NCT04716920

Brief Summary

This trial studies new methods using Tai Chi for the relief of joint pain (arthralgia) caused by an aromatase inhibitor in patients with stage I-III breast cancer. Tai Chi is a mind-body therapy that integrates moderate physical activity, deep breathing and meditation. Tai Chi may help to reduce aromatase inhibitor-induced joint pain, and offer a promising approach to managing symptoms in cancer patients.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
39

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2020

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 11, 2020

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

December 7, 2020

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 20, 2021

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 21, 2021

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 23, 2021

Completed
Last Updated

April 29, 2025

Status Verified

April 1, 2025

Enrollment Period

1.4 years

First QC Date

December 7, 2020

Last Update Submit

April 28, 2025

Conditions

Outcome Measures

Primary Outcomes (10)

  • Tai Chi practice

    Diary log form.

    Up to 12 weeks

  • Tai Chi practice

    Examples include documenting potential issues that participants think might be intervention-related.

    Up to 12 weeks

  • Assess the client's perspective on the value of services received

    Will be assessed using the Client Satisfaction Questionnaire. Qualitatively, five questions, adapted from previous yoga research will be used in post-intervention patient interview.

    Up to 36 weeks

  • Lower-extremity joint symptoms

    Western Ontario and McMaster Universities Arthritis Index will be used to assess pain in the past 7 days in three domains: pain, stiffness, and physical function; higher scores indicating worse pain, stiffness, and functional limitations.

    Up to 12 weeks

  • Pain, stiffness, and physical function in the hands

    Australian/Canadian Osteoarthritis (OA) Hand Index will be used to assess pain, stiffness, and physical function in the hands.

    Up to 12 weeks

  • Assess pain, pain severity, and pain interference

    Brief Pain Inventory will be used to assess worst pain, pain severity, and pain interference over the past week.

    up to 12 weeks

  • Fatigue

    Fatigue Symptom Inventory will be used to measure change in fatigue among breast cancer (BCa) patients and with strong internal consistency.

    Up to 12 weeks

  • Effects of Hot Flashes on Quality of life

    Hot Flash Related Daily Interference Scale will be used to measure the effect of hot flashes on overall quality of life and on nine specific activities: work, social activities, leisure activities, sleep, mood, concentration, relations with others, sexuality, and enjoyment of life.

    Up to 12 weeks

  • Assessment of Sleep quality

    Pittsburg Sleep Quality Index will be used to for subjective sleep assessment, which includes multiple sleep-related variables over the preceding month.

    Up to 12 weeks

  • Cancer-related distress

    Centers for Epidemiologic Studies Depression Scale will be used to assess depressive symptoms.

    Up to 12 weeks

Study Arms (1)

Supportive Care (Tai Chi, Fitbit, Tai4Chijoint group)

EXPERIMENTAL

Patients attend Tai Chi exercise classes over 1 hour BIW and wear a Fitbit device for up to 12 weeks. Patients are encouraged to complete self-practice over 30 minutes and record practice times daily in a diary log form. Patients also join a Facebook private TaiChi4joint group where they receive instructional videos matching the progress of weekly classes for at-home practices and peer support in Tai Chi engagement.

Other: Tai ChiDevice: FitBitOther: Support Group TherapyOther: Questionnaire AdministrationOther: Quality-of-Life Assessment

Interventions

Tai ChiOTHER

Attend Tai Chi exercise classes

Supportive Care (Tai Chi, Fitbit, Tai4Chijoint group)
FitBitDEVICE

Wear FitBit

Supportive Care (Tai Chi, Fitbit, Tai4Chijoint group)

Join Tai4Chijoint group

Supportive Care (Tai Chi, Fitbit, Tai4Chijoint group)

Ancillary studies

Supportive Care (Tai Chi, Fitbit, Tai4Chijoint group)

Ancillary studies

Also known as: Quality of Life Assessment
Supportive Care (Tai Chi, Fitbit, Tai4Chijoint group)

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Be able to speak and read English
  • Been diagnosed with stage I-III breast cancer (BC)
  • Had completed all active treatments
  • Had been receiving an AI (anastrozole, letrozole, or exemestane) for at least 3 months
  • Had joint (knee, hand or hip) pain or stiffness that started or worsened after the initiation of AI
  • Report worst pain in the past week \>= 4 on a 0-10 numeric rating scale
  • Be willing to adhere to all study procedures

You may not qualify if:

  • Has been diagnosed with another form of cancer in the past 5 years
  • Uncontrolled cardiac, pulmonary, or infectious disease
  • Body mass index (BMI) \> 40 kg/m\^2
  • Currently attending any mind-body therapy classes (e.g. yoga)
  • Joint pain due to inflammatory arthritic condition (such as rheumatoid arthritis, osteoarthritis or gout, which will be assessed during eligibility screening with patient self-reported data and will be screened through electronic medical record \[EMR\] data)
  • Had surgery or joint infection in the past 6 months
  • Currently taking corticosteroids or opioids, have discontinued or plan to discontinue AI in the next 6 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

Related Publications (1)

  • Gomaa S, West C, Lopez AM, Zhan T, Schnoll M, Abu-Khalaf M, Newberg A, Wen KY. A Telehealth-Delivered Tai Chi Intervention (TaiChi4Joint) for Managing Aromatase Inhibitor-Induced Arthralgia in Patients With Breast Cancer During COVID-19: Longitudinal Pilot Study. JMIR Form Res. 2022 Jun 21;6(6):e34995. doi: 10.2196/34995.

MeSH Terms

Interventions

Tai Ji

Intervention Hierarchy (Ancestors)

Mind-Body TherapiesComplementary TherapiesTherapeuticsExercise Movement TechniquesPhysical Therapy Modalities

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 7, 2020

First Posted

January 20, 2021

Study Start

March 11, 2020

Primary Completion

July 21, 2021

Study Completion

December 23, 2021

Last Updated

April 29, 2025

Record last verified: 2025-04

Locations