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S1200: Acupuncture, Sham Acupuncture, or Wait List for Joint Symptoms Related to Aromatase Inhibitors in Pts W/Early-Stage Breast Cancer

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ClinicalTrials.gov Identifier: NCT01535066
Recruitment Status : Active, not recruiting
First Posted : February 17, 2012
Last Update Posted : December 15, 2017
Information provided by (Responsible Party):

Study Description
Brief Summary:

RATIONALE: Acupuncture may help relieve joint pain.

PURPOSE: This randomized phase III trial studies acupuncture to see how well it works compared to sham acupuncture or waitlist in treating patients with joint pain related to aromatase inhibitors in patients with early-stage breast cancer.

Condition or disease Intervention/treatment
Breast Cancer Pain Procedure: acupuncture therapy Procedure: sham acupuncture

  Show Detailed Description

Study Design

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 228 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single (Participant)
Primary Purpose: Supportive Care
Official Title: Randomized Blinded Sham- and Waitlist-Controlled Trial of Acupuncture for Joint Symptoms Related to Aromatase Inhibitors in Women With Early Stage Breast Cancer
Study Start Date : March 2012
Primary Completion Date : October 2017
Estimated Study Completion Date : May 2018

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
Experimental: Arm I
Patients receive acupuncture therapy twice weekly for 6 weeks and then once weekly for 6 weeks.
Procedure: acupuncture therapy
Receive acupuncture
Sham Comparator: Arm II
Patients receive sham acupuncture twice weekly for 6 weeks and then once weekly for 6 weeks.
Procedure: sham acupuncture
Receive sham acupuncture
No Intervention: Arm III
Patients are assigned to a waiting list for 12 weeks with standard follow-up care.

Outcome Measures

Primary Outcome Measures :
  1. Decrease of joint pain associated with the use of AIs as measured by BPI-SF [ Time Frame: 6 weeks ]

Secondary Outcome Measures :
  1. Benefit of acupuncture maintenance as assessed by BPI-SF, WOMAC, M-SACRAH, PROMIS PI-SF, FACT-ES, and TGUG [ Time Frame: 6, 12, 16, 20, and 24 weeks ]
  2. Durability of response as assessed by BPI-SF, WOMAC, M-SACRAH, PROMIS PI-SF, FACT-ES, and TGUG [ Time Frame: 52 weeks. ]
  3. Long-term effects of acupuncture as assessed by BPI-SF, WOMAC, M-SACRAH, PROMIS PI-SF, FACT-ES, and TGUG [ Time Frame: 52 weeks ]
  4. Analgesic and opioid use [ Time Frame: 2, 4, 6, 12, 16, 20, 24, and 52 weeks ]
  5. AI adherence [ Time Frame: 12, 24, and 52 weeks ]
  6. Safety and tolerability of acupuncture [ Time Frame: 2, 4, 6, 12, 16, 20, 24, and 52 weeks ]

Eligibility Criteria

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


  • Patients must be women with histologically confirmed primary invasive carcinoma of the breast (Stage I, II, or III) with no evidence of metastatic disease (M0); patients must have undergone modified radical mastectomy or breast-sparing surgery; patients must have recovered from all side-effects of the surgery
  • Patients must be positive for estrogen receptor (ER) and/or progesterone receptor (PgR) as determined by institutional standard
  • Patients must currently be taking a third-generation aromatase inhibitor (AI) - anastrozole, letrozole, or exemestane for at least the previous 90 days prior to registration with plans to continue for at least an additional 1 year after registration; patients may have switched AIs provided that they have been on a stable dose for at least 90 days; concurrent trastuzumab (Herceptin) is allowed
  • Patients must have completed the S1200 Brief Pain Inventory-Short Form (BPI-SF) within 14 days prior to registration; patients must have a worst pain score of at least 3 on the Brief Pain Inventory (item #2) that has started or increased since starting AI therapy
  • Patients must be willing to submit blood and urine samples for serum hormones (estradiol, FSH, LH), inflammatory biomarkers (serum TNFα, IL-6, IL-12, CRP and urine CTX-II), urine AI metabolites, and DNA analysis (CYP19A1), and must be given the option to consent to use of remaining specimens for future translational medicine studies; baseline samples must be obtained prior to beginning intervention


  • Patients must be postmenopausal, as defined by at least one of the following:

    • ≥ 12 months since the last menstrual period
    • Prior bilateral oophorectomy
    • Current use of a gonadotropin-releasing hormone (GnRH) agonist
    • Previous hysterectomy with one or both ovaries left in place (or previous hysterectomy in which documentation of bilateral oophorectomy is unavailable) AND follicle-stimulating hormone (FSH) values consistent with the institutional normal values for the postmenopausal state; if patient is under the age of 55, FSH levels must be obtained within 28 days prior to registration
  • Patients must have a Zubrod performance status of 0 to 1
  • Patients must not have a severe bleeding disorder
  • Patients must not have concurrent medical/arthritic disease that could confound or interfere with evaluation of pain or efficacy including: inflammatory arthritis (e.g., rheumatoid arthritis, systemic lupus, spondyloarthropathy, psoriatic arthritis, polymyalgia rheumatica), gout, episodes of acute monoarticular arthritis clinically consistent with pseudogout, Paget disease affecting the study joint (knees/hands), a history of septic arthritis or avascular necrosis or intra-articular fracture of the study joint, Wilson disease, hemochromatosis, alkaptonuria, or primary osteochondromatosis
  • Patients must not have a history of bone fracture or surgery of the afflicted knees and/or hands within 6 months prior to registration
  • Patients must not have a history of illness that, in the opinion of the investigator, might confound the results of the study or pose additional risk to the patient
  • Patients must be able to complete study questionnaires in English or Spanish
  • No other prior malignancy is allowed except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, ductal carcinoma in situ [DCIS], adequately treated Stage I or II cancer from which the patient is currently in complete remission, or any other cancer for which the patient has been disease-free for > 5 years


  • See Disease Characteristics
  • Patients must not have had prior acupuncture treatment within the past 12 months or for AI-induced joint symptoms at any time
  • Patients must not be on narcotics within 14 days of registration
  • Patients must not have received oral corticosteroids, intramuscular corticosteroids, or intra-articular steroids within 28 days prior to registration
  • Patients must not have received topical analgesics (e.g., capsaicin preparations) or any other analgesics (e.g., opiates or tramadol, with the exception of nonsteroidal anti-inflammatory drugs [NSAIDs] and acetaminophen) within 14 days prior to registration
  • Patients must not have received or implemented any other medical therapy, alternative therapy, or physical therapy for the treatment of joint pain/stiffness within 28 days prior to registration; therapeutic massage is allowed
Contacts and Locations

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 ClinicalTrials.gov identifier (NCT number): NCT01535066

  Show 47 Study Locations
Sponsors and Collaborators
Southwest Oncology Group
National Cancer Institute (NCI)
National Center for Complementary and Integrative Health (NCCIH)
Principal Investigator: Dawn Hershman, MD Herbert Irving Comprehensive Cancer Center
More Information

Responsible Party: Southwest Oncology Group
ClinicalTrials.gov Identifier: NCT01535066     History of Changes
Other Study ID Numbers: S1200
S1200 ( Other Identifier: SWOG )
R01AT000636-01 ( U.S. NIH Grant/Contract )
U10CA037429 ( U.S. NIH Grant/Contract )
NCI-2012-00251 ( Other Identifier: NCI )
First Posted: February 17, 2012    Key Record Dates
Last Update Posted: December 15, 2017
Last Verified: December 2017

Keywords provided by Southwest Oncology Group:
estrogen receptor-positive breast cancer
progesterone receptor-positive breast cancer
stage IA breast cancer
stage IB breast cancer
stage II breast cancer
stage IIIA breast cancer
stage IIIB breast cancer
stage IIIC breast cancer

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases
Aromatase Inhibitors
Steroid Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Estrogen Antagonists
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs