Acupuncture and Moxibustion for Hyperlipemia

NCT ID: NCT02269046

Last Updated: 2014-10-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2017-09-30

Brief Summary

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The purpose of this study is to evaluate the effect of 12 weeks of acupuncture and moxibustion compared with active control, on absolute and percent change from baseline in low-density lipoprotein cholesterol (LDL-C) among those with hyperlipidemia.

Detailed Description

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Conditions

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Hyperlipidemias

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Acupuncture and moxibustion

* therapeutic lifestyle change
* Group I:Juque (RN14), Tianshu (ST25, bilateral), Fenglong (ST40, bilateral), Zusanli (ST 36, bilateral), Sanyinjiao (SP6, bilateral)
* Group II: Pishu (BL20, bilateral), Xinshu (BL15, bilateral), Ganshu (BL18, bilateral), Shenshu (BL23, bilateral)
* Group I and II will change alternatively every other week .
* Once per day five days per week.

Group Type EXPERIMENTAL

acupuncture and moxibustion

Intervention Type OTHER

Warm needling acupuncture on Fenglong (ST40, bilateral), Zusanli (ST36, bilateral), Sanyinjiao (SP6, bilateral) and Cake-seperated moxibustion on Juque (RN14), Tianshu (ST25, bilateral), Pishu (BL20, bilateral), Xinshu (BL15, bilateral), Ganshu (BL18, bilateral), Shenshu (BL23, bilateral)

Therapeutic Lifestyle Change

Intervention Type OTHER

* Reduced intakes of saturated fats (\<7% of total calories) and cholesterol (\<200 mg per day)
* Therapeutic options for enhancing LDL lowering
* Weight reduction
* Increased physical activity

Simvastatin

* therapeutic lifestyle change
* simvastatin
* oral administration with 10mg per day
* seven days per week for 12 weeks.

Group Type ACTIVE_COMPARATOR

Simvastatin

Intervention Type DRUG

10mg/d,p.o,12 weeks.

Therapeutic Lifestyle Change

Intervention Type OTHER

* Reduced intakes of saturated fats (\<7% of total calories) and cholesterol (\<200 mg per day)
* Therapeutic options for enhancing LDL lowering
* Weight reduction
* Increased physical activity

waiting list

\- therapeutic lifestyle change

Group Type OTHER

Therapeutic Lifestyle Change

Intervention Type OTHER

* Reduced intakes of saturated fats (\<7% of total calories) and cholesterol (\<200 mg per day)
* Therapeutic options for enhancing LDL lowering
* Weight reduction
* Increased physical activity

Interventions

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acupuncture and moxibustion

Warm needling acupuncture on Fenglong (ST40, bilateral), Zusanli (ST36, bilateral), Sanyinjiao (SP6, bilateral) and Cake-seperated moxibustion on Juque (RN14), Tianshu (ST25, bilateral), Pishu (BL20, bilateral), Xinshu (BL15, bilateral), Ganshu (BL18, bilateral), Shenshu (BL23, bilateral)

Intervention Type OTHER

Simvastatin

10mg/d,p.o,12 weeks.

Intervention Type DRUG

Therapeutic Lifestyle Change

* Reduced intakes of saturated fats (\<7% of total calories) and cholesterol (\<200 mg per day)
* Therapeutic options for enhancing LDL lowering
* Weight reduction
* Increased physical activity

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subject signed the informed consent
* Male or female ≥18 to ≤75 years of age
* Fasting TG ≤400 mg/dL
* Fasting LDL-C as determined by central laboratory on admission and meeting the following LDL-C values based on risk factor status:

* 0-1 Risk Factor Group: LDL-C ≥160 mg/dL
* 2+ Risk Factor Group: LDL-C ≥130 mg/dL
* CHD or CHD risk equivalents: LDL-C ≥100 mg/dL
* Major Risk factors: (1)Cigarette smoking;(2)Hypertension (BP ≥140/90 mmHg or on anti-hypertensive medication);(3)Low HDL cholesterol (HDL-C \<40 mg/dL);(4)Family history of premature CHD (CHD in male first degree relative \<55 years; CHD in female first degree relative \<65 years);(5)Age (men ≥45 years; women ≥55 years)
* CHD and CHD equivalents:(1)Other clinical forms of atherosclerotic disease (peripheral arterial disease, abdominal aortic aneurysm, and symptomatic carotid artery disease);(2)Diabetes;(3)Multiple risk factors that confer a 10-year risk for CHD \>20%

Exclusion Criteria

* CHD or CHD risk equivalent and not receiving statin therapy, with LDL-C at screening ≤99 mg/dL
* NYHA II, III or IV heart failure, or last known left ventricular ejection fraction \<30%
* Uncontrolled cardiac arrhythmia, atrial fibrillation with rapid ventricular response, or not controlled supraventricular tachycardia in the past 3 months prior to randomization
* Myocardial infarction, unstable angina, percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG) or stroke within 3 months prior to randomization
* Planned cardiac surgery or revascularization
* Type 1 diabetes or newly diagnosed type 2 diabetes or poorly controlled type 2 diabetes
* Uncontrolled hypertension defined as sitting systolic blood pressure (SBP) \>160 mmHg or diastolic BP (DBP) \>100 mmHg
* Subjects taken red yeast rice, niacin \>200 mg/d, or omega-3 fatty acids \>1000 mg/d or prescription lipid-regulating drugs other than statins or ezetimibe, such as fibrates and derivatives, or bile-acid sequestering resins in the last 6 weeks prior to LDL-C screening
* Subjects taken systemic cyclosporine, systemic steroids, vitamin A derivatives and retinol derivatives for the treatment of dermatologic conditions in the last 3 months prior to LDL-C screening
* Hyperthyroidism or hypothyroidism
* Moderate to severe renal dysfunction
* Active liver disease or hepatic dysfunction
* CK \>3 times the ULN at screening or at end of lipid stabilization period, confirmed by a repeat measurement at least 1 week apart
* Known active infection or major hematologic, renal, metabolic, gastrointestinal or endocrine dysfunction in the judgment of the investigator
* Deep vein thrombosis or pulmonary embolism within 3 months prior to randomization
* Current therapeutic anticoagulation with vitamin K antagonist, heparin, low-molecular weight heparin, direct thrombin inhibitor
* Currently enrolled in another investigational device or drug study
* Female subject during pregnant or breast feeding period
* History of malignancy (except non-melanoma skin cancers, cervical in-situ carcinoma, breast ductal carcinoma in situ, or stage 1 prostate carcinoma)
* Known sensitivity to any of the products to be administered during dosing
* Subjects couldn't provide the written informed consent and/or comply with all required study procedures
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of British Columbia

OTHER

Sponsor Role collaborator

State Administration of Traditional Chinese Medicine of the People's Republic of China

OTHER_GOV

Sponsor Role collaborator

The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xiaorong Chang, Prof.

Role: STUDY_CHAIR

Hunan University of Chinese Medicine

Locations

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Changsha Hospital of Chinese Medicine

Changsha, Hunan, China

Site Status

Second Hospital of Hunan University of Chinese Medicine

Changsha, Hunan, China

Site Status

First Hospital of Hunan University of Chinese Medicine

Changsha, Hunan, China

Site Status

Countries

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China

Central Contacts

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Mailan Liu, Dr.

Role: CONTACT

86-18229792024

Facility Contacts

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Xiong, Dr.

Role: primary

Liu

Role: primary

Wang

Role: primary

References

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Yue ZH, He XQ, Chang XR, Yuan JL, Yu BS, Liu M, Fu L, Zhang L, Shang LC. The effect of herb-partition moxibustion on Toll-like receptor 4 in rabbit aorta during atherosclerosis. J Acupunct Meridian Stud. 2012 Apr;5(2):72-9. doi: 10.1016/j.jams.2012.01.005. Epub 2012 Feb 10.

Reference Type BACKGROUND
PMID: 22483185 (View on PubMed)

Yue ZH, Yan J, Chang XR, Lin YP, Yi SX, Cao XP, Shen J. [Effects of cake-separated moxibustion on ultrastructures of endothelial cells of aorta in the rabbit of hyperlipemia]. Zhongguo Zhen Jiu. 2005 Jan;25(1):64-7. Chinese.

Reference Type BACKGROUND
PMID: 16309161 (View on PubMed)

Xiaorong C, Jie Y, Zenghui Y, Jing S, Yaping L, Shouxiang Y, Xiangping C. Effects of medicinal cake-separated moxibustion on plasma 6-keto-PGF1alpha and TXB2 contents in the rabbit of hyperlipemia. J Tradit Chin Med. 2005 Jun;25(2):145-7.

Reference Type BACKGROUND
PMID: 16136949 (View on PubMed)

Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001 May 16;285(19):2486-97. doi: 10.1001/jama.285.19.2486. No abstract available.

Reference Type BACKGROUND
PMID: 11368702 (View on PubMed)

Stone NJ, Robinson JG, Lichtenstein AH, Bairey Merz CN, Blum CB, Eckel RH, Goldberg AC, Gordon D, Levy D, Lloyd-Jones DM, McBride P, Schwartz JS, Shero ST, Smith SC Jr, Watson K, Wilson PW, Eddleman KM, Jarrett NM, LaBresh K, Nevo L, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith SC Jr, Tomaselli GF; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Jun 24;129(25 Suppl 2):S1-45. doi: 10.1161/01.cir.0000437738.63853.7a. Epub 2013 Nov 12. No abstract available.

Reference Type BACKGROUND
PMID: 24222016 (View on PubMed)

Yan X, Chen H, Gao W, Li J, Yang X, Ye P, Zhang S, Zhao D, Zhu J, Huo Y. [Consensus standpoints from expert panel of Chinese Society of Cardiology on AHA/ACC 2013 guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults]. Zhonghua Xin Xue Guan Bing Za Zhi. 2014 Apr;42(4):275-6. No abstract available. Chinese.

Reference Type BACKGROUND
PMID: 24924450 (View on PubMed)

Liu M, Zhang Q, Jiang S, Liu M, Zhang G, Yue Z, Chen Q, Zhou J, Zou Y, Li D, Ma M, Dai G, Zhong H, Wang Z, Chang X. Warm-needling acupuncture and medicinal cake-separated moxibustion for hyperlipidemia: study protocol for a randomized controlled trial. Trials. 2017 Jul 10;18(1):310. doi: 10.1186/s13063-017-2029-x.

Reference Type DERIVED
PMID: 28693531 (View on PubMed)

Other Identifiers

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LML

Identifier Type: -

Identifier Source: org_study_id

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