Pilot Study of Hydroxychloroquine for the Treatment of AIMSS

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorIndiana University

About this trial

The purpose of this study is to evaluate the effectiveness of hydroxychloroquine sulfate (a type of drug commonly used to treat joint pain caused by inflammation, swelling) in reducing joint pain associated with Aromatase Inhibitor Associated Musculoskeletal Syndrome (AIMSS) for patients with breast cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years at the time of informed consent

Ability to provide written informed consent and HIPAA authorization

Diagnosis of DCIS or stage I, II, or III breast cancer

Currently receiving adjuvant aromatase inhibitor therapy (anastrozole, letrozole or exemestane) for ≥ 4 weeks prior to enrollment Note: Concurrent use of ovarian suppression is allowed Note: Concurrent use of CDK4/6 inhibitors is not allowed due to cytopenia risk

Disqualifiers

Current or prior use of hydroxychloroquine or chloroquine within 6 months

Known hypersensitivity to hydroxychloroquine, chloroquine, or 4-aminoquinoline compounds

History of retinopathy or retinal vein occlusion issues Note: While there is an association between retinopathy and HCQ use, this occurs rarely and with long term use with higher cumulative doses that used here. Other clinical trials have not required retinal exam (example: CTO-TBCRC04627, approved by IU IRB)

History of congestive heart failure (any NYHA class)

Trial design

Design model

Single group

Treatments tested in this trial

  • Hydroxychloroquine Sulfate (HCQ)

    Drug

    Drug: Hydroxychloroquine sulfate Dose: 400 mg orally once daily Duration: 12 weeks

Treatment groups

35 Participants
are divided into 1 treatment group
Group A: Hydroxychloroquine sulfateExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

To evaluate the efficacy of hydroxychloroquine

To evaluate the efficacy of hydroxychloroquine 400 mg daily in reducing joint pain associated with AIMSS as measured by change in Brief Pain Inventory (BPI) Average Pain score (scored from 0-10; a minimally important difference is a 2-point reduction or 30% from baseline).

Time frame
Day 1 and Week 12

Secondary outcomes

1

Proportion of patients achieving a clinically meaningful improvement

To assess the proportion of patients achieving a clinically meaningful improvement (≥2-point reduction) in BPI Average Pain score.

Time frame
Day 1 and Week 12
2

Changes in BPI Worst Pain and Pain Interference scores

To evaluate changes in BPI Worst Pain and Pain Interference scores (scored from 0-10; a minimally important difference is a 2-point reduction or 30% from baseline).

Time frame
Day 1 and Week 12
3

Changes in endocrine therapy related quality of life

To assess changes in endocrine therapy related quality of life by FACT-ES (5 point Likert-type scale).

Time frame
Day 1 and Week 12
4

Changes in grip strength

To assess changes in grip strength as an objective measure of function using Jamar hand dynamometers (scale of 0-200lbs).

Time frame
Day 1 and Week 12

Other outcomes

Sponsors and contacts

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Indiana University

Lead sponsor

100 Voices of Hope

Collaborator

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