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Pilot Study of Hydroxychloroquine for the Treatment of AIMSS

Aromatase Inhibitor Associated Musculoskeletal Symptoms (AIMSS) · Joint Pain · Breast Cancer

LO ESENCIAL

De qué trata este estudio

El registro indica que este estudio recluta participantes. La disponibilidad puede variar por centro.

Tipo de estudio
De intervención
Fase
Fase 2
Rango de edad
18 años - No especificado
Sexo admitido
Todos los sexos
Voluntarios sanos
No aceptados
Participantes
35 Estimado

Estos son puntos de partida, no una decisión de elegibilidad. El equipo debe revisar todos los requisitos.

Las explicaciones y la navegación están en español. Los textos proporcionados por el registro, incluidos títulos, resúmenes y criterios, se conservan en su idioma original. Puedes pedir orientación en español a WCR.

Acerca de la investigación

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.

Leer la descripción completa

Aromatase Inhibitor (AI) therapy is highly effective for post-menopausal, estrogen receptor (ER) positive breast cancer, yet the clinical effectiveness of AI therapy is limited by noncompliance and early treatment discontinuation due to musculoskeletal side effects, which include joint pain, joint stiffness, bone pain, muscle weakness, and myalgias. Methods to improve compliance to AI therapy have the potential to increase survival.

This study will look at hydroxychloroquine (HCQ), a disease-modifying antirheumatic drug (DMARD) with well-established anti-inflammatory and immunomodulatory properties. It is FDA-approved for the treatment of conditions characterized by chronic inflammatory joint pain similar to AIMSS. This single-arm, proof of concept study will look for an improvement in joint pain for patients undergoing standard of care treatment involving AI therapy.

¿Quién podría participar?

La lista siguiente contiene el texto del patrocinador. Puede incluir condiciones, tratamientos previos, resultados de pruebas y otros requisitos. Aparecer en tu búsqueda no significa que califiques.

Inclusion Criteria:

1. Age ≥ 18 years at the time of informed consent
2. Ability to provide written informed consent and HIPAA authorization
3. Diagnosis of DCIS or stage I, II, or III breast cancer
4. 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
5. New or worsening self-reported musculoskeletal pain that began or significantly worsened after initiation of AI therapy
6. BPI average pain score of ≥ 4 during screening
7. ECOG PS 0-2
8. Adequate organ function:

1. Absolute neutrophil count ≥1,500/µL
2. Hemoglobin ≥11.0 g/dL
3. Platelet count ≥100,000/µL
4. Serum creatinine ≤1.5× upper limit of normal (ULN) or eGFR ≥60 mL/min/1.73m2
5. Total bilirubin ≤1.5× ULN (except in patients with documented Gilbert's disease, who must have a total bilirubin \< 3.0 mg/dL)
6. AST and ALT ≤1.5× ULN
9. Must agree to maintain stable doses of any analgesic medications or other AIMSS related therapies during the study period Note: rescue doses of acetaminophen or ibuprofen allowed on a non-daily basis, unless not new

Exclusion Criteria:

1. Current or prior use of hydroxychloroquine or chloroquine within 6 months
2. Known hypersensitivity to hydroxychloroquine, chloroquine, or 4-aminoquinoline compounds
3. 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)
4. History of congestive heart failure (any NYHA class)
5. QTc prolongation (\>450 msec) at screening or history of significant arrhythmias requiring treatment
6. Moderate to severe renal impairment (eGFR \<60 mL/min/1.73m2)
7. Use of a prohibited concomitant medication (refer to Section 6.3.2) that cannot be discontinued or changed to an alternate therapy
8. Known glucose-6-phosphate dehydrogenase (G6PD) deficiency
9. History of porphyria
10. History of psoriasis
11. History of antiepileptic medications
12. Known history of inflammatory arthritis (example: rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis) or connective tissue disease (example: systemic lupus erythematosus, scleroderma, polymyositis)
13. Recent initiation or dose change (within 4 weeks) of medications for pain management (NSAIDs, duloxetine, gabapentin, pregabalin, opioids) Note: Patients on stable doses for \>4 weeks are eligible
14. Patients currently receiving or planned to receive high dose systemic treatment with corticosteroids defined as: cortisone \>50mg; hydrocortisone \>40mg, prednisone \>10mg, methylprednisolone \>8mg or dexamethasone \>1.5mg; or another immunosuppressive agent Note: Topical or inhaled corticosteroids are allowed
15. Other active malignancy other than breast cancer requiring systemic therapy
16. Pregnant or lactating
17. Co-enrollment in another clinical trial Note: Patients may co-enroll in other clinical trial(s) if the trial(s) does not interfere with the objectives of this trial
18. Significant psychiatric illness, in the opinion of the investigator, that would limit compliance with study requirements
19. Any active suicidality or history of active suicidal ideation/behavior/attempt within 1 year prior to screening
20. Any other condition that, in the opinion of the investigator, would make the patient unsuitable for study participation

Entiende la evaluación inicial

Tratamiento, grupos y participación

El registro puede describir tratamientos y duración sin incluir un calendario completo. Pide al equipo las visitas, procedimientos, riesgos, costos y alternativas. Mantén tu atención habitual salvo que tu médico te indique un cambio.

Asignación
No aplica
Enmascaramiento
Sin enmascaramiento
Hydroxychloroquine sulfate

Hydroxychloroquine sulfate, 400 mg orally once daily

Drug: Hydroxychloroquine Sulfate (HCQ)

Hydroxychloroquine Sulfate (HCQ) DRUG

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

Prepara tus preguntas

Qué evalúan los investigadores

Estas medidas indican qué se estudia. No prueban que un tratamiento funcione.

Medidas principales

To evaluate the efficacy of hydroxychloroquine

Plazo: Day 1 and Week 12

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).

Medidas secundarias

Proportion of patients achieving a clinically meaningful improvement

Plazo: Day 1 and Week 12

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

Changes in BPI Worst Pain and Pain Interference scores

Plazo: Day 1 and Week 12

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).

Changes in endocrine therapy related quality of life

Plazo: Day 1 and Week 12

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

Changes in grip strength

Plazo: Day 1 and Week 12

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

Patient-reported global impression of change

Plazo: Week 12

To evaluate patient-reported global impression of change using the Patient Global Impression of Change (PGIC) (scale 0-6, 6 being the worst outcome).

Safety of hydroxychloroquine in this patient population

Plazo: Day 1, Week 4, Week 12, 30 days post EOT

To assess safety of hydroxychloroquine in this patient population using NCI CTCAE v5.0 (grade 1-5, 5 being the worst outcome).

Tolerability of hydroxychloroquine in this patient population

Plazo: Day 1, Week 4, Week 12, 30 days post EOT

To assess tolerability of hydroxychloroquine in this patient population via number of patients who completed treatment.

Adherence to aromatase inhibitor therapy

Plazo: Screening, Day 1, and Week 12

To evaluate adherence to aromatase inhibitor therapy during the study period via number of patients who completed treatment based on self-report.

El registro no indica resultados publicados.

Revisa las tablas completas y sus limitaciones en el registro oficial.

Abrir resultados oficiales ↗

Centros de investigación (1)

El estado general puede diferir del estado de un centro. Confirma la disponibilidad antes de trasladarte.

1 centros

Indiana University Melvin and Bren Simon Comprehensive Cancer CenterIndianapolis, Indiana, United StatesReclutando
Niraj Shah, MSCONTACTshahnir@iu.edu317-278-3420
Tarah Ballinger, MDPRINCIPAL_INVESTIGATOR
Ver ubicación en el mapa ↗

Equipo y fechas

Patrocinador principal
Indiana University
Inicio del estudio
19 oct 2026 Real
Finalización primaria
2029-12 Estimado
Finalización del estudio
2029-12 Estimado
Primera publicación
17 sept 2026 Real
Última actualización
10 nov 2026 Real

Contactos oficiales del estudio

Niraj Shah, MSCONTACTshahnir@iu.edu317-278-3420
Título oficial del estudio

A Phase II Single-Arm Pilot Study of Hydroxychloroquine for the Treatment of Aromatase Inhibitor-Associated Musculoskeletal Syndrome

EL PRÓXIMO PASO, CON APOYO HUMANO

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Fuente: API v2 de ClinicalTrials.gov. Patrocinadores e investigadores envían la información. La NLM no aprueba la seguridad ni la ciencia de todos los estudios registrados. Aviso del registro.

Consultado: 12 nov 2026 · Última actualización del registro: 10 nov 2026