Efecto de la Acupuntura Manual en el Tinnitus Primario Agudo: Un Ensayo Clínico Controlado Aleatorizado Multicéntrico
Acupuntura Manual para el Tinnitus Primario Agudo
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Descripción detallada
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Dan Bing, PhD
- Número de teléfono: 86+13971058388
- Correo electrónico: didibing1981@aliyun.com
Copia de seguridad de contactos de estudio
- Nombre: Dan Bing, PhD
- Número de teléfono: 86-13971058388
- Correo electrónico: didibing1981@aliyun.com
Ubicaciones de estudio
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Hubei
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Wuhan, Hubei, Porcelana, 430030
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Criterios de inclusión:
- Edad comprendida entre 18 y 65 años (cualquier sexo);
- La queja principal es el tinnitus;
- Cumple los criterios diagnósticos para tinnitus primario;
- El tinnitus debe ser molesto, con una puntuación THI entre 28 y 76, y durar ≥2 semanas;
- Duración del tinnitus inferior a 6 meses;
- Sin experiencia con acupuntura en los últimos 3 meses;
- No haber usado medicación para el tinnitus dentro de las 2 semanas previas al tratamiento, incluyendo inyecciones intratimpánicas, inyecciones retroauriculares, corticosteroides, Medicina Tradicional China (MTC) o medicamentos patentados chinos, etc.;
- Aceptar firmar el formulario de consentimiento informado.
Criterios de exclusión:
- Tinnitus objetivo;
- Tinnitus pulsátil;
- Diagnosticado como tinnitus secundario según evaluación de audiólogos y clínicos;
- Pérdida auditiva conductiva combinada (confirmada por otoscopia anormal o timpanograma anormal);
- Contraindicaciones para la acupuntura, incluyendo mujeres embarazadas, anemia grave, trastornos de coagulación, etc.;
- Dificultades para expresar claramente sus síntomas, como trastornos mentales graves o deterioro cognitivo;
- Padecer otras enfermedades orgánicas agudas o crónicas graves actualmente, como enfermedades cerebrovasculares, cardiovasculares, hepáticas, renales, hematológicas, infecciosas o tumores malignos;
- Participación en otros ensayos clínicos, especialmente aquellos relacionados estrechamente con el tratamiento del tinnitus, como la terapia sonora;
- Tener un fuerte deseo de tratamiento farmacológico.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
|---|---|
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Experimental: Manual acupuncture group
Ten sessions of 30 minute manual acupuncture are deivered during a four-week treatment period.
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Educación sanitaria y evaluación estándar relacionada con el tinnitus
Ten manual acupuncture sessions will be delivered over 4 weeks, with treatment frequency decreasing from 3 sessions per week for the first 2 weeks to 2 sessions per week for the remaining weeks.
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Comparador falso: Sham acupuncture
Ten sessions of 30 minute sham acupuncture are deivered during 4 weeks.
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Educación sanitaria y evaluación estándar relacionada con el tinnitus
Ten manual acupuncture sessions will be delivered over 4 weeks, with treatment frequency decreasing from 3 sessions per week for the first 2 weeks to 2 sessions per week for the last 2 weeks.
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Otro: Usual care
Health education and guidance related to tinnitus
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Educación sanitaria y evaluación estándar relacionada con el tinnitus
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Tinnitus Handicap Inventory (THI, 0-100)
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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25-item measure of tinnitus-related handicap; total score 0-100, higher scores indicate greater handicap.
In details, 0-16 points indicate no handicap; 18-36 points indicate mild handicap;38-56 points indicate moderate handicap; 58-76 points indicate severe handicap and >76 points indicate catastrophic handicap.
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Tinnitus Functional Index (TFI, 0-100)
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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25-item self-report measure of tinnitus-related functional impact; total score 0-100, higher scores indicate greater impairment.
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Effective response rate of THI
Periodo de tiempo: End of treatment at 4 weeks after randomization, 8 weeks after randomization and 12 weeks after randomization.
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Effective response rate of THI is defined as the proportion of patients with a THI score decrease of ≥7 points.
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End of treatment at 4 weeks after randomization, 8 weeks after randomization and 12 weeks after randomization.
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Effective response rate of TFI.
Periodo de tiempo: End of treatment at 4 weeks after randomization, 8 weeks after randomization and 12 weeks after randomization.
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Effective response rate of TFI is defined as the proportion of patients with a TFI score decrease of ≥13 points.
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End of treatment at 4 weeks after randomization, 8 weeks after randomization and 12 weeks after randomization.
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Visual Analogue Scale (VAS) for aural fullness
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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We will use a 10-mm Visual Analogue Scale (VAS) (0 = no tinnitus, 10 = the most loud of tinnitus) to assess aural fullness.
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Visual Analogue Scale (VAS) for tinnitus
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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The VAS will be used to assess the intensity of tinnitus.
0 indicates "no aural fullness", and 10 indicates "the most severe aural fullness".
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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The Pittsburgh Sleep Quality Index (PSQI)
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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The pittsburgh Sleep Qual-ityIndex (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval.
It has 19 questions which can be grouped into seven categories: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep dis-turbances, use of sleeping medication, and daytime dysfunction.The PSQI total score ranges from 0 to 21, with higher scores indicating worse sleep quality.
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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The Zung Self-Rating Depression Scale(SDS)
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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The Zung Self-Rating Depression Scale(SDS) will be adopted to assess depression.
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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The Zung Self-Rating Anxiety Scale(SAS)
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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The Zung Self-Rating Anxiety Scale(SAS) will be adopted to assess anxiety.
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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World Health Organization Quality of Life-BREF questionnaire(WHOQOL-BREF)
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Quality of life assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF), yielding domain scores and an overall score (0-100; higher scores indicate better quality of life).
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Patient-Doctor Relationship Questionnaire (PDRQ-9)
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Patient-Doctor Relationship Questionnaire (PDRQ-9) is to assess patient-doctor relationship.
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Adverse Events
Periodo de tiempo: Up to 4 weeks (manual acupuncture/sham acupuncture sessions 1-10)
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Adverse events assessed each acupuncture treatment visit using a acupuncture adverse events questionnaire recording presence and severity of side effects (e.g., subcutaneous hemorrhage, minor bleeding) related to acupuncture, plus event frequency.
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Up to 4 weeks (manual acupuncture/sham acupuncture sessions 1-10)
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Assessment of blinding
Periodo de tiempo: At 12 weeks after randomization
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At the end of the study, we will determine the maintenance of blinding of patients by asking them whether they thought the needles had penetrated the skin.
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At 12 weeks after randomization
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Acupuncture expectancy scale(AES)
Periodo de tiempo: Baseline visit, and end of treatment at 4 weeks after randomization,.
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The Acupuncture Expectancy Scale (AES) will be completed by participants in the verum and sham acupuncture groups at baseline and at the end of treatment (4 weeks after randomization).
The questionnaire will not be administered to the usual care group.
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Baseline visit, and end of treatment at 4 weeks after randomization,.
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Massachusetts General Hospital Acupuncture Sensation Scale(MASS)
Periodo de tiempo: Up to 4 weeks (manual acupuncture/sham acupuncture sessions 1-10)
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The Massachusetts General Hospital Acupuncture Sensation Scale, which includes twelve specific descriptors-soreness, aching, deep pressure, heaviness, fullness or distension, tingling, numbness, sharp pain, dull pain, warmth, cold, and throbbing-as well as an open field for patients to describe the sensation in their own words, will be administered following a brief explanation of de qi sensations by the acupuncturist to participants in the verum acupuncture and sham acupuncture groups, while the usual care group will not receive this questionnaire.
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Up to 4 weeks (manual acupuncture/sham acupuncture sessions 1-10)
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Auditory Sensitivity Scale
Periodo de tiempo: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Auditory Sensitivity Scale is a self-report questionnaire consisting of general questions on tinnitus and sound intolerance, along with 25 items rated on different scoring scales (e.g., 0/2/5, 0/1/2, 0/10), and provides a severity classification based on the total score: 31-55 for mild, 56-80 for moderate, 81-100 for severe, and 101-126 for very severe.
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Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
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Otras medidas de resultado
Otras medidas de resultado
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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10-item short version of the Big Five Inventory (BFI-10)
Periodo de tiempo: Baseline visit(before randomization)
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Personality is assessed by a10-item short version of the Big Five Inventory (BFI-10).
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Baseline visit(before randomization)
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Pure-Tone Audiometry(PTA)
Periodo de tiempo: Baseline visit(before randomization)
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Pure tone audiometry is conducted under standard soundproof conditions using the Hughson-Westlake method to obtain the air conduction threshold (bone conduction threshold is only used for diagnosis, to determine whether there is conductive hearing loss, and to assist in the screening process; statistical analysis only uses the air conduction threshold).
The standard test frequencies range from 0.25 to 8 kHz.
If conditions permit, extended high frequencies (Extended High Frequency, EHF; ≥ 9-16 kHz) are added, and necessary masking is performed in accordance with the norms.
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Baseline visit(before randomization)
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Investigadores
Investigadores
- Investigador principal: Dan Bing, PhD, Tongji Hospital
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
Otros números de identificación del estudio
- Tinnitus(2025-TJ-MA)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Marco de tiempo para compartir IPD
Tipo de información de apoyo para compartir IPD
- PROTOCOLO DE ESTUDIO
- SAVIA
- CIF
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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