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ESRD (End Stage Renal Disease)LA-HD-FatigueNCT07538310

Laser Acupuncture for Fatigue in Hemodialysis Patients

A study testing Low-Level Laser Acupuncture (LA) in people with ESRD (End Stage Renal Disease) and Dialysis, run by Taipei City Hospital at 1 site in Taiwan.

Recruiting

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

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if laser acupuncture (low-level laser therapy) works to treat fatigue and improve quality of life in adults with end-stage renal disease (ESRD) undergoing hemodialysis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
ESRD (End Stage Renal Disease), Dialysis, Fatigue
What is being tested?
Low-Level Laser Acupuncture (LA)
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
1 siteTaiwan
Study dates
8 Apr 2026to 31 Aug 2027
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with End-Stage Renal Disease (ESRD) who require regular maintenance hemodialysis.
  • Must undergo hemodialysis treatment at least 3 times per week.
  • Aged 18 years or older.
  • Willing and able to provide informed consent to participate in the study.

Who cannot join

  • Presence of acute infectious symptoms.
  • Unstable vital signs.
  • Diagnosis of malignant tumors.
  • Pregnancy.
  • Presence of open wounds at the sites designated for laser intervention.
  • Patients with implanted cardiac pacemakers or other cardiac devices.

Trial locations and contacts

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

Ming Jen Wang, MD contact

+886-930-766-631

wanters0800@gmail.com

Chao-Tsung Chen, Ph.D. contact

+886-979-306-080

dai44@tpech.gov.tw

Taiwan1 site, 1 recruiting
  • Taipei City Hospital, Renai Branch

    Taipei, 106

    Ming Jen Wang, MD, +886-930-766-631, wanters0800@gmail.com

    Ming Jen Wang, MD, 886-02-2709-3600 ext. 5213, dba77@tpech.gov.tw

    Recruiting

Other trials in Taiwan

About this study

Official title: Laser Acupuncture Improves Fatigue and Quality of Life in Hemodialysis Patients: a Randomized Double-blind Clinical Trial Pilot Study

The goal of this clinical trial is to learn if laser acupuncture (low-level laser therapy) works to treat fatigue and improve quality of life in adults with end-stage renal disease (ESRD) undergoing hemodialysis. It will also learn about how laser acupuncture affects blood circulation and autonomic nervous system balance.

The main questions it aims to answer are:

Read more
  1. Does laser acupuncture reduce the severity of fatigue and its interference with daily life?
  2. Can laser acupuncture improve related symptoms such as insomnia, poor appetite, and skin itching?
  3. How does laser acupuncture affect objective markers like microcirculation and heart rate variability? Researchers will compare laser acupuncture to a sham treatment (a look-alike procedure using a device that does not emit a laser) to see if laser acupuncture works to treat fatigue.

Participants will:

  1. Receive laser acupuncture or a sham treatment during their regular hemodialysis sessions 3 times a week for 4 weeks.
  2. Have their fatigue and life quality assessed through questionnaires on the first day, at 4 weeks, and at 8 weeks.
  3. Undergo non-invasive tests to measure microcirculation, heart rate variability, and pulse waves, and have photos of their tongue taken for Chinese medicine assessment.
Read the detailed description

Scientific Rationale Fatigue is a prevalent and debilitating symptom in patients with end-stage renal disease (ESRD) undergoing maintenance hemodialysis (HD). It is a multidimensional condition influenced by anemia, uremia, and the long-term psychosocial stress of dialysis. Conventional pharmacological treatments often yield limited efficacy for fatigue and sleep disturbances while posing risks of adverse effects. Non-pharmacological interventions, such as acupressure and exercise, have shown potential, but high-quality clinical evidence remains insufficient. Laser acupuncture (LA), or photobiomodulation (PBM), is a non-invasive, non-thermal therapy that applies low-level laser energy to traditional acupuncture points. It is proposed to modulate mitochondrial function, reduce oxidative stress, and inhibit inflammatory responses, offering a safe alternative for patients who may not be suitable for or are fearful of traditional needle acupuncture.

Study Protocol and Intervention This is a randomized, double-blind, sham-controlled pilot trial. A total of 50 participants will be recruited from the hemodialysis center and randomly assigned to either the experimental (LA) group or the sham control group in a 1:1 ratio.

  1. Experimental Group: Participants will receive low-level laser therapy at specific acupoints: KI1 (Yongquan), ST36 (Zusanli), SP10 (Xuehai), PC8 (Laogong), EX-UE9 (Bafeng), EX-UE9 (Baxie), and LU9 (Taiyuan). Each session lasts 15-30 minutes, administered 3 times per week during the dialysis process for a duration of 4 weeks.
  2. Sham Control Group: Participants will undergo an identical procedure using a sham device that mimics the operation and appearance of the laser equipment but does not emit actual laser energy, ensuring the maintenance of blinding.

Technical Assessment and Data Analysis

To objectively evaluate the systemic effects of LA on the circulatory and autonomic nervous systems, this study integrates several biomedical engineering technologies:

  1. Microcirculation Analysis: Skin microvascular blood flow and blood volume changes are monitored using Laser Doppler Flowmetry (LDF) and Photoplethysmography (PPG).
  2. Vascular and Autonomic Assessment: Brachial Pulse Wave (BPW) analysis will be used to evaluate arterial stiffness, while Heart Rate Variability (HRV) will assess the balance of the sympathetic and parasympathetic nervous systems.
  3. Traditional Chinese Medicine (TCM) Evaluation: Standardized tongue diagnosis photography and the Constitution in Chinese Medicine Questionnaire (CCMQ) will be used to track changes in the participants' TCM constitutional types and internal "Qi" and blood status.

Statistical analysis will utilize t-tests or Mann-Whitney U tests to compare symptom improvement between groups. Mixed-effects models or Generalized Estimating Equations (GEE) will be employed to evaluate the long-term impact of treatment on blood pressure and microcirculation while controlling for potential confounding factors such as age and dialysis vintage.

Being tested
Low-Level Laser Acupuncture (LA), Sham Laser Acupuncture
Keywords
Hemodialysis, End-Stage Renal Disease, Laser Acupuncture, Photobiomodulation, Fatigue, Quality of Life, Microcirculation, Low-Level Laser Therapy, Traditional Chinese Medicine, Heart Rate Variability
Medical subject headings
Renal Insufficiency, Chronic, Fatigue, Kidney Failure, Chronic

What participants receive

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

  • Low-Level Laser Acupuncture (LA)Device

    Device: Low-level laser therapy (LLLT) device. Acupoints: KI1 (Yongquan), ST36 (Zusanli), SP10 (Xuehai), PC8 (Laogong), EX-UE9 (Bafeng), EX-UE9 (Baxie), and LU9 (Taiyuan).

    Dosage/Frequency: Administered 3 times per week during the hemodialysis process for 4 weeks.

    Duration: Each treatment session lasts approximately 15 to 30 minutes.

  • Sham Laser AcupunctureDevice

    Description:Device: An inactive sham laser device that is identical in appearance and operational procedure to the active device.

    Procedure: The device will be applied to the same 7 acupoints (KI1, ST36, SP10, PC8, Bafeng, Baxie, LU9) for 15-30 minutes.

    Blinding: The device will not emit actual laser energy but will mimic the treatment process to maintain participant blinding.

    Frequency: 3 times per week for 4 weeks during hemodialysis.

Study groups in NCT07538310
Study groupRoleWhat they receive
Laser Acupuncture GroupExperimentalActive low-level laser therapy at 7 specific acupoints.
Receives: Device: Low-Level Laser Acupuncture (LA)
Sham Control GroupSham comparatorInactive laser treatment using an identical-looking device without energy output.
Receives: Device: Sham Laser Acupuncture

What is being measured

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

  1. VAS for fatigue

    The VAS is a subjectively reported scale used to evaluate fatigue intensity. Participants mark their fatigue level on a 100-mm line ranging from "no symptoms" (0) to "most severe symptoms" (100). Higher scores indicate more severe fatigue.

    Measured: Baseline (Day 0), Week 4 (end of intervention), and Week 8 (follow-up).

  2. Brief Fatigue Inventory (BFI)

    The BFI consists of 9 items assessing the severity of fatigue and its impact on daily functional activities over the past week. Each item is scored from 0 to 10, with higher total scores representing more severe fatigue and greater interference with daily life.

    Measured: Baseline (Day 0), Week 4 (end of intervention), and Week 8 (follow-up).

Secondary outcomes (7)
  1. Kidney Disease Quality of Life 36 (KDQOL-36)

    Kidney Disease Quality of Life (KDQOL). A specific instrument to assess the quality of life in patients with kidney disease. The scores range from 0 to 100, where higher scores represent a better quality of life (better health status).

    Measured: Baseline, Week 4, and Week 8.

  2. Laser Doppler Flowmetry Analysis (LDFA) Score

    Integrate multiple features from the Laser Doppler Flowmetry (LDF) thermal hyperemia process, including the amplitudes of various peaks and the total area under the curve, into a single continuous variable score via a specific computational model. This score is utilized to evaluate the overall physiological status of the microcirculation. Since the score is a continuous variable, it does not have a predefined minimum or maximum limit. Higher numerical values indicate higher peripheral blood flow velocity and better microvascular function.

    Measured: Baseline, Week 4, and Week 8.

  3. Photoplethysmography Analysis (PPGA) Score

    A composite score derived from PPG signals. The PPG waveform is captured through photoelectric conversion and processed using Fast Fourier Transform (FFT) to obtain the frequency domain spectrum. Specific spectral features are extracted and integrated based on the Harmonic Series Principle to calculate the final PPGA score.

    Since the score is a continuous variable based on spectral energy distribution, it does not have a predefined maximum limit. Higher numerical values indicate a pulse pattern more consistent with healthy physiological status.

    Measured: Baseline, Week 4, and Week 8.

  4. Brachial Pulse Wave Analysis (BPWA) score

    A composite score derived from the Brachial Pulse Wave (BPW) to assess the hemodynamic characteristics and arterial stiffness of the upper limb. The brachial pressure waveform is captured and processed using Fast Fourier Transform (FFT) to obtain the frequency domain spectrum. Specific spectral features are extracted and integrated based on the Harmonic Series Principle to calculate the final BPWA score.

    Since the score is a continuous variable based on spectral energy distribution, it does not have a predefined minimum or maximum limit. Higher numerical values indicate a pulse pattern more consistent with healthy arterial elasticity and physiological status.

    Measured: Baseline, Week 4, and Week 8.

  5. Heart Rate Variability (HRV)

    Analysis of time variations between heartbeats to assess the balance between sympathetic and parasympathetic nervous systems and overall stress status.

    Measured: Baseline, Week 4, and Week 8.

  6. Constitution in Chinese Medicine Questionnaire (CCMQ)

    Constitution in Chinese Medicine Questionnaire (CCMQ). This scale assesses the individual's TCM constitution. Each subscale score ranges from 0 to 100. For the "Gentle" (Neutral) constitution, higher scores indicate a healthier state. For the other eight "Biased" constitutions (e.g., Yang-deficiency, Qi-stasis), higher scores indicate a more severe imbalance or worse condition.

    Measured: Baseline, Week 4, and Week 8.

  7. Tongue Moisture Index (TMI)

    An assessment of tongue moisture using an Artificial Intelligence (AI) image recognition system. The AI model analyzes digital tongue images to extract hydration-related features and classifies or scores the degree of moisture. The score ranges from 0 to 100, where a higher score indicates a higher level of tongue hydration (more moisture).

    Measured: Baseline, Week 4, and Week 8.

Timeline

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

  1. First posted20 Apr 2026
  2. Study start8 Apr 2026
  3. Primary completion31 Oct 2026 (estimated)
  4. Study completion31 Aug 2027 (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
Model description
This is a randomized, double-blind, sham-controlled, parallel-group pilot trial. Eligible participants with End-Stage Renal Disease (ESRD) undergoing regular hemodialysis will be randomly assigned to either the Laser Acupuncture (LA) group or the Sham Control group in a 1:1 ratio. Each group will follow their assigned intervention protocol simultaneously for a duration of 4 weeks, with clinical outcomes and physiological markers assessed at baseline, 4 weeks, and 8 weeks to evaluate both immediate and follow-up effects.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07538310
Sponsor's protocol ID
TCHIRB-11405003
Acronym
LA-HD-Fatigue
Status last verified
Oct 2026
First submitted
5 Apr 2026
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data that underlie the results reported in future publications (including text, tables, figures, and appendices) will be made available to qualified researchers for academic purposes.

Publications

  • Saito M, Jingu H, Osawa H, Oyama Y, Tanaka T, Shiono A, Machida M. Pulse Amplitude Measured with a Portable Laser Doppler Flowmeter Is Useful for Screening of Dialysis Patients for Peripheral Arterial Disease: An Observational Study. Ann Vasc Dis. 2022 Dec 25;15(4):301-307. doi: 10.3400/avd.oa.21-00126.

    PubMed 36644273
  • Yang J, Mallory MJ, Wu Q, Bublitz SE, Do A, Xiong D, Chen CYY, Dorsher PT, Chon TY, Bauer BA. The Safety of Laser Acupuncture: A Systematic Review. Med Acupunct. 2020 Aug 1;32(4):209-217. doi: 10.1089/acu.2020.1419. Epub 2020 Aug 13.

    PubMed 32874405
  • Natale P, Ju A, Strippoli GF, Craig JC, Saglimbene VM, Unruh ML, Stallone G, Jaure A. Interventions for fatigue in people with kidney failure requiring dialysis. Cochrane Database Syst Rev. 2023 Aug 31;8(8):CD013074. doi: 10.1002/14651858.CD013074.pub2.

    PubMed 37651553
  • Bian J, Liebert A, Bicknell B, Chen XM, Huang C, Pollock CA. Therapeutic Potential of Photobiomodulation for Chronic Kidney Disease. Int J Mol Sci. 2022 Jul 21;23(14):8043. doi: 10.3390/ijms23148043.

    PubMed 35887386
  • Chang YP, Lin CC, Wu JH, Hsieh YH, Chou KH, Su CT. The impact of photobiomodulation on sleep and life quality in hemodialysis patients: A randomized controlled trial. Lasers Med Sci. 2024 Jul 3;39(1):169. doi: 10.1007/s10103-024-04114-y.

    PubMed 38958682

Questions about this trial

What is this clinical trial studying?

A study testing Low-Level Laser Acupuncture (LA) in people with ESRD (End Stage Renal Disease) and Dialysis, run by Taipei City Hospital at 1 site in Taiwan.

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 4 inclusion and 6 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 26 Oct 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 Taiwan. 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. Some participants in this study may receive a placebo. 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 Ming Jen Wang, MD (+886-930-766-631, wanters0800@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

VAS for fatigue (time frame: Baseline (Day 0), Week 4 (end of intervention), and Week 8 (follow-up).). The study lists 2 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 NCT07538310, which also lists 5 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 Oct 2026.

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