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Clinical Trial to Evaluate the Effectiveness of Acupuncture as a Treatment in Patients Diagnosed With CFS. (AV/AS)

Primary Purpose

Chronic Fatigue Syndrome., Muscular Diseases., Cognitive Impairment

Status
Unknown status
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Acupuncture.
Sponsored by
Hospital Vall d'Hebron
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Chronic Fatigue Syndrome. focused on measuring Acupuncture., Fatigue syndrome chronic., Sleep disturbances., Pain., Cognitive impairment.

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Patients must meet each of the following criteria for admission to the study:
  • Patients of both sexes.
  • Aged between 18 and 70 years.
  • Patients diagnosed as having chronic fatigue syndrome according to the diagnostic criteria Fukuda.
  • Patients who have previously given their informed consent for participation in the study.

Exclusion Criteria:

  • -Patients who have had prior treatment with acupuncture.
  • Pregnant or lactating.
  • Women of childbearing potential not using an effective contraceptive method according to medical criteria.
  • Terminal clinical condition.
  • History of allergy and / or hypersensitivity to the acupuncture needles.
  • Patients who are on anticoagulant therapy.
  • Use of investigational agents or not registered in the 30 days prior to study entry.
  • Patients who are participating in another clinical trial of the same or different nature in the last 30 days prior to inclusion.
  • Any individual who, in the opinion of the investigator, may not be able to follow instructions or make a good filling of the therapeutic regimen.
  • Subjects who do not grant written consent to participate in the study.
  • Labor litigation for reasons of participation in the clinical trial of CFS.

Sites / Locations

  • HValldhebronRecruiting
  • HValldhebronRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Sham Comparator

Active Comparator

Arm Label

Sham Acupuncture.

True acupuncture

Arm Description

That through the center of the guide tube is inserted blunt rod, producing the sensation of a prick in each of the eight points that are not acupuncture points. No intervention is a completely inert as it involves some type of peripheral stimulus, but the technique is closer to a placebo and offers interesting option from a methodologic al point of view showing and ability to mimic real acupuncture The points are not used acupuncture points but are fictional points. The patient should remáis lying prone during the 20 minutes of the session, so the placebo technique remains hidden. Every five minutes the acupuncturist will repeat the action in the corresponding eigh points.

The AV is an energy balance treatment with the aim of restoring health and well-being of the patient. Since each patient may have moré than three diagnoses of Traditional Chinese Medicine, will undertake a Major effort of synthesis of acupuncture points for treatment in a session, use the AV 8 - 12 needles, are held in place for 20 minutes with bidirectional rotation of the sleeve needle for one minute every five minutes (a total of four rotations for session). And in the AS 8 tube rod guides with blunt tip for 20 minutes. The same time be devoted to the patients in each treatment group similar, the time requested for the period of pre and post-treatment will be identical in all cases.

Outcomes

Primary Outcome Measures

Fatigue, asses the scale fatigue FÍS. • Fatigue: Scores on the fatigue impact scale (FIS) after treatment with two acupuncture techniques
first visit,13 visit, 6 months and 1 year

Secondary Outcome Measures

• Pain scale (McGill) (MPQ)
first visit, 13th visit, 6 months and one year
Sleep quality (Pittsburgh) scale (PSQI)
first visit, 13th visit, 6 months and one year
Quality of life scale (ST-36)
first visit, 13th visit, 6 months and one year
Anxiety and depression scale HAD.
first visit, 13th visit, 6 months and one year

Full Information

First Posted
June 27, 2013
Last Updated
August 28, 2013
Sponsor
Hospital Vall d'Hebron
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1. Study Identification

Unique Protocol Identification Number
NCT01907711
Brief Title
Clinical Trial to Evaluate the Effectiveness of Acupuncture as a Treatment in Patients Diagnosed With CFS.
Acronym
AV/AS
Official Title
Clinical Trial, Randomized, Controlled, Parallel, to Evaluate the Effectiveness of Acupuncture as a Treatment in Patients Diagnosed With Chronic Fatigue Syndrome.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2013
Overall Recruitment Status
Unknown status
Study Start Date
February 2013 (undefined)
Primary Completion Date
January 2014 (Anticipated)
Study Completion Date
October 2014 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hospital Vall d'Hebron

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
background: The Chronic Fatigue Syndrome (CFS) presents many disturbances multidimensional affect holistically to people who have the disease and current management of fatigue, pain, anxiety, depression and sleep disturbances present in this clinical entity is unsatisfactory. Hypothesis: The hypothesis of this essay is to contrast that acupuncture is more useful than placebo. The investigators suggest the use of a clinical study protocol (PEC), randomized, placebo-controlled, acupuncture technique, aimed at increasing the patient's sense of well-being, relief of pain and stiffness, acupuncture is effective to reduce fatigue, anxiety, depression and sleep disorders in patients diagnosed with CFS.
Detailed Description
Headline Goal. Evaluate the effectiveness of true acupuncture (AV) compared to placebo-acupuncture or sham acupuncture (AS) in improving symptoms of patients diagnosed with CFS. Specific objectives: To assess whether, in patients diagnosed with Chronic Fatigue Syndrome, AV treatment, compared to AS, is associated with a reduction in fatigue as measured by the scale FIS (Fatigue impact Scale). Check the reduction of pain in patients diagnosed with CFS, following treatment with AS versus AV as measured by the McGill. To verify the decrease in the use of analgesics in patients diagnosed with CFS, after treatment with the AV versus AS, by counting these drugs. Evaluate reducing anxiety in patients diagnosed with CFS, following treatment with AS AV against measured by HAD scale. Assess whether, in patients diagnosed with CFS, treatment with AV compared to AS, is associated with a reduction in depressive symptoms, as measured by the HAD scale. To assess the improvement in sleep quality in patients diagnosed with CFS, after treatment with AV compared to the AS, as measured by the Pittsburgh scale. Check the quality improvement of health-related life (HRQOL) in patients diagnosed with CFS, after treatment with AV compared to the AS, as measured by the SF-36 (Short Form-36). Methodology. Design. Pilot clinical trial randomized, parallel group, placebo-controlled simulated acupuncture, single-center, prospective, patient and assessor blind. 1:1 randomized trial, the principal investigator unknown randomization to the time the patient is randomized. Primary endpoint. Scores on the fatigue impact scale (FIS) after treatment with two acupuncture techniques. Study population and total number of patients. After signing the informed consent, we included 60 patients diagnosed with CFS, 30 in the intervention group (IG) of real acupuncture and 30 in the control group (CG) of sham acupuncture, applying an individualized treatment plan customized according energy assessment of each patient. Duration of treatment. 4 months. Relevance. This pilot study can demonstrate the effectiveness of acupuncture as a treatment for the symptoms of CFS. The reduction in fatigue, anxiety, depression, pain and reduction in the intake of analgesics with improved sleep quality, after treatment with real acupuncture technique, i results in increased quality of life for the patient suffering from CFS. Inclusion criteria. Patients must meet each of the following criteria for admission to the study: Patients of both sexes. Aged between 18 and 70 years. Patients diagnosed as having chronic fatigue syndrome according to the diagnostic criteria Fukuda. Patients who have previously given their informed consent for participation in the study. Exclusion criteria. Patients who have had prior treatment with acupuncture. Pregnant or lactating. Women of childbearing potential not using an effective contraceptive method according to medical criteria. Terminal clinical condition. History of allergy and / or hypersensitivity to the acupuncture needles. Patients who are on anticoagulant therapy. Use of investigational agents not registered in the 30 days prior to study entry. Patients who are participating in another clinical trial of the same or different nature in the last 30 days prior to inclusion. Any individual who, in the opinion of the investigator, may not be able to follow instructions or make a good filling of the therapeutic regimen. Subjects who do not grant written consent to participate in the study. Labor litigation for reasons of participation in the clinical trial of CFS.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Fatigue Syndrome., Muscular Diseases., Cognitive Impairment, Sleep Disturbances, Pain.
Keywords
Acupuncture., Fatigue syndrome chronic., Sleep disturbances., Pain., Cognitive impairment.

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Sham Acupuncture.
Arm Type
Sham Comparator
Arm Description
That through the center of the guide tube is inserted blunt rod, producing the sensation of a prick in each of the eight points that are not acupuncture points. No intervention is a completely inert as it involves some type of peripheral stimulus, but the technique is closer to a placebo and offers interesting option from a methodologic al point of view showing and ability to mimic real acupuncture The points are not used acupuncture points but are fictional points. The patient should remáis lying prone during the 20 minutes of the session, so the placebo technique remains hidden. Every five minutes the acupuncturist will repeat the action in the corresponding eigh points.
Arm Title
True acupuncture
Arm Type
Active Comparator
Arm Description
The AV is an energy balance treatment with the aim of restoring health and well-being of the patient. Since each patient may have moré than three diagnoses of Traditional Chinese Medicine, will undertake a Major effort of synthesis of acupuncture points for treatment in a session, use the AV 8 - 12 needles, are held in place for 20 minutes with bidirectional rotation of the sleeve needle for one minute every five minutes (a total of four rotations for session). And in the AS 8 tube rod guides with blunt tip for 20 minutes. The same time be devoted to the patients in each treatment group similar, the time requested for the period of pre and post-treatment will be identical in all cases.
Intervention Type
Device
Intervention Name(s)
Acupuncture.
Other Intervention Name(s)
Assurance in manufacturing. EN ISO9001., Registration No.: 60007186 DD 0001., Notified under No 0197 to the EC Commission.
Intervention Description
Who tried the insertion and manipulation between 8 - 12 needles with guide applied at different points of the body, individually selected and customized, after the insertion, the acupoint stimulation is done through manipulation of de needle sleeve to achieve at each point the sensation known as "De Qi".
Primary Outcome Measure Information:
Title
Fatigue, asses the scale fatigue FÍS. • Fatigue: Scores on the fatigue impact scale (FIS) after treatment with two acupuncture techniques
Description
first visit,13 visit, 6 months and 1 year
Time Frame
one year
Secondary Outcome Measure Information:
Title
• Pain scale (McGill) (MPQ)
Description
first visit, 13th visit, 6 months and one year
Time Frame
one year
Title
Sleep quality (Pittsburgh) scale (PSQI)
Description
first visit, 13th visit, 6 months and one year
Time Frame
one year
Title
Quality of life scale (ST-36)
Description
first visit, 13th visit, 6 months and one year
Time Frame
one year
Title
Anxiety and depression scale HAD.
Description
first visit, 13th visit, 6 months and one year
Time Frame
one year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Patients must meet each of the following criteria for admission to the study: Patients of both sexes. Aged between 18 and 70 years. Patients diagnosed as having chronic fatigue syndrome according to the diagnostic criteria Fukuda. Patients who have previously given their informed consent for participation in the study. Exclusion Criteria: -Patients who have had prior treatment with acupuncture. Pregnant or lactating. Women of childbearing potential not using an effective contraceptive method according to medical criteria. Terminal clinical condition. History of allergy and / or hypersensitivity to the acupuncture needles. Patients who are on anticoagulant therapy. Use of investigational agents or not registered in the 30 days prior to study entry. Patients who are participating in another clinical trial of the same or different nature in the last 30 days prior to inclusion. Any individual who, in the opinion of the investigator, may not be able to follow instructions or make a good filling of the therapeutic regimen. Subjects who do not grant written consent to participate in the study. Labor litigation for reasons of participation in the clinical trial of CFS.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jimenez C Gutierrez, Nurse
Ext
+34
Email
conxitajg@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Alegre J Martín, Doctor
Ext
+34
Email
18502jam@comb.es
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jimenez Gutierrez, Nurse
Organizational Affiliation
Hospital Vall d'Hebron
Official's Role
Principal Investigator
Facility Information:
Facility Name
HValldhebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jiménez C Gutiérrez, Nurse
Email
conxitajg@gmail.com
First Name & Middle Initial & Last Name & Degree
Alegre J Martín, Doctor
Email
18502jam@gmail.com
First Name & Middle Initial & Last Name & Degree
Jimenez C Gutierrez, Nurse
Facility Name
HValldhebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jimenez C Gutierrez, Nurse
Email
conxitajg@gmail.com
First Name & Middle Initial & Last Name & Degree
Alegre J Martin, Doctor
First Name & Middle Initial & Last Name & Degree
Caparrós M Granados, Nurse
First Name & Middle Initial & Last Name & Degree
Domingo C Gómez, Doctor
First Name & Middle Initial & Last Name & Degree
Charles JM Vallcanera, Phisiotherap
First Name & Middle Initial & Last Name & Degree
Saez N Francas, Doctor
First Name & Middle Initial & Last Name & Degree
Aliste L Sanchez, Stadistique
First Name & Middle Initial & Last Name & Degree
Alegre J Martin, Doctor

12. IPD Sharing Statement

Citations:
Citation
Vas J, Mendez C, Perea-Milla E. Acupuncture vs Streitberger needle in knee osteoarthritis - an RCT. BMJ 2004;329:1216-219. Vas J, Modesto M, Aguilar I, Santos-Rey K, Benitez- Parejo N, Rivas-Ruiz F: Effects of acupuncture on patients with fibromyalgia: study protocol of a multicentre randomized controlled trial. Trials 2011;12:59. Wang T, Zhan Q, Xue X, Yeung A. A systematic review of acunpunture and Moxibustion treatment for chronic fatigue syndrome in China. Am J Chin Med 2008;36:1-24. Wang JJ, Song YJ, Wu ZC, Chu XO, Wang XH, Wang XJ, et al. A meta analysis on randomized controlled trials of acupuncture treatment of chronic fatigue syndrome. Zhen Ci Yan Jiu 2009;34:421-8.
Results Reference
result
Links:
URL
http://www.vhir.org
Description
Valle Hebrón institut de recerca.org. Barcelona. Spain.

Learn more about this trial

Clinical Trial to Evaluate the Effectiveness of Acupuncture as a Treatment in Patients Diagnosed With CFS.

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