Acupuncture and Moxibustion for Hyperlipemia (AMH-RCT)
Hyperlipidemias
About this trial
This is an interventional treatment trial for Hyperlipidemias focused on measuring acupuncture, moxibustion, hyperlipidemias, effectiveness
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
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
Experimental
Active Comparator
Other
Acupuncture and moxibustion
Simvastatin
waiting list
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