رادار التجارب AI | ||
|---|---|---|
حالة التجربة السريرية NCT05528263 (PACT) لـ الوخز بالإبر، سرطان الثدي في مراحله المبكرة، الاعتلال العصبي المحيطي الناتج عن العلاج الكيميائي، مرحلة سرطان الثدي الأولى، سرطان الثدي المرحلة الثانية، سرطان الثدي المرحلة الثالثة هي نشط (التجنيد مغلق). اطلعوا على جميع التفاصيل في عرض البطاقة الخاص برادار التجارب السريرية وأدوات اكتشاف الذكاء الاصطناعي. أو يمكنكم طرح أي سؤال هنا. | ||
تجربة واحدة تطابق معايير الفلتر
عرض البطاقة
Preventing Chemotherapy-Induced Peripheral Neuropathy With Acupuncture (PACT Trial)
تفاصيل التجربة السريرية متاحة بشكل أساسي باللغة الإنجليزية. ومع ذلك، يمكن لـ 'رادار التجارب AI' أن يساعدك؛ ما عليك سوى النقر على 'وصف الدراسة' لعرض ومناقشة معلومات التجربة باللغة التي اخترتها.
التجربة السريرية NCT05528263 (PACT) هي دراسة تدخُّلية لـالوخز بالإبر، سرطان الثدي في مراحله المبكرة، الاعتلال العصبي المحيطي الناتج عن العلاج الكيميائي، مرحلة سرطان الثدي الأولى، سرطان الثدي المرحلة الثانية، سرطان الثدي المرحلة الثالثة وهي نشط (التجنيد مغلق). بدأت في ١٢ صفر ١٤٤٤ هـ مع خطة لتجنيد ٨٩ مشاركًا. يقودها Dana-Farber Cancer Institute، ومن المتوقع اكتمالها بحلول ١١ رمضان ١٤٤٧ هـ. تم تحديث البيانات الأخيرة من ClinicalTrials.gov في ٦ ذو القعدة ١٤٤٦ هـ.
الملخص
This research is being done to determine whether acupuncture can help prevent or lessen chemotherapy-induced peripheral neuropathy (CIPN), a side effect of some kinds of chemotherapy that causes pain, numbness, tingling, swelling, or muscle weakness mostly in the hands or feet.
This research will also help determine whether acupuncture can improve quality of life in patients receiving taxane-based chemotherapy for the treatment of breast cancer.
The names of the study activities involved in this study are/is:
- Acupuncture treatments for participants in the Acupuncture Group
- Nature videos with a relaxation exercise for participants in the Relaxation/ Exercise Group
The Comprehensive and Integrative Medicine Institute (CIMI) of South Korea is supporting this research study by providing funding.
وصف مفصل
This study randomly assigns patients with breast cancer who are starting a chemotherapy program that includes a Taxane to one of two groups:
- The Acupuncture Group will receive acupuncture treatments for 12 weeks during chemotherapy treatment.
- The Relaxation Exercise Group will receive a program of weekly videos accompanied by a relaxation exercise. Both programs will last 12 weeks.
Participants will be asked to complete questionnaire 12 weeks after the completion of the acupuncture or relaxation exercise program, so participants be on this research study for up to 24 weeks (6 months).
It is expected that about 80 people will take part in this research study.
العنوان الرسمي
Preventing Chemotherapy-Induced Peripheral Neuropathy With Acupuncture, A Randomized Controlled Trial (PACT Trial)
الحالات الطبية
الوخز بالإبرسرطان الثدي في مراحله المبكرةالاعتلال العصبي المحيطي الناتج عن العلاج الكيميائيمرحلة سرطان الثدي الأولىسرطان الثدي المرحلة الثانيةسرطان الثدي المرحلة الثالثةمعرّفات دراسة أخرى
- PACT
- 22-269
NCT معرّف
تاريخ البدء (فعلي)
2022-09-08
آخر تحديث مُنشور
2025-05-04
تاريخ الاكتمال (المقدر)
2026-02-28
عدد المشاركين المخطط لهم
٨٩
نوع الدراسة
تدخُّلية
المرحلة
غ/م
الحالة
نشط (التجنيد مغلق)
الكلمات الرئيسية
Acupuncture
Early-stage Breast Cancer
Chemotherapy-induced Peripheral Neuropathy
Breast Cancer Stage I
Breast Cancer Stage II
Breast Cancer Stage III
Early-stage Breast Cancer
Chemotherapy-induced Peripheral Neuropathy
Breast Cancer Stage I
Breast Cancer Stage II
Breast Cancer Stage III
الغرض الأساسي
الرعاية الداعمة
طريقة توزيع المشاركين
عشوائي
نموذج التدخل
التصميم المتوازي
التعمية
لا شيء (مفتوحة)
مجموعات/التدخلات
| مجموعة المشاركين/مجموعة | تَدَخُّل/علاج |
|---|---|
تجريبيةAcupuncture * Breast cancer patients will be recruited who are scheduled to receive taxane-based chemotherapy (with or without anti-HER2 therapy) and who have no neuropathic symptoms at baseline.
40 participants will be randomized into the acupuncture Arm:
* The acupuncture arm will receive a standardized acupuncture protocol 1-2 times a week for 12 weeks (a total of 14 sessions). | الوخز بالإبر Standardized acupuncture protocol 1-2 times a week for 12 weeks (a total of 14 sessions). |
مقارن نشطNature scenery videos with relaxation exercise * Breast cancer patients will be recruited who are scheduled to receive taxane-based chemotherapy (with or without anti-HER2 therapy) and who have no neuropathic symptoms at baseline.
40 Participants will be randomized into the Control Arm:
* The control arm will receive and watch videos with nature scenery with a relaxation exercise guide 1-2 times a week for 12 weeks (a total of 14 sessions) | Nature Scenery with a Relaxation Exercise Watch nature scenery videos with a relaxation exercise guide 1-2 times a week for 12 weeks (a total of 14 sessions) |
النتيجة الرئيسية
النتيجة الثانوية
| مقياس النتيجة | وصف القياس | الإطار الزمني |
|---|---|---|
Change in severity of CIPN, defined by mean change in EORTC QLQ-CIPN20 sensory score | The primary endpoint is the change in severity of CIPN, defined as the average change from baseline (12-week to baseline) in the EORTC Quality of Life - Chemotherapy Induced Neuropathy 20 (QLQ-CIPN20) sensory subscale score (9 items). Using a 4-point Likert scale (1 = "not at all," 2 = "a little," 3 = "quite a bit," and 4 = "very much"), individuals indicate the degree to which they have experienced sensory, motor, and autonomic symptoms during the past week. A higher score means greater severity of CIPN. The total and three domain scores are calculated and linearly transformed into 0-100 scales according to the scoring manual. A score of 100 indicates the worst CIPN symptom. | baseline to 12 weeks |
| مقياس النتيجة | وصف القياس | الإطار الزمني |
|---|---|---|
Incidence of CIPN between intervention arms - AOCIPN | AOCIPN is defined as an increase of 2.5 points or larger in the QLQ-CIPN 20 sensory score at any time point relative to baseline or reported "mild" or "a little bit" or higher in PRO-CTCAE CIPN "Severity" and "Interference" items during the study intervention period (baseline to week 12). | baseline to week 12 |
Incidence of CIPN between intervention arms - G2CIPN | G2CIPN is defined a 20-point or greater increase from baseline at any time point in QLQ-CIPN20 total score or grade-2 in PRO-CTCAE CIPN, which is defined as reporting the severity of numbness and/or tingling AND interference of with daily activities ≥ 1 (mild/ a little bit) during the study period at any time point. | baseline to 12 Weeks |
Relative dose intensity (RDI) | Received or relative dose intensity (RDI) refers to the amount and timing of chemotherapy actually delivered versus the expected dose and schedule. The relative dose intensity (RDI) will be calculated for each participant and compared between treatment arms using two-sample t-tests or Wilcoxon rank-sum tests, depending upon normality of the data. | baseline to week 24 |
Maximum CIPN score | Maximum CIPN score will be assessed through the EORTC Quality of Life - Chemotherapy Induced Neuropathy 20 (QLQ-CIPN20) sensory subscale score (9 items). Using a 4-point Likert scale (1 = "not at all," 2 = "a little," 3 = "quite a bit," and 4 = "very much"), individuals indicate the degree to which they have experienced sensory, motor, and autonomic symptoms during the past week. A higher score means greater severity of CIPN. The maximum CIPN sensory score change (post-pre) for each patient during the intervention will be compared between the randomized treatment arms. | pre-treatment, and at weeks 3, 6, 9, and 12 during the intervention up to 12 weeks |
Changes in mean scores of pain intensity | CIPN pain intensity will be measured using a past 7 days, 0-10 numerical rating scale diary. A higher score indicates greater pain intensity. | Baseline, Week 12, and Week 24 |
Changes in the total mean scores of the Pittsburgh Sleep Quality Index (PSQI) | The PSQI is a 19-item self-reported questionnaire that assesses sleep quality for the preceding month. In scoring the PSQI, seven component scores are derived, each scored 0 (no difficulty) to 3 (severe difficulty). The component scores are summed to produce a global score (range 0 to 21). Higher scores indicate worse sleep quality. | Baseline, Week 12, and Week 24 |
Changes in the total and subscales of EORTC QLQ-C30 | Quality of life and cancer treatment-related symptoms will be assessed using the EORTC-QLQ-C30. The QLQ-C30 consists of 30 items that are grouped within global health status/quality of life (1 - 7 points, higher scores = greater quality of life), functional (e.g., physical or cognitive; 0 - 100 transformed scores, higher = better function), or symptom (e.g., insomnia, fatigue; 0 - 100 transformed scores, higher = worse symptoms) subscales. | Baseline, Week 12, and Week 24 |
معايير الأهلية
الأعمار المؤهلة للدراسة
بالغ, كبار السن
العمر الأدنى للدراسة
18 Years
الجنس المؤهل
الكل
- History of histologically proven stage I-III breast cancer, without evidence of distant metastasis
- Scheduled to receive adjuvant or neoadjuvant taxane-based chemotherapy (with or without HER-2 directed therapy or with or without immunotherapy). Patient must enroll before the second infusion of a taxane.
- Age ≥ 18 years
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Signed informed consent
Previous receipt of CIPN-inducing chemotherapy agents (1 prior dose of a taxane is allowed).
Unstable cardiac disease or myocardial infarction within 6 months prior to study entry
Wearing a pacemaker or implantable cardioverter-defibrillator
Uncontrolled seizure disorder
History of pre-existing peripheral neuropathy
Use of acupuncture within the 3 months prior to study enrollment
Self-report of any CIPN symptoms via staff-administered PRO-CTCAE CIPN, defined as either:
- Report of "mild", "moderate", "severe", "very severe" on the Severity Item on PRO-CTCAE CIPN assessment
- Report of "a little bit", "somewhat", "quite a bit", "very much" on the Interfere Item on PRO-CTCAE CIPN assessment
Dana-Farber Cancer InstituteThe Comprehensive and Integrative Medicine Institute of South Koreaالجهة المسؤولة عن الدراسة
Weidong Lu, MB, MPH, PhD, المحقق الرئيسي, Principal Investigator, Dana-Farber Cancer Institute
لا توجد بيانات اتصال.
1 مواقع الدراسة في 1 بلدان
Massachusetts
Dana Farber Cancer Institute, Boston, Massachusetts, 02215, United States