- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05347030
Acupuncture for Impaired Glucose Tolerance in Overweight/Obese Population
Acupuncture for Impaired Glucose Tolerance in Overweight/Obese Population: a Multi-center Randomized Controlled Trial
Study Overview
Status
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Beijing, China, 100053
- Recruiting
- Guang'anmen hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
those who meet the diagnostic criteria of overweight/obesity and IGT:
①IGT: fasting blood glucose (PG) is lower than 7.0mmol/L, and 2-hour blood glucose (2hPG) after oral 75g glucose tolerance test (OGTT) is between 7.8~11.1mmol/L.
②overweight: 24.0 < BMI ≤ 27.9, obesity: BMI ≥ 28.0, or BMI ≤24.0 but Waist Circumference ≥85 cm (male) /≥80 cm(female).
- 18-60 years old;
- those who can appropriately describe their wishes, voluntarily fill in the informed consent form and agree to participate in clinical trials.
Exclusion Criteria:
- obesity secondary to heredity, drugs, and diseases;
- those who have received weight-loss treatment including acupuncture and drugs in the past 3 months;
- those who have taken drugs that have known effects on body weight or appetite in the past 3 months, such as corticosteroids, antidepressants, non-selective antihistamines in vivo, nicotine substitutes, etc;
- IGT is caused by abnormal thyroid function, endocrine tumors, extensive liver damage;
- abnormal glucose tolerance caused by thiazide diuretics, β-blockers, nicotinic acid drugs, quinolones, calcineurin inhibitors, interferon-alpha, etc;
- received antidiabetic medicines in the past 3 months;
- participants with serious primary diseases such as heart, lung, brain, liver, or hematopoietic system diseases, progressive malignant tumor, or other serious consumptive diseases;
- Participants with cognitive impairment and severe mental illness;
- participants with blood coagulation dysfunction, and scare of needles;
- pregnant, breastfeeding, or planning to conceive within 37 weeks.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Acupuncture Group
The acupuncture points are: EX-B3, BL18, BL20, BL21, GV20, GV29, LI11, CV12, CV10, ST25, CV6, CV4, ST40, SP6. After piercing 15-35mm into the skin, the needles will be gently rotated and lifted three times to achieve a sense of sourness, distention, and heaviness (de qi). For EX-B3, BL18, BL20, and BL21, withdrawn afterward immediately. For GV20, GV29, LI11, CV12, CV10, ST25, CV6, CV4, ST40 and SP6, The needles will be maintained for 30 minutes. |
During the 12-week treatment, acupuncture will be administrated 3 times a week (once every other day) in the first 6 weeks, and twice a week in the last 6 weeks (with an interval of 2-3 days).
Each treatment session will last 30 minutes.
|
Sham Comparator: Sham Acupuncture Group
sham acupoints are located at a horizontal distance of 20 mm to those points used in the acupuncture group, and no manipulation was carried out after piercing the skin for 1-2mm to avoid de-qi sensation. For sham EX-B3, BL18, BL20, and BL21, withdraw immediately after piercing. For sham GV20, GV29, LI11, CV12, CV10, ST25, CV6, CV4, ST40 and SP6, The needles will be maintained for 30 minutes after puncture. |
During the 12-week treatment, Sham Acupuncture will be administrated 3 times a week (once every other day) in the first 6 weeks, and twice a week in the last 6 weeks (with an interval of 2-3 days).
Each treatment session will last 30 minutes.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change in the value of 2-hour blood glucose from baseline at the end of the 12-week treatment
Time Frame: week 12
|
The 2-hour blood glucose is the value of intravenous plasma glucose measured by oral 75g glucose tolerance test, which is usually used to diagnose impaired glucose tolerance and observe glucose metabolism.
|
week 12
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change in the value of 2-hour blood glucose from baseline
Time Frame: weeks 24 and 36
|
The 2-hour blood glucose is the value of intravenous plasma glucose measured by oral 75g glucose tolerance test, which is usually used to diagnose impaired glucose tolerance and observe glucose metabolism.
|
weeks 24 and 36
|
The proportion of participants whose 2-hour blood glucose dropped to normal from baseline
Time Frame: weeks 12, 24 and 36
|
The 2-hour blood glucose is the value of intravenous plasma glucose measured by oral 75g glucose tolerance test, which is usually used to diagnose impaired glucose tolerance and observe glucose metabolism.
|
weeks 12, 24 and 36
|
The proportion of participants with at least 5% reductions in body weight from baseline
Time Frame: weeks 4, 8, 12, 16, 24 and 36
|
The body weight will be reported in kg.
|
weeks 4, 8, 12, 16, 24 and 36
|
The change from baseline of body mass index
Time Frame: weeks 4, 8, 12, 16, 24 and 36
|
The body mass index is a figure obtained by dividing body weight by the square of height, in kilograms per meter^2.
It is a universal indicator used in the world to measure the degree of obesity.
|
weeks 4, 8, 12, 16, 24 and 36
|
The change from baseline of fasting plasma glucose
Time Frame: weeks 12, 24 and 36
|
The fasting plasma glucose is measured by oral 75g glucose tolerance test, which is usually used to diagnose impaired glucose tolerance and observe glucose metabolism.
|
weeks 12, 24 and 36
|
The change from baseline of Fasting serum insulin
Time Frame: weeks 12, 24 and 36
|
The fasting serum insulin is measured by oral 75g glucose tolerance test, which was used to diagnose impaired glucose tolerance and observe glucose metabolism.
|
weeks 12, 24 and 36
|
The change from baseline of Homeostasis model assessment-insulin resistance
Time Frame: weeks 12, 24 and 36
|
Homeostasis model assessment-insulin resistance index (HOMA-IR): a mathematical model reflecting the interaction of glucose and insulin in different organs (including pancreas, liver, and surrounding tissues).
It was first proposed by Matthews in 1985.
Insulin resistance (HOMA-R) and islet β cell function (HOMA- β) were evaluated by fasting blood glucose value (FPG) and fasting serum islet level (FINS).
The calculation method is HOMA-IR=FPG × FINS/225;HOMA- β = 20 × FINS/ (FPG-3.5).
The FPG unit is mmol/L, FINS μ U/ml, and the coefficient 225is the correction factor, which refers to the blood glucose level of 5 μ U / ml plasma insulin corresponding to 45mmol/L in normal/ideal individuals.
|
weeks 12, 24 and 36
|
The change from baseline of Waist-to-Hip Ratio
Time Frame: weeks 4, 8, 12, 16, 24 and 36
|
Waist-to-Hip Ratio(WHR): the ratio of waist to hip circumference. It is an important measure for the diagnosis of central adiposity. To measure waist circumference, locate the upper hip bone and the top of the right iliac crest. Place a measuring tape in a horizontal plane around the abdomen at the level of the iliac crest. To measure hip circumference, place the measuring tape on the horizontal plane and place it at the maximum extension of the hip. Before reading the tape measure, ensure that the tape is snug, but does not compress the skin, and is parallel to the floor. The measurement is made at the end of a normal expiration. |
weeks 4, 8, 12, 16, 24 and 36
|
The change from baseline in the SNAQ scores
Time Frame: weeks 4, 8, 12, 16, 24 and 36
|
SNAQ=simple appetite questionnaire.
SNAQ is a short and simple appetite assessment tool that can predict weight loss in adults.
It measures the amount of food per meal, the number of meals per day, and the taste of the food.
It consists of four items, each with five grades, with the total score ranging from 4 to 20 points.
Lower scores indicate deterioration in appetite.
|
weeks 4, 8, 12, 16, 24 and 36
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The change from baseline in the IWQOL-Lite scale scores
Time Frame: weeks 4, 8, 12, 16, 24 and 36
|
IWQOL-Lite=Impact of Weight on Quality Of Life.
IWQOL-Lite is an international scale used to measure an individual's health-related quality of life.
A total of 31 questions are divided into five subscales: 11 questions concerning physical function, 7 concerning self-esteem, 4 concerning sex life, 5 concerning public pressure, and 4 concerning work.
The score of each question is divided into five grades, with 5 representing always, 4 often, 3 sometimes, 2 rarely and 1 never.
The total score of the questionnaire is 155, with a higher score indicating a worse quality of life.
|
weeks 4, 8, 12, 16, 24 and 36
|
The change from baseline of TC, TG, LDL-C, and HDL-C
Time Frame: weeks 12, 24 and 36
|
TC=Serum total cholesterol, TG=triglyceride, LDL-C=Low-Density Lipoprotein Cholesterol, HDL-C=High-Density Lipoprotein Cholesterol.
They are important indicators to evaluate the metabolism of blood lipids in the human body, all of which will be reported in mmol/L.
|
weeks 12, 24 and 36
|
The change from baseline of blood pressure
Time Frame: weeks 12, 24 and 36
|
The blood pressure is measured by an OMRON upper arm blood pressure electronic sphygmomanometer.
Before blood pressure measurement, subjects are required to sit still for five minutes, relax the whole body and take three slow deep breaths; during blood pressure measurement, subjects must keep their wrists still and placed at the same level as the heart.
Keep calm and do not speak during the measurement.
The blood pressure was measured 2 times and the average blood pressure was taken as the actual blood pressure.
|
weeks 12, 24 and 36
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Expectation assessment
Time Frame: baseline
|
Participants will be asked "Do you think acupuncture will be effective for treating the illness?" and "Do you think acupuncture will be effective for controlling weight and improving glucose?"
The response options will be "Ineffective", "the effect is not good", "uncertain", "has some effect", or "very effective".
|
baseline
|
Blinding assessment
Time Frame: week 12
|
Participants will be told that insertion is deeper in traditional acupuncture group and shallower in modern acupuncture group.
After treatments finished, they will be asked "Do you think you have received traditional acupuncture in the past weeks?", the answers are "Yes", "No" or "Unclear".
|
week 12
|
Compliance assessment of acupuncture
Time Frame: week 12
|
compliance = (the times the Participant has received acupuncture/ the total times the Participant should receive acupuncture ) × 100% the criterion of good compliance was that the Participants had received more than 80% of treatment (including 80%).
|
week 12
|
Compliance assessment of life modification
Time Frame: weeks 4, 8, 12, 16, 24 and 36
|
The patient's lifestyle adjustment diary card, dietary change table, dietary compliance questionnaire, and exercise compliance scale were selected to evaluate the compliance of life modification.
|
weeks 4, 8, 12, 16, 24 and 36
|
Incidence of Adverse Events
Time Frame: week 0 to 36
|
Acupuncture-related adverse events(such as broken needles, hematoma, infection, etc.) and other unexpected adverse events(such as colds, falls, etc.), including their severity and possible relationship with interventions, will be recorded in detail in the patient-recorded adverse event table and the evaluator-recorded adverse event table throughout the study period.
The incidence of adverse events in the two groups will be calculated at the end of the study.
|
week 0 to 36
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
Other Study ID Numbers
- 2021-021-KY-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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