Trial Outcomes & Findings for The "Light for the Brain" Study (NCT NCT02677987)

NCT ID: NCT02677987

Last Updated: 2022-04-18

Results Overview

Global composite z-score from baseline to 8 weeks after the intervention based on the HVLT-R; BVMT-R; Psychomotor vigilance task; Trail-making tests A and B; WAIS-IV Coding, Digit Span, Block Design; D-KEFS Color-Word Inhibition, Verbal Fluency; Conners Continuous Performance Test III. Raw scores at baseline of tests within single domains were averaged and then standardized to z-scores. The mean of the z-scores was calculated, and then this composite z-score was standardized to z-scores. Follow up intervention z-scores were calculated based on differences between raw scores at baseline and raw scores at follow-up time points and divided by the standard deviation of the baseline domain z-score) within each domain, and then averaged to create follow up global composite scores. A z-score below 0 indicated poorer performance than at baseline and a z-score above 0 indicated better performance than at baseline.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

47 participants

Primary outcome timeframe

Baseline to end-of-intervention to 8 weeks after the intervention

Results posted on

2022-04-18

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Light
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Overall Study
STARTED
23
24
Overall Study
COMPLETED
19
24
Overall Study
NOT COMPLETED
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention Light
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Overall Study
Withdrawal by Subject
3
0
Overall Study
Lost to Follow-up
1
0

Baseline Characteristics

The "Light for the Brain" Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Light
n=23 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=24 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Total
n=47 Participants
Total of all reporting groups
Age, Continuous
58.0 years
STANDARD_DEVIATION 11.2 • n=99 Participants
55.5 years
STANDARD_DEVIATION 13.0 • n=107 Participants
56.8 years
STANDARD_DEVIATION 12.1 • n=206 Participants
Sex: Female, Male
Female
17 Participants
n=99 Participants
13 Participants
n=107 Participants
30 Participants
n=206 Participants
Sex: Female, Male
Male
6 Participants
n=99 Participants
11 Participants
n=107 Participants
17 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=99 Participants
23 Participants
n=107 Participants
44 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
White
19 Participants
n=99 Participants
19 Participants
n=107 Participants
38 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Region of Enrollment
United States
23 participants
n=99 Participants
24 participants
n=107 Participants
47 participants
n=206 Participants
Wechsler Test of Adult Reading
105.6 units on a scale
STANDARD_DEVIATION 9.5 • n=99 Participants
110.3 units on a scale
STANDARD_DEVIATION 11.1 • n=107 Participants
108.0 units on a scale
STANDARD_DEVIATION 8.3 • n=206 Participants

PRIMARY outcome

Timeframe: Baseline to end-of-intervention to 8 weeks after the intervention

Global composite z-score from baseline to 8 weeks after the intervention based on the HVLT-R; BVMT-R; Psychomotor vigilance task; Trail-making tests A and B; WAIS-IV Coding, Digit Span, Block Design; D-KEFS Color-Word Inhibition, Verbal Fluency; Conners Continuous Performance Test III. Raw scores at baseline of tests within single domains were averaged and then standardized to z-scores. The mean of the z-scores was calculated, and then this composite z-score was standardized to z-scores. Follow up intervention z-scores were calculated based on differences between raw scores at baseline and raw scores at follow-up time points and divided by the standard deviation of the baseline domain z-score) within each domain, and then averaged to create follow up global composite scores. A z-score below 0 indicated poorer performance than at baseline and a z-score above 0 indicated better performance than at baseline.

Outcome measures

Outcome measures
Measure
Intervention Light
n=21 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=18 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Cognitive Functioning (Neuropsychological Tests)
End of intervention
0.24 z-score
Standard Error 0.14
0.16 z-score
Standard Error 0.14
Cognitive Functioning (Neuropsychological Tests)
8 weeks after intervention
0.43 z-score
Standard Error 0.14
0.50 z-score
Standard Error 0.14

SECONDARY outcome

Timeframe: Baseline to end of intervention to 8 weeks later

F statistic from actigraphy was assessed as a measure of circadian activity rhythm robustness.

Outcome measures

Outcome measures
Measure
Intervention Light
n=19 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=18 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Circadian Activity Rhythms (Actigraphy)
Baseline
1696.19 units on a scale
Standard Error 290.49
1551.72 units on a scale
Standard Error 293.04
Circadian Activity Rhythms (Actigraphy)
End of intervention
1999.72 units on a scale
Standard Error 295.87
1373.88 units on a scale
Standard Error 293.04
Circadian Activity Rhythms (Actigraphy)
8 weeks after intervention
1858.04 units on a scale
Standard Error 293.04
1466.82 units on a scale
Standard Error 295.87

SECONDARY outcome

Timeframe: Baseline, mid intervention, end of intervention, 8 weeks later

The Pittsburgh Sleep Quality Index consists of 19 self-rated items used to calculate sleep quality

Outcome measures

Outcome measures
Measure
Intervention Light
n=24 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=20 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Sleep Quality (Pittsburgh Sleep Quality Index)
Baseline
7.3157 units on a scale
Standard Error 0.7672
8.5000 units on a scale
Standard Error 0.6910
Sleep Quality (Pittsburgh Sleep Quality Index)
Mid-treatment
6.7500 units on a scale
Standard Error 0.8544
7.7500 units on a scale
Standard Error 0.7137
Sleep Quality (Pittsburgh Sleep Quality Index)
End of treatment
6.5296 units on a scale
Standard Error 0.7567
7.5500 units on a scale
Standard Error 0.6343
Sleep Quality (Pittsburgh Sleep Quality Index)
8 weeks later
6.1922 units on a scale
Standard Error 0.7345
8.3745 units on a scale
Standard Error 0.8023

SECONDARY outcome

Timeframe: Baseline, mid-intervention, end of the intervention, 8 weeks later

This is a 13-item measure of fatigue.

Outcome measures

Outcome measures
Measure
Intervention Light
n=24 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=20 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Fatigue (FACIT-fatigue)
Baseline
29.9804 units on a scale
Standard Error 1.7374
30.0000 units on a scale
Standard Error 1.5458
Fatigue (FACIT-fatigue)
Mid-intervention
29.5833 units on a scale
Standard Error 2.1666
33.6356 units on a scale
Standard Error 1.3701
Fatigue (FACIT-fatigue)
End of intervention
30.8219 units on a scale
Standard Error 1.9725
33.7513 units on a scale
Standard Error 1.4237
Fatigue (FACIT-fatigue)
8 weeks post-intervention
30.5041 units on a scale
Standard Error 2.1484
32.3366 units on a scale
Standard Error 1.8079

SECONDARY outcome

Timeframe: Baseline, Mid-intervention, End of intervention, 8 weeks later

The Center for Epidemiological Studies Depression Scale (CES-D) is a 20-item self-report instrument that measures symptoms of depressed mood over the past week.

Outcome measures

Outcome measures
Measure
Intervention Light
n=24 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=23 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Depressed Mood (CESD)
Baseline
18.6293 units on a scale
Standard Error 1.3655
20.4500 units on a scale
Standard Error 1.4378
Depressed Mood (CESD)
Mid-intervention
20.4583 units on a scale
Standard Error 1.5343
18.1000 units on a scale
Standard Error 1.0366
Depressed Mood (CESD)
End of intervention
19.1489 units on a scale
Standard Error 1.2097
17.0500 units on a scale
Standard Error 1.1821
Depressed Mood (CESD)
8 weeks post intervention
20.1206 units on a scale
Standard Error 1.6286
19.0299 units on a scale
Standard Error 1.1423

SECONDARY outcome

Timeframe: Baseline, mid-intervention, end-of-intervention, 8 weeks later

Population: Participants did not always complete this measure, which accounts for why there are sometimes fewer participants than the overall number of participants analyzed at different time points. Linear mixed models allows for missing time points.

Total raw score for entire scale (minimum = 46, maximum = 230) with a higher score indicating greater neurobehavioral symptomatology.

Outcome measures

Outcome measures
Measure
Intervention Light
n=24 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=22 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Neurobehavioral Functioning (Frontal Systems Behavioral Scale)
Baseline
91.39 score on a scale
Standard Deviation 17.71
89.36 score on a scale
Standard Deviation 19.57
Neurobehavioral Functioning (Frontal Systems Behavioral Scale)
Mid-intervention
92.96 score on a scale
Standard Deviation 21.12
90.55 score on a scale
Standard Deviation 18.56
Neurobehavioral Functioning (Frontal Systems Behavioral Scale)
End-of-intervention
89.04 score on a scale
Standard Deviation 19.69
88.90 score on a scale
Standard Deviation 19.08
Neurobehavioral Functioning (Frontal Systems Behavioral Scale)
8 weeks later
87.29 score on a scale
Standard Deviation 21.58
92.78 score on a scale
Standard Deviation 19.47

SECONDARY outcome

Timeframe: Baseline, End of intervention, 8 weeks post-intervention

This 50-item scale is a commonly used and well-validated measure of the functional status of cancer patients who have undergone BMT (SCT).

Outcome measures

Outcome measures
Measure
Intervention Light
n=23 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=20 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Quality of Life (FACT-BMT)
Baseline
110.27 units on a scale
Standard Error 4.1870
109.66 units on a scale
Standard Error 4.2157
Quality of Life (FACT-BMT)
End of intervention
116.88 units on a scale
Standard Error 3.5606
111.94 units on a scale
Standard Error 4.9821
Quality of Life (FACT-BMT)
8 weeks post-intervention
112.68 units on a scale
Standard Error 4.4154
110.92 units on a scale
Standard Error 5.0970

SECONDARY outcome

Timeframe: Baseline and end-of-intervention

Serum cytokine IL-6 in pg/mL

Outcome measures

Outcome measures
Measure
Intervention Light
n=23 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=18 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Interleukin-6
Baseline
3.24 units on a scale
Standard Deviation 2.72
3.24 units on a scale
Standard Deviation 1.79
Interleukin-6
End-of-intervention
3.98 units on a scale
Standard Deviation 4.87
3.28 units on a scale
Standard Deviation 2.60

SECONDARY outcome

Timeframe: Baseline and end-of-intervention

Population: Two participants did not provide blood samples at the end-of-intervention

Serum cytokine TNF-α in pg/mL

Outcome measures

Outcome measures
Measure
Intervention Light
n=23 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=18 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Pro-inflammatory Cytokine - TNF Alpha
Baseline
7.55 units on a scale
Standard Deviation 2.49
7.00 units on a scale
Standard Deviation 2.13
Pro-inflammatory Cytokine - TNF Alpha
End-of-intervention
7.44 units on a scale
Standard Deviation 3.26
7.30 units on a scale
Standard Deviation 2.36

SECONDARY outcome

Timeframe: Baseline and end-of-intervention

C-reactive protein in mg/L

Outcome measures

Outcome measures
Measure
Intervention Light
n=23 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=18 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
C-Reactive Protein
End-of-intervention
5.95 units on a scale
Standard Deviation 15.29
3.53 units on a scale
Standard Deviation 2.61
C-Reactive Protein
Baseline
5.67 units on a scale
Standard Deviation 10.11
3.68 units on a scale
Standard Deviation 3.09

SECONDARY outcome

Timeframe: Baseline, mid-intervention, end of intervention, 8 weeks after intervention

The 33-item Patient Assessment of Own Functioning Inventory (PAOFI) is a reliable and valid measure of perceptions of cognitive functioning (Bell et al., 2013; Chelune et al., 1986). Using a Likert scale from 1 (Almost Always) to 6 (Almost Never), ratings of 1-3 were scored "1" indicating impairment, and ratings from 4 to 6 were scored "0" indicating no impairment. Total impairment was calculated by summing the number of impaired items.

Outcome measures

Outcome measures
Measure
Intervention Light
n=19 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=18 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Self-reported Cognitive Function (Patient Assessment of Own Functioning Inventory)
Baseline
8.5217 units on a scale
Standard Error 1.219
7.9703 units on a scale
Standard Error 1.2023
Self-reported Cognitive Function (Patient Assessment of Own Functioning Inventory)
Mid-intervention
6.5927 units on a scale
Standard Error 1.2457
6.9583 units on a scale
Standard Error 1.1934
Self-reported Cognitive Function (Patient Assessment of Own Functioning Inventory)
End of intervention
4.7065 units on a scale
Standard Error 1.258
5.5905 units on a scale
Standard Error 1.2023
Self-reported Cognitive Function (Patient Assessment of Own Functioning Inventory)
8 weeks after intervention
7.0445 units on a scale
Standard Error 1.284
6.2142 units on a scale
Standard Error 1.2023

OTHER_PRE_SPECIFIED outcome

Timeframe: During the 4th week of the intervention

Range between 0 and 5, with 5 meaning higher treatment satisfaction

Outcome measures

Outcome measures
Measure
Intervention Light
n=23 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=24 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Treatment Satisfaction (FACT-TS)
2.5 units on a scale
Standard Deviation 0.8
2.0 units on a scale
Standard Deviation 1.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Treatment credibility and outcome expectancy were assessed at baseline with the mean of the first 3 items of the Credibility/Expectancy Questionnaire. Items are scored on a Likert scale from 1 to 9, and the term "symptoms" was replaced with "thinking, memory and concentration problems." Higher scores represent greater credibility and outcome expectancy.

Outcome measures

Outcome measures
Measure
Intervention Light
n=24 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=23 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Credibility/Expectancy (Credibility/Expectancy Questionnaire)
6.9 units on a scale
Standard Deviation 1.5
6.3 units on a scale
Standard Deviation 1.4

OTHER_PRE_SPECIFIED outcome

Timeframe: Throughout intervention period (4 weeks)

Length of time light box has been used.

Outcome measures

Outcome measures
Measure
Intervention Light
n=24 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=23 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Usage of Light Box (Integrated Meter Measurement and Litebook Log)
21.1 days
Standard Deviation 7.5
21.0 days
Standard Deviation 8.7

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Measure determines chronotype with a lower score indicating an evening type and a higher score indicating a morning type.

Outcome measures

Outcome measures
Measure
Intervention Light
n=23 Participants
30 minutes of intervention systematic light exposure daily for 4 weeks. Intervention systematic light exposure: Bright light using Litebook device.
Comparison Light
n=20 Participants
30 minutes of comparison long wavelength systematic light exposure daily for 4 weeks. Comparison systematic light exposure: Dim light using modified Litebook device.
Chronotype (Morningness-eveningness Questionnaire)
17.91 score on a scale
Standard Deviation 3.15
15.65 score on a scale
Standard Deviation 4.11

Adverse Events

Intervention Light

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Comparison Light

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Lisa M. Wu, Ph.D.

Northwestern University Feinberg School of Medicine

Phone: (312) 503-7722

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place