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Acupuncture in Reducing the Severity of Chemoradiation-induced Mucositis in Patients With Oropharyngeal Cancer (GCC1229)

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.
 
ClinicalTrials.gov Identifier: NCT01883908
Recruitment Status : Terminated (The project is terminated due to that fact that the PI has moved to another institution and there are no resources to keep the study open in either institution.)
First Posted : June 21, 2013
Results First Posted : October 7, 2015
Last Update Posted : November 7, 2019
Sponsor:
Information provided by (Responsible Party):
University of Maryland, Baltimore

Tracking Information
First Submitted Date  ICMJE March 13, 2013
First Posted Date  ICMJE June 21, 2013
Results First Submitted Date  ICMJE April 21, 2015
Results First Posted Date  ICMJE October 7, 2015
Last Update Posted Date November 7, 2019
Study Start Date  ICMJE December 2012
Actual Primary Completion Date June 2014   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 19, 2013)
  • Side Effects of Acupuncture Treatment [ Time Frame: 16 weeks ]
    All acupuncture side effects will be recorded
  • Number of Patients Completing Acupuncture Treatment [ Time Frame: 16 weeks ]
    Feasibility is defined as greater than 80% patients in the trial completing at least 4 acupuncture sessions.
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE
 (submitted: June 19, 2013)
  • Change in severity of chemoradiation induced oral mucositis [ Time Frame: Week 8 ]
    Change in severity of chemoradiation-induced oral mucositis (CRIOM) after 8 weeks of acupuncture in patients with oropharyngeal cancer as measured by the patient measured by the area under the curve (AUC) for the peak mouth and throat soreness (MTS) subscale
  • Incidence of oral mucositis according to NCI-CTCAE v3.0 [ Time Frame: Week 8 ]
    Incidence of oral mucositis as assessed by the investigators according NCI-CTCAE v3.0 after 8 weeks
  • Incidence of mucositis as measured by the Oral Mucositis Assessment Scale (OMAS) [ Time Frame: Week 8 ]
    Incidence of severe oral mucositis as measured by the OMAS after 8 weeks
  • Change in quality of life according to the FACT-G [ Time Frame: week 16 ]
    Change in quality of life in head and neck cancer patients undergoing chemoradiation therapy as measured by the Functional Assessment of Cancer Therapy (FACT-G) ESC QoL after 16 weeks
  • Change in quality of life according to the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue subscale [ Time Frame: week 16 ]
    Change in quality of life as measured by the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue subscale over 16 weeks
  • Changes in serum and saliva proinflammatory cytokine concentrations [ Time Frame: week 16 ]
    Changes in concentration of proinflammatory cytokines in serum and saliva over the 16 weeks in two groups.
  • Frequency of oral analgesic use [ Time Frame: week 16 ]
    Association of acupuncture with frequency of oral analgesic use in patients with CRIOM
  • Area under the curve (AUC) for the peak mouth and throat soreness (MTS) subscale of the Oral Mucositis Daily Questionnaire (OMDQ) [ Time Frame: Week 8 ]
    Severity of chemoradiation-induced oral mucositis (CRIOM) after 8 weeks of acupuncture in patients with oropharyngeal cancer as measured by the patient reported MTS subscale of the OMDQ.
  • Incidence of oral mucositis as assessed by the investigators according to the NCI-CTCAE v3.0 [ Time Frame: Week 8 ]
    Incidence of severe oral mucositis according to the NCI-CTCAE v3.0 after 8 weeks of acupuncture
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Acupuncture in Reducing the Severity of Chemoradiation-induced Mucositis in Patients With Oropharyngeal Cancer
Official Title  ICMJE A Pilot Randomized Controlled Trial to Evaluate the Efficacy and Explore the Mechanism of Acupuncture in Reducing the Severity of Chemoradiation-induced Mucositis in Patients With Oropharyngeal Cancer.
Brief Summary

Patients are asked to be in this study if have oropharyngeal cancer and will be treated with chemotherapy and radiation.

This research is being done to find out if acupuncture can reduce the mouth inflammation and pain caused by chemotherapy and radiation. Chemoradiation may cause mouth inflammation and pain.

Acupuncture is a medical technique of inserting very thin needles into the "energy points" on the body with the aim to restore health and well-being. It has been used widely to treat pain, such as lower back pain and joint pain. In this study we will assess the potential usefulness of acupuncture to decrease the severity of mucositis and mucositis-related mouth and throat pain in patients receiving chemoradiation for oropharyngeal cancer.

Mouth cancer patients receiving chemoradiation who have not had acupuncture within the last one month and who do not have a history of head and neck cancer may join this pilot study.

Detailed Description This is a single-center, randomized controlled pilot clinical trial (n=20) assessing the efficacy, feasibility and safety of acupuncture in reducing the severity of chemoradiation-induced oral mucositis (CRIOM) in patients with oropharyngeal cancer. Participants will be randomized to receive either usual medical care or acupuncture treatment plus usual medical care once a week for 8 weeks coinciding with their chemoradiation treatments. The length of the study will be 16 weeks: 8 weeks of treatment and two follow up visits at 4 weeks and 8 weeks after radiation (weeks 12 and 16). All subjects will receive usual medical care in addition to the study intervention. The Oral Mucositis Daily Questionnaire for Head and Neck Cancer patients (OMDQ) will be used to assess patients' self-reported chemoradiation-induced mucositis severity at baseline (before 1st acupuncture session), and daily throughout the course of radiation, as well as at the 12 and 16 week follow up visits. At baseline, weekly during radiation therapy, and at the 12 and 16 week follow up appointments, patients will complete the Functional Assessment of Cancer Therapy (FACT-G), Esophagus Cancer subscale (ESC) QOL, and the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue subscale questionnaires. Oral mucositis will also be assessed objectively by a trained member of the research team using both the Oral Mucositis Assessment Scale (OMAS) and the National Cancer Institute- Common Toxicity Criteria for Adverse Events (NCI-CTCAE) v3.0 measurement scale once a week for the first two weeks of chemoradiation treatment, then twice a week during weeks three through seven, and additionally once during week 8 and once at the 12 and 16 week follow up visits. Twice weekly measurements correspond to peak severity of mucositis during weeks three to seven, based on previous reports in the literature. Patients will be given a weekly diary to record oral analgesic intake. Lastly, 8 milliliters of blood and a saliva sample will be taken from the subjects at baseline (before 1st acupuncture session), weekly through radiation treatment, and at the week 12 and 16 follow up visits to measure changes in proinflammatory cytokines concentrations.
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Condition  ICMJE
  • Mucositis
  • Oropharyngeal Cancer
Intervention  ICMJE
  • Device: Acupuncture with Seirin® needles
    Participants will be randomized to receive either usual medical care or acupuncture treatment plus usual medical care once a week for 8 weeks coinciding with their chemoradiation treatments. The length of the study will be 16 weeks: 8 weeks of treatment and two follow up visits at 4 weeks and 8 weeks after radiation (weeks 12 and 16).
  • Other: Usual medical care
    usual medical care such as viscous Lidocaine for relief of pain
Study Arms  ICMJE
  • Experimental: Acupuncture with Seirin® needles
    Participants will be randomized to receive acupuncture treatment plus usual medical care once a week for 8 weeks coinciding with their chemoradiation treatments. The length of the study will be 16 weeks: 8 weeks of treatment and two follow up visits at 4 weeks and 8 weeks after radiation (weeks 12 and 16).
    Interventions:
    • Device: Acupuncture with Seirin® needles
    • Other: Usual medical care
  • Active Comparator: Usual medical care
    Participants will be randomized to receive usual medical care for 8 weeks coinciding with their chemoradiation treatments. Patients will receive usual medical care such as viscous Lidocaine for relief of pain.
    Intervention: Other: Usual medical care
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Terminated
Actual Enrollment  ICMJE
 (submitted: September 3, 2015)
4
Original Estimated Enrollment  ICMJE
 (submitted: June 19, 2013)
20
Actual Study Completion Date  ICMJE February 2015
Actual Primary Completion Date June 2014   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Documented diagnosis of oropharyngeal cancer.
  • The patient plans on undergoing external beam radiation with concomitant chemotherapy.
  • Eastern Cooperative Group in Oncology (ECOG) performance status 0-3.
  • Men and women who are ≥ 18 years old
  • The patient is aware of the nature of his or her diagnosis, understands the study regimen, its requirements, risks, and discomforts, and is able and willing to sign an informed consent form.

Exclusion Criteria:

  • Previous history of head and neck cancer.
  • Prior acupuncture within the past month.
  • Pre-existing active oral infection
  • Life expectancy is < 3 months.
  • Plan to go on experimental drug for head and neck cancer in the next 14 weeks.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT01883908
Other Study ID Numbers  ICMJE HP-00053319
GCC1229 ( Other Identifier: University of Maryland Greenebaum Cancer Center )
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Responsible Party University of Maryland, Baltimore
Study Sponsor  ICMJE University of Maryland, Baltimore
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Ting Bao, MD, DABMA University of Maryland Marlene & Stewart Greenebaum Cancer Center
PRS Account University of Maryland, Baltimore
Verification Date November 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP