Trial Outcomes & Findings for Neuroimaging Approaches to Deconstructing Acupuncture for Chronic Pain (NCT NCT02064296)

NCT ID: NCT02064296

Last Updated: 2022-09-22

Results Overview

Characterize the altered somatosensory-related neurocircuitry underlying chronic pain in FM, as shown by the difference in brain connectivity between healthy controls and FM patients as measured by FMRI (occurrence rate of co-activation pattern). For each arm, the coactivation pattern was assessed at rest and during a pressure pain stimulation. This is measured by the percent of scan time that an individual's brain displayed a particular coactivation pattern related to the somatosensory system.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

121 participants

Primary outcome timeframe

At baseline

Results posted on

2022-09-22

Participant Flow

15 FM Participants were consented and eligible for the study but withdrew prior to being randomized to treatment.

Participant milestones

Participant milestones
Measure
Controls
Healthy pain free controls were recruited for comparison with fibromyalgia patients.
Mock Laser Acupuncture
39 fibromyalgia (FM) patients were randomized to control mock laser acupuncture (Vita Laser 650, Lhasa OMS). They received 2 treatments per week for 4 weeks. As consented, they were told, with IRB permission, that they were receiving laser acupuncture. This deception was essential to maintaining scientific integrity of the masking. Laser acupuncture (Non-traditional Acupuncture): For non-traditional acupuncture, a laser acupuncture device (Vita Laser 650, Lhasa OMS) was positioned over all of the same acupoints used in electro-acupuncture (EA), but was turned off during treatment sessions. There was no palpation prior to positioning these devices, and there was no physical contact between device and skin.
Electro-Acupuncture
40 fibromyalgia patients were randomized to receive electro-acupuncture (AS Super 4 digital needle stimulator, Harmony Medical Co). They received 2 treatments per week for 4 weeks. Needle acupuncture (Traditional Acupuncture): This group received needle acupuncture at 3 pairs of sites. The needles were stimulated with low intensity, low frequency electric current using a constant-current electro-acupuncture device (AS Super 4 digital needle stimulator).
Eligibility to Baseline Data Collection
STARTED
27
39
40
Eligibility to Baseline Data Collection
COMPLETED
26
39
40
Eligibility to Baseline Data Collection
NOT COMPLETED
1
0
0
Baseline Data Collection
STARTED
26
39
40
Baseline Data Collection
COMPLETED
26
39
40
Baseline Data Collection
NOT COMPLETED
0
0
0
Intervention
STARTED
0
39
40
Intervention
COMPLETED
0
38
38
Intervention
NOT COMPLETED
0
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Controls
Healthy pain free controls were recruited for comparison with fibromyalgia patients.
Mock Laser Acupuncture
39 fibromyalgia (FM) patients were randomized to control mock laser acupuncture (Vita Laser 650, Lhasa OMS). They received 2 treatments per week for 4 weeks. As consented, they were told, with IRB permission, that they were receiving laser acupuncture. This deception was essential to maintaining scientific integrity of the masking. Laser acupuncture (Non-traditional Acupuncture): For non-traditional acupuncture, a laser acupuncture device (Vita Laser 650, Lhasa OMS) was positioned over all of the same acupoints used in electro-acupuncture (EA), but was turned off during treatment sessions. There was no palpation prior to positioning these devices, and there was no physical contact between device and skin.
Electro-Acupuncture
40 fibromyalgia patients were randomized to receive electro-acupuncture (AS Super 4 digital needle stimulator, Harmony Medical Co). They received 2 treatments per week for 4 weeks. Needle acupuncture (Traditional Acupuncture): This group received needle acupuncture at 3 pairs of sites. The needles were stimulated with low intensity, low frequency electric current using a constant-current electro-acupuncture device (AS Super 4 digital needle stimulator).
Eligibility to Baseline Data Collection
Withdrawal by Subject
1
0
0
Intervention
Withdrawal by Subject
0
1
2

Baseline Characteristics

Neuroimaging Approaches to Deconstructing Acupuncture for Chronic Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Controls
n=26 Participants
Healthy pain free controls were recruited for comparison with fibromyalgia patients.
Non-Traditional (Mock) Acupuncture
n=38 Participants
39 fibromyalgia patients were randomized to non-traditional laser acupuncture (Vita Laser 650, Lhasa OMS). They received 2 treatments per week for 4 weeks. As consented, they were told, with IRB permission, that they were receiving laser acupuncture. This deception was essential to maintaining scientific integrity of the masking. Laser acupuncture (Non-traditional Acupuncture): For non-traditional acupuncture, a laser acupuncture device (Vita Laser 650, Lhasa OMS) was positioned over all of the same acupoints used in electro-acupuncture (EA), but was turned off during treatment sessions. There was no palpation prior to positioning these devices, and there was no physical contact between device and skin.
Traditional Acupuncture
n=38 Participants
40 fibromyalgia patients were randomized to receive electro-acupuncture (AS Super 4 digital needle stimulator, Harmony Medical Co). They received 2 treatments per week for 4 weeks. Needle acupuncture (Traditional Acupuncture): This group received needle acupuncture at 3 pairs of sites. The needles were stimulated with low intensity, low frequency electric current using a constant-current electro-acupuncture device (AS Super 4 digital needle stimulator).
Total
n=102 Participants
Total of all reporting groups
Age, Continuous
43.5 years
STANDARD_DEVIATION 14.542881 • n=5 Participants
41.5 years
STANDARD_DEVIATION 9.865814 • n=7 Participants
44.5 years
STANDARD_DEVIATION 12.40337 • n=5 Participants
43 years
STANDARD_DEVIATION 12.203111 • n=4 Participants
Sex: Female, Male
Female
26 Participants
n=5 Participants
38 Participants
n=7 Participants
38 Participants
n=5 Participants
102 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
10 Participants
n=4 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
31 Participants
n=7 Participants
35 Participants
n=5 Participants
85 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
4 Participants
n=7 Participants
2 Participants
n=5 Participants
6 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
26 Participants
n=5 Participants
38 Participants
n=7 Participants
38 Participants
n=5 Participants
102 Participants
n=4 Participants

PRIMARY outcome

Timeframe: At baseline

Population: Because this is at baseline (pre-treatment) all fibromyalgia patients are combined in a single analysis group. Some individuals' data was unable to be analyzed because of typical collection challenges (e.g. participant movement). Three participants were lost to follow-up. Four fibromyalgia patients were excluded due to: pain from shingles (N=1), starting Adderall treatment (N=1), inadequate treatments (N=1), and doubling pregabalin dosage (N=1), taking place during the study.

Characterize the altered somatosensory-related neurocircuitry underlying chronic pain in FM, as shown by the difference in brain connectivity between healthy controls and FM patients as measured by FMRI (occurrence rate of co-activation pattern). For each arm, the coactivation pattern was assessed at rest and during a pressure pain stimulation. This is measured by the percent of scan time that an individual's brain displayed a particular coactivation pattern related to the somatosensory system.

Outcome measures

Outcome measures
Measure
Healthy Controls
n=19 Participants
Healthy pain free controls were recruited for comparison with fibromyalgia patients.
Fibromyalgia Patients
n=63 Participants
All fibromyalgia patients measured at baseline (regardless of randomization).
Brain Neurocircuitry Underlying Chronic Pain (Percent of Time of a Somato-sensory Cortex Coactivation Pattern)
Sensorimotor co-activation pattern at rest
0.1281 percentage of scan time
Standard Deviation 0.05229
0.1190 percentage of scan time
Standard Deviation 0.03835
Brain Neurocircuitry Underlying Chronic Pain (Percent of Time of a Somato-sensory Cortex Coactivation Pattern)
Salience network co-activation pattern at rest
0.1213 percentage of scan time
Standard Deviation 0.05289
0.1345 percentage of scan time
Standard Deviation 0.04560
Brain Neurocircuitry Underlying Chronic Pain (Percent of Time of a Somato-sensory Cortex Coactivation Pattern)
Sensorimotor co-activation pattern at pressure pain
0.1328 percentage of scan time
Standard Deviation 0.05213
0.1362 percentage of scan time
Standard Deviation 0.03972
Brain Neurocircuitry Underlying Chronic Pain (Percent of Time of a Somato-sensory Cortex Coactivation Pattern)
Salience network co-activation pattern at pressure pain
0.1121 percentage of scan time
Standard Deviation 0.05065
0.1054 percentage of scan time
Standard Deviation 0.04662

PRIMARY outcome

Timeframe: Baseline and 4 weeks

Population: Of the 38 participants in each arm who completed the intervention, three participants from the traditional acupuncture arm and one from the mock laser acupuncture arm were excluded from analysis for reasons complicating treatment interpretation, (e.g. addition of a new pain symptom or addition of an external study treatment.) Three participants from the Traditional Acupuncture arm were excluded due to poor data quality at either the pre- or post-treatment scanning visit.

Brain connectivity will be assessed at baseline and following either electro-acupuncture or mock laser acupuncture. Primary somatosensory cortex to insula connectivity. (Z-stat) A positive Z score reflects positive correlation in FMRI signal between different between brain areas. A negative Z score represents anti-correlation between in FMRI signal between brain regions. These scores reflect either positive connectivity or inhibitory connectivity. A mean of 0 represents no correlation or connectivity between regions.

Outcome measures

Outcome measures
Measure
Healthy Controls
n=37 Participants
Healthy pain free controls were recruited for comparison with fibromyalgia patients.
Fibromyalgia Patients
n=32 Participants
All fibromyalgia patients measured at baseline (regardless of randomization).
Change in Brain Connectivity With Acupuncture Treatment
Baseline
0.5492 Z - stat
Standard Deviation 1.799
-0.3013 Z - stat
Standard Deviation 1.178
Change in Brain Connectivity With Acupuncture Treatment
Post-treatment (4 weeks)
-0.08589 Z - stat
Standard Deviation 1.182
1.125 Z - stat
Standard Deviation 1.379

SECONDARY outcome

Timeframe: Baseline and 4 weeks

Population: Sixteen of the thirty-nine Non-Traditional Acupuncture treatment participants were excluded either for missing data or poor data quality while twenty-one of the forty Traditional Acupuncture treatment participants were excluded for missing data or poor data quality.

Brain neurochemistry assessed at baseline and following either electro-acupuncture or mock laser acupuncture using proton magnetic resonance spectroscopy (1H-MRS) measures of combined glutamate and glutamine (Glx).

Outcome measures

Outcome measures
Measure
Healthy Controls
n=23 Participants
Healthy pain free controls were recruited for comparison with fibromyalgia patients.
Fibromyalgia Patients
n=19 Participants
All fibromyalgia patients measured at baseline (regardless of randomization).
Change in Brain Neurochemistry of Combined Glutamate and Glutamine (Glx) Within the Anterior Insular Cortex With Acupuncture Treatment
Glx at baseline
11.91 AIU (arbitrary institutional units)
Standard Deviation 1.005
12.11 AIU (arbitrary institutional units)
Standard Deviation 1.940
Change in Brain Neurochemistry of Combined Glutamate and Glutamine (Glx) Within the Anterior Insular Cortex With Acupuncture Treatment
Glx at 4 weeks
11.82 AIU (arbitrary institutional units)
Standard Deviation 1.042
11.88 AIU (arbitrary institutional units)
Standard Deviation 1.572

SECONDARY outcome

Timeframe: Baseline and 4 weeks

Population: Fourteen of the thirty-nine Non-Traditional Acupuncture treatment participants were excluded either for missing data or poor data quality while twenty-two of the forty Traditional Acupuncture treatment participants were excluded for missing data or poor data quality.

Brain neurochemistry assessed at baseline and following either electro-acupuncture or mock laser acupuncture using proton magnetic resonance spectroscopy (1H-MRS) measures gama-aminobutyric acid (GABA).

Outcome measures

Outcome measures
Measure
Healthy Controls
n=25 Participants
Healthy pain free controls were recruited for comparison with fibromyalgia patients.
Fibromyalgia Patients
n=18 Participants
All fibromyalgia patients measured at baseline (regardless of randomization).
Change in Brain Neurochemistry of Gama-aminobutyric Acid (GABA) Within the Anterior Insular Cortex With Acupuncture Treatment
GABA at baseline
3.250 AIU (arbitrary institutional units)
Standard Deviation 0.9074
3.264 AIU (arbitrary institutional units)
Standard Deviation 0.4840
Change in Brain Neurochemistry of Gama-aminobutyric Acid (GABA) Within the Anterior Insular Cortex With Acupuncture Treatment
GABA at 4 weeks
3.135 AIU (arbitrary institutional units)
Standard Deviation 0.6650
3.210 AIU (arbitrary institutional units)
Standard Deviation 0.8271

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Baseline neuroimaging outcomes of neurochemistry are used to predict subsequent response to electro-acupuncture and laser acupuncture.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

Baseline neuroimaging outcomes of connectivity are used to predict subsequent response to electroacupuncture and laser acupuncture.

Outcome measures

Outcome data not reported

Adverse Events

Controls

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Non-Traditional (Mock) Acupuncture

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Traditional Acupuncture

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Controls
n=27 participants at risk
Healthy pain free controls were recruited for comparison with fibromyalgia patients.
Non-Traditional (Mock) Acupuncture
n=39 participants at risk
39 fibromyalgia (FM) patients were randomized to control mock laser acupuncture (Vita Laser 650, Lhasa OMS). They received 2 treatments per week for 4 weeks. As consented, they were told, with IRB permission, that they were receiving laser acupuncture. This deception was essential to maintaining scientific integrity of the masking. Laser acupuncture (Non-traditional Acupuncture): For non-traditional acupuncture, a laser acupuncture device (Vita Laser 650, Lhasa OMS) was positioned over all of the same acupoints used in electro-acupuncture (EA), but was turned off during treatment sessions. There was no palpation prior to positioning these devices, and there was no physical contact between device and skin.
Traditional Acupuncture
n=40 participants at risk
40 fibromyalgia patients were randomized to receive electro-acupuncture (AS Super 4 digital needle stimulator, Harmony Medical Co). They received 2 treatments per week for 4 weeks. Needle acupuncture (Traditional Acupuncture): This group received needle acupuncture at 3 pairs of sites. The needles were stimulated with low intensity, low frequency electric current using a constant-current electro-acupuncture device (AS Super 4 digital needle stimulator).
Gastrointestinal disorders
Nausea
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
10.3%
4/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
7.5%
3/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
Vascular disorders
Bruising
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
0.00%
0/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
12.5%
5/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
Psychiatric disorders
Pain Attack
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
0.00%
0/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
5.0%
2/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
Nervous system disorders
Headache
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
5.1%
2/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
5.0%
2/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
Nervous system disorders
Migraine
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
0.00%
0/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
7.5%
3/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
Musculoskeletal and connective tissue disorders
Ear Tenderness
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
0.00%
0/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
5.0%
2/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
Musculoskeletal and connective tissue disorders
Fibromyalgia Flare
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
7.7%
3/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
5.0%
2/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
Musculoskeletal and connective tissue disorders
Leg Cramp
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
0.00%
0/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
5.0%
2/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
Musculoskeletal and connective tissue disorders
Muscle Burning
0.00%
0/27 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
0.00%
0/39 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.
5.0%
2/40 • AE data for healthy volunteers was collected for visits 2 through 3, which were both within 3 days of each other, up to 4 days total. No further AE data was collected for the healthy volunteers. For fibromyalgia participants, in both treatment arms, AE data was collected at every visit, covering a period of at least 6 weeks and then for up to another 6 months.

Additional Information

Richard Harris

University of Michigan

Phone: 734-998-6996

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place