- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02548637
Effects of Acupuncture on Aromatase Inhibitor-Induced Joint Pain
July 12, 2017 updated by: Saint John's Cancer Institute
Researchers at the John Wayne Cancer Institute (JWCI) at Providence Saint John's Health Center (PSJHC) are trying to examine whether acupuncture reduces joint pain in patients being treated with aromatase inhibitor (AI) therapy for breast cancer and whether the reduction in pain happens by lowering inflammation.
Study Overview
Detailed Description
The investigators propose to investigate the effect of acupuncture on patients experiencing joint pain from aromatase inhibitor therapy.
The investigators will serially measure patient's symptoms and track current medications, joint pain, daily activities, fatigue, and quality of life.
The investigators will collect peripheral blood at baseline, weeks 4 and 7, one week after the last acupuncture treatment and 4 weeks after the last acupuncture treatment.
The investigators will study the samples collected at the five predetermined time-points to test for immune parameters, such as the innate and adaptive immune responses, as well as the proliferative capabilities and pro-inflammatory mediators reflected in innate and adaptive functional immune responses.
Study Type
Interventional
Enrollment (Anticipated)
20
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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California
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Santa Monica, California, United States, 90404
- John Wayne Cancer Institute
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Female
- Must be on aromatase inhibitor therapy continuously for breast cancer treatment for at least the preceding two months
- Must have experienced increased or new onset joint pain daily to a degree equal to or greater than 4 on a pain scale of 0-10 after starting aromatase inhibitor therapy
- Able to read and write English
- Able to give written informed consent to participate in the study
Exclusion Criteria:
- Have a known autoimmune disease or acute infection
- Have had acupuncture treatment within 6 months of study enrollment
- Known needle phobia
- Known metal allergies
- Have an implantable device, such as pacemaker, defibrillator or other device contraindicated with electrical stimulation
- Use of nonsteroidal antiinflammatory drugs (NSAIDs) or narcotics within 7 days of study enrollment and during study period (15 weeks)
- Receipt of prior chemotherapy, immunotherapy or radiation therapy within 90 days
- On anticoagulant therapy
- Receiving physical or occupational therapy concurrently
- Taking herbs or herbal teas within 7 days of study enrollment and during study period (15 weeks)
- Have an immune-compromising medical condition or currently receiving immune-modulating therapies (including corticosteroids)
- Enrolled in any other active cancer treatment protocols
- Bone fracture or surgery of an affected extremity within 6 months
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Acupuncture Therapy
Based on the Traditional Chinese Medicine theory, investigators will use the systemic treatment methods (full body treatment with the joint specifications).
Every patient will receive the standard protocols of these points uniformly regardless of their symptoms.
The only variable will be the location of placement of the four electrodes (two positive charges and two negative charges) to the needle points at the most painful joints bilaterally.
Needles will be in place a total of 45 minutes per session.
The Thermal Design Power (TDP) infrared heat lamp will be applied concurrently to the most painful joint(s) for the entire 45 minutes.
Acupuncture will be administered twice a week for 6 weeks, then once a week for an additional 4 weeks.
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The standard textbook of Chinese Acupuncture and Moxibustion is the source for the name and location of the points for this study.
A total of 38 points will be used, divided between two acupuncture sessions: 20 points or 37 locations in the supine position; 18 points or 36 locations in the prone position.
Other than points governing vessel (GV) 20, conception vessel (CV) 6, CV 10, all points will be performed bilaterally.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Joint Pain tabulated from Joint Pain Assessment Questionnaire
Time Frame: 3 years
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Investigators will serially measure joint pain symptoms using questionnaires administered at pre-determined time points.
A summary of pain scores will be tabulated for all visits.
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3 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adaptive immune response as measured by cytokine levels
Time Frame: 3 years
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Investigators will collect prospective blood samples to test for for cytokine levels
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3 years
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Innate immune response as measured by cytokime levels
Time Frame: 3 years
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Investigators will collect prospective blood samples to test for cytokine levels
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3 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Rebecca Crane-Okada, MD, Saint John's Cancer Institute
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 1, 2015
Primary Completion (Actual)
June 1, 2017
Study Completion (Actual)
June 1, 2017
Study Registration Dates
First Submitted
June 18, 2015
First Submitted That Met QC Criteria
September 11, 2015
First Posted (Estimate)
September 14, 2015
Study Record Updates
Last Update Posted (Actual)
July 14, 2017
Last Update Submitted That Met QC Criteria
July 12, 2017
Last Verified
July 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ACU-JOINT001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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