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Diabetic Peripheral Neuropathic PainNCT06054087

Effectiveness of Electroacupuncture in the Treatment of Diabetic Peripheral Neuropathy

A study testing Basal therapy+EA and Basal therapy in people with Diabetic Peripheral Neuropathic Pain, run by Zhejiang Chinese Medical University at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Diabetic Peripheral Neuropathy (DPN) is one of the most common chronic complications of diabetes mellitus, which mainly manifests symmetric pain, numbness, ankylosis, or with abdominal distension, abnormal sweating, and accompanied by glove-sock-like hyperalgesia or loss of sensation as the main symptom, which… Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Diabetic Peripheral Neuropathic Pain
What is being tested?
Basal therapy+EA and Basal therapy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
104 participants
Where
1 siteChina
Study dates
Oct 2023to 31 Dec 2025
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 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years ≤ age ≤ 85 years, disease duration is not limited, gender is not limited;
  • Lower limb neuromuscular electromyography showing reduced conduction velocity, and/or persistent pain and/or sensory abnormalities in the extremities (at least in both lower limbs), bilateral or unilateral weakened ankle reflexes, reduced vibration sensation, and a TCSS score ≥ 6;
  • Have normal communication skills;
  • No serious heart, brain, liver, kidney and other internal diseases, no serious mental illness and cognitive impairment;
  • those who voluntarily obeyed the study protocol and signed the informed consent form.

Who cannot join

  • Persons with peripheral neuropathy, ulcers and gangrene of the limbs caused by a variety of other reasons (e.g. hypothyroidism, alcohol, drugs, heredity, etc.), or persons with a history of skin ulcers or lesions that do not heal easily;
  • Presence of serious diseases, including renal disease, cardiovascular disease, pulmonary disease, liver disease or infectious disease, or malignant tumour and serious mental illness, etc;
  • Prior history of knee/hip replacement surgery or lower limb fracture within the past 3 months, and other conditions that may affect the assessment of neuropathy
  • Patients who have received acupuncture or moxibustion treatment for DPN within the past 3 months;
  • Volunteers who are participating in other interventional clinical trials;
  • Women who are preparing for pregnancy, pregnant or breastfeeding;
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  • Those who have scars or hyperpigmentation of the skin at the testing site, which affects the accuracy of the test;
  • Unwilling to be randomly assigned to the waiting treatment group or electroacupuncture treatment group;
  • Chronic abuse of opioids, analgesics, illicit drugs or alcohol.

Trial locations and contacts

1 site in 1 country.

Jianqiao Fang, Ph.D,M.D contact

86-13606707532

fangjianqiao7532@163.com

Jing Sun, Ph.D contact

86-13429610268

sunjing0268@163.com

China1 site
  • the Third affiliated hospital of Zhejiang Chinese Medical university

    Hangzhou, Zhejiang

    Ning Luo, 86-15083521014, 921941696@qq.com

Other trials in China

About this study

Official title: Effectiveness of Electroacupuncture in the Treatment of Diabetic Peripheral Neuropathy: a MulticentreRandomised Controlled Trial

Diabetic Peripheral Neuropathy (DPN) is one of the most common chronic complications of diabetes mellitus, which mainly manifests symmetric pain, numbness, ankylosis, or with abdominal distension, abnormal sweating, and accompanied by glove-sock-like hyperalgesia or loss of sensation as the main symptom, which seriously affects the quality of life of patients. Although drug treatment has some effect, from the overall long-term perspective, long-term medication is easy to produce drug dependence, and often easy to cause ataxia, blurred vision, constipation, diplopia, nausea and other adverse drug reactions. Electroacupuncture treatment for DPN has certain advantages, with clear efficacy and no toxic side effects, and is being increasingly recognised by the public and professionals. The study is designed to observe the therapeutic effect and safety of electroacupuncture (EA) in the treatment of DPN.

Read the detailed description

A total of 104 subjects with DPN who meet the inclusion criteria will be included in the study. Subjects will be classified as mild, moderate and severe in terms of severity by using the toronto clinical scoring system(TCSS), and subsequently randomised into the EA group and the waiting list group by using a central randomisation system. The indexes of main outcome evaluation are: sensory nerve conduction velocity (SNCV) and motor nerve conduction velocity (MNCV) of the tibial and peroneal nerves of the lower extremities. The indexes of secondary outcome evaluation are: 1) Overall clinical effectiveness rate; 2) TCSS score; 3) Chinese medicine symptom score; 4) patient's global impression of change (PGIC); 5) regional temperature test; and 6) laboratory tests (glycosylated haemoglobin, fasting blood glucose, and postprandial 2h blood glucose). This study will evaluate the effectiveness of EA in treating DPN and assess the difference in the efficacy of EA in treating patients with DPN of different severity, as well as explore the feasibility of regional temperature as an indicator for assessing the efficacy of DPN. And based on the results, a standardised, effective and convenient EA treatment protocol will be established for promotion.

Being tested
Basal therapy+EA, Basal therapy
Keywords
Diabetic Peripheral Neuropathy, Electroacupuncture, Multi-center RCT

What participants receive

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

  • Basal therapy+EAProcedure or surgery

    1. Participants are not set up with uniform medication. High blood sugar is controlled by hypoglycaemic drugs, patients with hypertension and hyperlipidaemia can take antihypertensive and lipid-lowering drugs, while other drugs are based on the patient's current medication.
    2. Main acupoints: Qihai (RN6), Guanyuan (RN4), Xuehai (SP10), Yanglingquan (GB34), Zusanli (T36), Yinlingquan (SP9), Sanyinjiao (SP6), Xuanzhong (GB39), Jiexi (ST41), Zulinqi (GB41), Taichong (SP41). Supporting acupoints: for pain in the upper limbs, add Baxie, Quchi (LI11), Shousanli (LI10), Hegu (LI4), and Ashixue; for pain in the lower limbs, add Bafeng, Neiting (ST44),Kunlun (BL60). Operation: Acupuncture needles of size 25*40mm will be used. The electrode will be connected Yanglingquan (GB34) and Sanyinjiao (SP6), electrode wire will be connected to the electro-acupuncture apparatus using continuous wave with a frequency of 2Hz at an intensity suitable for the comfort of the subject.
  • Basal therapyOther

    Participants are not set up with uniform medication. High blood sugar is controlled by hypoglycaemic drugs, patients with hypertension and hyperlipidaemia can take antihypertensive and lipid-lowering drugs, while other drugs are based on the patient's current medication.

Study groups in NCT06054087
Study groupRoleWhat they receive
EA groupExperimentalSubjects in this group received electroacupuncture along with the basic treatment at a frequency of 2 treatments per week for 6 weeks for a total of 12 interventions. The follow-up period is one month.
Receives: Procedure: Basal therapy+EA
Waiting list groupOtherThe subjects in this group will receive only basal treatment with no additional therapies during the study period. After the end of the study period, patients were given 12 acupuncture treatments
Receives: Other: Basal therapy

What is being measured

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

  1. Sensory conduction velocity of superficial peroneal nerve

    Measured: Baseline, 6 weeks

  2. Sensory conduction velocity of sural nerve

    Measured: Baseline, 6 weeks

  3. Motor conduction velocity of Peroneal nerve

    Measured: Baseline, 6 weeks

  4. Motor conduction velocity of tibial nerve

    Measured: Baseline, 6 weeks

Secondary outcomes (11)
  1. Overall clinical effectiveness rate

    Total effective rate = [(number of cured cases + number of effective cases)/total number of cases ] × 100%.

    Measured: 3 weeks, 6 weeks, 10 weeks

  2. Toronto clinical scoring system(TCSS)

    The scale is an assessment of foot sensation and has a total score of 19, divided into three sections: symptom score of 6, reflex score of 8 and sensory score of 5. Symptom score: 0 = absent, 1 = present; reflex score: 0 = normal, 1 = diminished, 2 = absent; sensory score: 0 = normal, 1 = abnormal.

    Measured: Baseline, 3 weeks, 6 weeks, 10 weeks

  3. TCM syndromes efficacy score scale

    TCM syndromes efficacy score is 42, ranging from 0 (least severe) to 42 (most severe).

    Measured: Baseline, 3 weeks, 6 weeks, 10 weeks

  4. Regional temperatures of sole of the foot

    Before and after treatment, the temperature of the sole of the foot will be measured using an infrared thermal imager

    Measured: Baseline, 6 weeks

  5. Regional temperatures of instep

    Before and after treatment, the temperature of the instep will be measured using an infrared thermal imager

    Measured: Baseline, 6 weeks

  6. Regional temperatures of palm

    Before and after treatment, the regional temperature of the palm will be measured using an infrared thermal imager.

    Measured: Baseline, 6 weeks

  7. Regional temperatures of back of the hand

    Before and after treatment, the regional temperature of the back of the hand will be measured using an infrared thermal imager.

    Measured: Baseline, 6 weeks

  8. Patient Global Impression of Change(PGIC)

    PGIC is scored on a 7-point scale, with higher scores representing poorer efficacy. a score of 1 indicates that the subject perceives a great improvement in efficacy, 4 is no change before and after acupuncture treatment, and 7 is much worse after treatment.

    Measured: Baseline, 3 weeks, 6 weeks, 10 weeks

  9. Glycated haemoglobin (HbA1c)

    Measured: Baseline, 6 weeks

  10. Fasting blood glucose (FPG)

    Measured: Baseline, 3 weeks, 6 weeks, 10 weeks

  11. 2-hour postprandial blood glucose (2hPG)

    Measured: Baseline, 3 weeks, 6 weeks, 10 weeks

Timeline

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

  1. First posted26 Sep 2023
  2. Study startOct 2023 (estimated)
  3. Primary completion1 Jun 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

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
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
104 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06054087
Sponsor's protocol ID
GZY-ZJ-KJ-23021-01
Status last verified
Sep 2023
First submitted
5 Sep 2023
Last updated
26 Sep 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, Colagiuri S, Guariguata L, Motala AA, Ogurtsova K, Shaw JE, Bright D, Williams R; IDF Diabetes Atlas Committee. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019 Nov;157:107843. doi: 10.1016/j.diabres.2019.107843. Epub 2019 Sep 10.

    PubMed 31518657
  • Li Y, Teng D, Shi X, Qin G, Qin Y, Quan H, Shi B, Sun H, Ba J, Chen B, Du J, He L, Lai X, Li Y, Chi H, Liao E, Liu C, Liu L, Tang X, Tong N, Wang G, Zhang JA, Wang Y, Xue Y, Yan L, Yang J, Yang L, Yao Y, Ye Z, Zhang Q, Zhang L, Zhu J, Zhu M, Ning G, Mu Y, Zhao J, Teng W, Shan Z. Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study. BMJ. 2020 Apr 28;369:m997. doi: 10.1136/bmj.m997.

    PubMed 32345662
  • Pop-Busui R, Boulton AJ, Feldman EL, Bril V, Freeman R, Malik RA, Sosenko JM, Ziegler D. Diabetic Neuropathy: A Position Statement by the American Diabetes Association. Diabetes Care. 2017 Jan;40(1):136-154. doi: 10.2337/dc16-2042. No abstract available.

    PubMed 27999003
  • Iqbal Z, Azmi S, Yadav R, Ferdousi M, Kumar M, Cuthbertson DJ, Lim J, Malik RA, Alam U. Diabetic Peripheral Neuropathy: Epidemiology, Diagnosis, and Pharmacotherapy. Clin Ther. 2018 Jun;40(6):828-849. doi: 10.1016/j.clinthera.2018.04.001. Epub 2018 Apr 30.

    PubMed 29709457
  • Zhang R, Lao L, Ren K, Berman BM. Mechanisms of acupuncture-electroacupuncture on persistent pain. Anesthesiology. 2014 Feb;120(2):482-503. doi: 10.1097/ALN.0000000000000101.

    PubMed 24322588
  • Dimitrova A, Murchison C, Oken B. Acupuncture for the Treatment of Peripheral Neuropathy: A Systematic Review and Meta-Analysis. J Altern Complement Med. 2017 Mar;23(3):164-179. doi: 10.1089/acm.2016.0155. Epub 2017 Jan 23.

    PubMed 28112552
  • Yu B, Li M, Huang H, Ma S, Huang K, Zhong Z, Yu S, Zhang L. Acupuncture treatment of diabetic peripheral neuropathy: An overview of systematic reviews. J Clin Pharm Ther. 2021 Jun;46(3):585-598. doi: 10.1111/jcpt.13351. Epub 2021 Jan 28.

    PubMed 33511675
  • He XF, Wei JJ, Shou SY, Fang JQ, Jiang YL. Effects of electroacupuncture at 2 and 100 Hz on rat type 2 diabetic neuropathic pain and hyperalgesia-related protein expression in the dorsal root ganglion. J Zhejiang Univ Sci B. 2017 Mar.;18(3):239-248. doi: 10.1631/jzus.B1600247.

    PubMed 28271659
  • Luo N, Zeng YC, Fu BT, Low JW, Fang JQ. Investigating the Effectiveness of Electroacupuncture for Diabetic Peripheral Neuropathy and Exploring the Feasibility of Infrared Thermography as an Efficacy Assessment Tool: Study Protocol for a Randomized Controlled Trial. J Pain Res. 2024 Aug 23;17:2727-2739. doi: 10.2147/JPR.S472648. eCollection 2024.

    PubMed 39193463

Questions about this trial

What is this clinical trial studying?

A study testing Basal therapy+EA and Basal therapy in people with Diabetic Peripheral Neuropathic Pain, run by Zhejiang Chinese Medical University 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 5 inclusion and 9 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: status not confirmed, as of the sponsor's last update on 26 Sep 2023. 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?

Results are not available in the source record.

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

Contact Jianqiao Fang, Ph.D,M.D (86-13606707532, fangjianqiao7532@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sensory conduction velocity of superficial peroneal nerve (time frame: Baseline, 6 weeks). 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 NCT06054087, which also lists 9 linked publications.

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 26 Sep 2023.

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