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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT02754752
Other study ID # 2015-0750
Secondary ID NCI-2016-0079220
Status Active, not recruiting
Phase Phase 2
First received
Last updated
Start date September 13, 2016
Est. completion date December 31, 2024

Study information

Verified date March 2024
Source M.D. Anderson Cancer Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This randomized phase II trial studies how well electroacupuncture therapy works in reducing chronic pain in patients following surgery for stage I-III breast cancer. Electroacupuncture therapy is a type of complementary integrative medicine in which pulses of weak electrical current are sent through very thin, solid, sterile, stainless steel needles into certain points in the skin. Electroacupuncture therapy may help to lower pain and other surgery-related symptoms.


Description:

PRIMARY OBJECTIVE: I. Determine the initial efficacy of electroacupuncture (EA) in reducing chronic pain in women following treatment for breast cancer. SECONDARY OBJECTIVES: I. Determine if EA produces greater improvement in physical functional mobility as compared to sham electroacupuncture (SEA) or waitlist control (WLC)s. II. Determine if EA produces greater improvement in overall quality of life (QOL) and symptoms related to fatigue, sleep and mood disturbance compared to SEA or WLC. III. Determine if EA produces lower pain vigilance and awareness as compared to SEA or WLC. IV. Examine the association between baseline expectancy and outcomes. V. Explore associations between response to acupuncture and biologic measures, including 1) single nucleotide polymorphisms (SNPS) in catechol-O- methyltransferase (COMT) and opioid receptor-mu1 (OPRM1), and 2) autotaxin (ATX)/lysophosphatidic acid (LPA) axis. VI. Explore if EA reduces emotional, financial, and behavioral concerns among patients and caregivers compared to the SEA or WLC. OUTLINE: Patients are randomized to 1 of 3 groups. GROUP I (EA): Patients undergo electroacupuncture therapy over 45 minutes 2-3 times per week over 4 weeks for a total of 10 sessions. GROUP II (SEA): Patients undergo modified electroacupuncture therapy over 45 minutes 2-3 times per week over 4 weeks for a total of 10 sessions. Acupuncture needles are placed in different locations using a different technique than those used for Group I. GROUP III (WLC): Patients receive standard of care without any kind of acupuncture therapy. After completion of study treatment, patients are followed up at 4 weeks.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 111
Est. completion date December 31, 2024
Est. primary completion date December 31, 2024
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - Be adult women >/= 18 years of age. - Be able to read, write, and speak English - Able to give informed consent - Have a history of stage I, II, or III breast cancer - Have a documented visit with an oncologist during the previous 12-months - Have no current evidence of disease - Have persistent pain (unrelated to aromatase inhibitors or chemotherapy-induced peripheral neuropathy) for at least 3 months following treatment for breast cancer - Have pain severity (arithmetic mean of four pain severity items) >= 2 on Brief Pain Inventory (BPI) - Have worst pain >= to 4 (0-10 numeric rating scale [NRS]) in the preceding week - Be willing and able to adhere to all study-related procedures - Have completed all cancer treatment (including surgery, chemotherapy and/or radiation) at least 4 months prior to enrollment - Have documented lab work with absolute neutrophil count (ANC) >= 1.0 K/uL and platelets >= 50 K/uL in the past 12 months - If applicable, maintain self-management of lymphedema symptoms being performed at home at time of study entry Exclusion Criteria: - Metastatic breast cancer (stage IV) - Known bleeding disorder per patient reported history - Cardiac pacemaker or other implanted electronic devices - New or planned new lymphedema treatment during the study period - Currently receiving or ever received acupuncture for present pain condition - Received acupuncture with electrical stimulation for any condition - Received acupuncture for any condition in the past year

Study Design


Intervention

Procedure:
Electroacupuncture Therapy
Undergo electroacupuncture therapy
Electroacupuncture Therapy
Undergo modified electroacupuncture therapy
Other:
Laboratory Biomarker Analysis
Correlative studies
Quality-of-Life Assessment
Ancillary studies
Questionnaire Administration
Ancillary studies

Locations

Country Name City State
United States M D Anderson Cancer Center Houston Texas

Sponsors (3)

Lead Sponsor Collaborator
M.D. Anderson Cancer Center Gateway for Cancer Research, National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in pain scores assessed by Brief Pain Inventory (BPI) Change in pain scores will be compared between groups. Assessing the initial efficacy of electroacupuncture (EA) relative to sham electroacupuncture (SEA) and waitlist control (WLC), use linear regression and linear mixed model analyses. Pain Scores(0-10) 0 No pain-10 Worst Pain. Baseline to 8 weeks
Secondary Presence of single nucleotide polymorphisms (SNPs) in (COMT) catechol-O- methyltransferase Will explore the correlations between response to acupuncture and presence of different gene variations in (COMT) catechol-O- methyltransferase and (OPRM1). Will use linear regression and linear mixed model analyses. Up to 8 weeks
Secondary Presence of single nucleotide polymorphisms (SNPs) in (OPRM1) opioid receptor-mu1 Will explore correlations between response to acupuncture and presence of different gene variations in (COMT) catechol-O- methyltransferase and (OPRM1) opioid receptor-mu1. Will use linear regression and linear mixed model analyses. Up to 8 weeks
Secondary Change in autotaxin (ATX)/lysophosphatidic acid (LPA) axis Will explore correlations between response to acupuncture and ATX-mediated LPA biosynthesis. Will use linear regression and linear mixed model analyses. Baseline to 8 weeks
Secondary Spouse Behavior Subscale of the Multidimensional Pain Inventory (SBS-MPI) Questionnaire Emotional, financial, and behavioral concerns among patients and caregivers will be compared between (EA) electroacupuncture and (SEA) sham electroacupuncture or (WLC) waitlist control group. (Agree or Disagree 5-1) 1-Strongly Disagree, 2-Disagree, 3-Neither agree or Disagree, 4-Agree 5-Strongly Agree Up to 8 weeks
Secondary Caregiver Reaction Assessment (CRA) Questionnaire Emotional, financial, and behavioral concerns among patients and caregivers will be compared between (EA) electroacupuncture and (SEA) sham electroacupuncture or (WLC) waitlist control group. (Agree or Disagree 5-1) 1-Strongly Disagree, 2-Disagree, 3-Neither agree or Disagree, 4-Agree 5-Strongly Agree Up to 8 weeks
Secondary Baseline expectancy of participants will be correlated to the outcomes response. Will use linear regression and linear mixed model analyses. At baseline
Secondary Physical functional mobility will be compared. Change in physical functional mobility will be compared between groups. Assessing the initial efficacy of (EA) electroacupuncture relative to (SEA) sham electroacupuncture and (WLC) waitlist control group., use linear regression and linear mixed model analyses. Baseline to 8 weeks
Secondary Quality of life (QOL) questionnaire Change in overall (QOL) Quality of life will be compared between groups. Assessing the initial efficacy of (EA) electroacupuncture relative to (SEA) sham electroacupuncture and (WLC) waitlist control group., use linear regression and linear mixed model analyses. Baseline to 8 weeks
Secondary Changes in symptoms of fatigue questionnaire Changes in symptoms of fatigue, sleep, and mood disturbance will be compared between groups. Assessing the initial efficacy of (EA) electroacupuncture (SEA) sham electroacupuncture and (WLC) waitlist control group., use linear regression and linear mixed mode Fatigue (0-10) 0 No Fatigue-10 Fatigue Baseline to 8 weeks
Secondary Changes in symptoms of sleep questionnaire Changes in symptoms of fatigue, sleep, and mood disturbance will be compared between groups. Assessing the initial efficacy of (EA) electroacupuncture (SEA) sham electroacupuncture and (WLC) waitlist control group., use linear regression and linear mixed mode. Thee Pittsburgh Sleep Quality Index (PSQI) Very Good (0) Fairly Good (1) Fairly Bad(2) Very Bad (3) Baseline to 8 weeks
Secondary Changes in symptoms of mood disturbance Changes in symptoms of fatigue, sleep, and mood disturbance will be compared between groups. Assessing the initial efficacy of (EA) electroacupuncture (SEA) sham electroacupuncture and (WLC) waitlist control group., use linear regression and linear mixed mode. Mood (0-10) 0 Does not interfere, 10 Completely Interferes. Baseline to 8 weeks
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