A Study of Acupuncture for Treating Asthma
The Effects of Acupuncture on Patients With Chronic Asthma: a Multicenter, Randomized, Three-arm, Sham-controlled Superiority Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Lei-Miao Yin, MD
- Phone Number: +86 21 56639828
- Email: collegeylm@shutcm.edu.cn
Study Contact Backup
- Name: Xin Luan, MD
- Phone Number: +86 17701614380
- Email: lx931163088@163.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Meet the diagnostic criteria for asthma, and be in the chronic persistent phase with mild to moderate disease severity, referring to the grading criteria of the Guidelines for the Prevention and Treatment of Asthma (2024 Edition).
- Aged 18 to 70 years, regardless of gender.
- Asthma Control Test (ACT) score≤19 points (poorly controlled or very poorly controlled asthma).
- Maintain a stable asthma treatment regimen for at least 4 weeks before enrollment.
- Clear thinking and consciousness, coherent responses, able to understand the items of various scales and complete the assessment.
- Volunteer to participate in this study and sign a written informed consent form.
Exclusion Criteria:
- Complicated with severe mental illnesses (such as uncontrolled schizophrenia, acute phase of bipolar disorder, etc.) or moderate to severe cognitive impairment (such as dementia), resulting in inability to understand the research process or cooperate with efficacy evaluation.
- A history of substance/alcohol dependence within the past 12 months.
- Complicated with other physical diseases that may cause depressive symptoms (such as hypothyroidism, chronic pain syndrome, malignant tumors, rheumatoid arthritis, etc.).
- Received antidepressant drug treatment within the past 6 months.
- Suffering from other respiratory diseases, such as chronic obstructive pulmonary disease (COPD), bronchiectasis, pulmonary fibrosis, etc.
- Complicated with other cancers or relatively severe chronic diseases of the heart, liver, kidneys, etc.
- Received acupuncture treatment within the past 3 months.
- Pregnant or lactating women.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: True Acupuncture Group
Acupuncture Group: On routine standard asthma treatment, participants receive acupuncture.
Disposable sterile needles (Wuxi Jiajian Medical Instrument Co., Ltd.) are used: 0.25 mm×25 mm for Baihui (GV20), Yintang (GV29); 0.30 mm×40 mm for Dazhui (GV14), bilateral Fengmen (BL12) and Feishu (BL13).Qualified acupuncturists perform treatment following GB/T 12346-2021.
Patients sit with routine skin disinfection.
Baihui: 15-30° oblique insertion, 0.5 cun.
Yintang: downward oblique puncture 0.3-0.5 cun with skin pinched.
Dazhui: perpendicular 0.5-1 cun.
Fengmen and Feishu: perpendicular toward spine, 0.5-0.8
cun.
Even reinforcing-reducing manipulation is applied.
Each session lasts 30 minutes, 3 times weekly for 10 sessions.
Eye masks are used; operators are separated from outcome assessors.
|
Patients are seated with routine disinfection of acupoints.
Dazhui (GV14) is perpendicularly needled 0.5-1 cun; Feishu (BL13) and Fengmen (BL12) are perpendicularly needled toward the spine for 0.5-0.8
cun; Baihui (GV20) is needled subcutaneously at 15-30° to the scalp for 0.5 cun; Yintang (GV29) is obliquely needled downward for 0.3-0.5 cun after pinching local skin .
Even reinforcing-reducing manipulation is adopted.
Each treatment lasts 30 minutes, three times weekly (no treatment on Sundays) for 10 consecutive sessions.
Eye masks are used, with separation of operators and outcome assessors.
|
|
Sham Comparator: Sham Acupuncture Group
Sham Acupuncture Group: On the basis of routine standard asthma treatment, participants receive Streitberger placebo needle intervention.
The Streitberger placebo needle (Asiamed GmbH, Germany) is a non-penetrating sham acupuncture device with identical appearance to real needles but a blunt tip.
Upon gentle skin contact, the shaft retracts into the handle, secured by an external patch to simulate needle insertion visually.
The same acupoints are used as in the acupuncture group: GV14, BL13, BL12, GV20 and GV29.Participants sit with routine skin disinfection.
The placebo needle base pad is fixed on acupoints.
Vertical pressure on the handle retracts the shaft without skin penetration.
Each session lasts 30 minutes, 3 times weekly for 10 consecutive sessions.
Needles are removed directly without hemostasis.
Eye masks are used during treatment; operators are separated from outcome assessors.
|
Patients are seated with routine disinfection of acupoints.
Streitberger non-penetrating placebo needles are applied to the same acupoints as true acupuncture (Dazhui GV14, Feishu BL13, Fengmen BL12, Baihui GV20, Yintang GV29) with identical position, duration and frequency.
Each sham session lasts 30 minutes, three times weekly (no treatment on Sundays) for 10 consecutive sessions.
Eye masks are used, with separation of operators and outcome assessors.
|
|
Active Comparator: Usual Care Group
Participants receive only standard pharmacological treatment for asthma in accordance with clinical guidelines, without any acupuncture or related interventions.
|
Patients receive routine asthma pharmacological treatment without additional acupuncture intervention.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Asthma Control Test (ACT)
Time Frame: Change from baseline to week 4 (end of treatment)
|
The Asthma Control Test (ACT) is a validated 5-item self-reported questionnaire assessing overall asthma control, with total scores ranging from 5 to 25.
Higher scores indicate better asthma control.
|
Change from baseline to week 4 (end of treatment)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hospital Anxiety and Depression Scale (HADS)
Time Frame: Change from baseline to week 4 (end of treatment)
|
A validated self-rating scale containing anxiety (HADS-A) and depression (HADS-D) subscales, each with 7 items.
Lower scores indicate less anxiety and depressive symptoms.
|
Change from baseline to week 4 (end of treatment)
|
|
Asthma-Specific Quality of Life Questionnaire (AQLQ)
Time Frame: Change from baseline to week 4 (end of treatment)
|
A validated self-reported questionnaire evaluating asthma-related quality of life, covering symptoms, activity limitation, emotional function and environmental stimuli.
Higher scores represent better quality of life.
|
Change from baseline to week 4 (end of treatment)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Lei-Miao Yin, MD, Shanghai Municipal Hospital of Traditional Chinese Medicine
- Study Chair: Ping Yin, MD, Longhua Hospital
- Study Chair: Xin-Yun Huang, MD, Yueyang Hospital, Shanghai University of Traditional Chinese medicine
Study record dates
Study Major Dates
Study Start (Estimated)
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 (Actual)
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
Additional Relevant MeSH Terms
- Pathologic Processes
- Immune System Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Bronchial Diseases
- Lung Diseases, Obstructive
- Respiratory Hypersensitivity
- Hypersensitivity, Immediate
- Hypersensitivity
- Pathological Conditions, Signs and Symptoms
- Asthma
- Disease
- Therapeutics
- Complementary Therapies
- Acupuncture Therapy
Other Study ID Numbers
Other Study ID Numbers
- 2026SHL-KY-68-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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