Bright White Light Therapy in Reducing Cancer-Related Fatigue and Depression in Advanced Prostate Cancer Patients Undergoing Treatment With ADT Combination Therapy
Part of paid clinical trials in Duarte, California.
- Sponsor
- City of Hope Medical Center
- Study ID
- NCT05869682
- Phase
- PHASE2
- Status
- Recruiting
Conditions
- Advanced Prostate Carcinoma
- Metastatic Prostate Carcinoma
- Prostate Carcinoma
- Stage III Prostate Cancer AJCC v8
- Stage IV Prostate Cancer AJCC v8
Eligibility Criteria
- Sex
- MALE
- Age
- 60 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Bright White Light Therapy — PROCEDUREWear AYOpro BWL therapy
- Combination Drug Therapy — DRUGReceive SOC ADT combination therapy
- Electronic Health Record Review — OTHERAncillary studies
- Quality-of-Life Assessment — OTHERAncillary studies
- Questionnaire Administration — OTHERAncillary studies
Study Details
This phase II trial tests how well bright white light (BWL) therapy works in reducing cancer-related fatigue and depression in patients with prostate cancer that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced) and who are undergoing treatment with antiandrogen therapy (ADT) combination therapy. Combination treatment including ADT plus chemotherapy and androgen receptor (AR) targeted therapy or ADT plus AR targeted therapies work by reducing testosterone. Most prostate tumor cells rely on testosterone to help them grow; therefore, ADT combination therapy causes prostate tumor cells to die or to grow more slowly leading to improved overall survival in men with advanced prostate cancer when compared with ADT alone. However, lower levels of testosterone is also commonly associated with worsening fatigue and depression. If prolonged and severe, these complications can alter patient treatment plans, impacting not just quality of life, but leading to inadequate cancer control. BWL therapy is a type of phototherapy that utilizes bright white full-spectrum light, either through a light box or light therapy glasses to help regulate circadian rhythms. Circadian rhythms are physical, mental, and behavioral changes that follow a 24-hour cycle, including the sleep-wake cycle which can become disrupted in cancer patients undergoing treatment, leading to increased fatigue. Additionally, exposure to bright light may increase the production of serotonin, a neurotransmitter that is associated with mood regulation. BWL therapy with AYOpro light therapy glasses may serve as a supportive care measure for men with advanced prostate to help reduce fatigue, as well as improve mood and overall quality of life during ADT combination therapy to maintain cancer care without suffering complications of therapy.
Key Dates
- Start date
- Jul 9, 2024
- Status verified
- Oct 2025
- Primary completion
- Nov 30, 2028
- Completion
- Nov 30, 2028
Study Design
- Enrollment
- 210 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- SUPPORTIVE_CARE
Arms
- Experimental: Group I (Immediate BWL therapy)Patients wear AYOpro BWL therapy glasses starting on day 1 of SOC ADT combination therapy for 12 months on trial.
- Experimental: Group II (Delayed BWL therapy)Patients wear AYOpro BWL therapy glasses starting 6 months after the start of SOC ADT combination therapy for 6 months on trial.
Primary Outcome Measure
Change in patient-reported fatigue [ Time Frame: Baseline to 3 months post antiandrogen therapy (ADT) combination treatment initiation ]
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| City of Hope Medical Center | Duarte | California | 91010 | William Dale (PRINCIPAL_INVESTIGATOR) |
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