Determination of Autonomic Responses to Exposure to Electromagnetic Fields With Low Energy Modulated Frequency

Study Overview
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Brief Summary
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This is an exploratory study, national, unicentric, double-blind, to be conducted at the Institute for Teaching and Research of the Hospital Sírio-Libanês in order to detect possible autonomic responses resulting from Exposure to Electromagnetic Fields of Low Energy (EEFLE) in healthy subjects and in patients with advanced hepatocellular carcinoma or in patients with advanced breast carcinoma. Autonomic responses have been described in patients with cancer during the exposure of EEFLE. This autonomic response, or biofeedback, due to exposure to EEFLE seems to be associated with a specific set of modulation frequencies when applied to patients with malignancies. Moreover, healthy individuals exposed to modulated EEFLE a specific set of frequency do not appear to autonomic response. Biofeedback is defined by a change in amplitude of the radial pulse during exposure to EEFLE, modulated according to a set of specific frequencies. This phenomenon is not yet fully elucidated. In exploratory survey of one patient was observed a change of the pressure pulse immediately after the start of and during exposure to EEFLE, modulated according to a set of specific frequencies recorded by digital photoplethysmography. This study aims to evaluate an autonomic response in individuals exposed in a single moment, by electromagnetic fields. This study does not intend to study a diagnostic or therapeutic procedure. For this reason, evolutive clinical data will not be considered during and after the study.

Official Title
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Determination of Autonomic Responses to Exposure to Electromagnetic Fields With Low Energy Modulated Frequency in Patients With Breast and Advanced Hepatocellular Cancer.

Conditions
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Hepatocellular Carcinoma, Breast Cancer

Intervention / Treatment
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* Device: Electromagnetic Fields of Low Energy (EEFLE)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy volunteers: Should be considered healthy, with no known relevant comorbidity. Patients should not be suffering from active malignancy or history of malignancy in the past. Must be over 18 years. Must have ability to understand and provide a written informed consent. Patients with hepatocellular carcinoma: Patients must be diagnosed with inoperable HCC. Presence of primary tumor or metastatic at the time of the procedure. Patients with liver cirrhosis should be restricted to Child-Pugh A or B. Patients with AFP> 400ng/ml and image feature does not require histopathological confirmation. However, in patients with active serology B virus, this value must be greater than AFP 4000 ng / ml. The remaining patients should have histological confirmation of HCC. Patients may be under observation or treatment in the presence of systemic or intra-hepatic. Must have ability to understand and provide a written informed consent. Patients with Ductal Carcinoma Breast Patients must have a diagnosis of breast ductal carcinoma inoperable. The presence of the primary tumor or metastatic during the procedure. Patients may be under observation or in the presence of systemic or hormonal treatment only. Must have ability to understand to provide a written informed consent. Exclusion Criteria: Can not stop antihypertensive medications or beta-blockers for at least 48 hours or being in possession of a pacemaker or other implantable device. Pregnant or lactating women. Smaller than 18 years. Patients undergoing radiotherapy treatment or up to 2 weeks of discontinuation. Inability to understand and provide written informed consent. Liver cirrhosis Child Pugh C. Patients without a definite diagnosis. Absence of the primary tumor or metastatic during the procedure.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Healthy patients<br> | Device: Electromagnetic Fields of Low Energy (EEFLE)<br>* Are employed three sets of programs of different frequencies are modulated specifically for each group of patients in accordance with diagnostic (hepatocellular carcinoma, breast carcinoma and healthy subjects). These frequencies ranging between 0.1 and 114.000Hz.<br>|
| Active Comparator: Oncology patients<br> | Device: Electromagnetic Fields of Low Energy (EEFLE)<br>* Are employed three sets of programs of different frequencies are modulated specifically for each group of patients in accordance with diagnostic (hepatocellular carcinoma, breast carcinoma and healthy subjects). These frequencies ranging between 0.1 and 114.000Hz.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Autonomic response monitoring (blood pressure digital and manual monitoring) |  | 60 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cardiovascular electronic monitoring (digital photoplethysmography and electrocardiography) |  | 60 minutes | 
| Baroreflex sensitivity (by the method of sequence) |  | 60 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Breast Cancer, Hepatocellular carcinoma