Electro-acupuncture and Transcorneal Electrical Stimulation (TES) for Retinitis Pigmentosa
Modulating Ocular/Retinal Blood Flow and Visual Function in Retinitis Pigmentosa
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Florida
-
Fort Lauderdale, Florida, United States, 33328
- Nova Southeastern University; College of Optometry
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18+
- Diagnosis of retinitis pigmentosa (RP)
- Best-corrected visual acuity better than 20/400 in at least one eye
- More than 20% loss of Goldmann Visual Field area (III4e test target) in at least one eye
- Able and willing to participate in all study visits for a ~4-6 month period
- Provide informed consent
Exclusion Criteria:
- Very severe vision losses in both eyes (e.g., hand motions or light perception only) with difficulty performing the proposed vision tests
- Vision loss due to ocular diseases other than RP, cystoid macular edema, or cataracts
- Schedules do not permit participation in all study visits
- Previous acupuncture or TES treatment for RP
- Inability to understand study procedures or communicate responses to visual stimuli in a consistent manner (cognitive impairment)
- Dementia; Long or short-term memory loss
- Unable to read or speak English
- Smoking, excessive alcohol, or illegal drug use
- Receiving current psychiatric care (i.e. unstable emotional and mental health status)
- History of excessive bleeding
- Reduced general health and/or systemic medications that may diminish the potential response to the electroacupuncture treatments
- Implanted cardiac pacemaker
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Electro-acupuncture
Electro-acupuncture applied to acupoints around the eye and traditional needle acupuncture applied to acupoints throughout the body at 10 half-hour sessions over 2 weeks
|
|
|
Sham Comparator: Sham Electro-acupuncture
No electro-acupuncture applied to non-acupoints around the eye and traditional needle acupuncture applied to non-acupoints throughout the body; i.e., to locations not on the acupuncture meridians; at 10 half-hour sessions over 2 weeks
|
|
|
Experimental: Laser acupuncture
Laser applied to acupoints throughout the body at 10 sessions each lasting 15 minutes over a 2 week period
|
|
|
Sham Comparator: Sham Laser acupuncture
An inactive sham laser (red light only) applied to non-acupoints throughout the body; i.e., to locations not on the acupuncture meridians; at 10 sessions each lasting 15 minutes over a 2 week period
|
|
|
Experimental: Transcorneal Electrical Stimulation
Transcorneal Electrical Stimulation at 150% individual phosphene threshold applied to both eyes using DTL electrodes at 6 weekly 30 minute sessions
|
|
|
Sham Comparator: Sham Transcorneal Electrical Stimulation
Sham Transcorneal Electrical Stimulation at 0% individual phosphene threshold (no stimulation) applied to both eyes using DTL electrodes at 6 weekly 30 minute sessions
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Significant changes from baseline in Goldmann visual field area in both eyes
Time Frame: twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
Using Haig-Streit Octopus perimeter
|
twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Significant changes from baseline in Dark adaptation function at both 2 weeks and 6 weeks post-intervention initiation
Time Frame: twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
Using the AdaptDx by Maculogix
|
twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
|
Significant changes from baseline in best-corrected ETDRS visual acuity at both 2 weeks and 6 weeks post-intervention initiation
Time Frame: twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
Using Pelli-Robson visual acuity charts
|
twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
|
Significant changes from baseline in contrast sensitivity at both 2 weeks and 6 weeks post-intervention initiation
Time Frame: twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
Using Adaptive Sensory Technology Quick CSF
|
twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
|
Changes in Macular edema Optical Coherence Tomography (OCT)
Time Frame: twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
Using Optical Coherence Tomography
|
twice at baseline, then 2 weeks, 6 weeks and 12 weeks post-intervention initiation
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Kenneth R Seger, OD, MSc, Faculty
Publications and helpful links
General Publications
- Bittner AK, Gould JM, Rosenfarb A, Rozanski C, Dagnelie G. A pilot study of an acupuncture protocol to improve visual function in retinitis pigmentosa patients. Clin Exp Optom. 2014 May;97(3):240-7. doi: 10.1111/cxo.12117. Epub 2013 Oct 29.
- Bittner AK, Seger K. Longevity of visual improvements following transcorneal electrical stimulation and efficacy of retreatment in three individuals with retinitis pigmentosa. Graefes Arch Clin Exp Ophthalmol. 2018 Feb;256(2):299-306. doi: 10.1007/s00417-017-3858-8. Epub 2017 Dec 8.
- Bittner AK, Seger K, Salveson R, Kayser S, Morrison N, Vargas P, Mendelsohn D, Han J, Bi H, Dagnelie G, Benavente A, Ramella-Roman J. Randomized controlled trial of electro-stimulation therapies to modulate retinal blood flow and visual function in retinitis pigmentosa. Acta Ophthalmol. 2018 May;96(3):e366-e376. doi: 10.1111/aos.13581. Epub 2017 Nov 11.
- Kayser S, Vargas P, Mendelsohn D, Han J, Bi H, Benavente A, Bittner AK. Reduced Central Retinal Artery Blood Flow Is Related to Impaired Central Visual Function in Retinitis Pigmentosa Patients. Curr Eye Res. 2017 Nov;42(11):1503-1510. doi: 10.1080/02713683.2017.1338350. Epub 2017 Sep 14.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 01311402F
- R21EY023720 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.