Open-label placebo (OLP) may improve cancer-related fatigue (CRF), in comparison with a waitlist control, according to research published in The Oncologist.

Researchers aimed to measure outcomes for CRF in patients with advanced cancer randomized 1:1 to either receive an OLP or be placed into a waitlist control arm. After 7 days, patients in the waitlist control arm crossed over to the OLP arm, and all patients were assigned to receive the placebo for 3 weeks, beginning on day 8.

The primary outcome was changes on the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) from baseline to day 8. Secondary outcomes were FACIT-F outcomes at day 29 and results from the Functional Assessment of Cancer Illness Therapy (FACT) and Edmonton Symptom Assessment Scale (ESAS) questionnaires, and others.


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There were 90 patients in the study, of whom 93% were evaluable for analysis. From baseline to day 8, the mean FACIT-F changes were 6.6 (SD, 7.6) in the OLP arm and 2.1 (SD, 9.4) in the waitlist control arm (P =.016).

There was no difference between treatment arms in FACIT-F scores when measured on days 15 and 29, time points at which all patients were receiving placebo. Significantly reduced CRF was demonstrated for patients in the OLP arm on day 8 based on scores related to ESAS fatigue (P =.029) and the ESAS fatigue cluster (P =.044), with the fatigue cluster including fatigue, pain, and depression.

Patients in the waitlist control group had significantly better scores on FACT-General total (P =.002) and FACT emotional well-being (P =.030) analyses at day 8. Various other analyses revealed no significant differences between treatment arms and across time points. Rates of adverse events were also similar between treatment arms.

“In this study, we found that OLP significantly improved CRF (FACIT-F) in patients with advanced cancer,” the researchers wrote. They suggested that more research is needed to explore the use of this intervention.

Disclosures: Some authors declared affiliations with biotech, pharmaceutical, and/or device companies. Please see the original reference for a full list of disclosures.

Reference

Yennurajalingam S, Azhar A, Lu Z, et al. Open-label placebo for the treatment of cancer-related fatigue in patients with advanced cancer: a randomized controlled trial. Oncologist. Published September 15, 2022. doi:10.1093/oncolo/oyac184

This article originally appeared on Oncology Nurse Advisor