Table 2.

Examples of clinical research studies in integrative medicine (IM).

Complementary TherapyPhase TrialNo. of Pts.OutcomeRefs
* In-vitro study 
Abbreviations: RCT, randomized placebo-controlled study 
Acupuncture for: 
    1. Chemotherapy-induced nausea and vomiting 6 RCTs 739 Reduced severity and duration of nausea and number of bouts of vomiting 26  
    2. Cancer pain RCT 90 Decrease in pain intensity by visual analog scale 34  
    3. Post-chemotherapy fatigue Pilot 37 Mean improvement in baseline fatigue score 33  
Massage therapy for: 
    1. Anxiety, stress RCT 34 Immediate effect post massage in distress as measured by
 State-Trait Anxiety Inventory (STAI) 32  
    2. Nausea in autologous marrow transplant RCT 34 Immediate effect post massage as measured by STAI 32  
Antioxidant: 
Childhood acute lymphocytic leukemia (ALL) Observational study 103 Greater Vitamin C intake associated with fewer therapy delays, less toxicity, and fewer hospital days
 Greater Vitamin E intake associated with lower incidence of infection
 Greater Beta-carotene intake associated with decreased risk of toxicity
 Lower intakes of antioxidants associated with increase in adverse side effects of chemotherapy 44  
Antioxidant in conjunction with radiation therapy Review NA* Reactive oxygen species (ROS) have been implicated in the onset and development of the disease. Experimental studies show that antioxidants that prevent ROS damage can act as cancer protective agents. Once cancer has developed, radiation therapy relies on ROS toxicity to eradicate tumor cells, thus raising questions about the simultaneous use of antioxidants and radiation. 17  
Relaxation training and guided imagery during chemotherapy RCT 96 Patients in experimental group were more relaxed and easy going during the study. Quality of life was better. Imagery ratings correlated with clinical response. 45  
Complementary TherapyPhase TrialNo. of Pts.OutcomeRefs
* In-vitro study 
Abbreviations: RCT, randomized placebo-controlled study 
Acupuncture for: 
    1. Chemotherapy-induced nausea and vomiting 6 RCTs 739 Reduced severity and duration of nausea and number of bouts of vomiting 26  
    2. Cancer pain RCT 90 Decrease in pain intensity by visual analog scale 34  
    3. Post-chemotherapy fatigue Pilot 37 Mean improvement in baseline fatigue score 33  
Massage therapy for: 
    1. Anxiety, stress RCT 34 Immediate effect post massage in distress as measured by
 State-Trait Anxiety Inventory (STAI) 32  
    2. Nausea in autologous marrow transplant RCT 34 Immediate effect post massage as measured by STAI 32  
Antioxidant: 
Childhood acute lymphocytic leukemia (ALL) Observational study 103 Greater Vitamin C intake associated with fewer therapy delays, less toxicity, and fewer hospital days
 Greater Vitamin E intake associated with lower incidence of infection
 Greater Beta-carotene intake associated with decreased risk of toxicity
 Lower intakes of antioxidants associated with increase in adverse side effects of chemotherapy 44  
Antioxidant in conjunction with radiation therapy Review NA* Reactive oxygen species (ROS) have been implicated in the onset and development of the disease. Experimental studies show that antioxidants that prevent ROS damage can act as cancer protective agents. Once cancer has developed, radiation therapy relies on ROS toxicity to eradicate tumor cells, thus raising questions about the simultaneous use of antioxidants and radiation. 17  
Relaxation training and guided imagery during chemotherapy RCT 96 Patients in experimental group were more relaxed and easy going during the study. Quality of life was better. Imagery ratings correlated with clinical response. 45  
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