Exploration of effects of galvanic vestibular stimulation on circadian rhythms and its associations with sleep and spatial memory in patients with breast cancer: The ICANSLEEP-2 protocol

Patients with breast cancer (BC) exhibit circadian rhythm disruptions, mainly of rest-activity rhythm (RAR), of which sleep is an essential component, and cortisol rhythm. Sleep complaints such as insomnia and cognitive impairments are prevalent in BC. In general population, sleep is known to contri...

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Veröffentlicht in:PloS one 2024-07, Vol.19 (7), p.e0306462
Hauptverfasser: Galin, Melvin, de Girolamo, Laura, Clarisse, Bénédicte, Segura-Djezzar, Carine, Glöckner, Franka, Elia, Clara, Réhel, Stéphane, Clochon, Patrice, Doidy, Franck, Chavant, Julien, Etard, Olivier, Viader, Fausto, Grellard, Jean-Michel, Lequesne, Justine, Joly, Florence, Eustache, Francis, Martin, Tristan, Giffard, Bénédicte, Quarck, Gaëlle, Perrier, Joy
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container_issue 7
container_start_page e0306462
container_title PloS one
container_volume 19
creator Galin, Melvin
de Girolamo, Laura
Clarisse, Bénédicte
Segura-Djezzar, Carine
Glöckner, Franka
Elia, Clara
Réhel, Stéphane
Clochon, Patrice
Doidy, Franck
Chavant, Julien
Etard, Olivier
Viader, Fausto
Grellard, Jean-Michel
Lequesne, Justine
Joly, Florence
Eustache, Francis
Martin, Tristan
Giffard, Bénédicte
Quarck, Gaëlle
Perrier, Joy
description Patients with breast cancer (BC) exhibit circadian rhythm disruptions, mainly of rest-activity rhythm (RAR), of which sleep is an essential component, and cortisol rhythm. Sleep complaints such as insomnia and cognitive impairments are prevalent in BC. In general population, sleep is known to contribute greatly to cognition. Thus, improving RAR (and particularly sleep) could help limiting cognitive impairments in BC patients. It has recently been suggested that, in addition to its essential role in spatial memory, the vestibular system contributes to RAR synchronization. Its stimulation could therefore limit both sleep disturbances and spatial memory deficits in BC. The main aim of the ICANSLEEP-2 study is to assess the effects of galvanic vestibular stimulation (GVS) on circadian rhythms. The secondary aim is to assess whether GVS improves sleep and spatial memory in BC patients. Two groups with insomnia complaints (Insomnia Severity Index > 7) will be included: a patients' group with BC (n = 50) and a healthy control group without history of cancer (n = 25). There will be two assessment sessions, before and after 2 weeks of GVS. Patients will be randomly assigned to either a GVS group or a sham group (noneffective stimulation). Controls will receive GVS. GVS effects will be quantified and compared between groups. Assessments will include actigraphy, salivary cortisol, polysomnography, a cognitive test battery (including a computer-based task for spatial memory) and validated questionnaires (for psychological functioning and sleep complaints). Current methods for improving sleep in BC have had controversial outcomes regarding sleep structure. We expect GVS to offer a new mean of directly targeting RAR disruptions in BC patients, with beneficial effects on sleep structure. Given the crucial impact of sleep on cognitive functioning, notably spatial memory, improving sleep of BC patients should enhance their cognitive functioning. This study received ethical approval from the Ile de France IV institutional review board on 19 April 2022 (no. ID-RCB: 2022-A00437-36). The findings yielded by this protocol will be presented at various conferences and in peer-reviewed journals. NCT05414357.
doi_str_mv 10.1371/journal.pone.0306462
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Sleep complaints such as insomnia and cognitive impairments are prevalent in BC. In general population, sleep is known to contribute greatly to cognition. Thus, improving RAR (and particularly sleep) could help limiting cognitive impairments in BC patients. It has recently been suggested that, in addition to its essential role in spatial memory, the vestibular system contributes to RAR synchronization. Its stimulation could therefore limit both sleep disturbances and spatial memory deficits in BC. The main aim of the ICANSLEEP-2 study is to assess the effects of galvanic vestibular stimulation (GVS) on circadian rhythms. The secondary aim is to assess whether GVS improves sleep and spatial memory in BC patients. Two groups with insomnia complaints (Insomnia Severity Index &gt; 7) will be included: a patients' group with BC (n = 50) and a healthy control group without history of cancer (n = 25). There will be two assessment sessions, before and after 2 weeks of GVS. Patients will be randomly assigned to either a GVS group or a sham group (noneffective stimulation). Controls will receive GVS. GVS effects will be quantified and compared between groups. Assessments will include actigraphy, salivary cortisol, polysomnography, a cognitive test battery (including a computer-based task for spatial memory) and validated questionnaires (for psychological functioning and sleep complaints). Current methods for improving sleep in BC have had controversial outcomes regarding sleep structure. We expect GVS to offer a new mean of directly targeting RAR disruptions in BC patients, with beneficial effects on sleep structure. Given the crucial impact of sleep on cognitive functioning, notably spatial memory, improving sleep of BC patients should enhance their cognitive functioning. This study received ethical approval from the Ile de France IV institutional review board on 19 April 2022 (no. ID-RCB: 2022-A00437-36). The findings yielded by this protocol will be presented at various conferences and in peer-reviewed journals. 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Sleep complaints such as insomnia and cognitive impairments are prevalent in BC. In general population, sleep is known to contribute greatly to cognition. Thus, improving RAR (and particularly sleep) could help limiting cognitive impairments in BC patients. It has recently been suggested that, in addition to its essential role in spatial memory, the vestibular system contributes to RAR synchronization. Its stimulation could therefore limit both sleep disturbances and spatial memory deficits in BC. The main aim of the ICANSLEEP-2 study is to assess the effects of galvanic vestibular stimulation (GVS) on circadian rhythms. The secondary aim is to assess whether GVS improves sleep and spatial memory in BC patients. Two groups with insomnia complaints (Insomnia Severity Index &gt; 7) will be included: a patients' group with BC (n = 50) and a healthy control group without history of cancer (n = 25). There will be two assessment sessions, before and after 2 weeks of GVS. Patients will be randomly assigned to either a GVS group or a sham group (noneffective stimulation). Controls will receive GVS. GVS effects will be quantified and compared between groups. Assessments will include actigraphy, salivary cortisol, polysomnography, a cognitive test battery (including a computer-based task for spatial memory) and validated questionnaires (for psychological functioning and sleep complaints). Current methods for improving sleep in BC have had controversial outcomes regarding sleep structure. We expect GVS to offer a new mean of directly targeting RAR disruptions in BC patients, with beneficial effects on sleep structure. Given the crucial impact of sleep on cognitive functioning, notably spatial memory, improving sleep of BC patients should enhance their cognitive functioning. This study received ethical approval from the Ile de France IV institutional review board on 19 April 2022 (no. ID-RCB: 2022-A00437-36). The findings yielded by this protocol will be presented at various conferences and in peer-reviewed journals. 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collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Galin, Melvin</au><au>de Girolamo, Laura</au><au>Clarisse, Bénédicte</au><au>Segura-Djezzar, Carine</au><au>Glöckner, Franka</au><au>Elia, Clara</au><au>Réhel, Stéphane</au><au>Clochon, Patrice</au><au>Doidy, Franck</au><au>Chavant, Julien</au><au>Etard, Olivier</au><au>Viader, Fausto</au><au>Grellard, Jean-Michel</au><au>Lequesne, Justine</au><au>Joly, Florence</au><au>Eustache, Francis</au><au>Martin, Tristan</au><au>Giffard, Bénédicte</au><au>Quarck, Gaëlle</au><au>Perrier, Joy</au><au>Dey, Avanti</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploration of effects of galvanic vestibular stimulation on circadian rhythms and its associations with sleep and spatial memory in patients with breast cancer: The ICANSLEEP-2 protocol</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-07-31</date><risdate>2024</risdate><volume>19</volume><issue>7</issue><spage>e0306462</spage><pages>e0306462-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Patients with breast cancer (BC) exhibit circadian rhythm disruptions, mainly of rest-activity rhythm (RAR), of which sleep is an essential component, and cortisol rhythm. Sleep complaints such as insomnia and cognitive impairments are prevalent in BC. In general population, sleep is known to contribute greatly to cognition. Thus, improving RAR (and particularly sleep) could help limiting cognitive impairments in BC patients. It has recently been suggested that, in addition to its essential role in spatial memory, the vestibular system contributes to RAR synchronization. Its stimulation could therefore limit both sleep disturbances and spatial memory deficits in BC. The main aim of the ICANSLEEP-2 study is to assess the effects of galvanic vestibular stimulation (GVS) on circadian rhythms. The secondary aim is to assess whether GVS improves sleep and spatial memory in BC patients. Two groups with insomnia complaints (Insomnia Severity Index &gt; 7) will be included: a patients' group with BC (n = 50) and a healthy control group without history of cancer (n = 25). There will be two assessment sessions, before and after 2 weeks of GVS. Patients will be randomly assigned to either a GVS group or a sham group (noneffective stimulation). Controls will receive GVS. GVS effects will be quantified and compared between groups. Assessments will include actigraphy, salivary cortisol, polysomnography, a cognitive test battery (including a computer-based task for spatial memory) and validated questionnaires (for psychological functioning and sleep complaints). Current methods for improving sleep in BC have had controversial outcomes regarding sleep structure. We expect GVS to offer a new mean of directly targeting RAR disruptions in BC patients, with beneficial effects on sleep structure. Given the crucial impact of sleep on cognitive functioning, notably spatial memory, improving sleep of BC patients should enhance their cognitive functioning. This study received ethical approval from the Ile de France IV institutional review board on 19 April 2022 (no. ID-RCB: 2022-A00437-36). The findings yielded by this protocol will be presented at various conferences and in peer-reviewed journals. NCT05414357.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39083526</pmid><doi>10.1371/journal.pone.0306462</doi><tpages>e0306462</tpages><orcidid>https://orcid.org/0000-0001-8360-0084</orcidid><orcidid>https://orcid.org/0009-0005-9888-7483</orcidid><oa>free_for_read</oa></addata></record>
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source Open Access: PubMed Central; PLoS; MEDLINE; Full-Text Journals in Chemistry (Open access); DOAJ Directory of Open Access Journals; EZB Electronic Journals Library
subjects Adult
Analysis
Batteries
Biology and Life Sciences
Breast cancer
Breast Neoplasms - complications
Cancer patients
Cancer therapies
Care and treatment
Chemotherapy
Circadian rhythm
Circadian Rhythm - physiology
Circadian rhythms
Cognition
Cognition & reasoning
Cognitive ability
Corticosteroids
Cortisol
Disability
Electric Stimulation Therapy - methods
Ethical standards
Female
Hormones
Humans
Insomnia
Medicine and Health Sciences
Memory
Memory tasks
Mental task performance
Middle Aged
Quality of life
Questionnaires
Radiation therapy
Randomized Controlled Trials as Topic
Review boards
Sleep
Sleep - physiology
Sleep disorders
Sleep Initiation and Maintenance Disorders - physiopathology
Sleep Initiation and Maintenance Disorders - therapy
Spatial analysis
Spatial memory
Spatial Memory - physiology
Stimulation
Study Protocol
Synchronism
Synchronization
Vestibular system
Vestibule, Labyrinth - physiopathology
title Exploration of effects of galvanic vestibular stimulation on circadian rhythms and its associations with sleep and spatial memory in patients with breast cancer: The ICANSLEEP-2 protocol
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