Menopausal Treatment Using Relaxation Exercises (MaTURE)
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Purpose
Hot flashes occur in as many as two thirds of U.S. women during menopause and are severe enough to require treatment in 20%. Although postmenopausal hormone therapy is effective in suppressing hot flashes, it is associated with increased risk for a variety of serious adverse effects. There is an urgent need for alternative treatments that are effective, safe, and easy to use. In this study, the investigators will compare two different types of behavioral relaxation therapies, paced respiration and music therapy, for treatment of menopausal hot flashes. Effects on frequency of hot flashes, other symptom and quality-of-life outcomes associated with hot flashes, and physiologic measures of sympathetic/parasympathetic activity will be examined.
| Condition | Intervention |
|---|---|
|
Hot Flushes Hot Flashes |
Other: Paced Respiration Other: Music Therapy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Menopausal Treatment Using Relaxation Exercises (MaTURE) |
- Change in average daily frequency of hot flashes. [ Time Frame: 4-Weeks and 12-Weeks ] [ Designated as safety issue: No ]
- Change in subjective severity of hot flashes. [ Time Frame: 4-weeks and 12-weeks ] [ Designated as safety issue: No ]
- Change in sympathetic and parasympathetic autonomic nervous system tone. [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Change in quality-of-of life measures associated with hot flashes. [ Time Frame: Weeks 4 and Weeks 12 ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | February 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Paced Respiration
Participants will use a small, commercially-available guided-breathing device to practice breathing at a rate slower than 10 breaths per minute. Participants will be instructed to use their devices for at least 15 minutes per day for 12 weeks.
|
Other: Paced Respiration
Practice paced respiration 15 minutes per day for a total of 12 weeks.
|
|
Active Comparator: Music Therapy
Participant will use an identical appearing device, programmed to play quiet, relaxing non-rhythmic music while monitoring spontaneous breathing. Participants will be instructed to use their devices for at least 15 minutes per day for 12 weeks.
|
Other: Music Therapy
Practice music therapy for 15 minutes per day for a total of 12 weeks.
|
Eligibility| Ages Eligible for Study: | 40 Years to 59 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria
- Women aged 40 through 59 years at the time of screening.
- Perinenopausal or postmenopausal.
- Adequate adherence to study procedures during a 1-week run-in.
- At least 4 hot flashes per 24 hours recorded by a hot flash monitor and diary.
- Capable of understanding study procedures and giving informed consent.
- Willing to refrain from using other treatments for hot flashes during the study period.
Exclusion criteria
- Pregnant or breastfeeding in the past year.
- Current or recent use of medications known to affect hot flashes.
- Resting blood pressure less than 100/60.
- Spontaneous resting breathing rate less than 10 breaths/minute.
- Chronic medical therapy for pulmonary disease.
- Known sensitivity to adhesives.
- Cardiac pacemaker or implanted defibrillator.
- No access to a telephone.
- Plans to move out of the area or travel by airplane in ways that would interfere with the study.
- Inability to sign an informed consent, participate in interviews, or understand and complete questionnaires in English.
- Report conditions that, in the judgment of the investigators, render potential participants unlikely to follow the protocol.
- Participation in another research study involving investigational drugs or devices.
Contacts and Locations| Contact: Ann Chang, BS | 415-353-9782 | ann.chang@ucsfmedctr.org |
| United States, California | |
| University of California, San Francisco | Recruiting |
| San Francisco, California, United States, 94115 | |
| Contact: Ann Chang, BS 415-353-9782 ann.chang@ucsfmedctr.org | |
| Principal Investigator: Deborah Grady, MD, MPH | |
| Sub-Investigator: Alison Huang, MD, MAS | |
| Principal Investigator: | Deborah Grady, MD, MPH | University of California, San Francisco |
| Study Director: | Alison Huang, MD, MAS | University of California, San Francisco |
More Information
No publications provided
| Responsible Party: | Deborah Grady, Professor of Medicine, University of California, San Francisco |
| ClinicalTrials.gov Identifier: | NCT01466998 History of Changes |
| Other Study ID Numbers: | R01AT005491 |
| Study First Received: | November 1, 2011 |
| Last Updated: | May 16, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Hot Flashes Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013