Stage IIIC Breast Cancer AJCC v7 Clinical Trial
Official title:
Randomized-Controlled Trial of Acupuncture for Chronic Pain After Breast Cancer Treatment
Verified date | March 2024 |
Source | M.D. Anderson Cancer Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
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 |
Country | Name | City | State |
---|---|---|---|
United States | M D Anderson Cancer Center | Houston | Texas |
Lead Sponsor | Collaborator |
---|---|
M.D. Anderson Cancer Center | Gateway for Cancer Research, National Cancer Institute (NCI) |
United States,
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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