Tai Chi for Reducing Aromatase Inhibitor-Induced Arthralgia
Evaluating Tai Chi for Reducing Aromatase Inhibitor-Induced Arthralgia in Breast Cancer Survivors
2 other identifiers
interventional
40
1 country
1
Brief Summary
The objective of the pilot RCT is to evaluate the feasibility and acceptability of a Tai Chi intervention "TaiChi4Joint" vs. an HE AC group for relieving AIIA in women with hormone receptor positive stage I-III BCa. The investigators will pilot test our data collection for mechanism measures via three innovatively integrated biobehavioral pathways.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2026
Typical duration for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
May 20, 2026
CompletedStudy Start
First participant enrolled
June 1, 2026
CompletedFirst Posted
Study publicly available on registry
July 30, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 1, 2029
July 30, 2026
July 1, 2026
1 year
May 20, 2026
July 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Consent Rate
Percentage of eligible participants who consent and enroll in the study.
Up to 6 months
Engagement Rate
Percentage of intervention sessions attended by enrolled participants.
12 weeks
Retention Rate
Percentage of participants completing study follow up assessments.
20 weeks
Secondary Outcomes (2)
Client Satisfaction Questionnaire Score
12 weeks
Patient Perceived Credibility of the Intervention
12 weeks
Study Arms (2)
TaiChi4Joint
EXPERIMENTALParticipants randomized to the TaiChi4Joint group will attend virtual Tai Chi classes via Zoom (1 hour, twice weekly for 12 weeks). At the first class, participants will review a Tai Chi safety and modifications handout. Using a manualized approach, each session includes structured objectives and activities to progressively learn simplified Tai Chi forms, with weekly verification of skill attainment. Six core elements are emphasized: (1) mindfulness (present-focused attention); (2) postural alignment (efficient, upright movement); (3) natural breathing (integrated with movement); (4) active relaxation (remaining relaxed while moving); (5) slow movement (building strength and endurance); and (6) integrated movement (coordinating functional movements).
Health Education Attention Control
ACTIVE COMPARATORTo control for the attention that the TaiChi4Joint group receives, women randomized to the AC group will participate Routine virtual AC group classes via Zoom or via video link for 1 hour, twice a week, for 12 weeks, including survivorship content or healthy eating. The AC group is designed to control for attention and for expectations about getting some benefits from the treatment. The AC group is controlled for time and will also be 1 hour each time, twice a week, matching the frequencies and intensity of the intervention group.
Interventions
Routine virtual Tai Chi group classes via Zoom for 1 hour, twice a week, for 12 weeks, three assessments: baseline, post-intervention follow-up and 2-month post-intervention follow-up.
Routine virtual AC classes delivered remotely, three assessments: baseline, post-intervention follow-up and 2-month post-intervention follow up.
Eligibility Criteria
You may qualify if:
- Age ≥18 years
- Diagnosis of stage I-III hormone receptor-positive breast cancer
- Postmenopausal
- Currently receiving an aromatase inhibitor (anastrozole, letrozole, or exemestane) or within 5 years of initiation
- Report joint pain that started or worsened after initiation of AI therapy
- Report worst pain in the past week ≥3 on the BPI (0-10 scale)
- Able to complete study procedures in English
- Willing to be randomized to an intervention or attention control group and adhere to study procedures
You may not qualify if:
- An individual who meets any of the following criteria will be excluded from participation in this study:
- Undergoing active cancer treatment (excluding endocrine therapy)
- Uncontrolled cardiac or pulmonary disease that would limit safe participation
- Currently engaged in regular structured moderate- or vigorous-intensity exercise (e.g., brisk walking, jogging/running, cycling, swimming, aerobic classes, or resistance training) totaling ≥150 minutes per week over the past 3 months
- Currently participating in Tai Chi, yoga, Pilates, or other structured mind-body practice ≥2 times per week over the past 3 months
- Joint pain due to inflammatory arthritic conditions
- Recent surgery or joint injection within the past 4-6 weeks
- Initiation or dose change of corticosteroids or opioids within the past 4 weeks
- Planned discontinuation of AI therapy within the next 6 months
- This study is limited to women with breast cancer, as \<1% of cases occur in men and data on AIIA in male patients are limited
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sidney Kimmel Cancer Center at Thomas Jefferson University
Philadelphia, Pennsylvania, 19107, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kuang-Yi Wen, PhD
Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 20, 2026
First Posted
July 30, 2026
Study Start
June 1, 2026
Primary Completion (Estimated)
June 1, 2027
Study Completion (Estimated)
June 1, 2029
Last Updated
July 30, 2026
Record last verified: 2026-07