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Crohn's Disease RelapseNCT06553053

Acupuncture Reduces Relapse in Patients With Crohn's Disease: a Superiority Trial

A study testing "Harmonizing Shaoyang, nourishing spleen and kidney with warmth" Acupuncture Group and "Nourishing spleen and kidney with warmth" Acupuncture Group in people with Crohn's Disease Relapse and Inflammatory Bowel Diseases, run by Shanghai Institute of Acupuncture, Moxibustion and Meridian at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The aim of this study was to further improve the clinical efficacy of acupuncture in delaying the clinical recurrence of CD and to explore the efficacy mechanism of acupuncture efficacy enhancement. Read more about this study

Who is it for?
Ages 16 to 75 years
What is being tested?
"Harmonizing Shaoyang, nourishing spleen and kidney with warmth" Acupuncture Group and "Nourishing spleen and kidney with warmth" Acupuncture Group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
106 participants
Where
1 siteChina
Study dates
13 Aug 2024to 31 Dec 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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 16 to 75 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • patients with clinical diagnosis consistent with CD;
  • aged 16-75;
  • patients in remission (CDAI < 150 and CRP < 5mg/l, or Faecal calprotectin < 50μg/g, or no ulcer under endoscopy);
  • patients with frequent disease recurrences (≥2) in the past years;
  • patients were not taking medication or were only taking one or more of the following drugs: [mesalazine (≤4g/d), prednisone (≤15mg/d), azathioprine (≤1mg/kg/d)] and prednisone and mesalazine were used for at least 1 month, while azathioprine was used for at least 3 months; or those who had poor response or loss of response to biological preparations (anti-TNF-α, IL-12p40, α4β7);
  • those who have never experienced acupuncture;
  • patients signing informed consent.

Who cannot join

  • patients who are recently pregnant or in pregnancy or lactation;
  • patients with serious organic diseases;
  • patients diagnosed as psychosis;
  • patients who suffer from multiple diseases and need to take other drugs for a long time, and may affect the observation of the efficacy of this trial;
  • severe skin diseases (such as erythema nodosum, pyoderma gangrenosum, etc.), eye diseases (such as iritis, uveitis, etc.), thromboembolic diseases and other serious extraintestinal manifestations;
  • there are serious intestinal fistula, abdominal abscess, intestinal stenosis and obstruction, perianal abscess, gastrointestinal hemorrhage, intestinal perforation and other complications;
  • patients with short bowel syndrome who have undergone abdominal or gastrointestinal surgery in the past half a year;
  • there are skin diseases or defects in the selected area of acupuncture and moxibustion that cannot be performed.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Bao Chunhui, MD, PhD contact

+862164395973

baochunhui789@126.com

China1 site, 1 recruiting
  • Shanghai Research Institute of Acupuncture and Meridian

    Shanghai

    Bao Chunhui, MD, PhD, +862164395973, baochunhui789@126.com

    Recruiting

Other trials in China

About this study

The aim of this study was to further improve the clinical efficacy of acupuncture in delaying the clinical recurrence of CD and to explore the efficacy mechanism of acupuncture efficacy enhancement.

Read the detailed description

Acupuncture has been proven to be an effective and safe treatment for CD. In this trial, based on previous studies, which mainly treated CD from the perspective of spleen and stomach tonification, we explored the therapeutic effect of acupuncture in treating CD from the perspective of tonifying the Shaoyang pivot mechanism to enhance the therapeutic effect.Brain-gut axis dysfunction is one of the important pathogenic mechanisms of CD. This trial attempted to explore the therapeutic targets and efficacy mechanisms of acupuncture to enhance CD by analysing brain-gut axis multi-pathway indicators.

Being tested
"Harmonizing Shaoyang, nourishing spleen and kidney with warmth" Acupuncture Group, "Nourishing spleen and kidney with warmth" Acupuncture Group
Medical subject headings
Inflammatory Bowel Diseases

What participants receive

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

  • "Harmonizing Shaoyang, nourishing spleen and kidney with warmth" Acupuncture GroupOther

    Patients receiving acupuncture and mild moxibustion, whom were treated 2 times per week for 12 weeks and followed up for 40 weeks. The first group of acupoints is that CV4 and Bilateral ST37, SP6, SP4, KI3, LI11, SJ4 and GB26 were selected for acupuncture and CV12 and bilateral ST36 and GB41 were selected for moxibustion. The second group of acupoints is that CV12 and Bilateral ST36, GB41, SP4, KI3, LI11, SJ4 and GB26 were selected for acupuncture and CV4 and bilateral SP6 and GB34 were selected for moxibustion. These two groups are alternate. After deqi sensation was even reinforcing and reducing. The surface temperature of acupoints was maintained at 43℃± 1℃ for moxibustion. During each treatment, acupuncture and mild moxibustion are performed simultaneously, both lasting for 30 minutes.

  • "Nourishing spleen and kidney with warmth" Acupuncture GroupOther

    Patients receiving acupuncture and mild moxibustion, whom were treated 2 times per week for 12 weeks and followed up for 40 weeks. The first group of acupoints is that CV4 and Bilateral ST37, SP6, SP4, KI3 and LI11 were selected for acupuncture and CV12 and bilateral ST36 were selected for moxibustion. The second group of acupoints is that CV12 and Bilateral ST36, SP4, KI3 and LI11 were selected for acupuncture and CV4 and bilateral SP6 were selected for moxibustion. These two groups are alternate. After deqi sensation was even reinforcing and reducing. The surface temperature of acupoints was maintained at 43℃± 1℃ for moxibustion. During each treatment, acupuncture and mild moxibustion are performed simultaneously, both lasting for 30 minutes.

Study groups in NCT06553053
Study groupRoleWhat they receive
Experimental GroupExperimentalReceiving acupuncture with the function of "harmonizing Shaoyang, nourishing spleen and kidney with warmth"
Receives: Other: "Harmonizing Shaoyang, nourishing spleen and kidney with warmth" Acupuncture Group
Control groupActive comparatorReceiving acupuncture group with the function of "nourishing spleen and kidney with warmth"
Receives: Other: "Nourishing spleen and kidney with warmth" Acupuncture Group

What is being measured

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

  1. The proportion of recurrences

    Defined as CDAI > 150 and increase ≥ 70 points, or emergency, hospitalization and surgical events due to worsening of CD conditions, or need to adjust drug to control disease condition.

    Measured: Week 52

Secondary outcomes (13)
  1. Number of recurrences

    Total number of recurrences. The median number will be counted for both groups.

    Measured: Week 52

  2. Time of recurrences

    Time to first recurrence will be counted for both groups.

    Measured: Week 52

  3. Crohn's disease activity index (CDAI)score

    The mean change in CDAI from baseline. The higher the score, the worse the condition. Greater than 0, no upper limit.

    Measured: Week 0, 6, 12, 24, 36 and 52

  4. Patient Reported Outcome (PRO2)

    The outcome is measured by level of abdominal pain (visual analogue scale, VAS) and number of diarrhoea in the past week.

    Measured: Week 0, 6, 12, 24, 36 and 52

  5. First laboratory tests

    serum C-reactive protein (CRP)

    Measured: Week 0, 6, 12, 24, 36 and 52

  6. Second laboratory tests

    erythrocyte sedimentation rate (ESR)

    Measured: Week 0, 6, 12, 24, 36 and 52

  7. Third laboratory tests

    platelet count (PLT)

    Measured: Week 0, 6, 12, 24, 36 and 52

  8. Inflammatory bowel disease questionnaire (IBDQ)

    The mean change in IBDQ from baseline. The higher the score, the worse the condition.The score is range from 32 to 224.

    Measured: Week 0, 12, 24, 36 and 52

  9. Hospital anxiety and depression scale (HADS)

    The mean change in HADS from baseline. The higher the score, the more serious the disease. The depression and anxiety score is range from 0 to 21.

    Measured: Week 0, 12, 24, 36 and 52

  10. The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)

    The mean change in FACIT-F from baseline. The higher the score, the worse the condition. The score range from 0 to 52.

    Measured: Week 0, 12, 24, 36 and 52

  11. Colonoscopy or small bowel MR evaluation

    measured by colonoscopy (SES-CD score) or small bowel MR (MaRIA score)

    Measured: Week 0 and 52

  12. Expectation of acupuncture treatment

    measured by acupuncture treatment effectiveness expectation questionnaire

    Measured: Week 0

  13. Blind questionnaire

    measured by patients guessing their grouping

    Measured: Week 6 and 12

Timeline

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

  1. First posted14 Aug 2024
  2. Study start13 Aug 2024
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Dec 2028 (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
Participant, Outcomes assessor
Enrolment
106 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06553053
Sponsor's protocol ID
ZYS2024-04
Status last verified
Apr 2026
First submitted
7 Aug 2024
Last updated
13 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Dolinger M, Torres J, Vermeire S. Crohn's disease. Lancet. 2024 Mar 23;403(10432):1177-1191. doi: 10.1016/S0140-6736(23)02586-2. Epub 2024 Mar 1.

    PubMed 38437854
  • Roda G, Chien Ng S, Kotze PG, Argollo M, Panaccione R, Spinelli A, Kaser A, Peyrin-Biroulet L, Danese S. Crohn's disease. Nat Rev Dis Primers. 2020 Apr 2;6(1):22. doi: 10.1038/s41572-020-0156-2.

    PubMed 32242028
  • Greuter T, Vavricka SR. Extraintestinal manifestations in inflammatory bowel disease - epidemiology, genetics, and pathogenesis. Expert Rev Gastroenterol Hepatol. 2019 Apr;13(4):307-317. doi: 10.1080/17474124.2019.1574569. Epub 2019 Feb 20.

    PubMed 30791773
  • Ng SC, Leung WK, Shi HY, Li MK, Leung CM, Ng CK, Lo FH, Hui YT, Tsang SW, Chan YK, Loo CK, Chan KH, Hui AJ, Chow WH, Harbord M, Ching JY, Lee M, Chan V, Tang W, Hung IF, Ho J, Lao WC, Wong MT, Sze SF, Shan EH, Lam BC, Tong RW, Mak LY, Wong SH, Wu JC, Chan FK, Sung JJ. Epidemiology of Inflammatory Bowel Disease from 1981 to 2014: Results from a Territory-Wide Population-Based Registry in Hong Kong. Inflamm Bowel Dis. 2016 Aug;22(8):1954-60. doi: 10.1097/MIB.0000000000000846.

    PubMed 27416041
  • Zheng JJ, Zhu XS, Huangfu Z, Gao ZX, Guo ZR, Wang Z. Crohn's disease in mainland China: a systematic analysis of 50 years of research. Chin J Dig Dis. 2005;6(4):175-81. doi: 10.1111/j.1443-9573.2005.00227.x.

    PubMed 16246226
  • Kaplan GG. The global burden of IBD: from 2015 to 2025. Nat Rev Gastroenterol Hepatol. 2015 Dec;12(12):720-7. doi: 10.1038/nrgastro.2015.150. Epub 2015 Sep 1.

    PubMed 26323879
  • Bonovas S, Fiorino G, Allocca M, Lytras T, Nikolopoulos GK, Peyrin-Biroulet L, Danese S. Biologic Therapies and Risk of Infection and Malignancy in Patients With Inflammatory Bowel Disease: A Systematic Review and Network Meta-analysis. Clin Gastroenterol Hepatol. 2016 Oct;14(10):1385-1397.e10. doi: 10.1016/j.cgh.2016.04.039. Epub 2016 May 14.

    PubMed 27189910
  • Esters P, Dignass A. Complementary therapies in inflammatory bowel diseases. Curr Drug Targets. 2014;15(11):1079-88. doi: 10.2174/1389450115666140903112802.

    PubMed 25182607
  • Qu YK, Zhu Y.Differential diagnosis and treatment of Crohn's disease based on the theory of

  • Bao C, Wu L, Wang D, Chen L, Jin X, Shi Y, Li G, Zhang J, Zeng X, Chen J, Liu H, Wu H. Acupuncture improves the symptoms, intestinal microbiota, and inflammation of patients with mild to moderate Crohn's disease: A randomized controlled trial. EClinicalMedicine. 2022 Feb 12;45:101300. doi: 10.1016/j.eclinm.2022.101300. eCollection 2022 Mar.

    PubMed 35198926
  • Gracie DJ, Guthrie EA, Hamlin PJ, Ford AC. Bi-directionality of Brain-Gut Interactions in Patients With Inflammatory Bowel Disease. Gastroenterology. 2018 May;154(6):1635-1646.e3. doi: 10.1053/j.gastro.2018.01.027. Epub 2018 Jan 31.

    PubMed 29366841
  • Gracie DJ, Hamlin PJ, Ford AC. The influence of the brain-gut axis in inflammatory bowel disease and possible implications for treatment. Lancet Gastroenterol Hepatol. 2019 Aug;4(8):632-642. doi: 10.1016/S2468-1253(19)30089-5. Epub 2019 May 20.

    PubMed 31122802
  • Fairbrass KM, Lovatt J, Barberio B, Yuan Y, Gracie DJ, Ford AC. Bidirectional brain-gut axis effects influence mood and prognosis in IBD: a systematic review and meta-analysis. Gut. 2022 Sep;71(9):1773-1780. doi: 10.1136/gutjnl-2021-325985. Epub 2021 Nov 1.

    PubMed 34725197
  • Pellissier S, Dantzer C, Mondillon L, Trocme C, Gauchez AS, Ducros V, Mathieu N, Toussaint B, Fournier A, Canini F, Bonaz B. Relationship between vagal tone, cortisol, TNF-alpha, epinephrine and negative affects in Crohn's disease and irritable bowel syndrome. PLoS One. 2014 Sep 10;9(9):e105328. doi: 10.1371/journal.pone.0105328. eCollection 2014.

    PubMed 25207649
  • Bonaz B, Sinniger V, Hoffmann D, Clarencon D, Mathieu N, Dantzer C, Vercueil L, Picq C, Trocme C, Faure P, Cracowski JL, Pellissier S. Chronic vagus nerve stimulation in Crohn's disease: a 6-month follow-up pilot study. Neurogastroenterol Motil. 2016 Jun;28(6):948-53. doi: 10.1111/nmo.12792. Epub 2016 Feb 27.

    PubMed 26920654

Questions about this trial

What is this clinical trial studying?

A study testing "Harmonizing Shaoyang, nourishing spleen and kidney with warmth" Acupuncture Group and "Nourishing spleen and kidney with warmth" Acupuncture Group in people with Crohn's Disease Relapse and Inflammatory Bowel Diseases, run by Shanghai Institute of Acupuncture, Moxibustion and Meridian 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 7 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: looking for participants now, as of the sponsor's last update on 13 Apr 2026. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Bao Chunhui, MD, PhD (+862164395973, baochunhui789@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The proportion of recurrences (time frame: Week 52). 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 NCT06553053, which also lists 30 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 13 Apr 2026.

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