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Chemotherapy is a common treatment for treating cancer. Chemotherapy induced nausea and vomiting (CINV) is nausea and vomiting that occurs after chemotherapy. Complete protection of standard antiemetic drugs against CINV symptoms in children and adolescents receiving moderately and strongly emetogenic chemotherapy drugs was less than 50%.
The side effects of chemotherapy in the form of CINV are so unpleasant that chemotherapy causes extreme anxiety and stress. The psychological characteristics of adolescents who have a greater perception of the changes that occur cause more frequent anxiety which can increase the risk of CINV.
Acupuncture with laserpuncture modality is a non-pharmacological therapy that has a good effect on CINV symptoms in adolescents. This research was conducted for the first time in Brazil in 2019, while in Indonesia there has never been any research on this matter. So it is hoped that this research will be the first research in Indonesia to prove that the effect of laserpuncture plays a role in CINV symptoms in adolescents and can be an additional treatment in standard therapy for CINV problems in adolescents.
This is a clinical trial study to evaluate and compare the effects of laserpuncture and sham laserpuncture as a therapy for Chemotherapy induced nausea and vomiting (CINV) . The subjects are 58 males/female and will be randomly assigned to 2 groups: (1) laserpunctur and (2) Sham laserpuncture. The outcome will be assessed before treatment (baseline), in chemotherapy procedure and 3 days after chemotherapy. Patients and the outcome assessors will be blinded to the group allocation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laserpuncture | Experimental | Laserpuncture using continous wave, 2 Joule in on condition |
|
| Sham Laserpuncture | Sham Comparator | Sham laser using laserpuncture in off condition |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| laserpuncture | Device | laserpuncture use continous wave,dose 2 Joule, 785nm, 50mw |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Rhodes Index nausea, vomiting and Reatching Score (RINVR) | Score for measuring nausea, vomiting and reatching after chemotherapy. minimum score is 0 and maximum score is 32 | before chemotherapy, in chemotherapy procedure, 3 days after chemotherapy |
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| Measure | Description | Time Frame |
|---|---|---|
| Screen for Child Anxiety Related Disorders (SCARED) | Score for measuring anxiety for Child. score 25 or more is anxiety. minimum score is 0 and maximum score is 82 | before Chemotherapy, 3 days after chemotherapy |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| KEPK FKUI KR RSCM | The Ethics Committee of the Faculty Of Medicine, University of Indonesia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dharmais Cancer, Hospital | Jakarta | DKI Jakarta | 11420 | Indonesia | ||
| Cipto Mangunkusumo Hospital |
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| ID | Term |
|---|---|
| D014839 | Vomiting |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Sham Laserpuncture |
| Device |
Sham laser using laserpuncture in off condition |
|
| Jakarta Pusat |
| DKI Jakarta |
| 10430 |
| Indonesia |