A Randomized Controlled Trial Testing the Effects of an Acupressure Intervention on Appetite and Weight in Patients With Gastric, Esophageal, and Pancreatic Cancer: A Pilot and Feasibility Study
University of Washington
Summary
This clinical trial evaluates the feasibility and acceptability of acupressure to the ear (auricular) to address appetite and weight in patients with stage II-IV gastric, esophageal, or pancreatic cancer. Cancer anorexia, the abnormal loss of appetite, directly leads to cancer-associated weight loss (cachexia) through malnourishment, reduced caloric intake, treatment side-effects, and other modifiable risk factors. Cachexia prolongs length of hospital stay for patients, negatively impacts treatment tolerance and adherence, and reduces overall patient quality of life. Auricular acupressure is a form of micro-acupuncture that exerts its effect by stimulating the central nervous system using adhesive taped pellets applied to specific locations on the external ear. The use of these pellets to deliver auricular acupressure has been shown to improve pain, fatigue, insomnia, nausea and vomiting, depression, and quality of life in both cancer and non-cancer settings. Auricular acupressure is a safe, inexpensive, and non-invasive approach to addressing cancer-related symptoms and treatment side-effects and may be effective at improving appetite and weight loss in stage II-IV gastric, esophageal, and pancreatic cancer patients.
Description
OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients undergo auricular acupressure in addition to their usual care on study. Patients also undergo collection of blood samples on study. ARM II: Patients receive usual care on study. Patients also undergo collection of blood samples on study. After completion of study treatment, patients in Arm II are followed up at 8 weeks after active treatment ends.
Eligibility
- Age range
- 18–65 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * 18-65 years of age * Stage II-IV gastric, esophageal, or pancreatic cancer * Appetite score on visual analog scale ≤ 70/100 * At least 60 days of planned systemic treatment, whether already initiated or scheduled to be initiated * Access to phone and electronic device for study contacts and questionnaires * Willing and able to attend 4 in-person auricular acupressure treatments at the Fred Hutch South Lake Union Clinic * Willing and able to perform 4 at-home self-applied treatments of auricular acupressure * Participants must not have received acupressure or acupuncture…
Interventions
- ProcedureAcupressure Therapy
Undergo auricular acupressure
- OtherBest Practice
Receive usual care
- ProcedureBiospecimen Collection
Undergo collection of blood samples
- OtherQuestionnaire Administration
Ancillary studies
Location
- Fred Hutch/University of Washington Cancer ConsortiumSeattle, Washington