Light therapy as a treatment of cancer-related fatigue in (non-)Hodgkin lymphoma survivors (SPARKLE trial): study protocol of a multicenter randomized controlled trial

BMC Cancer

Catharina M. Korse¹  Heiddis B. Valdimarsdottir²  William H. Redd²  Sonia Ancoli-Israel³  Susan Lutgendorf⁴  Laurien A. Daniels⁵  Jacobien M. Kieffer⁶  Eveline M. A. Bleiker⁶  Jessie L. de Geus⁶  Daniëlle E. J. Starreveld⁶  Flora E. van Leeuwen⁶ 

[1] Department of Laboratory Medicine, The Netherlands Cancer Institute;Department of Oncological Sciences, Mount Sinai School of Medicine;Department of Psychiatry, University of California;Department of Psychology, University of Iowa;Department of Radiotherapy, Leiden University Medical Center;Division of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute;

关键词: Cancer related fatigue;    Light therapy;    Sleep quality;    Randomized controlled trial;    Hematology;    Circadian rhythms;   

DOI  :  10.1186/s12885-018-4746-2

来源: DOAJ

【 摘 要 】

Abstract Background Cancer related fatigue (CRF) is one of the most prevalent and distressing long-term complaints reported by (non-) Hodgkin survivors. To date there has been no standard treatment for CRF in this population. A novel and promising approach to treat CRF is exposure to bright white light therapy. Yet, large scale randomized controlled trials testing its efficacy in these patients and research on potential mechanisms is lacking. The objective of the current study is to investigate the efficacy of light therapy as a treatment for CRF and to explore potential mechanisms. Methods/design In a multicenter, randomized controlled trial we are evaluating the efficacy of two intensities of light therapy in reducing CRF complaints and restrictions caused by CRF in survivors of Hodgkin lymphoma or diffuse large B-cell lymphoma. Secondary outcomes include sleep quality, depression, anxiety, quality of life, cognitive complaints, cancer worries, fatigue catastrophizing, self-efficacy to handle fatigue, biological circadian rhythms of melatonin, cortisol and activity, and biomarkers of inflammation. We will recruit 128 survivors, with fatigue complaints, from academic and general hospitals. Survivors are randomized to either an intervention (exposure to bright white light) or a comparison group (exposure to dim white light). The longitudinal design includes four measurement points at baseline (T0), post-intervention at 3.5 weeks (T1), 3 months post-intervention (T2) and 9 months post-intervention (T3). Each measurement point includes self-reported questionnaires and actigraphy (10 days). T0 and T1 measurements also include collection of blood and saliva samples. Discussion Light therapy has the potential to be an effective treatment for CRF in cancer survivors. This study will provide insights on its efficacy and potential mechanisms. If proven to be effective, light therapy will provide an easy to deliver, low-cost and low-burden intervention, introducing a new era in the treatment of CRF. Trial registration The study is registered at ClinicalTrials.gov on August 8th 2017(NCT03242902).

【 授权许可】

Unknown