UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059448
Receipt number R000067936
Scientific Title A Study on the Stress-Relieving Effects of Green VR Environments: A Volunteer Study
Date of disclosure of the study information 2025/10/18
Last modified on 2025/10/18 12:15:04

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Basic information

Public title

A Study on the Stress-Relieving Effects of Green VR Environments: A Volunteer Study

Acronym

A Study on the Stress-Relieving Effects of Green VR Environments

Scientific Title

A Study on the Stress-Relieving Effects of Green VR Environments: A Volunteer Study

Scientific Title:Acronym

A Study on the Stress-Relieving Effects of Green VR Environments

Region

Japan


Condition

Condition

Dental Anesthesiology

Classification by specialty

Anesthesiology Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Previously, VR incorporating green hues has demonstrated the potential to suppress the hypothalamic-pituitary-adrenal (HPA) axis and reduce stress. Activation of the HPA axis leads to cortisol secretion. Cortisol increases sensitivity to vasoconstrictors (such as noradrenaline and angiotensin II) and elevates peripheral vascular resistance by suppressing the production of vasodilators like nitric oxide (NO). Therefore, this study hypothesises that VR incorporating green may suppress cortisol production and thereby inhibit peripheral vascular resistance, leading to the implementation of the research described below.

Basic objectives2

Others

Basic objectives -Others

Developing a novel approach to manage and reduce stress and anxiety in patients with dental phobia using virtual reality (VR) technology.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1) Measurement of biochemical stress markers (minimally invasive): Saliva samples are collected from subjects before and after the VR experience. Using the SOMA CUBE Reader, concentrations of salivary cortisol, secretory immunoglobulin A (sIgA), secretory immunoglobulin G (sIgG), and amylase are measured. Changes in these biomarkers will be analysed to evaluate alterations in stress responses and immune responses following VR intervention.
2) Measurement of peripheral vascular resistance (non-invasive): Using the WatchPad 300, changes in peripheral vascular resistance will be continuously measured before, during, and after the VR experience. Additionally, non-invasive continuous estimated cardiac output (esCCO) will be used to continuously measure changes in cardiac output (esCCO) before, during, and after the VR experience. Pulse wave transmission time (PWTT), an indicator of peripheral vasoconstriction, will also be calculated. These measurements will quantify the effects of the green VR environment on cardiac function and vascular tone.
3) Heart rate variability analysis (non-invasive): Using my Beat, record and analyse heart rate variability (HRV) before, during, and after the VR experience to evaluate changes in sympathetic/parasympathetic balance. Objectively assess the impact of VR intervention on the autonomic nervous system through fluctuations in HRV parameters (e.g., LF/HF ratio).
4) Tissue blood flow and oxygenation measurement (non-invasive): Using NIRO200nx, continuously measure changes in cerebral blood flow and oxygenation before, during, and after the VR experience. Record changes in blood flow dynamics in the prefrontal cortex due to green VR exposure from variations in tissue oxygenation index (TOI) and tissue haemoglobin index (nTHI), and evaluate the impact on the central nervous system in the stress response.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

This study is a cohort study involving stress loading on the same subjects, with measurements of each parameter taken before and after exposure to a green VR environment.

Interventions/Control_2


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

20 years-old <=

Age-upper limit

60 years-old >

Gender

Male and Female

Key inclusion criteria

Healthy adults (American Society of Anesthesiologists physical status classification (ASA-PS classification of 1 or 2))

Key exclusion criteria

None

Target sample size

20


Research contact person

Name of lead principal investigator

1st name HIDETAKA
Middle name
Last name KURODA

Organization

KANAGAWA DENTAL UNIVERSITY

Division name

Department of Anesthesiology, Division of Dental Anesthesiology

Zip code

2380003

Address

82 Inaoka-cho, Yokosuka-shi, Kanagawa

TEL

0468228751

Email

kuroda@kdu.ac.jp


Public contact

Name of contact person

1st name HIDETAKA
Middle name
Last name KURODA

Organization

KANAGAWA DENTAL UNIVERSITY

Division name

Department of Anesthesiology, Division of Dental Anesthesiology

Zip code

2380003

Address

82 Inaoka-cho, Yokosuka-shi, Kanagawa

TEL

0468228751

Homepage URL


Email

kuroda@kdu.ac.jp


Sponsor or person

Institute

KANAGAWA DENTAL UNIVERSITY

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

KANAGAWA DENTAL UNIVERSITY INSTITUTIONAL REVIEW BOARD

Address

82 Inaoka-cho, Yokosuka-shi, Kanagawa

Tel

0468228751

Email

kenkyo@kdu.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 10 Month 18 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

Enrolling by invitation

Date of protocol fixation

2025 Year 06 Month 24 Day

Date of IRB

2025 Year 06 Month 24 Day

Anticipated trial start date

2025 Year 10 Month 18 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry

2026 Year 03 Month 31 Day

Date trial data considered complete

2026 Year 03 Month 31 Day

Date analysis concluded

2026 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2025 Year 10 Month 17 Day

Last modified on

2025 Year 10 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000067936