations


Not yet recruiting

United States, Texas

MD Anderson Cancer Center

Houston, Texas, United States, 77030

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