Stage I Breast Cancer AJCC v7Phase 2NCT02754752
Electroacupuncture Therapy in Reducing Chronic Pain in Patients After Breast Cancer Treatment
A Phase 2 study testing Electroacupuncture Therapy, Laboratory Biomarker Analysis and Quality-of-Life Assessment in people with Stage I Breast Cancer AJCC v7 and Stage IA Breast Cancer AJCC v7, run by M.D. Anderson Cancer Center at 1 site in United States.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Stage I Breast Cancer AJCC v7, Stage IA Breast Cancer AJCC v7, Stage IB Breast Cancer AJCC v7
- What is being tested?
- Electroacupuncture Therapy, Laboratory Biomarker Analysis and Quality-of-Life Assessment
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 111 participants
- Where
- 1 siteUnited States
- Study dates
- 13 Sep 2016to 31 Dec 2026
- Phase
- Phase 2
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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
Show all 13Show fewer
- 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
Who cannot join
- 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
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Randomized-Controlled Trial of Acupuncture for Chronic Pain After Breast Cancer Treatment
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.
Read the detailed description
PRIMARY OBJECTIVE:
- Determine the initial efficacy of electroacupuncture (EA) in reducing chronic pain in women following treatment for breast cancer.
SECONDARY OBJECTIVES:
- Determine if EA produces greater improvement in physical functional mobility as compared to sham electroacupuncture (SEA) or waitlist control (WLC)s.
II. Determine if EA produces greater improvement in overall quality of life (QOL) and symptoms related to fatigue, sleep and mood disturbance compared to SEA or WLC.
III. Determine if EA produces lower pain vigilance and awareness as compared to SEA or WLC.
IV. Examine the association between baseline expectancy and outcomes. V. Explore associations between response to acupuncture and biologic measures, including 1) single nucleotide polymorphisms (SNPS) in catechol-O- methyltransferase (COMT) and opioid receptor-mu1 (OPRM1), and 2) autotaxin (ATX)/lysophosphatidic acid (LPA) axis.
VI. Explore if EA reduces emotional, financial, and behavioral concerns among patients and caregivers compared to the SEA or WLC.
OUTLINE: Patients are randomized to 1 of 3 groups.
GROUP I (EA): Patients undergo electroacupuncture therapy over 45 minutes 2-3 times per week over 4 weeks for a total of 10 sessions.
GROUP II (SEA): Patients undergo modified electroacupuncture therapy over 45 minutes 2-3 times per week over 4 weeks for a total of 10 sessions. Acupuncture needles are placed in different locations using a different technique than those used for Group I.
GROUP III (WLC): Patients receive standard of care without any kind of acupuncture therapy.
After completion of study treatment, patients are followed up at 4 weeks.
- Conditions
- Stage I Breast Cancer AJCC v7, Stage IA Breast Cancer AJCC v7, Stage IB Breast Cancer AJCC v7, Stage II Breast Cancer AJCC v6 and v7, Stage IIA Breast Cancer AJCC v6 and v7, Stage IIB Breast Cancer AJCC v6 and v7
- Being tested
- Electroacupuncture Therapy, Laboratory Biomarker Analysis, Quality-of-Life Assessment, Questionnaire Administration
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Electroacupuncture TherapyProcedure or surgery
Also called Electroacupuncture
Undergo electroacupuncture therapy
Electroacupuncture TherapyProcedure or surgery
Also called Electroacupuncture
Undergo modified electroacupuncture therapy
Laboratory Biomarker AnalysisOther
Correlative studies
Quality-of-Life AssessmentOther
Also called Quality of Life Assessment
Ancillary studies
Questionnaire AdministrationOther
Ancillary studies
| Study group | Role | What they receive |
|---|---|---|
| Group I (electroacupuncture therapy) | Experimental | Patients undergo electroacupuncture therapy over 45 minutes 2-3 times per week over 4 weeks for a total of 10 sessions. Receives: Procedure: Electroacupuncture Therapy; Other: Laboratory Biomarker Analysis; Other: Quality-of-Life Assessment; Other: Questionnaire Administration |
| Group II (sham electroacupuncture therapy) | Placebo comparator | Patients undergo modified electroacupuncture therapy over 45 minutes 2-3 times per week over 4 weeks for a total of 10 sessions. Acupuncture needles are placed in different locations using a different technique than those used for Group I. Receives: Procedure: Electroacupuncture Therapy; Other: Laboratory Biomarker Analysis; Other: Quality-of-Life Assessment; Other: Questionnaire Administration |
| Group III (waitlist control) | Active comparator | Patients receive standard of care without any kind of acupuncture therapy. Receives: Other: Laboratory Biomarker Analysis; Other: Quality-of-Life Assessment; Other: Questionnaire Administration |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: Baseline to 8 weeks
Secondary outcomes (11)
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.
Measured: Up to 8 weeks
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.
Measured: Up to 8 weeks
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.
Measured: Baseline to 8 weeks
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
Measured: Up to 8 weeks
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
Measured: Up to 8 weeks
Baseline expectancy of participants will be correlated to the outcomes response.
Will use linear regression and linear mixed model analyses.
Measured: At baseline
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.
Measured: Baseline to 8 weeks
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.
Measured: Baseline to 8 weeks
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
Measured: Baseline to 8 weeks
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)
Measured: Baseline to 8 weeks
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.
Measured: Baseline to 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Apr 2016 (estimated)
- Study start13 Sep 2016
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Stage I Breast Cancer AJCC v7Studies of the same condition, open and under way.
- More trials run by M.D. Anderson Cancer CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 111 participants (actual)
Sponsor and investigators
- Lead sponsor
- M.D. Anderson Cancer Center
- Sponsor type
- University, hospital or other
- Collaborators
- Gateway for Cancer Research, National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- Lorenzo Cohen, Principal investigator, M.D. Anderson Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02754752
- Sponsor's protocol ID
- 2015-0750
- Other IDs
- NCI-2016-00792, 2015-0750
- Status last verified
- Oct 2026
- First submitted
- 26 Apr 2016
- Last updated
- 9 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No