Gastrointestinal CancerPhase 1NCT01200316
Rocking Motion: Physiologic Effect on the Surgical Stress Response
A Phase 1 study testing Rocking Chair Motion and Questionnaire in people with Gastrointestinal Cancer, run by M.D. Anderson Cancer Center at 1 site in United States.
Trial summary
After having abdominal surgery, patients often experience a lack of bowel function that can cause nausea, vomiting, abdominal swelling, pain, and/or discomfort. This is known as "post-operative ileus." Patients are usually not allowed to leave the hospital until their doctor is sure that their bowel function has… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Gastrointestinal Cancer
- What is being tested?
- Rocking Chair Motion and Questionnaire
- Type of treatment
- Surgery or procedure, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 86 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Feb 2012to 20 Nov 2017
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- At least 18 years old
- Speak and read English
- Scheduled to undergo abdominal surgery
- Tolerate sitting in a rocking or nonrocking chair
- Able to ambulate
- Scheduled to receive epidural or intravenous patient controlled analgesia
Show all 9Show fewer
- Cognitively intact
- Signed a study-specific informed consent prior to study entry
- May include patients undergoing ileostomy or colostomy reversal
Who cannot join
- 1) All others will be excluded.
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
About this study
After having abdominal surgery, patients often experience a lack of bowel function that can cause nausea, vomiting, abdominal swelling, pain, and/or discomfort. This is known as "post-operative ileus." Patients are usually not allowed to leave the hospital until their doctor is sure that their bowel function has returned.
The goal of this clinical research study is to compare using a rocking chair to the standard of care in improving post-operative ileus after abdominal surgery.
Read the detailed description
The standard method used to help the return of bowel function after surgery is to have patient get out of bed, sit in a chair for a period of time, and then begin walking the first day after surgery. Patients are then asked to increase the time they spend sitting in the chair and walking every day. However, it is not clear that this is the best method to assist in the return of normal bowel function. Some studies have shown that rocking in a rocking chair may help normal bowel function to return more quickly.
Study Groups:
If you agree to take part in this study, you will be randomly assigned (as in the flip of a coin) to 1 of 2 study groups. You will have an equal chance of being assigned to either group:
- If you are in Group A, you will use the "rocking chair method." Beginning the first day after surgery, you will sit in a rocking chair and rock back and forth for 10-20 minutes at a time. This will be done for at least 60 minutes (1 hour) per day, until you pass gas for the first time after surgery. The study staff will show the correct method to rock in the rocking chair and give you time to practice while you are in the clinic.
- If you are in Group B, you will use the standard method only. Beginning the first day after surgery, you will sit in a non-rocking chair for at least 60 minutes each day until you pass gas for the first time after surgery.
No matter what group you are in, you will also be asked to begin walking the first day after surgery until you pass gas for the first time after surgery.
You will wear an activity recorder all day attached to a wrist band in order to record your time spent in bed, in the rocking or non-rocking chair, and an activity monitor around your waist to record the time and distance walked during each 24-hour period. The study staff will show you how to wear this activity recorder. You will be encouraged by the study staff to increase the time spent in the chair and walking each day.
You will be given a pencil and pad of paper to note the date and time you first pass gas after surgery.
Study Tests:
On the day before you have surgery, the following tests and procedures will be performed:
- You will be asked to provide demographic information (such as your age and marital status). This information will be coded to protect your privacy.
- You will complete a questionnaire about any symptoms you may be experiencing. This should take about 10 minutes to complete.
- Saliva will be collected to measure your cortisol level. For this saliva to be collected, you will spit into a tube. The level of cortisol in your saliva is used to measure your response to stress.
Every morning while you are in the hospital and until you pass gas for the first time after surgery:
- You will be asked if you have passed gas.
- Saliva will be collected to measure your cortisol level.
- You will complete the symptom questionnaire.
- It will take about ten minutes to complete the questionnaire and to collect the saliva sample.
- You will perform the exercises described in the "Study Groups" section, depending on which group you are assigned to.
Length of Study:
You will be on study from the first day after surgery until you pass gas (usually about 3-5 days). You will be taken off study if you cannot tolerate rocking in a rocking chair, sitting in a non-rocking chair, or walking, due to discomfort or any other reason.
This is an investigational study. There are no additional costs to you for taking part in this study.
Up to 80 patients will take part in the study. All will be enrolled at MD Anderson.
- Conditions
- Gastrointestinal Cancer
- Being tested
- Standard of Care, Rocking Chair Motion, Questionnaire
- Keywords
- Colon Cancer, Abdominal Surgery, Stress, Rocking Motion, Salivary Cortisol, Postoperative Ileus
- Medical subject headings
- Gastrointestinal Neoplasms, Colonic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Standard of CareProcedure or surgery
Post surgical patient to sit in a non-rocking chair for at least sixty minutes per day, and ambulating at least three times per day.
Rocking Chair MotionProcedure or surgery
Post surgical patient to rock in a rocking chair in 10-20 minute increments for at least sixty minutes per day, and ambulating at least three times per day.
QuestionnaireBehavioural
Also called Survey
Beginning on day of surgery till discharge (3-5 days)
| Study group | Role | What they receive |
|---|---|---|
| Standard of Care Group | Experimental | Post surgical patient to sit in a non-rocking chair for at least sixty minutes per day, and ambulating at least three times per day. Receives: Procedure: Standard of Care; Behavioral: Questionnaire |
| Rocking Motion Group | Experimental | Post surgical patient to rock in a rocking chair in 10-20 minute increments for at least sixty minutes per day, and ambulating at least three times per day. Receives: Procedure: Rocking Chair Motion; Behavioral: Questionnaire |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy of Rocking Chair Motion on Surgical-Induced Stress
Efficacy of rocking chair motion on surgical-induced stress response as measured by salivary cortisol sample collected each morning in two groups of colon cancer patients recovering from abdominal surgery randomized to receive either a rocking chair motion intervention or standard care.
Measured: 3 - 5 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2010 (estimated)
- Study start1 Feb 2012
- Primary completion20 Nov 2017
- Study completion20 Nov 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gastrointestinal CancerStudies of the same condition, open and under way.
- More trials run by M.D. Anderson Cancer CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 86 participants (actual)
Sponsor and investigators
- Lead sponsor
- M.D. Anderson Cancer Center
- Sponsor type
- University, hospital or other
- Collaborators
- National Institutes of Health (NIH)
- Responsible party
- Sponsor
- Investigators
- Xin S. Wang, MD, MPH, Principal investigator, M.D. Anderson Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01200316
- Sponsor's protocol ID
- 2010-0129
- Other IDs
- NCI-2012-01884, 10445215
- Status last verified
- Nov 2017
- First submitted
- 9 Sep 2010
- Last updated
- 30 Nov 2017
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Rocking Motion: Physiologic Effect on the Surgical Stress Response
- ClinicalTrials.gov ID
- NCT01200316
- Acronym / sponsor ID
- 2010-0129
- Conditions
- Gastrointestinal Cancer
- Keywords
- Colon Cancer, Abdominal Surgery, Stress, Rocking Motion, Salivary Cortisol, Postoperative Ileus
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 86 participants (actual)
- Lead sponsor
- M.D. Anderson Cancer CenterUniversity, hospital or other
- Collaborators
- National Institutes of Health (NIH)
- Study start
- 1 Feb 2012 (actual)
- Primary completion
- 20 Nov 2017 (actual)
- Study completion
- 20 Nov 2017 (actual)
- First posted
- 13 Sep 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
After having abdominal surgery, patients often experience a lack of bowel function that can cause nausea, vomiting, abdominal swelling, pain, and/or discomfort. This is known as "post-operative ileus." Patients are usually not allowed to leave the hospital until their doctor is sure that their bowel function has returned.
The goal of this clinical research study is to compare using a rocking chair to the standard of care in improving post-operative ileus after abdominal surgery.
Detailed description
The standard method used to help the return of bowel function after surgery is to have patient get out of bed, sit in a chair for a period of time, and then begin walking the first day after surgery. Patients are then asked to increase the time they spend sitting in the chair and walking every day. However, it is not clear that this is the best method to assist in the return of normal bowel function. Some studies have shown that rocking in a rocking chair may help normal bowel function to return more quickly.
Study Groups:
If you agree to take part in this study, you will be randomly assigned (as in the flip of a coin) to 1 of 2 study groups. You will have an equal chance of being assigned to either group:
- If you are in Group A, you will use the "rocking chair method." Beginning the first day after surgery, you will sit in a rocking chair and rock back and forth for 10-20 minutes at a time. This will be done for at least 60 minutes (1 hour) per day, until you pass gas for the first time after surgery. The study staff will show the correct method to rock in the rocking chair and give you time to practice while you are in the clinic.
- If you are in Group B, you will use the standard method only. Beginning the first day after surgery, you will sit in a non-rocking chair for at least 60 minutes each day until you pass gas for the first time after surgery.
No matter what group you are in, you will also be asked to begin walking the first day after surgery until you pass gas for the first time after surgery.
You will wear an activity recorder all day attached to a wrist band in order to record your time spent in bed, in the rocking or non-rocking chair, and an activity monitor around your waist to record the time and distance walked during each 24-hour period. The study staff will show you how to wear this activity recorder. You will be encouraged by the study staff to increase the time spent in the chair and walking each day.
You will be given a pencil and pad of paper to note the date and time you first pass gas after surgery.
Study Tests:
On the day before you have surgery, the following tests and procedures will be performed:
- You will be asked to provide demographic information (such as your age and marital status). This information will be coded to protect your privacy.
- You will complete a questionnaire about any symptoms you may be experiencing. This should take about 10 minutes to complete.
- Saliva will be collected to measure your cortisol level. For this saliva to be collected, you will spit into a tube. The level of cortisol in your saliva is used to measure your response to stress.
Every morning while you are in the hospital and until you pass gas for the first time after surgery:
- You will be asked if you have passed gas.
- Saliva will be collected to measure your cortisol level.
- You will complete the symptom questionnaire.
- It will take about ten minutes to complete the questionnaire and to collect the saliva sample.
- You will perform the exercises described in the "Study Groups" section, depending on which group you are assigned to.
Length of Study:
You will be on study from the first day after surgery until you pass gas (usually about 3-5 days). You will be taken off study if you cannot tolerate rocking in a rocking chair, sitting in a non-rocking chair, or walking, due to discomfort or any other reason.
This is an investigational study. There are no additional costs to you for taking part in this study.
Up to 80 patients will take part in the study. All will be enrolled at MD Anderson.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Standard of Care Group | Experimental | Procedure: Standard of Care, Behavioral: QuestionnairePost surgical patient to sit in a non-rocking chair for at least sixty minutes per day, and ambulating at least three times per day. |
| Rocking Motion Group | Experimental | Procedure: Rocking Chair Motion, Behavioral: QuestionnairePost surgical patient to rock in a rocking chair in 10-20 minute increments for at least sixty minutes per day, and ambulating at least three times per day. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- At least 18 years old
- Speak and read English
- Scheduled to undergo abdominal surgery
- Tolerate sitting in a rocking or nonrocking chair
- Able to ambulate
Key exclusion criteria (1 listed)
- 1) All others will be excluded.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Standard of CarePost surgical patient to sit in a non-rocking chair for at least sixty minutes per day, and ambulating at least three times per day. | Procedure or surgery | Standard of Care Group |
| Rocking Chair MotionPost surgical patient to rock in a rocking chair in 10-20 minute increments for at least sixty minutes per day, and ambulating at least three times per day. | Procedure or surgery | Rocking Motion Group |
| QuestionnaireAlso: SurveyBeginning on day of surgery till discharge (3-5 days) | Behavioural | Rocking Motion Group, Standard of Care Group |
Primary outcome
Efficacy of Rocking Chair Motion on Surgical-Induced Stress
Time frame: 3 - 5 days
Efficacy of rocking chair motion on surgical-induced stress response as measured by salivary cortisol sample collected each morning in two groups of colon cancer patients recovering from abdominal surgery randomized to receive either a rocking chair motion intervention or standard care.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Nov 2017.
- University of Texas MD Anderson Cancer Center WebsiteLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Xin S. Wang, MD, MPH principal investigator
M.D. Anderson Cancer Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Rocking Chair Motion and Questionnaire in people with Gastrointestinal Cancer, run by M.D. Anderson Cancer Center at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Efficacy of Rocking Chair Motion on Surgical-Induced Stress (time frame: 3 - 5 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Nov 2017.