A Stepped Intervention for Coping With Dyspnea in Patients With Lung Cancer-Phase A (Open Pilot)
NCT07728773 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2026-07-29
Summary
Patients with lung cancer often experience shortness of breath, also known as dyspnea. It affects over 80% of patients with lung cancer at diagnosis and is linked to poorer quality of life and functioning. Unfortunately, current treatments-such as opioids, which are the most studied treatment for dyspnea-fail to provide patients with adequate care, and dyspnea can remain a chronic issue in many. Even when new treatments are developed, the benefit to public health is often limited by healthcare systems not having enough resources to use new treatments. The investigators' aim is to test a personalized treatment for dyspnea that can address patients' unique needs while efficiently using healthcare resources to make the treatment as accessible as possible for future widespread use. This project builds upon rhe investigators' prior work creating two promising psychological treatments for dyspnea. The first (a two-session behavioral treatment provided by nurses) targets dyspnea-related discomfort. The second (a five-session psychological treatment provided by psychologists) targets dyspnea-related anxiety and overall health outcomes. The investigators combined these complementary treatments with a stepped-care model into a treatment called INSPIRE. In INSPIRE, all patients will receive the brief treatment to learn basic behavioral coping skills to manage the discomfort of dyspnea before escalating to the more intensive treatment that focuses on providing patients with the confidence to cope with dyspnea and related anxiety, but only if patients' dyspnea does not improve after the first treatment. The investigators will first ask for initial feedback from patients who are receiving INSPIRE for dyspnea and the patients' study clinician to make sure the treatment and study procedures fit their needs. The investigators want to see if this approach can work in patients with lung cancer, is well-received, and shows early signs of improving dyspnea. The investigators' goal is to provide personalized relief for breathing difficulties while making the best use of healthcare resources. These findings will help the investigators learn more about how to support patients with dyspnea and provide information on how to further test INSPIRE. Additionally, this personalized supportive treatment for dyspnea may potentially help reduce the use of opioids currently used in the treatment of dyspnea.
Conditions
- Dyspnea
- Lung Cancer (Diagnosis)
Interventions
- BEHAVIORAL
-
INSPIRE
a stepped-care cognitive-behavioral based intervention for dyspnea
Sponsors & Collaborators
-
American Cancer Society, Inc.
collaborator OTHER -
Massachusetts General Hospital
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2027-01-31
- Primary Completion
- 2027-10-31
- Completion
- 2027-10-31
Countries
- United States
Study Locations
More Related Trials
-
High-Flow Oxygen for Dyspnea in Hospitalized Cancer Patients
NCT02932332 ·Status: COMPLETED ·Phase: PHASE2
-
Structured Personalized Oxygen and Supportive Therapies for Dyspnea in Oncology
NCT06336642 ·Status: RECRUITING ·Phase: PHASE2
-
Continuous Positive Airway Pressure Device or Deep Inspiration Breath Hold in Reducing Tumor Motion in Patients Undergoing Stereotactic Body Radiation Therapy for Lung Cancer
NCT03422302 ·Status: RECRUITING ·Phase: NA
-
Building a Multidisciplinary Bridge Across the Quality Chasm in Thoracic Oncology
NCT02123797 ·Status: COMPLETED
-
Enabling Remote Access to Breathe Easier: A Novel Approach to Improve Symptom Management
NCT06060964 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Acupuncture Feasibility Trial for Dyspnea in Lung Cancer
NCT02094950 ·Status: COMPLETED ·Phase: PHASE1
-
Self-Management Intervention for Breathlessness in Lung Cancer
NCT01585883 ·Status: COMPLETED ·Phase: NA
-
Beyond the Lung Cancer Diagnosis: Leveraging the Oncology Clinic Setting for Actively Smoking Family Members
NCT03966807 ·Status: TERMINATED
-
Mindfulness-Oriented Respiratory Distress Symptom Intervention for Lung Cancer
NCT07281300 ·Status: RECRUITING ·Phase: NA
-
CareSTEPS: A Supportive Care Program for the Caregivers of Advanced Lung Cancer Patients
NCT02414672 ·Status: COMPLETED ·Phase: NA
-
Proton Radiotherapy for Patients With Non-Small Cell Lung Cancer (NSCLC)
NCT00495040 ·Status: COMPLETED ·Phase: PHASE2
-
Radiation Therapy Plus Topotecan in Treating Patients With Non-small Cell Lung Cancer
NCT00002537 ·Status: COMPLETED ·Phase: PHASE1
-
Improving Supportive Care For Patients With Thoracic Malignancies
NCT03216109 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Stents to Open Restricted Airways in Patients With Centrally Placed Non-small Cell Lung Cancer
NCT01003522 ·Status: UNKNOWN ·Phase: PHASE3
-
Decision Counseling Program in Increasing Shared Decision Making and Clinical Trial Participation in Patients With Stage 0-IV Lung Cancer (Free to Breathe)
NCT03820557 ·Status: COMPLETED ·Phase: NA
-
SBRT (Stereotactic Body Radiation Therapy) vs. Surgery in High Risk Patients With Early Stage Lung Cancer
NCT02562027 ·Status: COMPLETED ·Phase: NA
-
Lung Function Testing in Patients With Locally Advanced or Metastatic Solid Tumors
NCT00914147 ·Status: COMPLETED ·Phase: NA
-
Incentive Spirometry to Improve Outcomes in Lung Cancer Patients Undergoing Concurrent Chemotherapy and Radiation Therapy
NCT06688422 ·Status: RECRUITING ·Phase: NA
-
Effectiveness of Bronchoscopic Interventions for Malignant Airway Obstruction
NCT03326570 ·Status: COMPLETED
-
Stepped Palliative Care Versus Early Integrated Palliative Care in Patients With Advanced Lung Cancer
NCT03337399 ·Status: COMPLETED ·Phase: NA
-
Biofeedback Training in Patients With Advanced Lung Cancer - A Pilot Study
NCT01685346 ·Status: TERMINATED ·Phase: NA
-
Stereotactic Body Radiation Therapy in Treating Patients With Stage I or Stage II Non-Small Cell Lung Cancer
NCT00471835 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Combination Chemotherapy and Computer-Planned Radiation Therapy in Treating Patients With Unresectable Stage III Non-Small Cell Lung Cancer
NCT00033553 ·Status: COMPLETED ·Phase: PHASE2
-
The Impact of Communication With Healthcare Providers Via WeChat on Survival Outcomes for Lung Cancer Patietns
NCT06592430 ·Status: NOT_YET_RECRUITING
-
Video-Assisted Surgery Followed by Radiation Therapy in Treating Patients With Stage I Non-small Cell Lung Cancer and Poor Heart and Lung Function
NCT00002624 ·Status: COMPLETED ·Phase: PHASE2