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NCT06633926 | RECRUITING | Anatomic Stage I Breast Cancer AJCC v8

Integrative Approaches for Cancer Survivorship (IACS3)
Sponsor:

University of California, San Francisco

Brief Summary:

This clinical trial is a two-arm pilot randomized controlled trial for non-metastatic breast cancer survivors to determine the feasibility, acceptability, and fidelity of two integrative health approaches and study design in a multi-site setting. Participants (n=104) will be randomized to either the Ayurveda Intervention (AVI) or Facing Forward Health Education Intervention (FFHEI). Integrative health combines biomedical and complementary approaches together in a coordinated way. AVI, a multi-modal intervention, includes nutritional education, lifestyle practices, yoga, and therapeutic touch, called marma, to help the body and mind feel balanced. FFHEI provides health education using self-directed online content and interactive videos based on the latest science in cancer survivorship. This study does not intend to conduct tests of efficacy and is focused on feasibility outcomes.

Condition or disease

Anatomic Stage I Breast Cancer AJCC v8

Anatomic Stage II Breast Cancer Ajc V8

Anatomic Stage III Breast Cancer AJCC v8

Intervention/treatment

Nutrition Education

Lifestyle Counseling

Yoga

Marma therapy

Educational Intervention

Quality of Life Questionnaire Administration

Phase

NA

Detailed Description:

PRIMARY OBJECTIVES I. Determine feasibility and acceptability of this design in a multi-site setting. SECONDARY OBJECTIVES I. Evaluate Quality of Life (QOL). II. Evaluate Cancer Associated Symptoms. OUTLINE: Participants are randomized in a 1:1 ratio to 1 of 2 arms. ARM I: Participants receive usual care on study. Participants also receive nutrition education, lifestyle recommendations, and participate in yoga, as well as marma therapeutic touch during one-on-one AVI visits over 1-2 hours for up to 14 visits over 6 months. After 6 months, participants may also complete a videoconference visit over 30 minutes once monthly for 6 months. ARM II: Participants receive usual care on study. Participants also access self-directed online HEI sessions over 1 hour each for up to 15 sessions over 6 months.

Study Type : INTERVENTIONAL
Estimated Enrollment : 104 participants
Masking : DOUBLE
Masking Description : Participants will be masked to the study hypothesis. Research staff involved with data analysis will be blinded to group assignment until the database is locked. The statistician will remain blinded until the completion of the analysis.
Primary Purpose : SUPPORTIVE_CARE
Official Title : Integrative Approaches for Cancer Survivorship: A Multi-Site Feasibility and Acceptability Study (Aim 2)
Actual Study Start Date : 2025-03-31
Estimated Primary Completion Date : 2026-12-31
Estimated Study Completion Date : 2027-06-30

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • 1. Age \>= 18
  • 2. Able to understand study procedures and to comply with them for the entire length of the study.
  • 3. Able to read, write, and understand English.
  • 4. Ability of individual or legal guardian/representative to understand a verbal informed consent document, and the willingness to sign it.
  • 5. Non-metastatic breast cancer patients who are between 1 and 36 months after completion of primary treatment (i.e., surgery, radiotherapy, chemotherapy) and are in a complete remission.
  • 6. Participants should have received chemotherapy as part of their primary treatment.
  • 7. Have an impaired quality of life (report a score of 5 or less on question 30 of the European Organisation for Research and Treatment of Cancer Quality of Life Cancer questionnaire (EORTC-QLQ-C30). "How would you rate your overall quality of life during the past week?"
  • 8. Karnofsky Performance Status Score (KPS) \>=60
Exclusion Criteria
  • 1. Contraindication to any study-related procedure or assessment.
  • 2. Metastatic disease and receiving chemotherapy or radiotherapy at the time of study enrollment (participants with non-metastatic disease who are receiving anti-Her2 directed treatment alone in the adjuvant setting are eligible).
  • 3. Participants are within 1 month after surgery for cancer, including breast reconstructive surgery but not including implant exchange.
  • 4. Cancer surgery planned during the initial 6-month study period.
  • 5. Been on adjuvant hormone therapy (for breast cancer) less than 2 months at the time of enrollment.
  • 6. Received Ayurvedic treatment during the 3 months preceding enrollment.
  • 7. If a participant reports severe anxiety or depression, has severe depression assessed by Patient Health Questionnaire (PHQ)-9 using a cut-off of 20 or higher, or severe anxiety assessed by the General Anxiety Disorder-7 (GAD-7) using a cut-off 15 or higher.
  • 8. Current suicidal ideation.
Integrative Approaches for Cancer Survivorship (IACS3)

Location Details

NCT06633926

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How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations

RECRUITING

United States, California

Zuckerberg San Francisco General

San Francisco, California, United States, 94115

RECRUITING

United States, California

University of California, San Francisco

San Francisco, California, United States, 94143

RECRUITING

United States, California

Kaiser Permanente Northwest (KPNW)

San Francisco, California, United States, 94158

NOT YET RECRUITING

United States, Tennessee

Vanderbilt Ingram Cancer Center

Nashville, Tennessee, United States, 37212