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Not yet recruitingNCT07934173PRT-BCUpdated Nov 12, 2026

Study of Oncology-Adapted Pain Reprocessing Therapy for Aromatase Inhibitor Associated Musculoskeletal Symptoms in Breast Cancer Survivors

An interventional study of Pain Reprocessing Therapy (PRT) in Aromatase Inhibitor Therapy, Ductal Carcinoma in Situ and Hormone Receptor-positive Breast Cancer, sponsored by University of Michigan Rogel Cancer Center. Not yet recruiting. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by University of Michigan Rogel Cancer Center · Not applicable, Interventional, and Supportive care

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this study is to evaluate the feasibility, acceptability, and preliminary clinical effects of an oncology-adapted Pain Reprocessing Therapy (PRT) intervention for women with aromatase inhibitor-associated musculoskeletal symptoms (AIMSS). AIMSS is a common complication of aromatase inhibitor therapy for estrogen receptor-positive breast cancer and is associated with chronic pain, functional impairment, and premature discontinuation of endocrine therapy. The study will evaluate whether a six-session, manualized PRT intervention delivered remotely by trained palliative care therapists is feasible to implement and shows preliminary evidence of improving pain and physical function.

02

Conditions studied

  • Aromatase Inhibitor Therapy
  • Ductal Carcinoma in Situ
  • Hormone Receptor-positive Breast Cancer
03

In context

Carcinoma, Intraductal, Noninfiltrating

285 studies on the registry are indexed under Carcinoma, Intraductal, Noninfiltrating; 54 are open to participants now.

This study's planned enrollment of 44 is below the median of 66 across 207 interventional studies indexed under Carcinoma, Intraductal, Noninfiltrating.

Browse Carcinoma, Intraductal, Noninfiltrating studies →

Lead sponsor

University of Michigan Rogel Cancer Center is the lead sponsor of 325 studies on the registry; 49 are open to participants now.

Of its 46 completed or terminated interventional studies of FDA-regulated products, 31 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • History of ductal carcinoma in situ (DCIS) or Stage I-III estrogen receptor-positive breast cancer.
  • prior to starting AI or receiving luteinizing hormone-releasing hormone (LHRH) agonist therapy.
  • Currently taking aromatase inhibitor therapy - anastrozole, exemestane, or letrozole - for treatment of breast cancer or for chemoprevention.
  • Current aromatase inhibitor therapy for at least 3 weeks and no more than 2 years prior to enrollment.
  • Diagnosis of aromatase inhibitor-associated musculoskeletal symptoms (AIMSS), defined as new or worsening joint pain and/or myalgias since starting aromatase inhibitor therapy,
  • Have had at least 3 months of recovery since the last invasive surgery
  • Adequate home internet access, defined as reliable access to a private internet connection or cellular data service that supports real time two-way audiovisual telehealth visits using the University of Michigan-approved video conferencing platform on a computer tablet or smartphone. Participants must be able to complete study telehealth visits from a private location.

Exclusion criteria

Exclusion Criteria:

  • Evidence of active cancer or progression of disease on most recent imaging, confirmed with the treating oncologist.
  • Planned invasive surgery during Day 0-60, that could interfere with study participation, pain assessment, or functional outcomes.
  • Concurrent inflammatory arthropathy or disorder.
  • Patient self-report or EMR documentation of moderate to severe memory impairment or a dementia diagnosis as these would interfere with the ability to understand and remember key elements of the intervention.
  • Current participation in cognitive behavioral therapy or other psychological therapy for pain, as concurrent pain-focused psychotherapy could confound interpretation of the effects of the study intervention. If they received psychotherapy in the past, they must be at least 30 days from their last session to enroll.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
44 participants (estimated)

Study arms

  • Experimental
    Treatment Arm

    PRT is a form of psychotherapy that incorporates pain neuroscience education (reframing chronic pain as a predominantly safe signal arising from the brain and nervous system rather than as something that only arises from damaged tissues) with mindfulness meditation and graded exposure strategies. . For this study, PRT has been adapted for the oncology and cancer survivorship context, and includes attention to cancer-related uncertainty, fear of recurrence, medical trauma, treatment-related bodily changes, and concerns about pain as a possible signal of cancer progression. The intervention is manualized and delivered over six sessions.

    Behavioral: Pain Reprocessing Therapy (PRT)

Interventions

  • BehavioralPain Reprocessing Therapy (PRT)

    All participants will be asked only to participate in six 30-45 min intervention sessions. Participants will need to complete the sessions in the order specified. PRT will be delivered remotely by trained palliative care therapists using a HIPAA compliant secure video conferencing platform. Each session will last approximately 30-45 minutes. The intervention will be delivered in English only.

06

What researchers measure

Primary outcomes

  1. Recruitment - Number

    Number of approached patients who consent to participate.

    Time frame: 11 months of recruitment activity

  2. Recruitment - proportion

    Proportion of approached patients who consent to participate.

    Time frame: 11 months of recruitment activity

  3. Retention - Assessments completed

    Mean number of post intervention assessments completed per subject;

    Time frame: 180 days

  4. Retention - Proportion

    proportion of subjects completing the Day 60 and Day 180 assessments

    Time frame: 180 days

  5. Intervention Uptake: PRT Sessions count

    Mean number of PRT sessions attended per subject

    Time frame: 60 days

  6. Intervention Uptake: proportions of participants

    proportion completing at least 4 of 6 sessions and proportion completing all 6 sessions.

    Time frame: 60 days

  7. Representativeness:

    The demographic and clinical characteristics of enrolled participants vs. those of potentially eligible patients identified from the University of Michigan Rogel Cancer Center source population during the recruitment period.

    Time frame: 11 months of enrollment activity

  8. Intervention fidelity.

    Intervention fidelity will be assessed through structured session checklists completed by interventionists after each visit, documenting delivery of required PRT components, session duration, and any deviations from the manual.

    Time frame: 60 days of intervention

  9. Acceptability of PRT intervention

    Treatment Acceptability and Adherence Scale (TAAS), a 10-item scale assessing perceived acceptability and usefulness of a behavioral intervention.(Milosevic et al., 2015) Scores above the midpoint - 35 out of 70 - will denote moderate acceptability of the intervention).

    Time frame: after 60 days of intervention

  10. Participant satisfaction

    The CSQ-8 yields a total score ranging from 8 to 32, with higher scores indicating greater satisfaction.

    Time frame: after 60 days of intervention

Secondary outcomes

  1. Pain severity

    Pain severity will be measured using a 0-10 Numeric Rating Scale (NRS) assessing average pain over the prior 7 days, with anchors of 0 ("no pain") and 10 ("worst pain imaginable") (Jensen et al., 1986).

    Time frame: up to 180 days

  2. Change in Pain impact

    Pain impact will be assessed using the Pain, Enjoyment of Life, and General Activity (PEG) scale, a validated 3-item composite measure of pain severity and pain-related interference (Keller et al., 2004; Krebs et al., 2010).

    Time frame: up to 180 days

  3. Pain Interferece

    Pain interference will be assessed using the PROMIS Pain Interference Short Form 6b, a 6-item measure evaluating the extent to which pain interferes with daily activities, social participation, and enjoyment of life over the past 7 days

    Time frame: up to 180 days

  4. Physical Function T-scores

    Physical function will be measured using the PROMIS Physical Function 4a, a validated 4-item patient-reported measure of physical functioning. Scores will be converted to standardized T-scores, with higher scores indicating better physical function

    Time frame: up to 180 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — Deidentified patient quantitative data and qualitative transcripts will be provided to a data repository at the University of Colorado which will gather the data on behalf of the National Institute of Aging.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: within 12 months of last participant completing study

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Feb 2029, 27 months later.

Of 44 non-industry interventional studies with no phase under Carcinoma, Intraductal, Noninfiltrating, half reached primary completion within 69 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 148. This study's planned 27 months is below that.

Counting every sponsor, half of 47 studies reached it within 69 months; a quarter within 30 and three quarters within 134.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 6, 2026
First posted
Nov 12, 2026
StartEst.
Nov 30, 2026
Primary completionEst.
Feb 2029
CompletionEst.
Jun 2029
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07934173
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Nov 30, 2026 (estimated)
Primary completion
Feb 2029 (estimated)
Completion
Jun 2029 (estimated)
Last update
Nov 12, 2026

Study contacts

Jonathan Song
Contact
wmsong@umich.edu
734-615-1279
Maria Silveira, MD
principal investigator · University of Michigan

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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