Gynecologic CancerNCT06070363
Effectiveness of Manual Acupuncture and Standard Therapy Compared to Standard Therapy in Gynecological Cancer Pain
A study testing Manual Acupuncture in people with Gynecologic Cancer and Cancer Related Pain, run by Universitas Indonesia at 4 sites in Indonesia.
Trial summary
Cancer patients experience cancer pain as much as 66%. Cancer pain is pain that occurs in patients with neoplastic/malignancy and the source of the pain can come from malignant processes, treatments such as radiotherapy, chemotherapy, and surgery as well as other causes that are not related to malignancy processes. Read more about this study
- Who is it for?
- Ages 18 to 65 years, women only
- Conditions the study is for
- Gynecologic Cancer, Cancer Related Pain, Cancer Pain
- What is being tested?
- Manual Acupuncture
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 58 participants
- Where
- 4 sitesIndonesia
- Study dates
- 29 Aug 2023to 19 Dec 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Female 18 to 65 years old
- Gynecocal cancer with pain ≥ 4 acording Visual Analog scale and receive analgetic medicine
- The pain cause by
- direct from cancer
- Treatment proces surgery, radiotherapy, chemotherapy, paliatif treatment, supportive treatment
- Adverse reaction form treatment and intoxication
Who cannot join
- emergency case patient with hemodynamic instable
- patient with uncooperative behavior because ith serious psychological disorders, no currently undergoing psychiatric treatment, aggressive behavior, that not allowed for acupuncture.
- Patients with blood clotting disorders, with platelets <50.000 and in neutropenic condition with <1000 neutrophils.
- The patient has an allergy to stainless steel acupuncture needles. Wounds at the acupuncture point puncture sites, skin infections in the ears. On patients with eczema on the ears, external otitis or psoriasis.
- There is a tumor in the area that will be stabbed and stimulated in the stomach pregnant women, close to the heart, or in the area of the carotid sinus lymphedema, insertion into the prosthesis.
- Patients with heart rhythm disorders. The patient uses a pace maker.
Trial locations and contacts
4 sites in 1 country.
Indonesia4 sites
Fatmawati Hospital
Jakarta, Dki Jakarta, 10430
Persahabatan Hospital
Jakarta, Dki Jakarta, 13230
Suryamin Hung
Jakarta, DKI Jakarta, 14250
Cipto Mangunkusumo Hospital
Jakarta Pusat, Dki Jakarta, 10430
About this study
Cancer patients experience cancer pain as much as 66%. Cancer pain is pain that occurs in patients with neoplastic/malignancy and the source of the pain can come from malignant processes, treatments such as radiotherapy, chemotherapy, and surgery as well as other causes that are not related to malignancy processes. Unresolved pain can reduce the quality and life expectancy of cancer pain patients. The prevalence of cancer itself in Indonesia, the case of cervical cancer itself ranks second after breast cancer. In recent decades, acupuncture analgesics have been widely used to relieve cancer pain, and can also reduce the dose and side effects of analgesics. However, substantially the use of acupuncture in cancer pain is still very rare.
Read the detailed description
The main outcome is to analyze the effectiveness of manual acupuncture therapy (LI4,PC6, LR3,ST36, and SP6 plus standard therapy on pain intensity (VAS score), changes in analgesic dose, and quality of life (QLQ C-30 EORTC score) in patients with gynecological cancer pain compared to standard therapy alone.
The patient will attempt 3-day manual acupuncture therapy with seven days follow up Patient will receive acupuncture therapy daily for 3 days, for 15 minute each day.
The research design in this study was a single-blinded randomized control clinical trial. With outcome measures for
With Subject criteria:
Inclusion Criteria
- The patient is diagnosed with gynecological cancer
- Women over 18 years to 65 years
- Subjects experiencing cancer pain, with VAS ≥4, namely pain caused by:
- tumors,
- before or during a therapeutic process (radiation therapy, chemotherapy, or post-surgery)
- side effect or the result of toxicity of cancer treatment
- Supportive therapy (palliative therapy, painkillers, antidepressants)
- Willing to participate in this study and sign an informed consent Exclusion Criteria
- The patient has a medical emergency / hemodynamically unstable 2) Patients with contraindications for manual acupuncture procedures such as wounds and infections at the point where the puncture will be performed, patients allergic to stainless steel62 3) Uncooperative patients (patients with negative and aggressive affect, who do not allow acupuncture therapy) 4) There is a tumor in the area that will be stabbed and stimulated in the pregnant woman's abdomen, close to the heart, or around the carotid sinus, lymphedema, needle insertion into the prosthesis 5) Patients with heart rhythm disorders 6) The patient uses a pacemaker 7) Patients with disorders of the auricle such as eczema, external otitis, and psoriasis 8) Patients with blood clotting disorders, with platelets <50,000, and in neutropenic conditions with neutrophils <1000
- Conditions
- Gynecologic Cancer, Cancer Related Pain, Cancer Pain, Acupuncture
- Being tested
- Manual Acupuncture
- Keywords
- acupuncture, Manual Acupuncture, Cancer Pain, Cancer Related Pain, Gynecologic Cancer
- Medical subject headings
- Cancer Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Manual AcupunctureOther
Acupuncture Needle Insertion
| Study group | Role | What they receive |
|---|---|---|
| Control | No intervention | The Patient are cancer patient that experience cancer pain that only receive analgetic drug treatment according to WHO Stepledder of Pain |
| Manual acupuncture and standard Therapy | Experimental | The Patient are cancer patient that experience cancer paint that receive analgetic drug treatement according WHO stepledder of pain and receive manual acupuncture Receives: Other: Manual Acupuncture |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain severity with Visual Analog Scale
Visual Analog Scale (VAS) that score 0 is no pain to 100 the worse pain A higher scale means worse outcomes
Measured: Before treatment, After treatment in day 1, day 2, day 3, day 5 and day 7
Secondary outcomes (2)
Quality of Life with European Organisation for Research and Treatment of Cancer Quality of Life C30
European Organisation for Research and Treatment of Cancer Quality of Life C30, that include two item of review functional scale and the global health scale both scale the higher the score the outcome will be better
Measured: before treatment and 7 day after treatment
Analgetic Usage in dosage and frequency
Description of analagetic dosage and frequency during observation that will be describe as medicine category opioid non opioid, dosage and frequency
Measured: Before treatment, After treatment in day 1, day 2, day 3, day 5 and day 7
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2023
- Study start29 Aug 2023
- Primary completion19 Dec 2023
- Study completion19 Dec 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gynecologic CancerStudies of the same condition, open and under way.
- More trials run by Universitas IndonesiaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 58 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universitas Indonesia
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Suryamin Suryamin, Universitas Indonesia
- Investigators
- Suryamin Suryamin, Study director, Universitas Indonesia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06070363
- Sponsor's protocol ID
- 23-06-1047
- Status last verified
- Jan 2024
- First submitted
- 31 Aug 2023
- Last updated
- 29 Jan 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Jan 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Manual Acupuncture and Standard Therapy Compared to Standard Therapy in Gynecological Cancer Pain
- ClinicalTrials.gov ID
- NCT06070363
- Acronym / sponsor ID
- 23-06-1047
- Conditions
- Gynecologic Cancer, Cancer Related Pain, Cancer Pain, Acupuncture
- Keywords
- acupuncture, Manual Acupuncture, Cancer Pain, Cancer Related Pain, Gynecologic Cancer
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 58 participants (actual)
- Lead sponsor
- Universitas IndonesiaUniversity, hospital or other
- Study start
- 29 Aug 2023 (actual)
- Primary completion
- 19 Dec 2023 (actual)
- Study completion
- 19 Dec 2023 (actual)
- First posted
- 6 Oct 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Cancer patients experience cancer pain as much as 66%. Cancer pain is pain that occurs in patients with neoplastic/malignancy and the source of the pain can come from malignant processes, treatments such as radiotherapy, chemotherapy, and surgery as well as other causes that are not related to malignancy processes. Unresolved pain can reduce the quality and life expectancy of cancer pain patients. The prevalence of cancer itself in Indonesia, the case of cervical cancer itself ranks second after breast cancer. In recent decades, acupuncture analgesics have been widely used to relieve cancer pain, and can also reduce the dose and side effects of analgesics. However, substantially the use of acupuncture in cancer pain is still very rare.
Detailed description
The main outcome is to analyze the effectiveness of manual acupuncture therapy (LI4,PC6, LR3,ST36, and SP6 plus standard therapy on pain intensity (VAS score), changes in analgesic dose, and quality of life (QLQ C-30 EORTC score) in patients with gynecological cancer pain compared to standard therapy alone.
The patient will attempt 3-day manual acupuncture therapy with seven days follow up Patient will receive acupuncture therapy daily for 3 days, for 15 minute each day.
The research design in this study was a single-blinded randomized control clinical trial. With outcome measures for
With Subject criteria:
Inclusion Criteria
- The patient is diagnosed with gynecological cancer
- Women over 18 years to 65 years
- Subjects experiencing cancer pain, with VAS ≥4, namely pain caused by:
- tumors,
- before or during a therapeutic process (radiation therapy, chemotherapy, or post-surgery)
- side effect or the result of toxicity of cancer treatment
- Supportive therapy (palliative therapy, painkillers, antidepressants)
- Willing to participate in this study and sign an informed consent Exclusion Criteria
- The patient has a medical emergency / hemodynamically unstable 2) Patients with contraindications for manual acupuncture procedures such as wounds and infections at the point where the puncture will be performed, patients allergic to stainless steel62 3) Uncooperative patients (patients with negative and aggressive affect, who do not allow acupuncture therapy) 4) There is a tumor in the area that will be stabbed and stimulated in the pregnant woman's abdomen, close to the heart, or around the carotid sinus, lymphedema, needle insertion into the prosthesis 5) Patients with heart rhythm disorders 6) The patient uses a pacemaker 7) Patients with disorders of the auricle such as eczema, external otitis, and psoriasis 8) Patients with blood clotting disorders, with platelets <50,000, and in neutropenic conditions with neutrophils <1000
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control | No intervention | –The Patient are cancer patient that experience cancer pain that only receive analgetic drug treatment according to WHO Stepledder of Pain |
| Manual acupuncture and standard Therapy | Experimental | Other: Manual AcupunctureThe Patient are cancer patient that experience cancer paint that receive analgetic drug treatement according WHO stepledder of pain and receive manual acupuncture |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Female 18 to 65 years old
- Gynecocal cancer with pain ≥ 4 acording Visual Analog scale and receive analgetic medicine
- The pain cause by
Key exclusion criteria (6 listed)
- emergency case patient with hemodynamic instable
- patient with uncooperative behavior because ith serious psychological disorders, no currently undergoing psychiatric treatment, aggressive behavior, that not allowed for acupuncture.
- Patients with blood clotting disorders, with platelets <50.000 and in neutropenic condition with <1000 neutrophils.
- The patient has an allergy to stainless steel acupuncture needles. Wounds at the acupuncture point puncture sites, skin infections in the ears. On patients with eczema on the ears, external otitis or psoriasis.
- There is a tumor in the area that will be stabbed and stimulated in the stomach pregnant women, close to the heart, or in the area of the carotid sinus lymphedema, insertion into the prosthesis.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Manual AcupunctureAcupuncture Needle Insertion | Other | Manual acupuncture and standard Therapy |
Primary outcome
Pain severity with Visual Analog Scale
Time frame: Before treatment, After treatment in day 1, day 2, day 3, day 5 and day 7
Visual Analog Scale (VAS) that score 0 is no pain to 100 the worse pain A higher scale means worse outcomes
2 secondary outcomes
Quality of Life with European Organisation for Research and Treatment of Cancer Quality of Life C30
Time frame: before treatment and 7 day after treatment
Analgetic Usage in dosage and frequency
Time frame: Before treatment, After treatment in day 1, day 2, day 3, day 5 and day 7
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jan 2024.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Suryamin Suryamin study director
Universitas Indonesia
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Manual Acupuncture in people with Gynecologic Cancer and Cancer Related Pain, run by Universitas Indonesia at 4 sites in Indonesia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Jan 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain severity with Visual Analog Scale (time frame: Before treatment, After treatment in day 1, day 2, day 3, day 5 and day 7). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2024.