Effects of Acupuncture on Aromatase Inhibitor-Induced Joint Pain
1 other identifier
interventional
20
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable breast-cancer
Started Jun 2015
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2015
CompletedFirst Submitted
Initial submission to the registry
June 18, 2015
CompletedFirst Posted
Study publicly available on registry
September 14, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedJuly 14, 2017
July 1, 2017
2 years
June 18, 2015
July 12, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Joint Pain tabulated from Joint Pain Assessment Questionnaire
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.
3 years
Secondary Outcomes (2)
Adaptive immune response as measured by cytokine levels
3 years
Innate immune response as measured by cytokime levels
3 years
Study Arms (1)
Acupuncture Therapy
EXPERIMENTALBased 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.
Interventions
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.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
John Wayne Cancer Institute
Santa Monica, California, 90404, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rebecca Crane-Okada, MD
Saint John's Cancer Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 18, 2015
First Posted
September 14, 2015
Study Start
June 1, 2015
Primary Completion
June 1, 2017
Study Completion
June 1, 2017
Last Updated
July 14, 2017
Record last verified: 2017-07
Data Sharing
- IPD Sharing
- Will not share