Cancer Clinical Trial
Official title:
A Randomized, Placebo-Controlled, Blinded Study Of Acupuncture Therapy In Mucositis-Related Pain In Patients Undergoing Hematopoietic Stem Cell Transplantation
RATIONALE: Acupuncture may be effective in relieving mucositis-related pain caused by
chemotherapy in patients undergoing stem cell transplantation.
PURPOSE: Randomized clinical trial to study the effectiveness of acupuncture in treating
mucositis-related pain caused by high-dose chemotherapy in patients who are undergoing stem
cell transplantation.
OBJECTIVES:
- Compare the efficacy of acupuncture vs placebo acupuncture in alleviating
mucositis-related pain secondary to high-dose chemotherapy, as assessed by total
cumulative dose of opioids used and subjective pain scores, in patients undergoing
hematopoietic stem cell transplantation.
- Compare the overall number of patients requiring opioid therapy in these 2 intervention
groups.
- Compare the nausea and vomiting scores of patients in these 2 intervention groups.
- Compare the sedation score of patients in these 2 intervention groups.
- Compare the use of other psychotropic medications (e.g., anxiolytics or hypnotics) in
patients in these 2 intervention groups.
- Compare the need for total parenteral nutrition (TPN) and the number of days on TPN
experienced by patients in these 2 intervention groups.
- Compare pruritus and the need for symptomatic treatment in patients in these 2
intervention groups.
OUTLINE: This is a randomized, double-blind, placebo-controlled study. Patients are
stratified according to 9-phenylthiocarbamide/6-n-propylthiouracil (PROP) tasting ability
(super-tasters vs non-super-tasters). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Beginning immediately after the development of mucositis pain, patients undergo
acupuncture over 30 minutes once daily. Patients also receive standard pain management.
Treatment continues until pain is completely resolved in the absence of unacceptable
toxicity.
- Arm II: Patients undergo placebo acupuncture and receive standard pain management as in
arm I.
PROJECTED ACCRUAL: A maximum of 45 patients will be accrued for this study within 3 years.
;
Allocation: Randomized, Masking: Double-Blind, Primary Purpose: Supportive Care
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