Acupuncture in Palliative Cancer Care

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00302185
Recruitment Status : Completed
First Posted : March 14, 2006
Last Update Posted : October 20, 2010
Information provided by:
British Columbia Cancer Agency

Brief Summary:

Research question: Can acupuncture improve symptom control and quality of life (QOL) in patients with advanced incurable cancer?

The purposes of this study is to investigate the feasibility of performing a randomized trial with acupuncture in improving symptom control and quality of life (QOL) in patients with advanced incurable cancer at the BC Cancer Agency, Vancouver Island Centre in Victoria.

We will:

  • Evaluate whether subjects who are receiving palliative care for cancer related symptoms can tolerate and complete to a course of acupuncture treatments.
  • Evaluate whether it is possible to conduct a study using acupuncture on cancer patients.

Condition or disease Intervention/treatment Phase
Neoplasms Palliative Care Procedure: Acupuncture Behavioral: Nurse-led supportive care Phase 3

Detailed Description:

Patients with advanced cancer suffer from many symptoms which dramatically reduce their Quality of Life (QOL). There have been significant improvements in the management of pain, nausea and constipation, but other common symptoms such as fatigue, anxiety, depression, and a lack of well-being are not readily addressed by conventional therapies. As cancer patients usually present with numerous symptoms, it would be important to try to address all of these globally, instead of only treating individual symptoms that respond well to conventional therapy. Attempts at controlling individual symptoms can also give rise to iatrogenic effects. One well known example is constipation occurring in patients who are on opiate analgesics. Successful treatment from the caregiver's perspective is often scored against each individual symptom that is being treated. From the patient's point of view, it is the interplay of the whole treatment package that succeeds or fails in improving his QOL

In an attempt at treating all of the patient's symptoms, research into the use of complementary and alternative medicine (CAM) has been conducted to determine the utility of these treatments in addressing the unmet needs of many patients with cancer. There is preliminary evidence that acupuncture in particular, is successful at improving many cancer and treatment associated symptoms.

Given the potential to improve symptom control and QOL, it is thought that acupuncture should be investigated to assess its effectiveness and feasibility in symptomatic patients with advanced cancer. Acupuncture should be compared against another intervention, so that the control group would also be receiving attention to their symptoms. As supportive care has been shown to be helpful in ameliorating symptoms in terminal care, acupuncture will be compared against this intervention. Sham acupuncture is not considered to be a good comparison for acupuncture as it is not well tested, and its effects are often indistinguishable from acupuncture. Recently however, some studies have reported the use of novel techniques that prevent acupuncture-naïve patients from distinguishing between acupuncture treatment and placebo. These techniques have yet to be independently validated.

Objectives: 1. To determine feasibility of recruiting patients and running a randomized study that involves acupuncture at the BCCA-VIC. 2. To gather enough data to support a grant application to fund a larger study to look at the effectiveness of acupuncture as adjunctive treatment for the management of symptoms associated with palliative cancer care.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 20 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Feasibility Study in Acupuncture for Symptom Management in Palliative Care.
Study Start Date : June 2007
Actual Primary Completion Date : March 2008
Actual Study Completion Date : March 2008

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: Nurse-led supportive care
Visit with a Palliative Care nurse once weekly for 4 weeks
Behavioral: Nurse-led supportive care
20-30 minutes of supportive attention from an experienced palliative nurse.
Experimental: Acupuncture
Patients received acupuncture once a week for 4 weeks.
Procedure: Acupuncture
Insertion of sterile, single-use acupuncture needles at 10-20 points including PC.6, HT.7, St.36, SP.6, and LR.3. Needles were connected to an electrical stimulator to mimick traditional manual stimulation with alternating patterns of stimulation for 20 minutes.

Primary Outcome Measures :
  1. The change in Edmonton Symptom Assessment Score (ESAS) after intervention (ESAS at baseline - ESAS at first follow up) will be analysed for each of the 4 symptoms (fatigue, anxiety, depression, a lack of well-being) under investigation. Results will be

Secondary Outcome Measures :
  1. Determine the % of patients suitable, and the % of patients who consent to be recruited.
  2. Determine the % of patients who complete all 4 intervention sessions.
  3. Determine the duration of change in ESAS after intervention (ESAS at second and third follow-up - ESAS at first follow up).

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • patients receiving palliative therapy for incurable cancer
  • anticipated survival of at least 3 months
  • able to complete ESAS sheet unaided
  • ESAS of 5 or more in at least one of the following symptoms; fatigue, depression, anxiety and lack of wellbeing

Exclusion Criteria:

  • refuse to receive weekly acupuncture for 4 weeks
  • refuse to receive nursing support for 4 weeks
  • known to have impaired clotting of blood

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00302185

Canada, British Columbia
BC Cancer Agency - Vancouver Island Centre
Victoria, British Columbia, Canada, V8R 6V5
Sponsors and Collaborators
British Columbia Cancer Agency
Principal Investigator: Jan T Lim, MD BC Cancer Agency and University of British Columbia

Responsible Party: Dr. Jan T. Lim, British Columbia Cancer Agency Identifier: NCT00302185     History of Changes
Other Study ID Numbers: BCCAVIC Pal 1
First Posted: March 14, 2006    Key Record Dates
Last Update Posted: October 20, 2010
Last Verified: October 2010

Keywords provided by British Columbia Cancer Agency:
Palliative Care
Symptom Management
Quality of Life