Effect van Manuele Acupunctuur op Acute Primaire Tinnitus: Een Multicenter Gerandomiseerd Gecontroleerd Klinisch Onderzoek
Handmatige Acupunctuur bij Acute Primaire Tinnitus
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Gedetailleerde beschrijving
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
Studiecontact
- Naam: Dan Bing, PhD
- Telefoonnummer: 86+13971058388
- E-mail: didibing1981@aliyun.com
Studie Contact Back-up
- Naam: Dan Bing, PhD
- Telefoonnummer: 86-13971058388
- E-mail: didibing1981@aliyun.com
Studie Locaties
-
-
Hubei
-
Wuhan, Hubei, China, 430030
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,
-
-
Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusiecriteria:
- Leeftijd tussen 18 en 65 jaar (beide geslachten);
- De primaire klacht is tinnitus;
- Voldoet aan de diagnostische criteria voor primaire tinnitus;
- Tinnitus moet hinderlijk zijn, met een THI-score tussen 28 en 76, en minimaal 2 weken aanhouden;
- Duur van tinnitus minder dan 6 maanden;
- Geen acupunctuurervaring in de afgelopen 3 maanden;
- Geen gebruik van medicatie voor tinnitus binnen 2 weken voorafgaand aan de behandeling, waaronder intratympanale injecties, postauriculaire injecties, corticosteroïden, traditionele Chinese geneeskunde (TCM) of Chinese kruidengeneesmiddelen en dergelijke;
- Akkoord met het ondertekenen van het geïnformeerd toestemmingsformulier.
Exclusiecriteria:
- Objectieve tinnitus;
- Pulsatiele tinnitus;
- Gediagnosticeerd als secundaire tinnitus zoals beoordeeld door audiologen en clinici;
- Gecombineerd geleidingsverlies (bevestigd door abnormale otoscopie of abnormaal tympanogram);
- Contra-indicaties voor acupunctuur, waaronder zwangere vrouwen, ernstige bloedarmoede, stollingsstoornissen, enz.;
- Moeite met het duidelijk uiten van hun symptomen, zoals ernstige psychische stoornissen of cognitieve beperkingen;
- Momenteel lijden aan andere ernstige acute of chronische organische ziekten, zoals cerebrovasculaire, cardiovasculaire, lever-, nier-, hematologische ziekten, infectieziekten of kwaadaardige tumoren;
- Deelgenomen aan andere klinische onderzoeken, met name die nauw verwant zijn aan tinnitusbehandeling, zoals geluidstherapie;
- Een sterke behoefte hebben aan medicamenteuze behandeling.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
|
Experimenteel: Manual acupuncture group
Ten sessions of 30 minute manual acupuncture are deivered during a four-week treatment period.
|
Gezondheidsvoorlichting en standaard evaluatie gerelateerd aan 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.
|
|
Sham-vergelijker: Sham acupuncture
Ten sessions of 30 minute sham acupuncture are deivered during 4 weeks.
|
Gezondheidsvoorlichting en standaard evaluatie gerelateerd aan 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.
|
|
Ander: Usual care
Health education and guidance related to tinnitus
|
Gezondheidsvoorlichting en standaard evaluatie gerelateerd aan tinnitus
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Tinnitus Handicap Inventory (THI, 0-100)
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
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.
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
|
Tinnitus Functional Index (TFI, 0-100)
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
25-item self-report measure of tinnitus-related functional impact; total score 0-100, higher scores indicate greater impairment.
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Effective response rate of THI
Tijdsspanne: End of treatment at 4 weeks after randomization, 8 weeks after randomization and 12 weeks after randomization.
|
Effective response rate of THI is defined as the proportion of patients with a THI score decrease of ≥7 points.
|
End of treatment at 4 weeks after randomization, 8 weeks after randomization and 12 weeks after randomization.
|
|
Effective response rate of TFI.
Tijdsspanne: End of treatment at 4 weeks after randomization, 8 weeks after randomization and 12 weeks after randomization.
|
Effective response rate of TFI is defined as the proportion of patients with a TFI score decrease of ≥13 points.
|
End of treatment at 4 weeks after randomization, 8 weeks after randomization and 12 weeks after randomization.
|
|
Visual Analogue Scale (VAS) for aural fullness
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
We will use a 10-mm Visual Analogue Scale (VAS) (0 = no tinnitus, 10 = the most loud of tinnitus) to assess aural fullness.
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
|
Visual Analogue Scale (VAS) for tinnitus
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
The VAS will be used to assess the intensity of tinnitus.
0 indicates "no aural fullness", and 10 indicates "the most severe aural fullness".
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
|
The Pittsburgh Sleep Quality Index (PSQI)
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
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.
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
|
The Zung Self-Rating Depression Scale(SDS)
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
The Zung Self-Rating Depression Scale(SDS) will be adopted to assess depression.
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
|
The Zung Self-Rating Anxiety Scale(SAS)
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
The Zung Self-Rating Anxiety Scale(SAS) will be adopted to assess anxiety.
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
|
World Health Organization Quality of Life-BREF questionnaire(WHOQOL-BREF)
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
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).
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
|
Patient-Doctor Relationship Questionnaire (PDRQ-9)
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
Patient-Doctor Relationship Questionnaire (PDRQ-9) is to assess patient-doctor relationship.
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
|
Adverse Events
Tijdsspanne: Up to 4 weeks (manual acupuncture/sham acupuncture sessions 1-10)
|
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.
|
Up to 4 weeks (manual acupuncture/sham acupuncture sessions 1-10)
|
|
Assessment of blinding
Tijdsspanne: At 12 weeks after randomization
|
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.
|
At 12 weeks after randomization
|
|
Acupuncture expectancy scale(AES)
Tijdsspanne: Baseline visit, and end of treatment at 4 weeks after randomization,.
|
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.
|
Baseline visit, and end of treatment at 4 weeks after randomization,.
|
|
Massachusetts General Hospital Acupuncture Sensation Scale(MASS)
Tijdsspanne: Up to 4 weeks (manual acupuncture/sham acupuncture sessions 1-10)
|
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.
|
Up to 4 weeks (manual acupuncture/sham acupuncture sessions 1-10)
|
|
Auditory Sensitivity Scale
Tijdsspanne: Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
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.
|
Baseline visit, end of treatment at 4 weeks after randomization, post-treatment at 8 weeks after randomization and 12 weeks after randomization.
|
Andere uitkomstmaten
Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
10-item short version of the Big Five Inventory (BFI-10)
Tijdsspanne: Baseline visit(before randomization)
|
Personality is assessed by a10-item short version of the Big Five Inventory (BFI-10).
|
Baseline visit(before randomization)
|
|
Pure-Tone Audiometry(PTA)
Tijdsspanne: Baseline visit(before randomization)
|
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.
|
Baseline visit(before randomization)
|
Medewerkers en onderzoekers
Sponsor
Sponsor
Medewerkers
Medewerkers
Onderzoekers
Onderzoekers
- Hoofdonderzoeker: Dan Bing, PhD, Tongji Hospital
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- Tinnitus(2025-TJ-MA)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
IPD-tijdsbestek voor delen
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
- SAP
- ICF
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .