UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059180
Receipt number R000067689
Scientific Title Development and Efficacy of Smartphone-Based Psychotherapy for Post-Mastectomy Pain Syndrome: A Multicenter, Sham-Controlled, Double-Blind, Randomized Parallel-Group Trial Using a Decentralized Clinical Trial Platform
Date of disclosure of the study information 2025/09/24
Last modified on 2025/09/24 22:23:11

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Basic information

Public title

Development and Efficacy of Smartphone-Based Psychotherapy for Post-Mastectomy Pain Syndrome: A Multicenter, Sham-Controlled, Double-Blind, Randomized Parallel-Group Trial Using a Decentralized Clinical Trial Platform

Acronym

Development and Efficacy of Smartphone-Based Psychotherapy for Post-Mastectomy Pain Syndrome: A Multicenter, Sham-Controlled, Double-Blind, Randomized Parallel-Group Trial Using a Decentralized Clinical Trial Platform

Scientific Title

Development and Efficacy of Smartphone-Based Psychotherapy for Post-Mastectomy Pain Syndrome: A Multicenter, Sham-Controlled, Double-Blind, Randomized Parallel-Group Trial Using a Decentralized Clinical Trial Platform

Scientific Title:Acronym

Development and Efficacy of Smartphone-Based Psychotherapy for Post-Mastectomy Pain Syndrome: A Multicenter, Sham-Controlled, Double-Blind, Randomized Parallel-Group Trial Using a Decentralized Clinical Trial Platform

Region

Japan


Condition

Condition

Post Mastectomy Pain Syndrome

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

A randomized controlled trial will be conducted to evaluate the effectiveness of a smartphone application-based psychotherapy for Post Mastectomy Pain Syndrome (PMPS). In addition, this study aims to develop the foundation for a fully decentralized clinical trial, enabling patients to participate without the need to visit the clinic and allowing for remote collection of patient-reported outcomes. Initially, a small-scale pilot trial will be conducted to assess preliminary efficacy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Pain Interference: Brief Pain Inventory(BPI)

Key secondary outcomes

Pain intensity: Brief Pain Inventory(BPI)
Fatigue and numbness: M.D.Anderson Symptom Inventory(MDASI)
Pain acceptance: Chronic Pain Acceptance Questionnaire(CPAQ)
Fear of recurrence: Fear of Cancer Recurrence Inventory-short form(FCRI-SF)
Work productivity: Work Productivity and Activity Impairment Questionnaire(WPAI)
Anxiety and depression: Hospital Anxiety and Depression Scale(HADS)
Psychological flexibility: Acceptance and Action Questionnaire 2(AAQ-2)
Values-based action: Valuing Questionnaire(VQ)
Quality of life: EuroQol-5-deimensions(EQ5D)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

smartphone-based psychotherapy + usual care

Interventions/Control_2

sham app group + usual care

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1. Diagnosed with breast cancer
2. More than one year post-breast cancer surgery with no recurrence
3. Aged 18 years or older at the time of obtaining consent
4. Persistent pain after breast cancer surgery(pain in the surgical site, underarm, or the arm on the operated side) present even one year after surgery, or pain in areas related to reconstructive surgery(such as the reconstructed site, back, or abdomen where surgery was performed for reconstruction) present one year after reconstruction, causing interference with daily life. The average pain intensity and interference with general activity in daily life, as measured by the Brief Pain Inventory(BPI) question 9-A, are 4 points or higher
5. Patients able to install and use the smartphone app on their own on an Android or iOS mobile device(OS version: iOS 15.0 or higher, Android 6.0 or higher) and use it throughout the study period

Key exclusion criteria

1. Patients who are unable to read or write Japanese
2. Patients with pain believed to be caused by factors other than cancer surgery and who are receiving treatment for such pain
3. Patients with pain outside of the surgical site (wound), axilla, or arm, who are receiving treatment for such pain
4. Patients with psychiatric symptoms judged by the principal investigator or sub-investigators to be inappropriate for participation, such as dementia or cognitive impairment, severe depression with suicidal ideation, uncontrolled schizophrenia, or schizoaffective disorder
5. Patients with severe physical illnesses (e.g., severe respiratory diseases, cardiovascular diseases, central or peripheral nervous system disorders, musculoskeletal disorders) for whom psychotherapy is difficult
6. Patients who have previously received the same psychotherapy provided by this app
7. Other patients judged inappropriate for participation by the principal investigator or sub-investigators

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Tatsuo
Middle name
Last name Akechi

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Psychiatry and Cognitive Behavioral Medicine

Zip code

467-8601

Address

Mizuho-cho, Mizuho-ku, Nagoya, Aichi

TEL

090-7042-9321

Email

info@sakura-pj.org


Public contact

Name of contact person

1st name Mie
Middle name
Last name Sakai

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Psychiatry and Cognitive Behavioral Medicine

Zip code

467-8601

Address

Mizuho-cho, Mizuho-ku, Nagoya, Aichi

TEL

090-7042-9321

Homepage URL


Email

info@sakura-pj.org


Sponsor or person

Institute

Nagoya City University

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development Research Fund

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya City University Ethics Research Review Committee

Address

Mizuho-cho, Mizuho-ku, Nagoya, Aichi

Tel

052-853-8346

Email

rinshou-kenkyu@med.nagoya-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 09 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 07 Month 24 Day

Date of IRB

2025 Year 07 Month 24 Day

Anticipated trial start date

2025 Year 10 Month 01 Day

Last follow-up date

2027 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 09 Month 24 Day

Last modified on

2025 Year 09 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067689