Trial Outcomes & Findings for Acupuncture in Reducing Chemotherapy-Induced Peripheral Neuropathy in Participants With Stage I-III Breast Cancer (NCT NCT03505671)

NCT ID: NCT03505671

Last Updated: 2022-06-01

Results Overview

Will estimate means and standard deviations by group for the EORTC QLQ-CIPN20 sensory subscale, the correlation between the two measures, and the within-person change. To estimate effect size, we will use an analysis of covariance (ANCOVA) model at week 12, which will include the group and the baseline value. 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. Sensory raw scale scores range from 1 to 36, motor raw scale scores range from 1 to 32, and autonomic raw scale scores range from 1 to 12 for men and 1-8 for women (erectile function item is excluded) \[13\]. All scale scores are linearly converted to a 0-100 scale, with higher scores indicating more symptom burden.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

23 participants

Primary outcome timeframe

Baseline up to week 12

Results posted on

2022-06-01

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1 (Acupuncture)
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Overall Study
STARTED
11
12
Overall Study
COMPLETED
8
11
Overall Study
NOT COMPLETED
3
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1 (Acupuncture)
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Overall Study
Withdrawal by Subject
2
1
Overall Study
Lost to Follow-up
1
0

Baseline Characteristics

Acupuncture in Reducing Chemotherapy-Induced Peripheral Neuropathy in Participants With Stage I-III Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1 (Acupuncture)
n=11 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
51.0 years
STANDARD_DEVIATION 10.6 • n=5 Participants
56.8 years
STANDARD_DEVIATION 12.5 • n=7 Participants
56.5 years
STANDARD_DEVIATION 11.7 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
12 Participants
n=7 Participants
23 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
12 Participants
n=7 Participants
23 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
11 participants
n=5 Participants
12 participants
n=7 Participants
23 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

Will estimate means and standard deviations by group for the EORTC QLQ-CIPN20 sensory subscale, the correlation between the two measures, and the within-person change. To estimate effect size, we will use an analysis of covariance (ANCOVA) model at week 12, which will include the group and the baseline value. 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. Sensory raw scale scores range from 1 to 36, motor raw scale scores range from 1 to 32, and autonomic raw scale scores range from 1 to 12 for men and 1-8 for women (erectile function item is excluded) \[13\]. All scale scores are linearly converted to a 0-100 scale, with higher scores indicating more symptom burden.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=10 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Change in the Sensory Neuropathic Pain Score as Measured by the European Organization of Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Chemotherapy-Induced Peripheral Neuropathy (CIPN) 20 Item (20)
Baseline
16.7 score on a scale
Standard Deviation 3.7
17.5 score on a scale
Standard Deviation 3.0
Change in the Sensory Neuropathic Pain Score as Measured by the European Organization of Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Chemotherapy-Induced Peripheral Neuropathy (CIPN) 20 Item (20)
Week 12
13.7 score on a scale
Standard Deviation 2.7
14.8 score on a scale
Standard Deviation 5.2
Change in the Sensory Neuropathic Pain Score as Measured by the European Organization of Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-Chemotherapy-Induced Peripheral Neuropathy (CIPN) 20 Item (20)
Week 12 - Baseline (Change)
-2.9 score on a scale
Standard Deviation 4.2
-2.5 score on a scale
Standard Deviation 5.8

SECONDARY outcome

Timeframe: Baseline up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

Means and standard deviations will be computed at baseline and week 12 by group, and for the change in the measures, and will also estimate the correlation between the measures at the two time points, and fit ANCOVA models for each outcome. 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. Sensory raw scale scores range from 1 to 36, motor raw scale scores range from 1 to 32, and autonomic raw scale scores range from 1 to 12 for men and 1-8 for women (erectile function item is excluded). All scale scores are linearly converted to a 0-100 scale, with higher scores indicating more symptom burden.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=10 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Change in Motor and Autonomic Pain Subscores on the EORTC QLQ-CIPN20
Baseline EORTC Subscale
11.1 score on a scale
Standard Deviation 3.2
11.3 score on a scale
Standard Deviation 2.1
Change in Motor and Autonomic Pain Subscores on the EORTC QLQ-CIPN20
Week 12 EORTC Subscale
11.0 score on a scale
Standard Deviation 1.8
11.1 score on a scale
Standard Deviation 3.3
Change in Motor and Autonomic Pain Subscores on the EORTC QLQ-CIPN20
Week 12 - Baseline (Change) EORTC Subscale
0.1 score on a scale
Standard Deviation 2.2
-0.1 score on a scale
Standard Deviation 2.7
Change in Motor and Autonomic Pain Subscores on the EORTC QLQ-CIPN20
Baseline EORTC Autonomic Subscale
2.7 score on a scale
Standard Deviation 0.9
2.8 score on a scale
Standard Deviation 0.8
Change in Motor and Autonomic Pain Subscores on the EORTC QLQ-CIPN20
Week 12 - EORTC Autonomic Subscale
2.4 score on a scale
Standard Deviation 0.7
2.3 score on a scale
Standard Deviation 0.5
Change in Motor and Autonomic Pain Subscores on the EORTC QLQ-CIPN20
Week 12 - Baseline EORTC Autonomic Subscale
-0.3 score on a scale
Standard Deviation 1.1
-0.5 score on a scale
Standard Deviation 0.9

SECONDARY outcome

Timeframe: Baseline up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

Means and standard deviations will be computed at baseline and week 12 by group, and for the change in the measures, and will also estimate the correlation between the measures at the two time points, and fit ANCOVA models for each outcome. The CTCAE measure of CIPN will be assessed using frequencies of grade by time point (baseline, week 12), as well as whether the grade of CIPN increased, decreased or remained stable. A Fisher's Exact test will be used to compare the groups at each time point and for the change during the study period.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=10 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Severity (None 1)
4 Participants
2 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Severity (Mild 2)
3 Participants
8 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Severity (Moderate 3)
2 Participants
1 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Severity (Severe 4)
1 Participants
1 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Severity (Very severe 5)
0 Participants
0 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Severity (None 1)
1 Participants
2 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Severity (Mild 2)
6 Participants
4 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Severity (Moderate 3)
2 Participants
3 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Severity (Severe 4)
0 Participants
0 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Severity (Very severe 5)
0 Participants
0 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Interference - Not at all (1)
4 Participants
1 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Interference - A little bit (2)
2 Participants
7 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Interference - Somewhat (3)
2 Participants
2 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Interference -Quite a bit (4)
2 Participants
2 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Baseline - Numbness or Tingling Interference - Very much (5)
0 Participants
0 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Interference - Not at all (1)
3 Participants
7 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Interference - A little bit (2)
5 Participants
1 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Interference - Somewhat (3)
1 Participants
3 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Interference - Quite a bit (4)
0 Participants
0 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Numbness or Tingling Interference - Very much (5)
0 Participants
0 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Baseline (Change) Numbness or Tingling Severity (Decreased, less than or equal to -1)
5 Participants
7 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Baseline (Change) Numbness or Tingling Severity - Same (0)
3 Participants
1 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Baseline (Change) Numbness or Tingling Severity (Increased, >/= 1)
1 Participants
3 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Baseline (Change) Numbness or Tingling Interference - (Decreased, </= -1)
3 Participants
7 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Baseline (Change) Numbness or Tingling Interference - (Same - 0)
5 Participants
3 Participants
Change in Patient-Reported Outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) Measure of Numbness and Tingling
Week 12 - Baseline (Change) Numbness or Tingling Interference - (Increased, >/= -1)
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

The CTCAE measure of CIPN will be assessed using frequencies of grade by time point (baseline, week 12), as well as whether the grade of CIPN increased, decreased or remained stable. A Fisher's Exact test will be used to compare the groups at each time point and for the change during the study period.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=11 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Baseline - Grade 1 Numbness or Tingling
10 Participants
10 Participants
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Baseline - Grade 2 Numbness or Tingling
1 Participants
2 Participants
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Baseline - Grade 3 Numbness or Tingling
0 Participants
0 Participants
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Week 12 - Grade 1 Numbness or Tingling
7 Participants
9 Participants
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Week 12 Grade 2 Numbness or Tingling
1 Participants
1 Participants
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Week 12 Grade 3 Numbness or Tingling
0 Participants
1 Participants
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Week 12 - Baseline Numbness or Tingling Severity Decreased (</= 1)
0 Participants
0 Participants
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Week 12 - Baseline Numbness or Tingling Severity Same (0)
7 Participants
9 Participants
CIPN as Measured by National Cancer Institute (NCI)-CTCAE 5.0 Grades 1-3 Numbness or Tingling
Week 12 - Baseline Numbness or Tingling Severity Increased (>/= 1)
1 Participants
2 Participants

SECONDARY outcome

Timeframe: Up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

Means and standard deviations will be computed at baseline and week 12 by group, and will also estimate the correlation between the measures at the two time points

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=9 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=10 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Number of Participants With Standard Chemotherapy Dose or Decreased Due to Peripheral Neuropathy
Chemotherapy dose standard
6 Participants
7 Participants
Number of Participants With Standard Chemotherapy Dose or Decreased Due to Peripheral Neuropathy
Chemotherapy dose decreased due to chemotherapy induced peripheral neuropathy
3 Participants
3 Participants

SECONDARY outcome

Timeframe: Up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

Means and standard deviations will be computed at baseline and week 12 by group, and will also estimate the correlation between the measures at the two time points, and fit ANCOVA models for each outcome.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=9 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=11 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Number of Cycles of Completed Chemotherapy
4.4 cycles
Standard Deviation 0.7
4.2 cycles
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention. Treatment ended early for 2 participants in the intervention group, discontinued the intervention

Means and standard deviations will be computed at baseline and week 12 by group, and will also estimate the correlation between the measures at the two time points, and fit ANCOVA models for each outcome.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=9 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Cross Sectional Area (CSA) of Peripheral Nerves as Determined by Ultrasound (Sural and Median)
Baseline - Cross sectional area - sural
3.1 meters squared
Standard Deviation 1.5
2.8 meters squared
Standard Deviation 0.7
Cross Sectional Area (CSA) of Peripheral Nerves as Determined by Ultrasound (Sural and Median)
Baseline - Cross sectional area - median
14.2 meters squared
Standard Deviation 6.3
12.7 meters squared
Standard Deviation 3.3
Cross Sectional Area (CSA) of Peripheral Nerves as Determined by Ultrasound (Sural and Median)
Week 12 - Cross sectional area - sural
3.0 meters squared
Standard Deviation 1.3
3.0 meters squared
Standard Deviation 1.2
Cross Sectional Area (CSA) of Peripheral Nerves as Determined by Ultrasound (Sural and Median)
Week 12 - Cross sectional area - median
14.6 meters squared
Standard Deviation 7.5
11.9 meters squared
Standard Deviation 2.8
Cross Sectional Area (CSA) of Peripheral Nerves as Determined by Ultrasound (Sural and Median)
Week 12 - Baseline - Cross sectional area - sural (Change)
-0.4 meters squared
Standard Deviation 1.0
0.1 meters squared
Standard Deviation 1.3
Cross Sectional Area (CSA) of Peripheral Nerves as Determined by Ultrasound (Sural and Median)
Week 12 - Baseline - Cross sectional area - median (Change)
0.1 meters squared
Standard Deviation 1.5
-1.0 meters squared
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

Means and standard deviations will be computed at baseline and week 12 by group, and will also estimate the correlation between the measures at the two time points, and fit ANCOVA models for each outcome. Nerve conduction studies measure impairment of electrical function in large peripheral nerves and measures amplitude and latency of neuronal signaling. Ranging from 0.1 μm to 20 μm. Reduction in the amplitude indicates axonal damage.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=9 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Baseline - Amplitude (sural)
9.5 micrometers
Standard Deviation 5.0
9.5 micrometers
Standard Deviation 7.6
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Amplitude (sural)
8.8 micrometers
Standard Deviation 3.6
10.9 micrometers
Standard Deviation 7.8
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Baseline Amplitude (sural)
-1.5 micrometers
Standard Deviation 4.6
0.7 micrometers
Standard Deviation 1.8
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Baseline - Amplitude - Tibial, ankle
13.3 micrometers
Standard Deviation 5.6
11.0 micrometers
Standard Deviation 3.8
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Amplitude - Tibial, ankle
12.4 micrometers
Standard Deviation 5.2
11.5 micrometers
Standard Deviation 3.5
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Baseline - Amplitude - Tibial, ankle (Change)
-1.5 micrometers
Standard Deviation 1.9
-0.2 micrometers
Standard Deviation 1.7
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Baseline - Amplitude - Tibial, pop fossa
8.5 micrometers
Standard Deviation 5.2
7.8 micrometers
Standard Deviation 3.7
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Amplitude - Tibial, pop fossa
10.0 micrometers
Standard Deviation 4.4
7.9 micrometers
Standard Deviation 3.0
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Baseline - Amplitude - Tibial, pop fossa (Change)
1.0 micrometers
Standard Deviation 3.4
-0.8 micrometers
Standard Deviation 1.9
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Baseline - Amplitude - median, wrist
9.6 micrometers
Standard Deviation 3.6
10.3 micrometers
Standard Deviation 2.8
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Amplitude - median, wrist
10.1 micrometers
Standard Deviation 4.4
11.2 micrometers
Standard Deviation 2.7
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Baseline - Amplitude - median, wrist (Change)
0.1 micrometers
Standard Deviation 3.3
0.4 micrometers
Standard Deviation 2.4
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Baseline - Amplitude - median, elbow
9.3 micrometers
Standard Deviation 3.7
10.0 micrometers
Standard Deviation 2.8
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Amplitude - median, elbow
9.3 micrometers
Standard Deviation 4.0
10.8 micrometers
Standard Deviation 2.7
Amplitude of Nerve Response Derived From Nerve Conduction Studies (NCS) (Sural, Tibial, and Median)
Week 12 - Baseline Amplitude - median, elbow (Change)
-0.3 micrometers
Standard Deviation 3.1
0.5 micrometers
Standard Deviation 2.3

SECONDARY outcome

Timeframe: Up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

Means and standard deviations will be computed at baseline and week 12 by group, and will also estimate the correlation between the measures at the two time points, and fit ANCOVA models for each outcome.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=9 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Baseline - Latency Sural
3.4 milliseconds
Standard Deviation 0.6
3.4 milliseconds
Standard Deviation 0.6
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Latency Sural
3.4 milliseconds
Standard Deviation 0.6
3.3 milliseconds
Standard Deviation 0.6
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 -Baseline - Latency Sural (Change)
0.0 milliseconds
Standard Deviation 0.7
0.0 milliseconds
Standard Deviation 0.3
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Baseline - Latency tibial, ankle
3.6 milliseconds
Standard Deviation 0.3
4.0 milliseconds
Standard Deviation 0.5
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Latency tibial, ankle
3.6 milliseconds
Standard Deviation 0.5
3.8 milliseconds
Standard Deviation 0.6
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Baseline Latency tibial, ankle (Change)
-0.1 milliseconds
Standard Deviation 0.8
-0.2 milliseconds
Standard Deviation 0.4
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Baseline - Latency tibial, pop
11.5 milliseconds
Standard Deviation 1.0
11.7 milliseconds
Standard Deviation 1.2
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Latency tibial, pop
11.2 milliseconds
Standard Deviation 1.1
11.5 milliseconds
Standard Deviation 1.2
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Baseline Latency tibial, pop
-0.2 milliseconds
Standard Deviation 0.6
0.1 milliseconds
Standard Deviation 0.4
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Baseline - Latency median wrist
4.0 milliseconds
Standard Deviation 1.1
3.7 milliseconds
Standard Deviation 0.5
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Latency median wrist
4.4 milliseconds
Standard Deviation 1.9
3.7 milliseconds
Standard Deviation 0.5
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Baseline Latency median wrist (Change
0.5 milliseconds
Standard Deviation 1.0
-0.1 milliseconds
Standard Deviation 0.4
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Baseline - Latency median elbow
7.8 milliseconds
Standard Deviation 1.5
7.5 milliseconds
Standard Deviation 0.7
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Latency median elbow
8.2 milliseconds
Standard Deviation 2.5
7.5 milliseconds
Standard Deviation 0.7
Distal Latency of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Baseline - Latency median elbow (Change)
0.4 milliseconds
Standard Deviation 1.2
0.0 milliseconds
Standard Deviation 0.6

SECONDARY outcome

Timeframe: Up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention. Two participants in the intervention group discontinued the intervention/treatment earlier than the anticipated 12 weeks time frame.

Means and standard deviations will be computed at baseline and week 12 by group, and will also estimate the correlation between the measures at the two time points, and fit ANCOVA models for each outcome.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=9 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Baseline - Velocity Sural
51.1 meters per second
Standard Deviation 3.0
45.9 meters per second
Standard Deviation 3.8
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Velocity Sural
50.5 meters per second
Standard Deviation 5.6
48.7 meters per second
Standard Deviation 4.2
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Baseline Velocity Sural (Change)
-1.0 meters per second
Standard Deviation 6.6
2.2 meters per second
Standard Deviation 3.6
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Baseline - Velocity Tibial
49.1 meters per second
Standard Deviation 3.3
50.3 meters per second
Standard Deviation 5.1
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Velocity Tibial
51.1 meters per second
Standard Deviation 5.6
49.4 meters per second
Standard Deviation 5.4
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Baseline - Velocity Tibial (Change)
2.1 meters per second
Standard Deviation 4.3
-2.0 meters per second
Standard Deviation 2.3
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Baseline - Velocity Median
55.5 meters per second
Standard Deviation 3.7
54.2 meters per second
Standard Deviation 4.1
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
12 Weeks - Velocity Median
55.3 meters per second
Standard Deviation 5.9
55.5 meters per second
Standard Deviation 2.8
Conduction Velocity of Nerve Response Derived From NCS (Sural, Tibial, and Median)
Week 12 - Baseline - Velocity Median (Change)
-0.6 meters per second
Standard Deviation 5.3
0.1 meters per second
Standard Deviation 2.9

SECONDARY outcome

Timeframe: Up to week 12

Population: Number of participants analyzed may differ due to participants being lost to follow up or withdrawing from intervention.

Means and standard deviations will be computed at baseline and week 12 by group, and will also estimate the correlation between the measures at the two time points, and fit ANCOVA models for each outcome.

Outcome measures

Outcome measures
Measure
Group 1 (Acupuncture)
n=4 Participants
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=7 Participants
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Nerve Fiber Density in the Skin
Baseline - Nerve fiber density, distal leg
7.8 fibers per millimeter
Standard Deviation 3.2
8.3 fibers per millimeter
Standard Deviation 3.3
Nerve Fiber Density in the Skin
Week 12 - Nerve fiber density, distal leg
3.5 fibers per millimeter
Standard Deviation 0.7
4.3 fibers per millimeter
Standard Deviation 1.7
Nerve Fiber Density in the Skin
Week 12 - Baseline - Nerve fiber density, distal leg
-5.1 fibers per millimeter
Standard Deviation 2.8
-4.5 fibers per millimeter
Standard Deviation 3.0

Adverse Events

Group 1 (Acupuncture)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group 2 (Usual Care)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group 1 (Acupuncture)
n=11 participants at risk
Participants undergo 8 45-minute acupuncture treatments over 10 weeks. Acupuncture Therapy: Undergo acupuncture therapy Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Group 2 (Usual Care)
n=12 participants at risk
Participants receive usual care. Best Practice: Receive usual care Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies
Injury, poisoning and procedural complications
Bruising
0.00%
0/11 • 12 weeks
8.3%
1/12 • Number of events 1 • 12 weeks

Additional Information

Nancy Avis, PhD

Wake Forest Baptist Comprehensive Cancer Center

Phone: 336-713-5440

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place