Acupuncture Regulates Default Mode Network of Chronic Insomnia Disorder Patients : A fMRI Study

NCT ID: NCT03386903

Last Updated: 2017-12-29

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-28

Study Completion Date

2019-06-28

Brief Summary

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The purpose of the study is to investigate the underlying central nervous mechanisms of acupuncture treatment in chronic insomnia patients, from observation changes of gray matter and functional connectivity in the default mode network and the salience network by functional magnetic resonance imaging, and combine with clinical efficacy assessment to analyze the association between the results of imaging and behavioristic.

Detailed Description

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Chronic insomnia which can cause daytime function impairments like abnormal emotion and hypomnesis is important risk factors for developing cardiovascular disease, neurological disorders or mental disorders. Acupuncture is a widely recognized therapy to treat chronic insomnia in clinical practice. Previous researches presented that sleep-wake dysfunction of patients with chronic insomnia have strong correlation with abnormal of the default mode network and salience network. The project present acupuncture may improve sleep quality by adjusting the abnormal default mode network and the salience network in patients with chronic insomnia.

The investigators are assigned the ninety eligible participants in three groups: thirty chronic insomnia patients by true acupuncture treatment (Zhoushi coordinated points), thirty chronic insomnia patients by sham acupuncture stimulation (non-acupoint points) and thirty healthy subjects, Treatment will be given 3 times per week for 3 months. Additionally, two methods include functional magnetic resonance imaging (fMRI) and clinical scales evaluation as the outcome measures to evaluate the effectiveness and security of acupuncture. Outcomes will be evaluated at baseline and 3 month post-treatment.

The aim of this project is to investigate effect of acupuncture treatment on gray matter and functional connectivity of the default network and the salience network in chronic insomnia patients, and to analyze the association between sleep quality, emotion, day function with imaging results. The central nervous mechanisms underlying acupuncture treatment are discussed by this finding which may provide scientific basis for acupuncture treatment in chronic insomnia.

Conditions

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Chronic Insomnia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Ture acupuncture group

After recruiting, patients are assigned to the ture acupuncture group by randomization,and then receive ture acupuncture treatment. patients are scanned by MRI at the baseline and 3 month post-treatment respectively.

Group Type EXPERIMENTAL

Ture acupuncture

Intervention Type DEVICE

Patients receive true acupuncture treatment by Zhoushi coordinated points at the "Bai-hui" (DU20), "Shen-ting" (DU24), bilateral "Ben-shen" (BG13), "Shen-men" (HT7), "San-yin-jiao" (SP6) with "Deqi" sensation. The needles are retained for 20 minutes in every course, three times per week and last for 3 months.

Sham acupuncture group

After recruiting, patients are assigned to the sham acupuncture group by randomization,and then receive sham acupuncture stimulation. patients are scanned by MRI at the baseline and 3 month post-treatment respectively.

Group Type PLACEBO_COMPARATOR

Sham acupuncture

Intervention Type DEVICE

Patients receive sham acupuncture stimulation by non-acupoint points (superficial insertion, 0.2 cun, No needle sensation (de qi) is elicited) at the bilateral mid-point between Shuaigu(GB8) and Touwei(ST8), Touwei(ST8) and Yangbai(GB14), front tibia, the junction of biceps and triceps.

Healthy group

Healthy subjects without intervention except scanned brain image by MRI at the baseline.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ture acupuncture

Patients receive true acupuncture treatment by Zhoushi coordinated points at the "Bai-hui" (DU20), "Shen-ting" (DU24), bilateral "Ben-shen" (BG13), "Shen-men" (HT7), "San-yin-jiao" (SP6) with "Deqi" sensation. The needles are retained for 20 minutes in every course, three times per week and last for 3 months.

Intervention Type DEVICE

Sham acupuncture

Patients receive sham acupuncture stimulation by non-acupoint points (superficial insertion, 0.2 cun, No needle sensation (de qi) is elicited) at the bilateral mid-point between Shuaigu(GB8) and Touwei(ST8), Touwei(ST8) and Yangbai(GB14), front tibia, the junction of biceps and triceps.

Intervention Type DEVICE

Other Intervention Names

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Experimental Placebo Comparator

Eligibility Criteria

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Inclusion Criteria

* Insomnia group: Patients must meet DSM V criteria for chronic insomnia. PSQI\>7 、ISI\>7、 SAS\<50、 SDS\<50.
* control group: no self-reported sleep problems in the last 1 months. PSQI≤5 、SAS\<50、 SDS\<50,MMSE≥27.
* 30-60 years old.
* Male or female.
* Dextromanuality.
* Having given written informed consent to participate in the research project.

Exclusion Criteria

* History of cardiovascular and respiratory diseases.
* Other diagnoses of the nerve or mental disorders.
* Other sleep disorders.
* The long history of smoking, drinking and abusing drugs, or taking psychotropic drugs in last month, and treatment in other clinical trials at the same time.
* The body carrying pacemakers, defibrillators, implantable vascular clamp, implantable electric or magnetic device, mechanical heart valve, artificial cochlear, el., fMRI taboo and the claustrophobic.
* MRI scans have been used to identify patients with a definite organic lesion or severe head anatomical asymmetry
* Pregnancy, lactation and peri menopausal women.
* An allergy history of syncope, alcohol, and metal needle.
* The body Mass Index\>32 or \<19.8.
Minimum Eligible Age

30 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Beijing Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role lead

Responsible Party

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Ping Zhou

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Liu cun zhi, M.D

Role: STUDY_DIRECTOR

Beijing Hospital of Traditional Chinese Medicine

Locations

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Beijing Hostipal of Traditional Chinese Medicine affiliated to Capital medical University

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Central Contacts

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Liu c zhi, M.D

Role: CONTACT

Phone: 010-52176043

Email: [email protected]

zhou ping, Postgraduate Student

Role: CONTACT

Phone: 13261306969

Email: [email protected]

Other Identifiers

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2016BL-033-01

Identifier Type: -

Identifier Source: org_study_id