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CancerNCT07481890

Feasibility and Efficacy of the EMDR Toolbox Method in Cancer Patients.

A study testing STANDARD EMDR and EMDR TOOLBOX METHOD in people with Cancer and Psychological Distress, run by Lega Cancro Ticino at 2 sites in Switzerland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The incidence of adverse childhood experiences (ACEs) is significantly elevated in patients affected by organic diseases (Riedl, 2020). Adverse childhood experiences include life events such as physical, emotional, and sexual abuse; exposure to domestic violence; abandonment; and physical and emotional neglect… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Cancer, Psychological Distress
What is being tested?
STANDARD EMDR and EMDR TOOLBOX METHOD
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
2 sitesSwitzerland
Study dates
27 Mar 2026to 31 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical stage of the tumor: Stage I, II (TNM classification)
  • Age ≥ 18 years <=65
  • Conditions enabling correct implementation of the proposed program (ability to complete questionnaires)
  • Written informed consent

Who cannot join

  • Psychiatric or other disorders that may impair the ability to provide informed consent.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Loredana Turri, MSc contact

+410918206420

Switzerland2 sites, 2 recruiting
  • Lega cancro Ticino

    Bellinzona, Canton Ticino, 6500

    Paola Arnaboldi, +41782192859, paola.arnaboldi@legacancro-ti.ch

    Recruiting
  • Lega Cancro Ticino

    Bellinzona, Canton Ticino, 6500

    Paola Arnaboldi, MSc, +410918206420, paola.arnaboldi@legacancro-ti.ch

    Loredana Turri, MSc

    Recruiting

Other trials in Switzerland

About this study

Official title: Feasibility and Efficacy of an EMDR Psychotherapeutic Intervention With Additional Procedures (EMDR Toolbox Method) in Improving the Psychological Well-Being of Patients Diagnosed With Oncological Disease: A Randomized Study.

The incidence of adverse childhood experiences (ACEs) is significantly elevated in patients affected by organic diseases (Riedl, 2020). Adverse childhood experiences include life events such as physical, emotional, and sexual abuse; exposure to domestic violence; abandonment; and physical and emotional neglect occurring during early stages of life. One of the primary and most extensively studied mechanisms through which ACEs appear to influence the development of organic diseases across the lifespan is dysregulation of cortisol levels, which acts as a key mediator of increased macro- and microcellular inflammatory processes.

In rhis context, it is important to integrate the standard triage and psychological distress screening interventions routinely provided by psychologists working in clinical liaison psychology services with specialized, evidence-based psychotherapeutic treatments delivered by appropriately trained professionals. Among the range of evidence-based psychotherapies currently available, Eye Movement Desensitization and Reprocessing (EMDR) psychotherapy-hereafter referred to as EMDR-was recognized by the World Health Organization (WHO) in 2013 and reaffirmed in 2024 as one of the treatments of choice for trauma and the psychophysiological consequences of adverse events.

Read more

Since 2015, Manuela Spadoni has systematized the empirical evidence, theoretical concepts, the parts model, and the operational tools of the additional EMDR procedures introduced by Jim Knipe beginning in 2001 into a structured psychotherapeutic approach known as the EMDR Toolbox method. This method appears to be particularly well suited for treating individuals whose clinical history is characterized by multiple adverse experiences.

The present randomized trial aims to evaluate the feasibility and efficacy of the EMDR Toolbox Method (ETM) in patients diagnosed with oncological disease.

Being tested
STANDARD EMDR, EMDR TOOLBOX METHOD
Keywords
Cancer, Eye Movement Desensitization and Reprocessing, Psychosomatics, EMDR Toolbox Method, Trauma-focused psychotherapy, Psychotherapy
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • STANDARD EMDRBehavioural

    Standard Eye Movement Desensitization and Reprocessing (EMDR) therapy delivered according to established clinical guidelines (Shapiro, 2002).

  • EMDR TOOLBOX METHODBehavioural

    Eye Movement Desensitization and Reprocessing (EMDR) delivered using the EMDR Toolbox Method (Knipe, 2018; Spadoni, 2026).

Study groups in NCT07481890
Study groupRoleWhat they receive
STANDARD EMDRActive comparatorParticipants receive standard EMDR therapy following the standard EMDR protocol (Shapiro, 2002).
Receives: Behavioral: STANDARD EMDR
EMDR TOOLBOX METHODExperimentalParticipants receive EMDR therapy using the EMDR Toolbox Method including the Ovals Tool as a case formulation tool and additional tools tools such as Loving Eyes (LE) and Constant Installation of Present Orientation and Safety (CIPOS).
Receives: Behavioral: EMDR TOOLBOX METHOD

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Feasibility outcome

    Feasibility will be evaluated in this pilot randomized controlled trial comparing Standard EMDR and EMDR Toolbox Method delivered over 15 sessions. Feasibility indicators will include:

    • Treatment adherence (proportion of participants attending at least 10 out of 15 sessions)

    Feasibility criteria will be considered met if:

    • ≥65% of randomized participants complete at least 10 out of 15 sessions

    Measured: From randomization (week 0) to post-treatment assessment (approximately 28 weeks).

  2. Change in Overall Psychological Wellbeing as Measured by CORE-OM Total Score

    Overall psychological wellbeing will be assessed using the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) total score [range score: 0-136].

    The CORE-OM is a self-report measure of global psychological distress and functioning, with higher scores indicating greater psychological distress.

    Assessments will be conducted at three time points:

    • Baseline (prior to randomization)
    • Mid-treatment (after 7 sessions; approximately 14 weeks post-randomization)
    • Post-treatment (after 15 sessions; approximately 28 weeks post-randomization)

    The primary analysis for this pilot study will estimate within-group and between-group mean changes in CORE-OM total scores over time.

    Effect size estimates (e.g., Cohen's d) and 95% confidence intervals will be calculated to inform the design and sample size estimation of a future definitive trial.

    Measured: Baseline, 14 weeks (mid-treatment), and 28 weeks (post-treatment).

  3. Change in Psychological Symptoms as Measured by CORE-OM Symptoms Subscale

    Psychological symptoms will be assessed using the Symptoms subscale of the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) [range score: 0-48].

    The Symptoms domain evaluates the severity of psychological distress, including anxiety, depression, trauma-related and somatic symptoms. Higher scores indicate greater symptom severity.

    Assessments will be conducted at three time points:

    • Baseline (prior to randomization)
    • Mid-treatment (after 7 sessions; approximately 14 weeks post-randomization)
    • Post-treatment (after 15 sessions; approximately 28 weeks post-randomization)

    For this trial comparing Standard EMDR and ETM EMDR, analyses will estimate:

    • Within-group mean changes over time
    • Between-group differences in change scores
    • Effect size estimates (e.g., Cohen's d) with 95% confidence intervals

    Measured: Baseline (randomization, week 0), 14 weeks (mid-treatment, session 7, week 14), and 28 weeks (post-treatment, session 15, week 28).

Secondary outcomes (2)
  1. Change in Self-Compassion as Measured by the Self-Compassion Scale (SCS) Total Score

    Self-compassion will be assessed using the Self-Compassion Scale (SCS), a validated self-report measure evaluating levels of self-kindness, common humanity, and mindfulness versus self-judgment, isolation, and over-identification [range score: 26-130].

    Higher total scores indicate greater self-compassion. This psychological construct is fundamental to well-being and to a healthy attitude toward oneself (Zessin, 2015).

    Assessments will be conducted at three time points:

    • Baseline (prior to randomization)
    • Mid-treatment (after 7 sessions; approximately 14 weeks post-randomization)
    • Post-treatment (after 15 sessions; approximately 28 weeks post-randomization)

    In this trial comparing Standard EMDR and ETM EMDR, analyses will estimate:

    • within-group mean changes in SCS total score over time
    • between-group differences in change from baseline-
    • effect size estimates (e.g., Cohen's d) with 95% confidence intervals

    Measured: Baseline (randomization, week 0), 14 weeks (mid-treatment, session 7, week 14), and 28 weeks (post-treatment, session 15, week 28).

  2. Change in Perceived Nighttime Rest Quality as Measured by a Study-Specific Visual Analog Scale (VAS)

    Perceived quality of nighttime rest will be assessed using a study-specific Visual Analog Scale (VAS) ranging from 0 to 10.

    Participants will be asked to rate their overall perceived quality of sleep over the past week, where 0 indicates "very poor quality of rest" and 10 indicates "excellent quality of rest." Higher scores reflect better perceived sleep quality.

    Assessments will be conducted at two time points:

    • Baseline (prior to randomization)
    • Mid-treatment (after 7 sessions; approximately 14 weeks post-randomization)
    • Post-treatment (after 15 sessions; approximately 28 weeks post-randomization)

    In this trial comparing Standard EMDR and ETM EMDR, analyses will estimate:

    • Within-group mean change from baseline to post-treatment
    • Between-group differences in change scores
    • Effect size estimates (e.g., Cohen's d) with 95% confidence intervals

    Measured: From enrollment to the end of study (7 sessions, 14 weeks (mid-treatment, session 7, week 14), 15 sessions or drop out)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Mar 2026
  2. Study start27 Mar 2026
  3. Primary completion30 Nov 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

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 N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
46 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07481890
Sponsor's protocol ID
2025-02633
Other IDs
2025
Status last verified
Mar 2026
First submitted
10 Feb 2026
Last updated
2 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: I am the principal investigator and the sponsor of this study. I will perform statistical analysis.

Publications

  • Arnaboldi P, Massari I, Lombardi E, Cavallo M. Prevalence of Personality Disorders in Cancer Patients: A Systematic Literature Review in the Era of Personalized Cancer Care. Cancers (Basel). 2025 Dec 5;17(24):3901. doi: 10.3390/cancers17243901.

    PubMed 41463152
  • Portigliatti Pomeri A, La Salvia A, Carletto S, Oliva F, Ostacoli L. EMDR in Cancer Patients: A Systematic Review. Front Psychol. 2021 Jan 18;11:590204. doi: 10.3389/fpsyg.2020.590204. eCollection 2020.

    PubMed 33536968
  • Manuela Spadoni, Paola Arnaboldi, Jim Knipe. The EMDR Toolbox Method (ETM): Expanding Jim Knipe's work and Enhancing the AIP Model. J EMDR Pract and Res. 0:DOI:10.34133/jemdr.0027

  • Ramallo-Machin A, Gomez-Salas FJ, Burgos-Julian F, Santed-German MA, Gonzalez-Vazquez AI. Factors influencing quality of processing in EMDR therapy. Front Psychol. 2024 Sep 2;15:1432886. doi: 10.3389/fpsyg.2024.1432886. eCollection 2024.

    PubMed 39286565
  • Lutgendorf SK, Weinrib AZ, Penedo F, Russell D, DeGeest K, Costanzo ES, Henderson PJ, Sephton SE, Rohleder N, Lucci JA 3rd, Cole S, Sood AK, Lubaroff DM. Interleukin-6, cortisol, and depressive symptoms in ovarian cancer patients. J Clin Oncol. 2008 Oct 10;26(29):4820-7. doi: 10.1200/JCO.2007.14.1978. Epub 2008 Sep 8.

    PubMed 18779606
  • Inwood E, Ferrari M. Mechanisms of Change in the Relationship between Self-Compassion, Emotion Regulation, and Mental Health: A Systematic Review. Appl Psychol Health Well Being. 2018 Jul;10(2):215-235. doi: 10.1111/aphw.12127. Epub 2018 Apr 19.

    PubMed 29673093
  • Hughes K, Bellis MA, Hardcastle KA, Sethi D, Butchart A, Mikton C, Jones L, Dunne MP. The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health. 2017 Aug;2(8):e356-e366. doi: 10.1016/S2468-2667(17)30118-4. Epub 2017 Jul 31.

    PubMed 29253477
  • Shapiro F, Maxfield L. Eye Movement Desensitization and Reprocessing (EMDR): information processing in the treatment of trauma. J Clin Psychol. 2002 Aug;58(8):933-46. doi: 10.1002/jclp.10068.

    PubMed 12115716
  • Shapiro F. The role of eye movement desensitization and reprocessing (EMDR) therapy in medicine: addressing the psychological and physical symptoms stemming from adverse life experiences. Perm J. 2014 Winter;18(1):71-7. doi: 10.7812/TPP/13-098.

    PubMed 24626074
  • Hinnen C, von Haeseler E, Tijssens F, Mols F. Adverse childhood events and mental health problems in cancer survivors: a systematic review. Support Care Cancer. 2024 Jan 4;32(1):80. doi: 10.1007/s00520-023-08280-7.

    PubMed 38175303
  • Cocchi M, Girone N, Leonardi M, Achilli F, Benatti B, dell'Osso B. Evaluation of Adherence to Pharmacological Treatment in a Large Sample of Patients with Personality Disorder. Clin Neuropsychiatry. 2025 Aug;22(4):279-286. doi: 10.36131/cnfioritieditore20250402.

    PubMed 40989040
  • Carlson EB, Putnam FW, Ross CA, Torem M, Coons P, Dill DL, Loewenstein RJ, Braun BG. Validity of the Dissociative Experiences Scale in screening for multiple personality disorder: a multicenter study. Am J Psychiatry. 1993 Jul;150(7):1030-6. doi: 10.1176/ajp.150.7.1030.

    PubMed 8317572
  • Brown MJ, Thacker LR, Cohen SA. Association between adverse childhood experiences and diagnosis of cancer. PLoS One. 2013 Jun 11;8(6):e65524. doi: 10.1371/journal.pone.0065524. Print 2013.

    PubMed 23776494
  • Bremner JD. Effects of traumatic stress on brain structure and function: relevance to early responses to trauma. J Trauma Dissociation. 2005;6(2):51-68. doi: 10.1300/J229v06n02_06.

    PubMed 16150669

Questions about this trial

What is this clinical trial studying?

A study testing STANDARD EMDR and EMDR TOOLBOX METHOD in people with Cancer and Psychological Distress, run by Lega Cancro Ticino at 2 sites in Switzerland.

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 4 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: looking for participants now, as of the sponsor's last update on 2 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Switzerland. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Paola Arnaboldi, PsyD (+41782192859, paola.arnaboldi@legacancro-ti.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility outcome (time frame: From randomization (week 0) to post-treatment assessment (approximately 28 weeks).). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07481890, which also lists 14 linked publications.

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 2 Apr 2026.

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