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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.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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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
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.

United States1 site
  • M D Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

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:

  1. Determine the initial efficacy of electroacupuncture (EA) in reducing chronic pain in women following treatment for breast cancer.

SECONDARY OBJECTIVES:

  1. 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.

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 groups in NCT02754752
Study groupRoleWhat they receive
Group I (electroacupuncture therapy)ExperimentalPatients 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 comparatorPatients 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 comparatorPatients 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.

  1. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. Baseline expectancy of participants will be correlated to the outcomes response.

    Will use linear regression and linear mixed model analyses.

    Measured: At baseline

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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.

  1. First posted28 Apr 2016 (estimated)
  2. Study start13 Sep 2016
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

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)
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

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