Post-stroke DepressionNCT02472613
Acupuncture for Ischemic Post-stroke Depression
A study testing acupuncture and Fluoxetine in people with Post-stroke Depression, run by First Teaching Hospital of Tianjin University of Traditional Chinese Medicine at 3 sites in China.
Trial summary
This is a multicentre, single Blind ,randomized controlled clinical trial in ischemic post-stroke depression patients.The participants will be allocated randomly in either of the two groups: verum acupuncture plus placebo medication group or sham acupuncture plus true medication group. Read more about this study
- Who is it for?
- Ages 45 to 80 years
- Conditions the study is for
- Post-stroke Depression
- What is being tested?
- acupuncture and Fluoxetine
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 208 participants
- Where
- 3 sitesChina
- Study dates
- May 2016to 31 Dec 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 45 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- in accordance with diagnosis of ischemic stroke in International Classification of Diseases-10 163, (ICD-10 163);
- diagnosis of a major depressive episode according to the depression module of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV)or Chinese Classification and Diagnostic Criteria of Mental Disorders-3(CCMD-3)
- age of a subject is between 40 and 80 years old, male or female;
- most recently experience an ischemic post-stroke depression and recent (<6 months);
- conscious, examination cooperation, without aphasia and severe cognitive impairment;
- capacity to provide written consent for both research assessment and treatment.
Who cannot join
- participation in any clinical trial within the previous or taking antidepressant treatment 2 weeks prior to baseline;
- presence of severe cognitive dysfunction, indicated the Mini-mental State Examination (MMSE) score of < 17
- presence of severe aphasia;
- had a history of psychiatric illness or depression
- impaired hepatic , renal function., hematological systems and so on;
- those who can not cooperate with treatment;
- pregnant women or women in lactation
- presence of another chronic disorder, including chronic alcoholism or durg abuse
Trial locations and contacts
3 sites in 1 country.
China3 sites
Beijing Hospital of Traditional Chinese Medicine
Beijing
First Affiliated hospital of Tianjin University of TCM
Tianjin, Tianjin Municipality, 300193
Tianjin Academy of Tradional Chinese Medicine Afflicated Hospital
Tianjin, Tianjin Municipality
About this study
Official title: Comparison of Acupuncture and Fluoxetine for of Ischemic Post-stroke Depression:A Multicentre Randomized Controlled Trial
This is a multicentre, single Blind ,randomized controlled clinical trial in ischemic post-stroke depression patients.The participants will be allocated randomly in either of the two groups: verum acupuncture plus placebo medication group or sham acupuncture plus true medication group. On the hypothesis that acupuncture intervention could produce the same therapeutic effects as antidepressants. The investigators also hypothesized that acupuncture would be associated with minimal side effects.
Read the detailed description
Aim: To observe the curative effect of acupuncture in the treatment of Ischemic Post-Stroke Depression. Design: A multicentre,open-label randomized controlled trial will be performed in Tianjin and Beijing . Two hundred and eight participants with Ischemic Post-Stroke Depression patients were randomly divided into two groups which were both given basic treatment of stroke. The acupuncture group was given Tiaoshenkaiqiao acupuncture therapy and placebo,while the control group was treated with fluoxetine tablets and sham acupoint acupuncture treatment. Evaluated the clinical efficacy of the two groups with Hamilton Depression Scale(HAMD), Barthel Index (BI),Treatment Emergent Symptom Scale,(TESS ),Clinical Global Impression Scale(CGI) respectively before treatment, the second weekend of treatment ,the fourth weekend of treatment, the eighth weekend of treatment, the twelfth weekend of treatment. And observed the adverse reaction of the two groups.
Each participants will receive 36 sessions of acupuncture in 12 weeks, with a duration of 30 minutes in a session. After all the treatments were accomplished, there will be one follow-ups in the 24th week.
- Conditions
- Post-stroke Depression
- Being tested
- acupuncture, placebo, sham-acupoint acupuncture, Fluoxetine
- Keywords
- Post-Stroke Depression, Acupunture, Fluoxetine, RCT
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
acupunctureDevice
Patients will be treated at Renzhong(Du26), Yintang(EX-HN3)、accupuncture Shangxing(DU23)penetrate to Baihui(DU20),Sishencong(EX-HN1); Neiguan(PC6),Sibai(ST2),Fengchi(GB20)and Sanyinjiao(SP6)in bilateral;Jianyu(LI15),Quchi(LI11),Shousanli(LI10),Hegu(LI 4), Fengshi (GB31),Xuehai(SP10) ,Zusanli(ST36)、Taichong(LR 3) of the hemiplegia side. There are another six groups of acupoints in bilateral. The acupuncturist will choose one group acupoints according to patients syndrome:Zhigou (SJ6),Qimen (LR14);Xingjian (LR2),Xiaxi(GB43);Fenglong (ST40),Lianquan(RN23);Tongli (HT5),Xinshu (BL15);Xinshu (BL15),Pishu(BL20);Shenshu (BL23),Taixi (KI3).
The acupoints are inserted at the depth of 20-30mm except Renzhong(Du26), Sibai(ST2), Sishencong(EX-HN1)are inserted at the depth of 5-10mm. The needles will be left for 30 minutes and then removed. Acupuncture treatment will consist of three sessions per week for 12 consecutive weeks.
placeboDrug
Placebo was given for 12 consecutive weeks.
sham-acupoint acupunctureDevice
Jianliao(SJ14),Tianquan(PC2),Xiabai (LU4),Xiaoluo (SJ12),Shouwuli (LI13),Sidu (SJ9),Huizong (SJ7),Wenliu (LI7),Zhouliao (LI12),Quze(PC3),Kongzui(LI6),Zhigou(SJ6),Zhongzhu(SJ3),Futu(ST32),Jimen (SP11),Yinshi (ST33),Liangqiu(ST34),Shangjuxu(ST37),Xiajuxu(ST39),Xiyangguan(GB33),Ligou(LR5),Pucan (BL61),Jinggu (BL64),Rangu (KI2),Ligou (LR5),Neiting (ST44) of the hemiplegia side.
- The acupoints are inserted at the depth of 20-30mm,except Pucan (BL61),Jinggu (BL64),Rangu (KI2) ,Neiting (ST44)are inserted at the depth of 5-10mm. The needles will be left for 30 minutes and then removed. Acupuncture treatment will consist of three sessions per week for 12 consecutive weeks.
FluoxetineDrug
Fluoxetine was given at a dose of 20 mg/day for12 consecutive weeks.
| Study group | Role | What they receive |
|---|---|---|
| traditional acupuncture & placebo | Experimental | Apply traditional acupuncture to treat the ischemic post-stroke depression according to TCM theory. Receives: Device: acupuncture; Drug: placebo |
| sham-acupoint acupuncture & fluoxetine | Active comparator | Fluoxetine was given at a dose of 20 mg/day. sham-acupoint will be penetrated for treat the ischemic post-stroke depression. Receives: Device: sham-acupoint acupuncture; Drug: Fluoxetine |
What is being measured
The primary outcome is the main question the study is designed to answer.
17-item Hamilton Depression Scale( HAMD-17)
Depression symptoms are primarily measured using the 17-item Hamilton Depression Scale (HAMD-17)
Measured: 12 weeks
Barthel Index (BI)
physical outcomes will be measured using Barthel Index (BI)
Measured: 12 weeks
Clinical Global Impression (CGI)
Clinical Global Impression (CGI) would also be measured by clinician
Measured: 12 weeks
Secondary outcomes (3)
Self-Rating Depression Scale(SDS)
Measured: 12 weeks
Treatment Emergent Symptom Scale,(TESS )
Measured: 12 weeks
Stroke diagnosis and evaluation criteria of Traditional Chinese Medicine(TCM)
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jun 2015 (estimated)
- Study startMay 2016
- Primary completion31 Dec 2019
- Study completion31 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Post-stroke DepressionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 208 participants (estimated)
Sponsor and investigators
- Lead sponsor
- First Teaching Hospital of Tianjin University of Traditional Chinese Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- State Administration of Traditional Chinese Medicine of the People's Republic of China, Tianjin Academy of Tradional Chinese Medicine Afflicated Hospital, Beijing Hospital of Traditional Chinese Medicine
- Responsible party
- Principal investigator, Prof Zhang Chunhong, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02472613
- Sponsor's protocol ID
- 201407001-6B
- Status last verified
- Feb 2021
- First submitted
- 8 Jun 2015
- Last updated
- 24 Feb 2021
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Acupuncture and Fluoxetine for of Ischemic Post-stroke Depression:A Multicentre Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT02472613
- Acronym / sponsor ID
- 201407001-6B
- Conditions
- Post-stroke Depression
- Keywords
- Post-Stroke Depression, Acupunture, Fluoxetine, RCT
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 208 participants (estimated)
- Lead sponsor
- First Teaching Hospital of Tianjin University of Traditional Chinese MedicineUniversity, hospital or other
- Collaborators
- State Administration of Traditional Chinese Medicine of the People's Republic of China, Tianjin Academy of Tradional Chinese Medicine Afflicated Hospital, Beijing Hospital of Traditional Chinese Medicine
- Study start
- May 2016 (actual)
- Primary completion
- 31 Dec 2019 (actual)
- Study completion
- 31 Dec 2019 (actual)
- First posted
- 16 Jun 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicentre, single Blind ,randomized controlled clinical trial in ischemic post-stroke depression patients.The participants will be allocated randomly in either of the two groups: verum acupuncture plus placebo medication group or sham acupuncture plus true medication group. On the hypothesis that acupuncture intervention could produce the same therapeutic effects as antidepressants. The investigators also hypothesized that acupuncture would be associated with minimal side effects.
Detailed description
Aim: To observe the curative effect of acupuncture in the treatment of Ischemic Post-Stroke Depression. Design: A multicentre,open-label randomized controlled trial will be performed in Tianjin and Beijing . Two hundred and eight participants with Ischemic Post-Stroke Depression patients were randomly divided into two groups which were both given basic treatment of stroke. The acupuncture group was given Tiaoshenkaiqiao acupuncture therapy and placebo,while the control group was treated with fluoxetine tablets and sham acupoint acupuncture treatment. Evaluated the clinical efficacy of the two groups with Hamilton Depression Scale(HAMD), Barthel Index (BI),Treatment Emergent Symptom Scale,(TESS ),Clinical Global Impression Scale(CGI) respectively before treatment, the second weekend of treatment ,the fourth weekend of treatment, the eighth weekend of treatment, the twelfth weekend of treatment. And observed the adverse reaction of the two groups.
Each participants will receive 36 sessions of acupuncture in 12 weeks, with a duration of 30 minutes in a session. After all the treatments were accomplished, there will be one follow-ups in the 24th week.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| traditional acupuncture & placebo | Experimental | Device: acupuncture, Drug: placeboApply traditional acupuncture to treat the ischemic post-stroke depression according to TCM theory. |
| sham-acupoint acupuncture & fluoxetine | Active comparator | Device: sham-acupoint acupuncture, Drug: FluoxetineFluoxetine was given at a dose of 20 mg/day. sham-acupoint will be penetrated for treat the ischemic post-stroke depression. |
Who may qualify
- Ages
- 45 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- in accordance with diagnosis of ischemic stroke in International Classification of Diseases-10 163, (ICD-10 163);
- diagnosis of a major depressive episode according to the depression module of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV)or Chinese Classification and Diagnostic Criteria of Mental Disorders-3(CCMD-3)
- age of a subject is between 40 and 80 years old, male or female;
- most recently experience an ischemic post-stroke depression and recent (<6 months);
- conscious, examination cooperation, without aphasia and severe cognitive impairment;
Key exclusion criteria (8 listed)
- participation in any clinical trial within the previous or taking antidepressant treatment 2 weeks prior to baseline;
- presence of severe cognitive dysfunction, indicated the Mini-mental State Examination (MMSE) score of < 17
- presence of severe aphasia;
- had a history of psychiatric illness or depression
- impaired hepatic , renal function., hematological systems and so on;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| acupuncturePatients will be treated at Renzhong(Du26), Yintang(EX-HN3)、accupuncture Shangxing(DU23)penetrate to Baihui(DU20),Sishencong(EX-HN1); Neiguan(PC6),Sibai(ST2),Fengchi(GB20)and Sanyinjiao(SP6)in bilateral;Jianyu(LI15),Quchi(LI11),Shousanli(LI10),Hegu(LI 4), Fengshi (GB31),Xuehai(SP10) ,Zusanli(ST36)、Taichong(LR 3) of the hemiplegia side. There are another six groups of acupoints in bilateral. The acupuncturist will choose one group acupoints according to patients syndrome:Zhigou (SJ6),Qimen (LR14);Xingjian (LR2),Xiaxi(GB43);Fenglong (ST40),Lianquan(RN23);Tongli (HT5),Xinshu (BL15);Xinshu (BL15),Pishu(BL20);Shenshu (BL23),Taixi (KI3). The acupoints are inserted at the depth of 20-30mm except Renzhong(Du26), Sibai(ST2), Sishencong(EX-HN1)are inserted at the depth of 5-10mm. The needles will be left for 30 minutes and then removed. Acupuncture treatment will consist of three sessions per week for 12 consecutive weeks. | Device | traditional acupuncture & placebo |
| placeboPlacebo was given for 12 consecutive weeks. | Drug | traditional acupuncture & placebo |
| sham-acupoint acupunctureJianliao(SJ14),Tianquan(PC2),Xiabai (LU4),Xiaoluo (SJ12),Shouwuli (LI13),Sidu (SJ9),Huizong (SJ7),Wenliu (LI7),Zhouliao (LI12),Quze(PC3),Kongzui(LI6),Zhigou(SJ6),Zhongzhu(SJ3),Futu(ST32),Jimen (SP11),Yinshi (ST33),Liangqiu(ST34),Shangjuxu(ST37),Xiajuxu(ST39),Xiyangguan(GB33),Ligou(LR5),Pucan (BL61),Jinggu (BL64),Rangu (KI2),Ligou (LR5),Neiting (ST44) of the hemiplegia side. • The acupoints are inserted at the depth of 20-30mm,except Pucan (BL61),Jinggu (BL64),Rangu (KI2) ,Neiting (ST44)are inserted at the depth of 5-10mm. The needles will be left for 30 minutes and then removed. Acupuncture treatment will consist of three sessions per week for 12 consecutive weeks. | Device | sham-acupoint acupuncture & fluoxetine |
| FluoxetineFluoxetine was given at a dose of 20 mg/day for12 consecutive weeks. | Drug | sham-acupoint acupuncture & fluoxetine |
Primary outcome
17-item Hamilton Depression Scale( HAMD-17)
Time frame: 12 weeks
Depression symptoms are primarily measured using the 17-item Hamilton Depression Scale (HAMD-17)
Barthel Index (BI)
Time frame: 12 weeks
physical outcomes will be measured using Barthel Index (BI)
Clinical Global Impression (CGI)
Time frame: 12 weeks
Clinical Global Impression (CGI) would also be measured by clinician
3 secondary outcomes
Self-Rating Depression Scale(SDS)
Time frame: 12 weeks
Treatment Emergent Symptom Scale,(TESS )
Time frame: 12 weeks
Stroke diagnosis and evaluation criteria of Traditional Chinese Medicine(TCM)
Time frame: 12 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2021.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing acupuncture and Fluoxetine in people with Post-stroke Depression, run by First Teaching Hospital of Tianjin University of Traditional Chinese Medicine at 3 sites 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 6 inclusion and 8 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 24 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 3 sites 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
17-item Hamilton Depression Scale( HAMD-17) (time frame: 12 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 24 Feb 2021.