Akupunktur først for IC/BPS
Akupunktur som førstevalgsterapi til patienter med interstitiel blærebetændelse/smertefuld blæresyndrom
The goal of this clinical trial is to learn if acupuncture in addition to behavioral changes can better treat in women with bladder pain syndrome (also known as interstitial cystitis) that have not received other treatments. The main question it aims to answer is:
Does acupuncture improve pain symptoms on the Interstitial Cystitis Index? Researchers will compare six (6) weeks behavioral management alone to behavioral management and acupuncture.
Participants will
- complete surveys about their bladder pain symptoms
- make behavioral changes that have been shown to improve bladder pain symptoms
- attend six (6) weekly acupuncture sessions
- attend six (6) weekly physical therapy sessions after finishing acupuncture
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Gabriella Rustia, MD
- Telefonnummer: 216-202-0597
- E-mail: gabriella.rustia@uhhospitals.org
Undersøgelse Kontakt Backup
- Navn: Jessica Abou Zeki
- Telefonnummer: 216-286-0603
- E-mail: Jessica.AbouZeki@UHhospitals.org
Studiesteder
-
-
Ohio
-
Cleveland, Ohio, Forenede Stater, 44106
- Rekruttering
- University Hospitals
-
Kontakt:
- Gabriella Rustia, MD
- Telefonnummer: 216-202-0597
- E-mail: gabriella.rustia@uhhospitals.org
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Meets American Urologic Association (AUA) criteria for interstitial cystitis/bladder pain syndrome (IC/BPS): "An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than 6 weeks duration, in the absence of other identifiable cause"
- Negative urine culture
- Has completed cystoscopic evaluation for IC/BPS
Exclusion Criteria:
- History of recurrent urinary tract infection (2 or more culture-positive in 6 months or 3 or more in 12 months)
- History of overactive bladder
- History of bleeding disorder or are currently on chronic anti-coagulation
- Post-void residual >100mL
- Has previously undergone any of the following treatments for any indication: acupuncture, pelvic floor physical therapy, pre-tibial nerve stimulation (PTNS), sacral neuromodulation, or intradetrusor Botox
- Prior bladder augmentation
- Currently undergoing or will undergo treatment for a urologic or gynecologic malignancy
- Currently pregnant (if applicable, based on self-report)
- Implanted pacemaker or defibrillator (AICD) or any metallic implants below umbilicus (eg hip or knee replacements)
- Non-English speaking and reading
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Acupuncture
Participants will receive instruction (verbal and written) on recommended changes to diet and urinary habits to treat bladder pain. They will complete six (6) weekly one hour acupuncture sessions followed by pelvic floor physical therapy. |
traditional and electroacupuncture based on American urologic association guidelines pelvic floor with biofeedback |
|
Aktiv komparator: Behavioral Management
Participants will receive instruction (verbal and written) on recommended changes to diet and urinary habits to treat bladder pain for six (6) weeks before starting pelvic floor physical therapy. |
based on American urologic association guidelines pelvic floor with biofeedback |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
O'Leary-Sant Interstitial Cystitis Index (OLSICI)
Tidsramme: Baseline, every 2 weeks x3 (6 week study protocol period), every 4 weeks x 13 (52 week post-treatment period)
|
Validated 8-item questionnaire with reported scores ranging 0-37. Higher scores are consistent with worse symptoms. |
Baseline, every 2 weeks x3 (6 week study protocol period), every 4 weeks x 13 (52 week post-treatment period)
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patient Global Impression of Improvement (PGI-I)
Tidsramme: x1 (end of 6 week study protocol period), x1 (end of 1 year post-treatment period)
|
Validated 1-item likert-scale question on a scale from 1 (very much better) to 7 (very much worse). |
x1 (end of 6 week study protocol period), x1 (end of 1 year post-treatment period)
|
|
Short Form (SF-36)
Tidsramme: x1 (end of 6 week study protocol period), x1 (end of 1 year post-treatment period)
|
Validated 36-item questionnaire. Higher scores are consistent with worse symptom control. |
x1 (end of 6 week study protocol period), x1 (end of 1 year post-treatment period)
|
|
Genitourinary Pain Index (GUPI)
Tidsramme: Baseline, every 2 weeks x3 (6 week study protocol period), every 4 weeks x 13 (52 week post-treatment period)
|
Validated 9-item questionnaire with reported scores ranging 0-45. Higher scores are consistent with worse symptom control. |
Baseline, every 2 weeks x3 (6 week study protocol period), every 4 weeks x 13 (52 week post-treatment period)
|
|
Number of additional treatments used during study period
Tidsramme: 1 year post-treatment period
|
Treatments include pharmacotherapy, intradetrusor botox, neuromodulation, cyclosporine |
1 year post-treatment period
|
|
Number of unscheduled interactions
Tidsramme: 1 year post-treatment period
|
Unscheduled interactions include any phone calls, messages, or unplanned visits |
1 year post-treatment period
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: David Sheyn, MD, University Hospitals Cleveland Medical Center
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Mandlige urogenitale sygdomme
- Urologiske sygdomme
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Urinblæresygdomme
- Blærebetændelse
- Cystitis, Interstitiel
- Terapeutik
- Komplementære terapier
- Rehabilitering
- Akupunkturbehandling
- Fysioterapimodaliteter
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- STUDY20240374
Plan for individuelle deltagerdata (IPD)
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