Effect of Virtual Reality Technology for Pain Management of Vaso-Occlusive Crisis in Patients With Sickle Cell Disease
NCT03353584 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 76
Last updated 2026-05-18
Summary
Acute vaso-occlusive crisis (VOC) is the most common complication in patients with sickle cell disease (SCD) and pain related to VOC is often inadequately treated. This is a phase II randomized controlled clinical trial evaluating the efficacy of virtual reality technology when added to standard pain management for patients with sickle cell disease who are experiencing acute pain crisis in the ambulatory care setting. Patients will be randomized to receive either standard management only or standard management in addition to virtual reality therapy. The remainder of care for the painful event will continue per institutional standards according to clinical indication, including reassessment and documentation of pain and additional doses of pain medicines by intravenous (IV) or oral route. Pain scores and opioid requirement will be measured and compared across treatment arms, along with the outcomes of discharge from clinic versus admission to the inpatient unit.
PRIMARY OBJECTIVE: To assess the efficacy of virtual reality (VR) technology in reducing pain at 30 minutes after intervention during an acute vaso-occlusive crisis in patients with sickle cell disease. Primary endpoint will be change in pain scores in Standard versus VR arms, between the first pain assessment at the time of presentation and the subsequent pain assessments up to 30 minutes after intervention.
Secondary Objectives:
* To compare total opioid consumption from the time of presentation to the time of discharge from acute care setting in Standard versus VR arms.
* To assess the efficacy of virtual reality (VR) technology in reducing pain at 60 minutes after the first IV medication administered or 60 minutes after completion VR during an acute vaso-occlusive crisis in patients with sickle cell disease.
Conditions
- Sickle Cell Disease
- Vaso-occlusive Crisis
Interventions
- OTHER
-
Virtual Reality Therapy
The VR intervention consists of an interactive audio and visual underwater experience designed to serve as a calming distraction activity. The VR software (Kind VR® Aqua) was developed by KindVR specifically for the purpose of pain distraction in a hospital setting.
Sponsors & Collaborators
-
St. Jude Children's Research Hospital
lead OTHER
Principal Investigators
-
Michael Frett, MD · St. Jude Children's Research Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 6 Years
- Max Age
- 25 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-05
- Primary Completion
- 2026-11-30
- Completion
- 2026-11-30
Countries
- United States
Study Locations
More Related Trials
-
Voxelotor Brain Oxygenation and Neurocognitive Study
NCT05228821 ·Status: WITHDRAWN ·Phase: PHASE4
-
PET Imaging of Vaso-Occlusive Crisis (VOC) in SCD
NCT04925492 ·Status: RECRUITING ·Phase: PHASE1
-
Telemedicine for Children With Sickle Cell Disease
NCT05087303 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Ketamine Sickle Cell Disease
NCT03502421 ·Status: WITHDRAWN ·Phase: PHASE3
-
Pilot Study on the Effects of Intravenous Ketamine on Acute Pain Crisis in Patients With Sickle Cell Disease
NCT00252122 ·Status: TERMINATED ·Phase: PHASE4
-
Arginine Therapy for the Treatment of Pain in Children With Sickle Cell Disease
NCT02447874 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Voxelotor Neurocognitive Function Study
NCT05228834 ·Status: TERMINATED ·Phase: PHASE3
-
Phase III Randomized Study of Poloxamer 188 for Vaso-Occlusive Crisis of Sickle Cell Disease
NCT00004408 ·Status: COMPLETED ·Phase: PHASE3
-
Near Infrared Spectroscopy in Sickle Cell Pediatric Patients
NCT04031521 ·Status: WITHDRAWN
-
Safety, Efficacy, and Pharmacokinetics of CSL889 in Adults and Adolescents With Sickle Cell Disease During Vaso-Occlusive Crisis
NCT06699849 ·Status: RECRUITING ·Phase: PHASE2
-
L-citrulline Injection in Patients Aged 6-21 Years Old with Sickle Cell Disease Presenting with Vaso-Occlusive Crisis (VOC)
NCT04852172 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Transcranial Photobiomodulation Treatment in Patients With Sickle Cell Disease
NCT06797583 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
A Brief Laboratory-Based Hypnosis Session for Pain in Sickle Cell Disease
NCT02620488 ·Status: COMPLETED ·Phase: NA
-
Assessing Physical Function in Sickle Cell Patients Taking Voxelotor
NCT06023199 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Study to Assess the Safety and Efficacy of Inclacumab in Participants With Sickle Cell Disease Experiencing Vaso-occlusive Crises
NCT04935879 ·Status: COMPLETED ·Phase: PHASE3
-
Intranasal Fentanyl for Initial Treatment of a Vaso-occlusive Crisis
NCT01482091 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Voxelotor on Cerebral Hemodynamic Response in Children With Sickle Cell Anemia
NCT05018728 ·Status: TERMINATED ·Phase: PHASE2
-
A Voxelotor for Sickle Cell Anemia Patients at Highest Risk for Progression of Chronic Kidney Disease
NCT04335721 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Laboratory-based Hypnosis Intervention on Pain Responsivity in Adolescents With Sickle Cell Disease
NCT02987725 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of a Computerized Tool (PAINRelieveIt) to Help Manage Pain Related to Sickle Cell Disease
NCT00600665 ·Status: COMPLETED ·Phase: NA
-
Preliminary Feasibility and Efficacy of Behavioral Intervention to Reduce Pain-Related Disability in Pediatric SCD
NCT04388241 ·Status: COMPLETED ·Phase: NA
-
Applying Directly Observed Therapy to Hydroxyurea to Realize Effectiveness
NCT06264700 ·Status: RECRUITING ·Phase: NA
-
Ketamine for Acute Painful Crisis in Sickle Cell Disease Patients
NCT03431285 ·Status: COMPLETED ·Phase: NA
-
Arginine Therapy for Sickle Cell Disease Pain
NCT02536170 ·Status: COMPLETED ·Phase: PHASE2
-
Pilot Evaluation of a Motivational Interviewing Intervention Targeting Adherence Behaviors in Youth With Sickle Cell Disease
NCT04877054 ·Status: COMPLETED ·Phase: NA