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The Effect and Safety of Plum-blossom Needle for Tourette Syndrome

Primary Purpose

Tourette Syndrome

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Plum-blossom needle group
HRT group
Sponsored by
Guang'anmen Hospital of China Academy of Chinese Medical Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Tourette Syndrome focused on measuring acupuncture, plum-blossom needle, tourette syndrome, randomized controlled trial

Eligibility Criteria

7 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Meeting the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association (DSM-IV) for TS.
  2. Aged 7 to 18.
  3. Agree to participate in the trial and sign written informed consent by both guardians and subjects.

Exclusion Criteria:

  1. Having severe problem in heart, liver or kidney, or having hyperthyroidism.
  2. After evaluated by psychiatrists based on the Kiddie-Sads-Present and Lifetime Version, those who are associated with co-morbid conditions such as mental retardation, pervasive developmental disorder, schizophrenia, mania episode, bipolar disorder, anxiety and depression and specific learning disorder will be excluded.
  3. Tics symptoms caused by some drugs.
  4. Currently receiving any other form of pharmacological or non-pharmacological treatment for their Tourette syndrome.
  5. Patients with a history of psychotropic substance or alcohol use during the 3 months preceding screening.
  6. Patients with a history of nonresponsiveness to HRT or participating in another clinical trial.

Sites / Locations

  • Guang'an Men Hospital, China Academy of Chinese Medical SciencesRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Plum-blossom needle group

HRT group

Arm Description

Patients randomized into this group will receive plum-blossom needle as treatment. DU 20, DU 16, GB 20, EX-HN5, BL 15, BL 18, BL 23 will be selected as acupoints. Each point will be tapped gently one by one by plum blossom needle until the skin get slightly redness. The treatments will be given two sessions per week, consistently for 12weeks (24 sessions in all).

Patients randomized into this group will receive habit reversal training (HRT) as treatment. Habit reversal training will consist of the following 4 parts: (1) self-monitoring, (2) competing responses, (3) relaxation training and (4) contingency management. The training will be given weekly in the 12 weeks (totally 12 sessions) by a special rehabilitation therapist, first two sessions 1.5 h, and remaining sessions 1 h for each treatment.

Outcomes

Primary Outcome Measures

change of YGTSS score from baseline at the 12th week
the symptom scale used in this trial will be the Yale Global Tic Severity Scale. (YGTSS).

Secondary Outcome Measures

change of YGTSS score from baseline at other point times
this outcome will be measured by the Yale Global Tic Severity Scale.
CGI score
this outcome will be measured by the TS Clinical Global Impression Scale (CGI).
change of quality of life from baseline
this outcome will be measured by the Children and Adolescents' Quality of Life Scale (CAQOL)

Full Information

First Posted
March 26, 2015
Last Updated
February 16, 2018
Sponsor
Guang'anmen Hospital of China Academy of Chinese Medical Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT02403258
Brief Title
The Effect and Safety of Plum-blossom Needle for Tourette Syndrome
Official Title
The Effect and Safety of Plum-blossom Needle for Tourette Syndrome: a Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Unknown status
Study Start Date
January 2015 (undefined)
Primary Completion Date
November 2018 (Anticipated)
Study Completion Date
December 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Guang'anmen Hospital of China Academy of Chinese Medical Sciences

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the effect and safety of plum-blossom needle for Tourette syndrome.
Detailed Description
This is a randomized, controlled trial with two parallel arms. A total of 60 patients will be randomly allocated into the plum-blossom needle group (n=30) and the habit reversal training (HRT) group (n=30). 12-week treatment will be given to all patients of each group, follow-up will be made at the 12th week after treatment. The primary outcome measure will be the mean change from baseline in the total tic score on the Yale Global Tic Severity Scale (YGTSS) at the 12th week. Secondary outcome measures will include the mean changes in score of YGTSS, TS Clinical Global Impression Scale (CGI) and the Children and Adolescents' Quality of Life Scale from baseline at other time. Safety will also be evaluated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tourette Syndrome
Keywords
acupuncture, plum-blossom needle, tourette syndrome, randomized controlled trial

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Plum-blossom needle group
Arm Type
Experimental
Arm Description
Patients randomized into this group will receive plum-blossom needle as treatment. DU 20, DU 16, GB 20, EX-HN5, BL 15, BL 18, BL 23 will be selected as acupoints. Each point will be tapped gently one by one by plum blossom needle until the skin get slightly redness. The treatments will be given two sessions per week, consistently for 12weeks (24 sessions in all).
Arm Title
HRT group
Arm Type
Active Comparator
Arm Description
Patients randomized into this group will receive habit reversal training (HRT) as treatment. Habit reversal training will consist of the following 4 parts: (1) self-monitoring, (2) competing responses, (3) relaxation training and (4) contingency management. The training will be given weekly in the 12 weeks (totally 12 sessions) by a special rehabilitation therapist, first two sessions 1.5 h, and remaining sessions 1 h for each treatment.
Intervention Type
Other
Intervention Name(s)
Plum-blossom needle group
Other Intervention Name(s)
acupuncture, plum-blossom needle
Intervention Description
Plum-blossom needle is a method of shallow insertion with multiple needles. It is made of five or seven stainless steel needles arranged in a pattern like the shape of plum blossom, thus named as 'plum-blossom needle'. Plum-blossom needle treat diseases by tapping specific skin areas or acupoints according to different illness based on the theory of meridian.
Intervention Type
Behavioral
Intervention Name(s)
HRT group
Intervention Description
HRT consisted of (1) self-monitoring, (2) competing responses, (3) relaxation training, (4) contingency management.
Primary Outcome Measure Information:
Title
change of YGTSS score from baseline at the 12th week
Description
the symptom scale used in this trial will be the Yale Global Tic Severity Scale. (YGTSS).
Time Frame
baseline, week 12
Secondary Outcome Measure Information:
Title
change of YGTSS score from baseline at other point times
Description
this outcome will be measured by the Yale Global Tic Severity Scale.
Time Frame
baseline, week 4, week 8, week 24.
Title
CGI score
Description
this outcome will be measured by the TS Clinical Global Impression Scale (CGI).
Time Frame
week 4, week 8, week 12, week 24.
Title
change of quality of life from baseline
Description
this outcome will be measured by the Children and Adolescents' Quality of Life Scale (CAQOL)
Time Frame
baseline, week 12, week 24.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
7 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Meeting the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association (DSM-IV) for TS. Aged 7 to 18. Agree to participate in the trial and sign written informed consent by both guardians and subjects. Exclusion Criteria: Having severe problem in heart, liver or kidney, or having hyperthyroidism. After evaluated by psychiatrists based on the Kiddie-Sads-Present and Lifetime Version, those who are associated with co-morbid conditions such as mental retardation, pervasive developmental disorder, schizophrenia, mania episode, bipolar disorder, anxiety and depression and specific learning disorder will be excluded. Tics symptoms caused by some drugs. Currently receiving any other form of pharmacological or non-pharmacological treatment for their Tourette syndrome. Patients with a history of psychotropic substance or alcohol use during the 3 months preceding screening. Patients with a history of nonresponsiveness to HRT or participating in another clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jinna Yu, Ph.D
Phone
8610-010-88001413
Email
546872837@qq.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jinna Yu, Ph.D
Organizational Affiliation
Guang'an Men Hospital of China Academy of Chinese Medical Sciences
Official's Role
Study Chair
Facility Information:
Facility Name
Guang'an Men Hospital, China Academy of Chinese Medical Sciences
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100053
Country
China
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
We haven't get consent from patients to share their individual data with other researchers.
Citations:
PubMed Identifier
26220439
Citation
Yu J, Ye Y, Li S, Liu J, Zhai Y, Zhang M, Liu Z. The effectiveness and safety of plum-blossom needle therapy for Tourette syndrome: study protocol for a randomized controlled trial. Trials. 2015 Jul 29;16:320. doi: 10.1186/s13063-015-0873-0.
Results Reference
derived

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The Effect and Safety of Plum-blossom Needle for Tourette Syndrome

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