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NCT Number: NCT07770243

AI-Based Symptom Management for Post-Treatment Breast Cancer Survivors

This pilot randomized controlled trial will test the feasibility and acceptability of an Artificial Intelligence-based Multidimensional Symptom Management (AIMS) intervention for post-treatment breast cancer survivors. Thirty-six participants will be randomly assigned (1:1) to receive either the AIMS intervention or usual care. Outcomes include feasibility (recruitment and retention), adherence, acceptability, symptom burden, psychological distress, quality of life, and safety of the AIMS intervention.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

About this study

The AIMS platform is an AI-enabled digital intervention that provides personalized symptom management support through automated monitoring, tailored recommendations, and interactive communication.

A pilot randomized controlled trial will be conducted. Thirty-six eligible post-treatment breast cancer survivors will be recruited through community organizations. Participants will be randomized into two parallel groups. The intervention group will receive the AIMS application alongside standard survivorship care, while the control group will receive usual care only. Outcome assessments will occur at baseline (T0), four weeks (T1), and twelve weeks (T2).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Female breast cancer survivors aged 18 years or older
  • Experiencing at least one symptom in the past month (e.g., fatigue, pain and insomnia, a score of ≥2 on the 0-10 Numeric Rating Scale (0 = "no fatigue", 10 = "worst fatigue")
  • Completed primary treatment (surgery, chemotherapy, or radiotherapy) within the last 24 months
  • Able to read Chinese and use a smartphone or tablet

Exclusion criteria

  • Unstable medical condition
  • Severe psychiatric disorders or cognitive impairment
  • Participation in another interventional study

Treatment and study plan

AIMS platform

Behavioral

The AIMS intervention is a digital self-management platform that provides personalized symptom monitoring, tailored self-management support, and interactive guidance.

Other names: Artificial Intelligence-based Multidimensional Symptom Management (AIMS)

Primary outcomes

  1. Recruitment rate

    Time frame: From recruitment commencement until completion of recruitment.

    Number and percentage of eligible individuals who provide informed consent and are randomized. Recruitment rate will be calculated as: number randomized ÷ number eligible × 100.

  2. Participant retention at Week 12

    Time frame: Week 12

    Number and percentage of randomized participants who complete the Week 12 assessment. Retention will be calculated as: number completing the Week 12 assessment ÷ number randomized × 100.

  3. Adherence to the AIMS intervention

    Time frame: Weekly during Weeks 1-12, summarized at Weeks 4 and 12.

    Adherence will be assessed using system-generated usage data (e.g., frequency of logins) and supplemented by participant-reported usage logs.

  4. Acceptability and usability of the AIMS platform

    Time frame: Weeks 4 and 12.

    Among intervention-group participants, acceptability and usability will be assessed using the study-specific AIMS feedback questionnaire.

Secondary outcomes

  1. Traditional Chinese MD Anderson Symptom Inventory Symptom-Severity Score

    Time frame: Baseline, Week 4, and Week 12.

    The Chinese MD Anderson Symptom Inventory symptom-severity scale contains 13 symptoms rated from 0 ("not present") to 10 ("as bad as you can imagine"). The mean symptom-severity score ranges from 0 to 10, with higher scores indicating greater symptom burden.

  2. Kessler Psychological Distress Scale 10-Item Total Score

    Time frame: Baseline, Week 4, and Week 12.

    Psychological distress will be measured using the 10-item Kessler Psychological Distress Scale. Total scores range from 10 to 50, with higher scores indicating greater psychological distress.

  3. Hospital Anxiety and Depression Scale

    Time frame: Baseline, Week 4, and Week 12.

    Anxiety and depression will be measured using the Hospital Anxiety and Depression Scale. Separate anxiety and depression subscale scores range from 0 to 21; higher scores indicate greater symptom severity.

  4. Functional Assessment of Cancer Therapy-Breast

    Time frame: Baseline, Week 4, and Week 12.

    Quality of life will be measured using the 37-item Functional Assessment of Cancer Therapy-Breast, Version 4. The total score ranges from 0 to 148, with higher scores indicating better quality of life.

  5. Health-services utilization

    Time frame: Baseline, Week 4, and Week 12.

    Participant-reported use of healthcare services, including the number of relevant outpatient visits, emergency-department visits, and hospital admissions during the specified recall period. Each service category will be reported separately.

  6. Adverse events associated with AIMS

    Time frame: Continuously from randomization through Week 12.

    Number and percentage of participants experiencing adverse events or negative experiences considered related to the AIMS intervention, including emotional distress, fatigue, or discomfort associated with platform use. Events will be recorded when reported and summarized by severity and relatedness.

Study contacts

Contact information is provided by the study sponsor or research team.

Xianliang Liu, MD, PhD

CONTACT

[email protected]

(852) 3970 8790

Sponsors and collaborators

Lead sponsor

Hong Kong Metropolitan University

Other

Collaborators

  • The Global Chinese Breast Cancer Organization Alliance

Registry information

Official study title

Artificial Intelligence-Based Multidimensional Symptom Management (AIMS) Invention to Reduce Symptom Burden and Improve Quality of Life Among Post-Treatment Breast Cancer Survivors: A Pilot Randomized Controlled Trial (AIMS-BC Trial)

Acronym: AIMS-BC

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Aug 18, 2026
Registry last updated
Aug 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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