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Acupuncture and Moxibustion for Hyperlipemia (AMH-RCT)

Primary Purpose

Hyperlipidemias

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
acupuncture and moxibustion
Simvastatin
Therapeutic Lifestyle Change
Sponsored by
The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperlipidemias focused on measuring acupuncture, moxibustion, hyperlipidemias, effectiveness

Eligibility Criteria

20 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject signed the informed consent
  • Male or female ≥18 to ≤75 years of age
  • Fasting TG ≤400 mg/dL
  • Fasting LDL-C as determined by central laboratory on admission and meeting the following LDL-C values based on risk factor status:

    • 0-1 Risk Factor Group: LDL-C ≥160 mg/dL
    • 2+ Risk Factor Group: LDL-C ≥130 mg/dL
    • CHD or CHD risk equivalents: LDL-C ≥100 mg/dL
    • Major Risk factors: (1)Cigarette smoking;(2)Hypertension (BP ≥140/90 mmHg or on anti-hypertensive medication);(3)Low HDL cholesterol (HDL-C <40 mg/dL);(4)Family history of premature CHD (CHD in male first degree relative <55 years; CHD in female first degree relative <65 years);(5)Age (men ≥45 years; women ≥55 years)
    • CHD and CHD equivalents:(1)Other clinical forms of atherosclerotic disease (peripheral arterial disease, abdominal aortic aneurysm, and symptomatic carotid artery disease);(2)Diabetes;(3)Multiple risk factors that confer a 10-year risk for CHD >20%

Exclusion Criteria:

  • CHD or CHD risk equivalent and not receiving statin therapy, with LDL-C at screening ≤99 mg/dL
  • NYHA II, III or IV heart failure, or last known left ventricular ejection fraction <30%
  • Uncontrolled cardiac arrhythmia, atrial fibrillation with rapid ventricular response, or not controlled supraventricular tachycardia in the past 3 months prior to randomization
  • Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months prior to randomization
  • Planned cardiac surgery or revascularization
  • Type 1 diabetes or newly diagnosed type 2 diabetes or poorly controlled type 2 diabetes
  • Uncontrolled hypertension defined as sitting systolic blood pressure (SBP) >160 mmHg or diastolic BP (DBP) >100 mmHg
  • Subjects taken red yeast rice, niacin >200 mg/d, or omega-3 fatty acids >1000 mg/d or prescription lipid-regulating drugs other than statins or ezetimibe, such as fibrates and derivatives, or bile-acid sequestering resins in the last 6 weeks prior to LDL-C screening
  • Subjects taken systemic cyclosporine, systemic steroids, vitamin A derivatives and retinol derivatives for the treatment of dermatologic conditions in the last 3 months prior to LDL-C screening
  • Hyperthyroidism or hypothyroidism
  • Moderate to severe renal dysfunction
  • Active liver disease or hepatic dysfunction
  • CK >3 times the ULN at screening or at end of lipid stabilization period, confirmed by a repeat measurement at least 1 week apart
  • Known active infection or major hematologic, renal, metabolic, gastrointestinal or endocrine dysfunction in the judgment of the investigator
  • Deep vein thrombosis or pulmonary embolism within 3 months prior to randomization
  • Current therapeutic anticoagulation with vitamin K antagonist, heparin, low-molecular weight heparin, direct thrombin inhibitor
  • Currently enrolled in another investigational device or drug study
  • Female subject during pregnant or breast feeding period
  • History of malignancy (except non-melanoma skin cancers, cervical in-situ carcinoma, breast ductal carcinoma in situ, or stage 1 prostate carcinoma)
  • Known sensitivity to any of the products to be administered during dosing
  • Subjects couldn't provide the written informed consent and/or comply with all required study procedures

Sites / Locations

  • Changsha Hospital of Chinese Medicine
  • Second Hospital of Hunan University of Chinese Medicine
  • First Hospital of Hunan University of Chinese Medicine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Other

Arm Label

Acupuncture and moxibustion

Simvastatin

waiting list

Arm Description

therapeutic lifestyle change Group I:Juque (RN14), Tianshu (ST25, bilateral), Fenglong (ST40, bilateral), Zusanli (ST 36, bilateral), Sanyinjiao (SP6, bilateral) Group II: Pishu (BL20, bilateral), Xinshu (BL15, bilateral), Ganshu (BL18, bilateral), Shenshu (BL23, bilateral) Group I and II will change alternatively every other week . Once per day five days per week.

therapeutic lifestyle change simvastatin oral administration with 10mg per day seven days per week for 12 weeks.

- therapeutic lifestyle change

Outcomes

Primary Outcome Measures

low-density lipoprotein cholesterol (LDL-C)
To evaluate the effect of 12 weeks of acupuncture compared with active control, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) among those with hyperlipidemia.

Secondary Outcome Measures

high-density lipoprotein cholesterol (HDL-C)
total cholesterol (TC)
triglyceride(TG)
the rate of subjects achieving LDL-C goal

Full Information

First Posted
September 26, 2014
Last Updated
October 16, 2014
Sponsor
The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine
Collaborators
University of British Columbia, State Administration of Traditional Chinese Medicine of the People's Republic of China
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1. Study Identification

Unique Protocol Identification Number
NCT02269046
Brief Title
Acupuncture and Moxibustion for Hyperlipemia
Acronym
AMH-RCT
Official Title
A Multi-center, Randomized, Stratified, Active-controlled Trial to Evaluate the Effects of Acupuncture and Moxibustion for Hyperlipidemias
Study Type
Interventional

2. Study Status

Record Verification Date
August 2014
Overall Recruitment Status
Unknown status
Study Start Date
December 2014 (undefined)
Primary Completion Date
December 2016 (Anticipated)
Study Completion Date
September 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine
Collaborators
University of British Columbia, State Administration of Traditional Chinese Medicine of the People's Republic of China

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the effect of 12 weeks of acupuncture and moxibustion compared with active control, on absolute and percent change from baseline in low-density lipoprotein cholesterol (LDL-C) among those with hyperlipidemia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperlipidemias
Keywords
acupuncture, moxibustion, hyperlipidemias, effectiveness

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
210 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Acupuncture and moxibustion
Arm Type
Experimental
Arm Description
therapeutic lifestyle change Group I:Juque (RN14), Tianshu (ST25, bilateral), Fenglong (ST40, bilateral), Zusanli (ST 36, bilateral), Sanyinjiao (SP6, bilateral) Group II: Pishu (BL20, bilateral), Xinshu (BL15, bilateral), Ganshu (BL18, bilateral), Shenshu (BL23, bilateral) Group I and II will change alternatively every other week . Once per day five days per week.
Arm Title
Simvastatin
Arm Type
Active Comparator
Arm Description
therapeutic lifestyle change simvastatin oral administration with 10mg per day seven days per week for 12 weeks.
Arm Title
waiting list
Arm Type
Other
Arm Description
- therapeutic lifestyle change
Intervention Type
Other
Intervention Name(s)
acupuncture and moxibustion
Intervention Description
Warm needling acupuncture on Fenglong (ST40, bilateral), Zusanli (ST36, bilateral), Sanyinjiao (SP6, bilateral) and Cake-seperated moxibustion on Juque (RN14), Tianshu (ST25, bilateral), Pishu (BL20, bilateral), Xinshu (BL15, bilateral), Ganshu (BL18, bilateral), Shenshu (BL23, bilateral)
Intervention Type
Drug
Intervention Name(s)
Simvastatin
Intervention Description
10mg/d,p.o,12 weeks.
Intervention Type
Other
Intervention Name(s)
Therapeutic Lifestyle Change
Intervention Description
Reduced intakes of saturated fats (<7% of total calories) and cholesterol (<200 mg per day) Therapeutic options for enhancing LDL lowering Weight reduction Increased physical activity
Primary Outcome Measure Information:
Title
low-density lipoprotein cholesterol (LDL-C)
Description
To evaluate the effect of 12 weeks of acupuncture compared with active control, on percent change from baseline in low-density lipoprotein cholesterol (LDL-C) among those with hyperlipidemia.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
high-density lipoprotein cholesterol (HDL-C)
Time Frame
12 weeks
Title
total cholesterol (TC)
Time Frame
12 weeks
Title
triglyceride(TG)
Time Frame
12 weeks
Title
the rate of subjects achieving LDL-C goal
Time Frame
12 weeks
Other Pre-specified Outcome Measures:
Title
Safety
Description
Safety summaries will include the subject incidence of adverse events, summaries of laboratory parameters (including shift tables), vital signs, and ECGs.
Time Frame
12 weeks
Title
Adherence of acupuncture
Description
Adherence to the treatment (adherence rate)will be calculated using formula: Adherence Rate = Number of Treatment Conducted/ Number of Treatment Planned
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject signed the informed consent Male or female ≥18 to ≤75 years of age Fasting TG ≤400 mg/dL Fasting LDL-C as determined by central laboratory on admission and meeting the following LDL-C values based on risk factor status: 0-1 Risk Factor Group: LDL-C ≥160 mg/dL 2+ Risk Factor Group: LDL-C ≥130 mg/dL CHD or CHD risk equivalents: LDL-C ≥100 mg/dL Major Risk factors: (1)Cigarette smoking;(2)Hypertension (BP ≥140/90 mmHg or on anti-hypertensive medication);(3)Low HDL cholesterol (HDL-C <40 mg/dL);(4)Family history of premature CHD (CHD in male first degree relative <55 years; CHD in female first degree relative <65 years);(5)Age (men ≥45 years; women ≥55 years) CHD and CHD equivalents:(1)Other clinical forms of atherosclerotic disease (peripheral arterial disease, abdominal aortic aneurysm, and symptomatic carotid artery disease);(2)Diabetes;(3)Multiple risk factors that confer a 10-year risk for CHD >20% Exclusion Criteria: CHD or CHD risk equivalent and not receiving statin therapy, with LDL-C at screening ≤99 mg/dL NYHA II, III or IV heart failure, or last known left ventricular ejection fraction <30% Uncontrolled cardiac arrhythmia, atrial fibrillation with rapid ventricular response, or not controlled supraventricular tachycardia in the past 3 months prior to randomization Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months prior to randomization Planned cardiac surgery or revascularization Type 1 diabetes or newly diagnosed type 2 diabetes or poorly controlled type 2 diabetes Uncontrolled hypertension defined as sitting systolic blood pressure (SBP) >160 mmHg or diastolic BP (DBP) >100 mmHg Subjects taken red yeast rice, niacin >200 mg/d, or omega-3 fatty acids >1000 mg/d or prescription lipid-regulating drugs other than statins or ezetimibe, such as fibrates and derivatives, or bile-acid sequestering resins in the last 6 weeks prior to LDL-C screening Subjects taken systemic cyclosporine, systemic steroids, vitamin A derivatives and retinol derivatives for the treatment of dermatologic conditions in the last 3 months prior to LDL-C screening Hyperthyroidism or hypothyroidism Moderate to severe renal dysfunction Active liver disease or hepatic dysfunction CK >3 times the ULN at screening or at end of lipid stabilization period, confirmed by a repeat measurement at least 1 week apart Known active infection or major hematologic, renal, metabolic, gastrointestinal or endocrine dysfunction in the judgment of the investigator Deep vein thrombosis or pulmonary embolism within 3 months prior to randomization Current therapeutic anticoagulation with vitamin K antagonist, heparin, low-molecular weight heparin, direct thrombin inhibitor Currently enrolled in another investigational device or drug study Female subject during pregnant or breast feeding period History of malignancy (except non-melanoma skin cancers, cervical in-situ carcinoma, breast ductal carcinoma in situ, or stage 1 prostate carcinoma) Known sensitivity to any of the products to be administered during dosing Subjects couldn't provide the written informed consent and/or comply with all required study procedures
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mailan Liu, Dr.
Phone
86-18229792024
Email
445007305@qq.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xiaorong Chang, Prof.
Organizational Affiliation
Hunan University of Chinese Medicine
Official's Role
Study Chair
Facility Information:
Facility Name
Changsha Hospital of Chinese Medicine
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410002
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiong, Dr.
Email
973920892@qq.com
First Name & Middle Initial & Last Name & Degree
Xiong
Facility Name
Second Hospital of Hunan University of Chinese Medicine
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410005
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Liu
Email
55999630@qq.com
First Name & Middle Initial & Last Name & Degree
Weiai Liu
Facility Name
First Hospital of Hunan University of Chinese Medicine
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410007
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wang
Email
1835591292@qq.com
First Name & Middle Initial & Last Name & Degree
Feng Zhong

12. IPD Sharing Statement

Citations:
PubMed Identifier
22483185
Citation
Yue ZH, He XQ, Chang XR, Yuan JL, Yu BS, Liu M, Fu L, Zhang L, Shang LC. The effect of herb-partition moxibustion on Toll-like receptor 4 in rabbit aorta during atherosclerosis. J Acupunct Meridian Stud. 2012 Apr;5(2):72-9. doi: 10.1016/j.jams.2012.01.005. Epub 2012 Feb 10.
Results Reference
background
PubMed Identifier
16309161
Citation
Yue ZH, Yan J, Chang XR, Lin YP, Yi SX, Cao XP, Shen J. [Effects of cake-separated moxibustion on ultrastructures of endothelial cells of aorta in the rabbit of hyperlipemia]. Zhongguo Zhen Jiu. 2005 Jan;25(1):64-7. Chinese.
Results Reference
background
PubMed Identifier
16136949
Citation
Xiaorong C, Jie Y, Zenghui Y, Jing S, Yaping L, Shouxiang Y, Xiangping C. Effects of medicinal cake-separated moxibustion on plasma 6-keto-PGF1alpha and TXB2 contents in the rabbit of hyperlipemia. J Tradit Chin Med. 2005 Jun;25(2):145-7.
Results Reference
background
PubMed Identifier
11368702
Citation
Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001 May 16;285(19):2486-97. doi: 10.1001/jama.285.19.2486. No abstract available.
Results Reference
background
PubMed Identifier
24222016
Citation
Stone NJ, Robinson JG, Lichtenstein AH, Bairey Merz CN, Blum CB, Eckel RH, Goldberg AC, Gordon D, Levy D, Lloyd-Jones DM, McBride P, Schwartz JS, Shero ST, Smith SC Jr, Watson K, Wilson PW, Eddleman KM, Jarrett NM, LaBresh K, Nevo L, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith SC Jr, Tomaselli GF; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Jun 24;129(25 Suppl 2):S1-45. doi: 10.1161/01.cir.0000437738.63853.7a. Epub 2013 Nov 12. No abstract available. Erratum In: Circulation. 2014 Jun 24;129(25 Suppl 2):S46-8. Circulation. 2015 Dec 22;132(25):e396.
Results Reference
background
PubMed Identifier
24924450
Citation
Yan X, Chen H, Gao W, Li J, Yang X, Ye P, Zhang S, Zhao D, Zhu J, Huo Y. [Consensus standpoints from expert panel of Chinese Society of Cardiology on AHA/ACC 2013 guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults]. Zhonghua Xin Xue Guan Bing Za Zhi. 2014 Apr;42(4):275-6. No abstract available. Chinese.
Results Reference
background
PubMed Identifier
28693531
Citation
Liu M, Zhang Q, Jiang S, Liu M, Zhang G, Yue Z, Chen Q, Zhou J, Zou Y, Li D, Ma M, Dai G, Zhong H, Wang Z, Chang X. Warm-needling acupuncture and medicinal cake-separated moxibustion for hyperlipidemia: study protocol for a randomized controlled trial. Trials. 2017 Jul 10;18(1):310. doi: 10.1186/s13063-017-2029-x.
Results Reference
derived

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Acupuncture and Moxibustion for Hyperlipemia

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