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Clinical Trial NCT05552820 for Dry Eye is recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
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Electroacupuncture for Mild-to-moderate Dry Eye 168
Clinical Trial NCT05552820 is an interventional study for Dry Eye that is recruiting. It started on 12 October 2022 with plans to enroll 168 participants. Led by Shanghai Institute of Acupuncture, Moxibustion and Meridian, it is expected to complete by 31 August 2026. The latest data from ClinicalTrials.gov was last updated on 30 May 2024.
Brief Summary
To determine if electroacupuncture acts as an dry eye treatment rather than a placebo, and identify if benefits are linked to corneal subbasal nerve changes and neuroimmunomodulatory indicators.
Detailed Description
Acupuncture is an important method in the treatment of diseases in Chinese medicine and plays an important role in the treatment of many diseases. Electroacupuncture (EA), as a combination of acupuncture and electric stimulation, is now widely used in research and clinical treatment. Our preliminary study found that compared with 0.1% sodium hyaluronate eye drops, EA exerted more beneficial and durable effects after ...Show More
Official Title
Multicenter, Randomized, Single-blinded, Sham-Controlled Trial of Electroacupuncture on Mild-to-moderate Dry Eye
Conditions
Dry EyePublications
Scientific articles and research papers published about this clinical trial:Other Study IDs
- ShanghaiIAMM20220918
NCT ID Number
Start Date (Actual)
2022-10-12
Last Update Posted
2024-05-30
Completion Date (Estimated)
2026-08-31
Enrollment (Estimated)
168
Study Type
Interventional
PHASE
N/A
Status
Recruiting
Keywords
Dry eye
Electroacupuncture
Electroacupuncture
Primary Purpose
Treatment
Design Allocation
Randomized
Interventional Model
Parallel
Masking
Triple
Arms / Interventions
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalVerum Electroacupuncture Verum electroacupuncture treatment will be given 3 times a week, at least 1 day apart , for consecutive 4 weeks with a 24-week follow-up. Each session lasts for 30 min. | Verum Electroacupuncture Acupoints: Cuanzhu (BL2), Taiyang (EX-HN5), Sibai (ST1), Sizhukong (TE23), Baihui (GV20), Fengchi (GB20), Hegu (LI4), Zusanli (ST36), Guangming (GB23), Sanyinjiao (SP6), and Taichong (LR3). All acupoints will be taken bilaterally, except Baihui (GV20). The subject is placed in the supine position with eyes close. After routine sterilization, the sterile polyethylene cylindrical needle pad will be adhered to the acupo...Show More |
Sham ComparatorSham Electroacupuncture Sham electroacupuncture on non-acupoints plus non-penetrating plus no electrical stimulation will be given 3 times a week, at least 1 day apart , for consecutive 4 weeks with a 24-week follow-up. Each session lasts for 30 min. | Sham Electroacupuncture Sham acupoints: SA1(1 cm above BL2), SA2 (1 cm above SJ23),SA3 (1 cm above EX-HN5), SA4 (1 cm lateral to ST2), SA5 (the midpoint of the line between GV20 and right EX-HN1), SA6 (the midpoint of the line between GB20 and SJ16), SA7 (1 cm lateral to LI4), SA8 (the midpoint of the line between ST36 and GB34), SA9 (the midpoint of the line between GB37 and BL58), SA10 (1 cm backward to SP6), SA11 (the midpoint of the lin...Show More |
Primary Outcome Measures
Secondary Outcome Measures
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Change from Baseline in Noninvasive Tear Breakup Time (NIBUT) | The interval between a complete blink and the first breakup of tear film (indicated by a break or deformed Placido disc image on the screen) will be recorded. The measurements are carried out 3 times and the average value is considered as NIBUT. | Baseline, Week 4, Week 8, Week 16, Week 28 |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Change From Baseline in Tear Meniscus Height (TMH) | The digital slit lamp (SL990N, CSO, Italy) is applied to take images of the tear meniscus at the lower lid margin in a dark room. The tear meniscus height directly below the central pupil is measured with the system's built-in caliper tool. | Baseline, Week 4, Week 8, Week 16, Week 28 |
Change From Baseline in Ocular Surface Disease Index (OSDI) | The OSDI scale is used to assess subjective symptoms related to dry eye, including ocular symptoms, visual function and environmental triggers, with a total score ranging from 0 to 100. The higher the score, the more severe the subjective symptoms. | Baseline, Week 4, Week 8, Week 16, Week 28 |
Change From Baseline in Corneal Fluorescein Staining (CFS) | Sodium fluorescein ophthalmic strips (Tianjin Jingming New Technology Development Co., Ltd., China) are used to evaluate corneal epithelial damage. According to the Oxford grading scheme, the CFS score ranges from 0 (no damage) to 5 (severe damage). | Baseline, Week 4, Week 8, Week 16, Week 28 |
Change From Baseline in Corneal Topography | The corneal topography system is used to take photographs. The subjects are asked to blink naturally 3 to 4 times, and after the last full blink, they look at the central light source of the Placido disk for 10 s. The researchers take photographs of the anterior corneal surface immediately after the blink and at 10 s of continuous gaze. The SRI and SAI are systematically analyzed and obtained at 10 s. | Baseline, Week 4, Week 8, Week 16, Week 28 |
Change From Baseline in Corneal and Conjunctival sensation | The Cochet-Bonnet perception meter (Luneau Chartres, France) will be used to evaluate the corneal perception (including central, superior, inferior, nasal, and temporal corneas, all 2 mm from the corneal rim) and conjunctival perception (including temporal and nasal bulbar conjunctivae, both 3 mm from the corneal rim; superior and inferior conjunctiva, at the center of the eyelid). The measured fiber length will be converted to g/mm2 according to the criteria provided by the supplier, with a higher threshold indicating a more insensitive perception. | Baseline, Week 4, Week 8, Week 16, Week 28 |
Change From Baseline in Schirmer I test (SⅠT) | SⅠT will be performed using a tear detection filter strip (Tianjin Jingming New Technology Development Co., Ltd., China). Patients are requested to avoid eye movement. The strips will be removed after 5 min, and recorded the wetting length. | Baseline, Week 4, Week 8, Week 16, Week 28 |
Change From Baseline in Numerical Rating Scale (NRS) | Subjects are asked to rate their current Iocular pain intensity in the right and left eye (0-10 numerical rating scale, NRS) followed by placement of 0.4% hydroxybuprocaine hydrochloride (Santen Pharmaceutical Co., LTD., Japan), and rerating of pain 30 seconds later. | Baseline, Week 4, Week 8, Week 16, Week 28 |
Change From Baseline in Chinese Dry Eye Related Quality of Life Scale (CDERQOL) | CDERQOL includes 5 domians containing 45 items rated on a 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree). | Baseline, Week 4, Week 8, Week 16, Week 28 |
Adverse events | Any adverse events will be recorded. EA-related adverse events include local bleeding, subcutaneous hematoma, pain, itch, infection, and generalized symptoms such as dizziness and palpitation during treatment. | Week 4 |
Participation Assistant
Eligibility Criteria
Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
- Patients meeting the diagnostic criteria for dry eye according to the TFOS DEWS Ⅱ
- Ages 18-65 years, no gender limit
- Diagnosed with severe dry eye
- Combined with other eye diseases (e.g. severe blepharitis, blepharospasm, conjunctival laxity, strabismus, amblyopia, glaucoma, cataract, fundus disease, ocular trauma)
- With active eye diseases or a history of eye surgery within 3 months
- Received acupuncture treatment or other dry eye treatment measures within 1 month that may influence the assessment of efficacy
- Previously experienced electroacupuncture intervention
- Pregnant or breastfeeding females
- Serious systemic diseases such as cardiovascular, cerebrovascular, hepatic, renal, and hematopoietic system and psychiatric disorders
- With autoimmune diseases such as Sjögren's syndrome, rheumatoid arthritis, systemic lupus erythematosus, or ankylosing spondylitis
- With damaged, ulcerated, infected, or scarred skin at the selected acupoints
- Allergic to metal or tape
Shanghai Eye Disease Prevention and Treatment Center
Eye & ENT Hospital of Fudan University
Study Central Contact
Contact: Guang Yang, MD, +8618817818512, [email protected]
1 Study Locations in 1 Countries
Guang Yang, Shanghai, 20030, China
Yang Guang, MD, Contact, +8618817818512, [email protected]
Recruiting