- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01201642
Prednisone and Acupuncture for the Treatment of Facial Neuritis: a Multiple Center, CER in China
Prednisone Acetate and Acupuncture for the Treatment of Facial Neuritis: a Multiple Center, Comparative Effectiveness Research in China
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patients will be recruited between Sep, 2010, and Dec, 2014. Baseline assessments before the start of treatment include neurological examination, grading of facial function, measurement of ipsilateral pain, documentation of concurrent medication.
These patients are assigned to receive one of the following treatment groups, i.e. 1)the hormone group: oral hormone drugs, do not accept acupuncture treatment; 2)acupuncture group: using acupuncture therapy, do not accept oral hormone therapy; 3)hormone-acupuncture combined treatment group: receive oral hormone and acupuncture therapy at the same time; 4)other treatment group: other treatment in addition to the above 3 groups of treatment abroad. The secondary factor grouping (subgroup): According to the different time of treatment after the onset of disease, the acupuncture group and the hormone- acupuncture combined treatment group can be divided into Type Ⅰ subgroup (patients receive acupuncture within 10 days of the onset of disease) and Type II subgroups (patients receive acupuncture after 10 days of the onset of disease). The primary outcome is the time to complete recovery of facial function, assessed by Sunnybrook system and House-Brackmann scale. The secondary outcomes include the incidence of ipsilateral pain in the early stage of palsy (and the duration of this pain), the proportion of patients with severe pain, the occurrence of synkinesis, facial spasm or contracture, and the severity of residual facial symptoms during the study period.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Gang Zhao, MD
- Phone Number: 02984775361
- Email: zhaogang@fmmu.edu.cn
Study Locations
-
-
Shaanxi
-
Xi'an, Shaanxi, China, 710032
- Recruiting
- The Department of Neurology , Xijing Hospital
-
Contact:
- Gang Zhao, MD
- Phone Number: 02984775361
- Email: zhaogang@fmmu.edu.cn
-
Principal Investigator:
- Feng Xia, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- involvement of unilateralfacial nerve paralysis only
- aged between 18 and 75 years old
- period of onset of facial paralysis within 72h
Exclusion Criteria:
- pregnancy
- breastfeeding
- being a woman of child bearing age who is unwilling to use contraceptives during the medication period
- other neurological diseases
- diabetes
- badly controlled hypertension
- current or a history of serious heart disease
- history of renal or hepatic disease
- gastric or duodenal ulcer
- history of glaucoma
- acute otitis or history of ipsilateral chronic otitis
- history of tuberculosis, history of immunodeficiency syndromes
- recent head injury, psychiatric disease, or any other condition that is at risk of being influenced by the study medication or that might have affected completion of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Prednisolone
Prednisolone as 5 mg tablets will be given within 72 h after onset of Bell's palsy as a single dose of 40 mg daily for 5 days; the dose will then be reduced by 10 mg per 5 day, with a total treatment time of 20 days.
|
Prednisolone as 5 mg tablets will be given as a single dose of 40 mg daily for 10 days; the dose will then be reduced by 10 mg per 5 day, with a total treatment time of 20 days.
|
Experimental: Acute stage acupuncture
Accept acupuncture therapy within 10days after onset of Bell's palsy, do not accept prednisolone therapy.
The acupuncture points used were Dicang (ST4), Jiache (ST6), Yangbai (GB14), Xiaguan (ST7), Taiyang (EX-HN5), Quanliao (SI18) and Yifeng (TE17) on the affected side, and Hegu (LI4) bilaterally.
For acute stages acupuncture, shallow puncturing is used at facial acupoints and routine puncturing is used at other acupoints within 72 h after onset of Bell's palsy.
Yifeng (TE17), Hegu (LI4) are punctured 0.5-1.0
cun, the others are punctured 0.1-0.3
cun.
and the needles were retained for 30 minutes, once a day, five times a week, for a total period of four weeks.
|
The acupuncture points used were Dicang (ST4), Jiache (ST6), Yangbai (GB14), Xiaguan (ST7), Taiyang (EX-HN5), Quanliao (SI18) and Yifeng (TE17) on the affected side, and Hegu (LI4) bilaterally.
For acute stages acupuncture, shallow puncturing is used at facial acupoints and routine puncturing is used at other acupoints.
For resting stage acupuncture, penetrative needling is used from Dicang (ST4) to Jiache (ST6) and from Taiyang (EX-HN5) to Quanliao (SI18) 2-3 cun, and routine puncturing is used at other acupoints.
Filiform needles (33 - 49.5 mm, 0.32 mm) will be used with moderate stimulation to get an acupuncture sensation, and the needles were retained for 30 minutes, once a day, five times a week, for a total period of four weeks.
|
Experimental: Prednisolone + acute stage acupuncture
Accept prednisolone and acupuncture therapy within 10days after onset of Bwll's palsy.
Prednisolone used as same as the Arm of Prednisolone.
The acupuncture points used as same as the Arm of Acute stage acupuncture.
|
Prednisolone as 5 mg tablets will be given as a single dose of 40 mg daily for 10 days; the dose will then be reduced by 10 mg per 5 day, with a total treatment time of 20 days.
The acupuncture points used were Dicang (ST4), Jiache (ST6), Yangbai (GB14), Xiaguan (ST7), Taiyang (EX-HN5), Quanliao (SI18) and Yifeng (TE17) on the affected side, and Hegu (LI4) bilaterally.
For acute stages acupuncture, shallow puncturing is used at facial acupoints and routine puncturing is used at other acupoints.
For resting stage acupuncture, penetrative needling is used from Dicang (ST4) to Jiache (ST6) and from Taiyang (EX-HN5) to Quanliao (SI18) 2-3 cun, and routine puncturing is used at other acupoints.
Filiform needles (33 - 49.5 mm, 0.32 mm) will be used with moderate stimulation to get an acupuncture sensation, and the needles were retained for 30 minutes, once a day, five times a week, for a total period of four weeks.
|
Experimental: Resting stage acupuncture
Accepted acupuncture therapy after 10 days of the onset of Bell's palsy.
The acupuncture points used were Dicang (ST4), Jiache (ST6), Yangbai (GB14), Xiaguan (ST7), Taiyang (EX-HN5), Quanliao (SI18) and Yifeng (TE17) on the affected side, and Hegu (LI4) bilaterally.
Penetrative needling is used from Dicang (ST4) to Jiache (ST6) and from Taiyang (EX-HN5) to Quanliao (SI18) 2-3 cun, and routine puncturing is used at other acupoints 7 d after enrolment.
Filiform needles (33 - 49.5 mm, 0.32 mm) will be used with moderate stimulation to get an acupuncture sensation, and the needles were retained for 30 minutes, once a day, five times a week, for a total period of four weeks.
|
The acupuncture points used were Dicang (ST4), Jiache (ST6), Yangbai (GB14), Xiaguan (ST7), Taiyang (EX-HN5), Quanliao (SI18) and Yifeng (TE17) on the affected side, and Hegu (LI4) bilaterally.
For acute stages acupuncture, shallow puncturing is used at facial acupoints and routine puncturing is used at other acupoints.
For resting stage acupuncture, penetrative needling is used from Dicang (ST4) to Jiache (ST6) and from Taiyang (EX-HN5) to Quanliao (SI18) 2-3 cun, and routine puncturing is used at other acupoints.
Filiform needles (33 - 49.5 mm, 0.32 mm) will be used with moderate stimulation to get an acupuncture sensation, and the needles were retained for 30 minutes, once a day, five times a week, for a total period of four weeks.
|
Experimental: Prednisolone + resting stage acupuncture
Accept prednisolone and acupuncture therapy more than 10days after onset of Bwll's palsy.
Prednisolone used as same as the Arm of Prednisolone.
The acupuncture points used as same as the Arm of Resting stage acupuncture.
|
Prednisolone as 5 mg tablets will be given as a single dose of 40 mg daily for 10 days; the dose will then be reduced by 10 mg per 5 day, with a total treatment time of 20 days.
The acupuncture points used were Dicang (ST4), Jiache (ST6), Yangbai (GB14), Xiaguan (ST7), Taiyang (EX-HN5), Quanliao (SI18) and Yifeng (TE17) on the affected side, and Hegu (LI4) bilaterally.
For acute stages acupuncture, shallow puncturing is used at facial acupoints and routine puncturing is used at other acupoints.
For resting stage acupuncture, penetrative needling is used from Dicang (ST4) to Jiache (ST6) and from Taiyang (EX-HN5) to Quanliao (SI18) 2-3 cun, and routine puncturing is used at other acupoints.
Filiform needles (33 - 49.5 mm, 0.32 mm) will be used with moderate stimulation to get an acupuncture sensation, and the needles were retained for 30 minutes, once a day, five times a week, for a total period of four weeks.
|
Other: Other treatment
Do not accept neither prednisolone nor acupuncture therapy.
The therapy accepted is different from the five Arms Previously.
|
common medicine or other physical treatment which are different from those 5 Arms Previously.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment of Facial function
Time Frame: 10days, 1 month, 2 months, 3months, 4months, 6months
|
Facial function will be assessed at all visits with two grading systems( The Sunnybrook system and The House-Brackmann scale ).If recovery is complete (Sunnybrook scale score of 100 points), the next follow-up will be at 6 months.
|
10days, 1 month, 2 months, 3months, 4months, 6months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Neurology examination
Time Frame: 10days, 1 month, 2 months, 3months, 4months, 6months
|
Pain around the ear, in the face, or in the neck will be registered on a visual analogue scale that ranges from 0 to 10 points, where 0 is no pain and 10 very severe pain.
Occurrence of facial spasm or contracture and synkinesia in the different treatment arms at any time will be observed and recorded.
|
10days, 1 month, 2 months, 3months, 4months, 6months
|
registration of ipsilateral pain
Time Frame: 10days, 1 month, 2 months, 3months, 4months, 6months
|
Pain around the ear, in the face, or in the neck will be registered on a visual analogue scale that rangs from 0 to 10 points, where 0 is no pain and 10 very severe pain.
|
10days, 1 month, 2 months, 3months, 4months, 6months
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Feng Xia, MD, The Department of Neurology , Xijing Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Nervous System Diseases
- Virus Diseases
- Infections
- Neurologic Manifestations
- Neuromuscular Diseases
- Stomatognathic Diseases
- Mouth Diseases
- Peripheral Nervous System Diseases
- DNA Virus Infections
- Cranial Nerve Diseases
- Herpesviridae Infections
- Paralysis
- Neuritis
- Bell Palsy
- Facial Paralysis
- Facial Nerve Diseases
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Prednisolone
Other Study ID Numbers
- XijingNeuro-2010
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.
Clinical Trials on Bell's Palsy
-
Beijing Tongren HospitalCompletedLaser Treatment Relieve Symptoms of Chronic Bell's PalsyChina
-
Lama Saad El-Din MahmoudCompletedBell's Palsy | Facial Nerve PalsyEgypt
-
Minia UniversityNot yet recruiting
-
The Third Affiliated hospital of Zhejiang Chinese...Zhejiang University; The First Affiliated Hospital of Zhejiang Chinese Medical...Not yet recruiting
-
University Hospital, MontpellierRecruiting
-
Oregon Health and Science UniversityTerminated
-
Fatih Sultan Mehmet Training and Research HospitalCompleted
-
Wenzhou Medical UniversityCompleted
-
Universidad de la RepublicaCompleted
-
Riphah International UniversityRecruiting
Clinical Trials on Prednisolone
-
Children's Hospital of PhiladelphiaCompleted
-
Hamamatsu UniversityCompletedChronic Disease | Eosinophilic PneumoniaJapan
-
Assiut UniversityCompleted
-
Sparrow PharmaceuticalsRecruitingPolymyalgia RheumaticaGermany
-
IsalaCompletedChronic Obstructive Pulmonary DiseaseNetherlands
-
Institute of Child HealthUnknown
-
Postgraduate Institute of Medical Education and...Completed
-
Postgraduate Institute of Medical Education and...CompletedPost COVID-19 Diffuse Lung DiseaseIndia
-
Nanjing University School of MedicineCompleted
-
Cambridge University Hospitals NHS Foundation TrustUniversity Medical Center Groningen; Imperial College London; University Hospitals... and other collaboratorsTerminatedWegener's Granulomatosis | Microscopic PolyangiitisUnited Kingdom