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Acupuncture for Pain Control in Patients With Inoperable Pancreatic Cancer


2015-03


2020-03-01


2020-03-01


1

Study Overview

Acupuncture for Pain Control in Patients With Inoperable Pancreatic Cancer

Pancreatic cancer is the sixth most common cause of cancer death in Hong Kong. Patients suffering from pancreatic cancer are associated with a poor prognosis and survival of less than one year is expected in inoperable tumours (1). Management of these patients would be towards palliation of symptoms. Severe pain occurs in 50 to 70% of the patients and this "intractable" pain is often difficult to treat (2). Pain management is a major part of the comprehensive therapy in patients with pancreatic cancer, and it also affects their quality of life. Electroacupuncture seems to be a promising way to control the cancer pain and reduce the dose and side effects of pain killers including opioid. This study aimed to investigate the efficacy and safety of electroacupuncture in reducing pancreatic cancer pain in patients suffering from inoperable pancreatic cancer.

Patients suffering from pancreatic cancer are associated with a poor prognosis and survival of less than one year is expected in inoperable tumours. Management of these patients would be towards palliation of symptoms. Severe pain occurs in 50 to 70% of the patients and this "intractable" pain is often difficult to treat. Pain management is a major part of the comprehensive therapy in patients with pancreatic cancer, and it also affects their quality of life. Different pharmacological agents have been used in the past to control this pain and these include non-steroidal anti-inflammatory drugs and narcotic agents. However, these agents are associated with their own adverse effects and may further impair quality of life. Radiotherapy and celiac plexus neurolysis also can relieve the cancer pain, patients' responses are often variable and difficult to predict. Recently, more and more studies were focused on the acupuncture for cancer pain. Electroacupuncture (EA) analgesia seems to be a promising way to control the cancer pain and reduce the dose and side effects of analgesics. The latest review in 2012 showed that acupuncture might be an effective analgesic adjunctive method for cancer pain after concluding the results of 15 randomized-control trials. Nevertheless, studies focused on patients with pancreatic cancer and results from randomized trials are lacking. This study aims to investigate the efficacy and effectiveness of EA analgesia for patients with inoperable pancreatic cancer.

  • Cancer of Pancreas
  • Pain
  • PROCEDURE: Electroacupuncture
  • EA_CA pancreas

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2014-12-23  

N/A  

2020-07-15  

2015-01-05  

N/A  

2020-07-17  

2015-01-07  

N/A  

2020-07  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
Triple


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: Electroacupuncture

A Hong Kong registered Chinese Medicine practitioner will give Electroacupuncture treatments. Patients will be treated in a comfortable prone position. Jiaji (Ex-B2) points form T8 to T12 bilaterally are chosen based on traditional Chinese medicine (TCM)

PROCEDURE: Electroacupuncture

  • Electroacupuncture (EA) has been used as a part of Traditional Chinese Medicine (TCM) and the benefits and success of EA as a viable treatment option for acute and chronic pain of various origins have been well-recognised.electro-acupuncture (EA) is taken
SHAM_COMPARATOR: Sham

For placebo acupuncture, sham placebo acupuncture needles (DongBang AcuPrime Acupuncture Inc., South Korea) will be used. Its validity and credibility have been well demonstrated. The needles with blunt tips are quickly put onto the same points used in th

PROCEDURE: Electroacupuncture

  • Electroacupuncture (EA) has been used as a part of Traditional Chinese Medicine (TCM) and the benefits and success of EA as a viable treatment option for acute and chronic pain of various origins have been well-recognised.electro-acupuncture (EA) is taken
Primary Outcome MeasuresMeasure DescriptionTime Frame
pain scores in numeric rating scale (NRS)Pain Score1 Month after Procedure
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Procedural discomfortDiscomfort feeling on visual analog scale (from 0 which implies no discomfort at all, to 100 which implies the worst discomfort imaginable)Day 0 after procedure
Willingness to repeat procedurePatient's willingness to repeat the procedure1 Month after Procedure
Morbidities related to the proceduresMorbidities related to the procedures1 Month after Procedure
Quality of Life scoresQuality of Life1 Month after Procedure

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. All patients ≥ 18 years old with cytology or histology confirmed pancreatic cancer 2. Abdominal pain typical for pancreatic cancer 3. Inoperability of pancreatic cancer as demonstrated by computed tomography (CT), positron emission tomography (PET) scan or endoscopic ultrasonography (EUS). 4. Informed consent available
    Exclusion Criteria:
    1. Patients who are allergic to the acupuncture needles 2. Coagulopathy (prolongation of prothrombin time > 18 sec, thrombocytopenia <80,000 platelets/ml) 3. Another cause for abdominal pain such as pseudocyst, ulcer or other intra-abdominal disorder 4. Had been treated by acupuncture for pancreatic cancer within 1 year 5. Potential patient noncompliance (refusing to follow schedule of events) 6. Active alcohol or other drug use or significant psychiatric illness 7. Expected survival less than 3 months 8. Unable to give informed consent

Collaborators and Investigators

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Publications

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General Publications

No publications available