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.
COMPLETED
NA
47 participants
Baseline to end-of-intervention to 8 weeks after the intervention
2022-04-18
Participant Flow
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
| 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
| 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 interventionGlobal 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
| 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 laterF statistic from actigraphy was assessed as a measure of circadian activity rhythm robustness.
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 laterThe Pittsburgh Sleep Quality Index consists of 19 self-rated items used to calculate sleep quality
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 laterThis is a 13-item measure of fatigue.
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 laterThe 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
| 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 laterPopulation: 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
| 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-interventionThis 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
| 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-interventionSerum cytokine IL-6 in pg/mL
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-interventionPopulation: Two participants did not provide blood samples at the end-of-intervention
Serum cytokine TNF-α in pg/mL
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-interventionC-reactive protein in mg/L
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 interventionThe 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
| 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 interventionRange between 0 and 5, with 5 meaning higher treatment satisfaction
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: BaselineTreatment 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
| 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
| 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: BaselineMeasure determines chronotype with a lower score indicating an evening type and a higher score indicating a morning type.
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
Comparison Light
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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place