Breast Cancer Clinical Trial

Hypnosedation in Relaxing Patients Undergoing Breast Cancer Surgery

Summary

This clinical trial studies how well hypnosedation works in relaxing and reducing the need for general anesthesia in patients who are undergoing breast cancer surgery. Hypnosedation is a technique that places patients under conscious sedation where they remain awake and numbed during surgery and involves the use of words and images to help patients relax and to affect their thoughts about what is happening during surgery.

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Full Description

PRIMARY OBJECTIVES:

I. Determine the feasibility of conducting a randomized controlled trial (RCT) of hypnosedation (HS) during breast cancer surgery.

SECONDARY OBJECTIVES:

I. Assess the preliminary efficacy of HS with local anesthesia versus (vs) opioid based general anesthesia (GA) on reducing self-reported anxiety, pain, nausea, vomiting, cancer-related symptoms, and surgical complication rates.

II. Preliminarily evaluate changes in immune markers (natural killer cell function, cytokines, and resolution of inflammatory response markers) and endocrine function (epinephrine, norepinephrine, and cortisol).

III. Preliminarily identify changes in neurological activity as assessed through electroencephalogram (EEG) activity.

IV. Preliminarily evaluate the group differences in medical costs.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP I: Patients undergo hypnosedation performed by a mind-body specialist before surgery begins and continuing until after surgery is complete.

GROUP II: Patients speak to a mind-body specialist before surgery and prior to receiving general anesthesia.

After completion of study intervention, patients are followed up at days 1, 3, 5, 7, and 14.

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Eligibility Criteria

Inclusion Criteria:

Female clinical stage 0/1 breast cancers patients scheduled to undergo a unilateral, segmental mastectomy +/- sentinel lymph node dissection
Able to read, speak, and write English or Spanish

Exclusion Criteria:

A significant anxiety disorder
Significant pain during core biopsy as reported by the patient
Received neoadjuvant chemotherapy, any autoimmune or immunological disease or taking any immune suppression drugs
Plastic surgery involvement for oncoplastic reconstruction
If surgery is likely greater than 3 hours

Study is for people with:

Breast Cancer

Estimated Enrollment:

50

Study ID:

NCT03012399

Recruitment Status:

Recruiting

Sponsor:

M.D. Anderson Cancer Center

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There is 1 Location for this study

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M D Anderson Cancer Center
Houston Texas, 77030, United States More Info
Lorenzo Cohen
Contact
713-745-4260
Lorenzo Cohen
Principal Investigator

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Study is for people with:

Breast Cancer

Estimated Enrollment:

50

Study ID:

NCT03012399

Recruitment Status:

Recruiting

Sponsor:


M.D. Anderson Cancer Center

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