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Chemotherapy-induced Nausea and VomitingNCT02195921

Acupuncture for Chemotherapy-Induced Nausea and Vomiting

A study testing single point Zhongwan(CV12) plus antiemetic drug, single point Zusanli(ST36) plus antiemetic drug and Zusanli(ST36)and Zhongwan(CV12) plus antiemetic drug in people with Chemotherapy-induced Nausea and Vomiting, run by Tianjin University of Traditional Chinese Medicine at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to clarify whether the matching acupoints is more effective than a single point by electroacupuncture in the management of chemotherapy-induced nausea and vomiting . Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Chemotherapy-induced Nausea and Vomiting
What is being tested?
single point Zhongwan(CV12) plus antiemetic drug, single point Zusanli(ST36) plus antiemetic drug and Zusanli(ST36)and Zhongwan(CV12) plus antiemetic drug
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
1 siteChina
Study dates
Apr 2015to Jan 2017
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Be diagnosed as cancer and need to accept chemotherapy.
  • The score of Karnofsky ≥70
  • Patients of either gender and older than 18 years
  • Patients receiving chemotherapy both outpatients and inpatients
  • Patients receiving chemotherapy either he first or multiple cycle, but the patient will be taken in only one time
  • To receive chemotherapy containing cisplatin(DDP≥75mg/m2) or joint chemotherapy programmes of Anthracyclines(Adriamycin≥40mg/m2 or epirubicin≥60mg/m2)
  • Life expectancy≥ 6 months
  • Willing to participate in the study and be randomized into one of the four study groups.

Who cannot join

  • To receive radiotherapy and chemotherapy
  • Gastrointestinal tumors
  • Patients with serious liver disease or abnormal hepatorenal function (AST,ACT, and TBIL are 3 times more than normal, BUN and Cr are 2 times more than normal)
  • Presence of cardiac pacemaker
  • Active skin infection
  • Nausea and/or vomiting resulting from opioids or metabolic imbalance (electrolyte disturbances)
Show all 10Show fewer
  • Patients unable to provide self-care or communication
  • Nausea and/or vomiting resulting from mechanical risk factors (i.e., intestinal obstruction)
  • Brain metastases
  • Women in pregnant and lactating period

Trial locations and contacts

1 site in 1 country.

China1 site
  • Tianjin University of Traditional Chinese Medicine

    Tianjin, Tianjin Municipality, 301617

Other trials in China

About this study

Official title: Acupuncture for Chemotherapy-Induced Nausea and Vomiting: A Randomized Clinical Trial

The purpose of this study is to clarify whether the matching acupoints is more effective than a single point by electroacupuncture in the management of chemotherapy-induced nausea and vomiting .

Read the detailed description

Patients were assigned to Four sessions of electroacupuncture(EA) at the CV12, ST36, CV12+ST36 acupoints or antiemetic therapy over 5 days. primary and secondary outcomes and Adverse Eventswill be assessed.

Being tested
single point Zhongwan(CV12) plus antiemetic drug, single point Zusanli(ST36) plus antiemetic drug, Zusanli(ST36)and Zhongwan(CV12) plus antiemetic drug, only antiemetic drug
Medical subject headings
Vomiting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • single point Zhongwan(CV12) plus antiemetic drugOther

    All participants were supine in the hospital bed. A disposable sterile acupuncture needle (ø 0.30 × 40 mm, Hwato) was inserted vertically at approximately 20-30 mm until "De Qi" (sensation of soreness, numbness, distension, etc. around the acupoint) was reported by the participants. Then, the needle handle was clamped via a metal clip to connect to the positive electrode of the electric acupuncture apparatus (Huatuo, SDZ-V model, Suzhou Medical Appliance). Another reference electrode was placed 1 cm above the CV12 acupoints of the stimulation point, where no acupoints or meridians passed through. A dilatational wave at a frequency of 2/10 Hz and a current intensity at the highest level tolerated by the patient, with a maximum intensity no more than 10 mA, were used to deliver the EA stimulation. People in the intervention groups were offered a standardized 30-minute EA session once daily from the 1st day of the four-day chemotherapy cycle.

  • single point Zusanli(ST36) plus antiemetic drugOther

    A disposable sterile acupuncture needle (ø 0.30 × 40 mm, Hwato) was inserted vertically at approximately 20-30 mm until "De Qi" (sensation of soreness, numbness, distension, etc. around the acupoint) was reported by the participants. Then, the needle handle was clamped via a metal clip to connect to the positive electrode of the electric acupuncture apparatus (Huatuo, SDZ-V model, Suzhou Medical Appliance). Another reference electrode was placed 1cm below ST36 acupoints of the stimulation point, respectively, where no acupoints or meridians passed through. A dilatational wave at a frequency of 2/10 Hz and a current intensity at the highest level tolerated by the patient, with a maximum intensity no more than 10 mA, were used to deliver the EA stimulation. People in the intervention groups were offered a standardized 30-minute EA session once daily from the 1st day of the four-day chemotherapy cycle.

  • Zusanli(ST36)and Zhongwan(CV12) plus antiemetic drugOther

    Stimulating both Zusanli(ST36)and Zhongwan(CV12)

  • only antiemetic drugDrug

    received routine antiemetic treatment

Study groups in NCT02195921
Study groupRoleWhat they receive
Single point CV12Experimentalchoose single point:Zhongwan(CV12).Zhongwan(CV12):On the upper abdomen, 4 B-cun superior to the centre of the umbilicus, on the anterior median line.Manipulating until achieving a "de Qi" sensation,then the needle is connected through a electro-acupuncture apparatus,the positive pole is linked to the needle, and the reference pole is located near the acupoint about 1cm with a paster. Frequency 10Hz,the intensity of stimulation is adjusted according to the patient's tolerance, and the electric current is less than 10mA.The operation lasts for 30 min. The treatmeat is scheduled to occur within 30min-60min before chemotherapy infusion for 4 days. Received routine antiemetic treatment.
Receives: Other: single point Zhongwan(CV12) plus antiemetic drug
Single point ST36Experimentalchoose another single point Zusanli(ST36).Zusanli(ST36):On the anterior aspect of the leg, on the line connecting ST35 with ST41, 3 B-cun inferior to ST35,located on the tibialis anterior muscle..Manipulating until achieving a "de Qi" sensation, then the needle is connected through a electro-acupuncture apparatus,the positive pole is linked to the needle, and the reference pole is located near the acupoint about 1cm with a paster. Frequency 10Hz,the intensity of stimulation is adjusted according to the patient's tolerance, and the electric current is less than 10mA.The operation lasts for 30 min. The treatmeat is scheduled to occur within 30min-60min before chemotherapy infusion for 4 days. Received routine antiemetic treatment.
Receives: Other: single point Zusanli(ST36) plus antiemetic drug
ST36+CV12 acupointsExperimentalChoose both Zusanli(ST36) and Zhongwan(CV12).Manipulating until achieving a "de Qi" sensation, then the needle is connected through a electro-acupuncture apparatus,the positive pole is linked to the needle, and the reference pole is located near the acupoint about 1cm with a paster. Frequency 10Hz,the intensity of stimulation is adjusted according to the patient's tolerance, and the electric current is less than 10mA.The operation lasts for 30 min. The treatmeat is scheduled to occur within 30min-60min before chemotherapy infusion for 4 days. Received routine antiemetic treatment.
Receives: Other: Zusanli(ST36)and Zhongwan(CV12) plus antiemetic drug
only antiemeticsActive comparatorThe control group will receive standard antiemetics alone. Standard antiemetics for all groups are based on American Society of Clinical Oncology clinical practice guideline. 5-hydroxytryptamine-3 (5-HT3) antagonist (Ramosetron , Tropisetron)and dexamethasone are supplied from the first day of chemtherapy,and lasting for 3-5days. If nausea and/or vomiting is persistent and failed to respond to the antiemetic treatment , based on the experience of each clinician, the other advanced 5-HT3 antagonist or a neurokinin 1 antagonist(NK-1) will be chosen.
Receives: Drug: only antiemetic drug

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Nausea

    Percentage of participants with nausea was assessed by visual analog scale (VAS) ranging from 0 (no nausea) to 10 (worst nausea). A score of 0 means no nausea for a portion of the patient's assessment.

    Measured: 5 days

  2. Number of Times Vomiting Occurs After Chemotherapy

    The number of times vomiting occurs after chemotherapy for each participant during 0-120 hours. The evaluator completed daily diaries for each time point.

    Measured: 5 days

  3. Rhodes Index of Nausea, Vomiting and Retching

    The RINVR scale has 8 items . The scale divides the occurrence of nausea , vomiting , and retching within 12 hours of tumor chemotherapy patients into 5 grades , which are scored from 0 to 4 points . The lower the score , the better . The RINVR scale can be divided into three dimensions : symptom experience time , symptom frequency and symptom severity .

    Measured: 5 days

  4. Percentage of Participants With Nausea and Number of Times of Vomiting Occurs After Chemotherapy

    Rhodes Index of Nausea, Vomiting and Retching was replaced by percentage of participants with nausea (assessed by VAS) and number of times of vomiting occurs which were recorded in the first and second primary outcome.

    Measured: 5 days

Secondary outcomes (4)
  1. Grading of Constipation and Diarrhea

    The grading of constipation and diarrhea.We deleted this evaluation method due to weak correlation.

    Measured: 5 days

  2. Electrogastrogram

    We deleted this evaluation method due to weak correlation.

    Measured: 5 days

  3. the Assessment of Quality of Life

    Assessed by the Functional Assessment of Cancer Treatment-General (FACT-G) .The FACT-G includes 27 items and is divided among 4 subscales: physical well-being (PWB), functional well-being (FWB), social/family well-being (SWB), and emotional well-being (EWB). The total FACT-G score ranges from 0 to 108 and is calculated by the sum of the subscales, with higher scores indicating greater functional status

    Measured: 5 days

  4. the Assessment of Anxiety and Depression

    Assessed by Hospital Anxiety and Depression Scale (HADS scale). It includes fourteen items, seven of which assess anxiety and the other seven assess depression (30). The total scores range from 0 to 21 for depression and anxiety, respectively, with higher scores indicating more depression and anxiety.

    Measured: 5 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jul 2014 (estimated)
  2. Study startApr 2015
  3. Primary completionMar 2016
  4. Study completionJan 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
160 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02195921
Sponsor's protocol ID
2014CB543201-02
Status last verified
Jan 2021
First submitted
17 Jul 2014
Last updated
11 Feb 2021
Data monitoring committee
Yes

Publications

  • Chen B, Guo Y, Zhao X, Gao LL, Li B, Zhao TY, Zhang QW, Zou JX, Li MY, Guo YM, Guo Y, Pan XF. Efficacy differences of electroacupuncture with single acupoint or matching acupoints for chemotherapy-induced nausea and vomiting: study protocol for a randomized controlled trial. Trials. 2017 Oct 13;18(1):477. doi: 10.1186/s13063-017-2186-y.

    PubMed 29029639

Questions about this trial

What is this clinical trial studying?

A study testing single point Zhongwan(CV12) plus antiemetic drug, single point Zusanli(ST36) plus antiemetic drug and Zusanli(ST36)and Zhongwan(CV12) plus antiemetic drug in people with Chemotherapy-induced Nausea and Vomiting, run by Tianjin University of Traditional Chinese Medicine at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Feb 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Nausea (time frame: 5 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02195921, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Feb 2021; AzTrials last refreshed its copy on 6 Nov 2026.

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