Nausea Post Chemotherapy, Vomiting, Transcutaneous Electrical Acupoint Stimulation, Acupuncture
Conditions
Brief summary
The purpose of this study is to evaluate the therapeutic efficacy of transcutaneous electrical acupoint stimulation for cisplatin- chemotherapy induced nausea and vomiting.
Detailed description
Chemotherapy-induced nausea and vomiting significantly impacts the quality of life for 70%-80% of cancer patients receiving chemotherapy. The P6 acupressure point is traditionally used to relieve these symptoms and has shown benefits in pain relief and other conditions. If studies on Transcutaneous electrical acupoint stimulation yield positive results, it could be integrated as an effective method to manage chemotherapy-induced nausea and vomiting, enhancing patient comfort and treatment outcomes while potentially reducing the need for dosage adjustments. This study aims to address gaps in current treatments, improving management and quality of life for affected cancer patients.
Interventions
DEVICETranscutaneous electrical nerve stimulation
The acupoints were wiped with a moist cotton swab and then connected to the anode and cathode of the electrical stimulation generator through an electrode patch placed on the skin surface. Continuous wave form mode was selected, and then the electric current produced continuous stimulation on the acupoints. Stimulation frequency was set at 4 Hz, and the default value was set as 10 mA, which was twice the sensory threshold (5 mA). The intensity was adjusted every 10 min to keep the patients comfortable, and its actual value ranged from 7 to 15 mA.
DRUGAntiemetic
the drug is being taken once a day for 72 hours after introducing chemotherapy
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Male and female patients who their ages between 40 and 60. * All patients diagnosed with cancer and planned to receive TACE treatment with cisplatin (60 mg) as the main drug. The chemotherapy regimen will not include steroids. * Karnofsky's score ≥60. * All patients will receive the same antiemetic drug. * None of them receiving other physical therapy modalities to treat nausea and vomiting. * The skin of acupoint site receiving electrical acupoint stimulation must be intact and without visible evidence of injury * All patient can tolerate mild discomfort following electrical stimulation. * All patients enrolled in the study will have their informed consent.
Exclusion criteria
* Combined use of other venous chemotherapy within 5 days after Transarterial Chemoembolization * Other confounding factors that may cause nausea and vomiting (such as intestinal obstruction, anorexia, and so on) * Having vomited or used 5 HT3 receptor antagonists or other antiemetics within 24 hours before Transarterial Chemoembolization . * Receiving concurrent radiotherapy * Severe uncontrolled complications and unstable metastases * Installing pacemaker, Pregnancy. * History of convulsions or seizure disorder. * Cognitive dysfunction, unable to finish Scale * Transcutaneous electrical acupoint stimulation treatment within the past year regardless of indication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of nausea | At the day of chemotherapy administration and the following 5 days | The M. D. Anderson Symptom Inventory MD Anderson Symptom Inventory is a multi-symptom patient-reported outcome measure for clinical and research use. The MD Anderson Symptom Inventory 's thirteen core items include symptoms found to have the highest frequency and/or severity in patients with various cancers and treatment types. Each symptom is being scored between 0 and 10, were 0 means no effect and 10 means greatest severity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of vomiting | At the day of chemotherapy administration and the following 5 days | Visual analog scale for anorexia is a widely used tool for assessing subjective symptoms, including anorexia. It consists of a horizontal or vertical line, typically 100 mm long, where patients mark their perceived intensity of a symptom-ranging from "no anorexia" to "worst possible anorexia" |
Countries
Egypt
Outcome results
None listed