Endocervical Cancer
Conditions
Keywords
Brachytherapy, Virtual Reality
Brief summary
The primary objective is to demonstrate the feasibility of incorporating VR distraction into the brachytherapy and radiotherapy clinical workflow. The secondary objective is to determine if VR distraction during brachytherapy treatment for cervical cancer improves subjects' satisfaction, procedural/acute pain, and need for analgesics or anxiolytics.
Detailed description
This will be a prospective pilot study conducted at UAMS. All subjects will experience VR distraction using a crossover design in which each subject receives four rounds of brachytherapy: two rounds with VR distraction and two rounds without VR distraction. Brachytherapy will be conducted per SoC workflow. Subjects will be placed into four treatment-sequence groups in a 1:1:1:1 allocation ratio via permuted block randomization with randomized block sizes of four or eight. The four treatment-sequence groups will follow the four-session treatment schedules outlined below, in which "V" denotes the sessions when VR distraction is used while "N" denotes the sessions when it is not: * Sequence Group A will be treated according to schedule VVNN. * Sequence Group B will be treated according to schedule VNNV. * Sequence Group C will be treated according to schedule NNVV. * Sequence Group D will be treated according to schedule NVVN.
Interventions
DEVICEThe Oculus Quest 2 Virtual Reality Headset
The hardware includes the wireless headset with integrated headphones which will block the sight and sounds of the clinical setting as well as the hand controllers for the interactive VR experience, which will be delivered through any of three VR software options (subject may choose one or more from the following options): * Titans of Space® PLUS developed by Drash VR, LLC (Murrieta, CA, USA) * TRIPP® developed by TRIPP, Inc. (Los Angeles, CA, USA) * Nature Treks VR published by Greener Games (Ironbridge, England, UK)
Sponsors
University of Arkansas
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Subjects will be placed into four treatment-sequence groups in a 1:1:1:1 allocation ratio via permuted block randomization with randomized block sizes of four or eight.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Female, ≥ 18 years of age * Histopathologic diagnosis of gynecologic cancer (endometrial, cervical, vaginal, vulvar) that requires intracavitary brachytherapy with a tandem or interstitial brachytherapy * Able to provide written consent
Exclusion criteria
* Severe vision or hearing problems that may hinder the ability to see or hear clearly through the VR headset or other condition that may interfere with the placement of the VR headset such as a head, ear or facial wound * History of seizure disorder, severe motion sickness, dizziness, or migraine headaches precipitated by visual auras * Known history of elevated intraocular pressure * Claustrophobia, thalassophobia, cleithrophobia or similar phobias * Any other significant medical or psychiatric conditions which, in the opinion of the enrolling investigator, may interfere with consent or compliance of the treatment regimen
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of eligible subjects who enroll onto the study. | 3 weeks |
| The number of subjects who withdraw or are withdrawn from the study. | 3 weeks |
| The number of subjects who successfully complete the study questionnaires for satisfaction, procedural pain, and anxiety. | 3 weeks |
| The number of times a technical problem occurs with the VR distraction | 3 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Determination of VR distraction during brachytherapy treatment for cervical cancer pain | 3 weeks | Compare the subject's procedural pain scores (using a visual analog scale \[VAS\] pre- and post-procedure) between sessions with VR and sessions without VR. |
| Determination of VR distraction during brachytherapy treatment for cervical cancer on anxiety. | 3 weeks | Compare the subject's procedural anxiety scores (using a VAS pre- and post-procedure) between sessions with VR and sessions without VR. |
| Opiod dose | 3 weeks | Compare the dose(s) of opioid pain medication per session (using morphine milligram equivalents \[MMEs\]) between sessions with VR and sessions without VR. |
| Benzodiazepine dose | 3 weeks | Compare the dose(s) of benzodiazepine anxiolytics per session (using a benzodiazepine conversion calculator) between sessions with VR and sessions without VR |
Countries
United States
Contacts
CONTACTJoseph A Holley
CONTACTVernon Sincere
PRINCIPAL_INVESTIGATORSantanu Samanta, MD
University of Arkansas
Outcome results
None listed