Breast NeoplasmsPhase 2NCT04927910
Self-applied Acupressure for Arthralgia-fatigue-sleep Disturbance in Breast Cancer
A Phase 2 study testing Ture self-acupressure in people with Breast Neoplasms and Cancer Survivor, run by The Hong Kong Polytechnic University at 1 site in China.
Trial summary
This study aims to evaluate the feasibility, acceptability and preliminary effects of self-applied acupressure on arthralgia-fatigue-sleep disturbance symptom cluster in breast cancer survivors receiving aromatase inhibitors. Read more about this study
- Who is it for?
- Ages 18 to 75 years, women only
- Conditions the study is for
- Breast Neoplasms, Cancer Survivor
- What is being tested?
- Ture self-acupressure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 21 participants
- Where
- 1 siteChina
- Study dates
- 5 Jun 2021to 29 Mar 2022
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 to 75 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Female adult aged 18 and older;
- Clinical diagnosis of early-stage (Stage I, II, or IIIa), hormone-receptor-positive breast cancer;
- Completion of surgery, and/or chemotherapy and/or radiotherapy;
- Currently taking the third generation of AIs (anastrozole, letrozole, or exemestane) for at least 1 month;
- Based on their self-reports of moderate symptoms of joint pain and fatigue or sleep disturbance;
- Willing to comply with the intervention protocol, and
- Being able to communicate in Chinese .
Who cannot join
- Previous receipt of acupuncture and acupressure within the past six months;
- Currently receiving medications (unchanged for 3 month), physical therapy and other complementary and alternative medicines for the treatment of joint pain, fatigue and sleep disturbance;
- Prior joint surgery or fracture during the past six months;
- Mentally incapable of participating in the study (Hong Kong version of Montreal Cognitive Assessment score<22);and
- Inability to perform self-care (Karnofsky Performance Scale score<70).
Trial locations and contacts
1 site in 1 country.
China1 site
The Huazhong University of Science and Technology Union Shenzhen Hospital
Shenzhen, Guangdong
About this study
Official title: Self-applied Acupressure for Arthralgia-fatigue-sleep Disturbance Symptom Cluster in Breast Cancer Survivors Receiving Aromatase Inhibitors
This study aims to evaluate the feasibility, acceptability and preliminary effects of self-applied acupressure on arthralgia-fatigue-sleep disturbance symptom cluster in breast cancer survivors receiving aromatase inhibitors. This is a preliminary randomized controlled trial, with a three-arm trial design including verum self-acupressure, sham self-acupressure, and usual care. Subjects will include 52 breast cancer survivors who are receiving aromatase inhibitors and have experienced a moderate level of joint pain and at least one of the two symptoms including fatigue and sleep disturbance. Subjects who are randomized to either the verum self-acupressure group (group A) or the sham self-acupressure group (group B) will receive up to 8 weeks of the intervention consisting of two components: (1) two individual/group acupressure training sessions over 2 weeks and (2) self-acupressure for 6 weeks. The method and duration of self-acupressure in the sham group will be the same to those in the verum intervention group. The control group will receive usual care. The outcome measures of this study will be related to feasibility, acceptability and preliminary effects of self-acupressure. Individual in-depth interviews will be conducted with selected participants in group A and B to understand their perceptions and perceived effectiveness of the intervention.
- Conditions
- Breast Neoplasms, Cancer Survivor
- Being tested
- Ture self-acupressure, Sham self-acupressure, Usual care
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ture self-acupressureOther
8-week intervention of self-acupressure on acupoints
Sham self-acupressureOther
8-week intervention of self-acupressure on non-acupoints
Usual careOther
routine care by hospitals
| Study group | Role | What they receive |
|---|---|---|
| True self-acupressure | Experimental | 1) two individual/group acupressure training sessions over 2 weeks and (2) self-acupressure for 6 weeks. Receives: Other: Ture self-acupressure |
| Sham self-acupressure | Sham comparator | Same protocol to the true self-acupressure group but on the sham acupoints Receives: Other: Sham self-acupressure |
| Usual care | Other | General advise on managing symptoms provided by healthcare providers Receives: Other: Usual care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility measure
Eligibility rate
Measured: Immediately after completion of the intervention (T1)
Feasibility measure
Recruitment rate
Measured: Immediately after completion of the intervention (T1)
Feasibility measure
Attrition rate
Measured: Immediately after completion of the intervention (T1)
Feasibility measure
Time to complete the recruitment
Measured: Immediately after completion of the intervention (T1)
Feasibility measure
Intervention adherence (using a patient-reported diary to document if the patient has completed the intervention daily, experienced any side effects, any other feelings or thoughts )
Measured: Immediately after completion of the intervention (T1)
Acceptability measure
Appropriateness of the intervention components using a self-developed questionnaire (15 close-ended questions mostly on a scale of 1 to 5, higher score indicating higher acceptability and 3 open-ended questions)
Measured: Immediately after completion of the intervention (T1)
Secondary outcomes (4)
Arthralgia
The Brief Pain Inventory- Short Form to assess joint pain related to aromatase inhibitor-induced arthralgia on a scale of 0=no pain, 10=extreme pain
Measured: Baseline(T0) and Immediately after completion of the intervention (T1)
Fatigue
The Brief Fatigue Inventory to measure fatigue on a scale of 0=no fatigue, 10=extreme fatigue
Measured: Baseline(T0) and Immediately after completion of the intervention (T1)
Sleep disturbance
The Pittsburgh Sleep Quality Index (PSQI) to measure sleep disturbance (with different item options) [a global score ranges from 0 to 21, with a higher score indicating poor sleep quality]
Measured: Baseline(T0) and Immediately after completion of the intervention (T1)
Health-related quality of life
The Functional Assessment of Cancer Therapy scale (FACT-G) to measure health-related quality of life on a scale of 0=lower health-related quality of life, 4=higher health-related quality of life
Measured: Baseline(T0) and Immediately after completion of the intervention (T1)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jun 2021
- Study start5 Jun 2021
- Primary completion29 Jan 2022
- Study completion29 Mar 2022
Why it stopped: COVID 19 outbreak and manpower issues
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast NeoplasmsStudies of the same condition, open and under way.
- More trials run by The Hong Kong Polytechnic UniversityThe 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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 21 participants (actual)
Sponsor and investigators
- Lead sponsor
- The Hong Kong Polytechnic University
- Sponsor type
- University, hospital or other
- Collaborators
- Huazhong University of Science and Technology Union Shenzhen Hospital
- Responsible party
- Principal investigator, Dr CHENG Huilin, The Hong Kong Polytechnic University
- Investigators
- Huilin Cheng, PhD, Principal investigator, The Hong Kong Polytechnic University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04927910
- Sponsor's protocol ID
- 01
- Status last verified
- Apr 2024
- First submitted
- 29 Mar 2021
- Last updated
- 26 Apr 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Self-applied Acupressure for Arthralgia-fatigue-sleep Disturbance Symptom Cluster in Breast Cancer Survivors Receiving Aromatase Inhibitors
- ClinicalTrials.gov ID
- NCT04927910
- Acronym / sponsor ID
- 01
- Conditions
- Breast Neoplasms, Cancer Survivor
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: COVID 19 outbreak and manpower issues
- Enrolment
- 21 participants (actual)
- Lead sponsor
- The Hong Kong Polytechnic UniversityUniversity, hospital or other
- Collaborators
- Huazhong University of Science and Technology Union Shenzhen Hospital
- Study start
- 5 Jun 2021 (actual)
- Primary completion
- 29 Jan 2022 (actual)
- Study completion
- 29 Mar 2022 (actual)
- First posted
- 16 Jun 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the feasibility, acceptability and preliminary effects of self-applied acupressure on arthralgia-fatigue-sleep disturbance symptom cluster in breast cancer survivors receiving aromatase inhibitors. This is a preliminary randomized controlled trial, with a three-arm trial design including verum self-acupressure, sham self-acupressure, and usual care. Subjects will include 52 breast cancer survivors who are receiving aromatase inhibitors and have experienced a moderate level of joint pain and at least one of the two symptoms including fatigue and sleep disturbance. Subjects who are randomized to either the verum self-acupressure group (group A) or the sham self-acupressure group (group B) will receive up to 8 weeks of the intervention consisting of two components: (1) two individual/group acupressure training sessions over 2 weeks and (2) self-acupressure for 6 weeks. The method and duration of self-acupressure in the sham group will be the same to those in the verum intervention group. The control group will receive usual care. The outcome measures of this study will be related to feasibility, acceptability and preliminary effects of self-acupressure. Individual in-depth interviews will be conducted with selected participants in group A and B to understand their perceptions and perceived effectiveness of the intervention.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| True self-acupressure | Experimental | Other: Ture self-acupressure1) two individual/group acupressure training sessions over 2 weeks and (2) self-acupressure for 6 weeks. |
| Sham self-acupressure | Sham comparator | Other: Sham self-acupressureSame protocol to the true self-acupressure group but on the sham acupoints |
| Usual care | Other | Other: Usual careGeneral advise on managing symptoms provided by healthcare providers |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Female adult aged 18 and older;
- Clinical diagnosis of early-stage (Stage I, II, or IIIa), hormone-receptor-positive breast cancer;
- Completion of surgery, and/or chemotherapy and/or radiotherapy;
- Currently taking the third generation of AIs (anastrozole, letrozole, or exemestane) for at least 1 month;
- Based on their self-reports of moderate symptoms of joint pain and fatigue or sleep disturbance;
Key exclusion criteria (5 listed)
- Previous receipt of acupuncture and acupressure within the past six months;
- Currently receiving medications (unchanged for 3 month), physical therapy and other complementary and alternative medicines for the treatment of joint pain, fatigue and sleep disturbance;
- Prior joint surgery or fracture during the past six months;
- Mentally incapable of participating in the study (Hong Kong version of Montreal Cognitive Assessment score<22);and
- Inability to perform self-care (Karnofsky Performance Scale score<70).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Ture self-acupressure8-week intervention of self-acupressure on acupoints | Other | True self-acupressure |
| Sham self-acupressure8-week intervention of self-acupressure on non-acupoints | Other | Sham self-acupressure |
| Usual careroutine care by hospitals | Other | Usual care |
Primary outcome
Feasibility measure
Time frame: Immediately after completion of the intervention (T1)
Eligibility rate
Feasibility measure
Time frame: Immediately after completion of the intervention (T1)
Recruitment rate
Feasibility measure
Time frame: Immediately after completion of the intervention (T1)
Attrition rate
Feasibility measure
Time frame: Immediately after completion of the intervention (T1)
Time to complete the recruitment
Feasibility measure
Time frame: Immediately after completion of the intervention (T1)
Intervention adherence (using a patient-reported diary to document if the patient has completed the intervention daily, experienced any side effects, any other feelings or thoughts )
Acceptability measure
Time frame: Immediately after completion of the intervention (T1)
Appropriateness of the intervention components using a self-developed questionnaire (15 close-ended questions mostly on a scale of 1 to 5, higher score indicating higher acceptability and 3 open-ended questions)
4 secondary outcomes
Arthralgia
Time frame: Baseline(T0) and Immediately after completion of the intervention (T1)
Fatigue
Time frame: Baseline(T0) and Immediately after completion of the intervention (T1)
Sleep disturbance
Time frame: Baseline(T0) and Immediately after completion of the intervention (T1)
Health-related quality of life
Time frame: Baseline(T0) and Immediately after completion of the intervention (T1)
Results and safety
The study was stopped early (reason given: COVID 19 outbreak and manpower issues). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Apr 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Huilin Cheng, PhD principal investigator
The Hong Kong Polytechnic University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Ture self-acupressure in people with Breast Neoplasms and Cancer Survivor, run by The Hong Kong Polytechnic University at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 26 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: COVID 19 outbreak and manpower issues). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility measure (time frame: Immediately after completion of the intervention (T1)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Apr 2024.