Effect of Electroacupuncture on Sensitive Symptoms of Distal Diabetic Peripheral Neuropathy

NCT ID: NCT05521737

Last Updated: 2024-05-22

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

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2025-12-31

Brief Summary

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This is a controlled clinical trial with the aim to study the effects of electroacupuncture on neuropathic pain reduction, quality of life and changes in sensory and motor nerve conduction velocity in patients with type 2 diabetes mellitus, beneficiaries of the familiar medical centers 20, 40 and 41 of the Instituto Mexicano del Seguro Social, at north of Mexico City, in colaboration with the human acupuncture specialty of the Escuela Nacional de Medicina y Homeopatía, Instituto Politécnico Nacional, Mexico.

Detailed Description

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Controlled clinical trial to evaluate the effect of electroacupuncture on the reduction of neuropathic pain, quality of life; electrophysiological, inflammatory response, oxidative stress, and genetic expression, in patients with type 2 diabetes mellitus, beneficiaries from the family medical centers 20 , 40 and 41 of the Instituto Mexicano del Seguro Social, at north of Mexico City.

Once the acceptance letter has been signed, a series of questionnaires (MNSI, MDNS, DN-4, NRS, and SF-36), and a physical examination will be carried out to meet the necessary criteria to continue participating.

Only candidates with clinical diagnosis of diabetic polyneuropathy will have an electrophysiological examination by nerve conduction velocity study, if so, patients will be randomized to the electroacupunture or sham acupuncture groups.

Before intervention, laboratory studies will be taken after fasting for 8 to 10 hours, to determine biochemichal profile (glucose, urea, creatinine, uric acid , triglycerides, total cholesterol, HDL and LDL), oxidative stress (Malondialdehyde), inflammatory response (IL-6, IL1β, TNF-α, IL-10 and IL-18 cytokines), and gene expression (5-HT1AR, Neurokinin 1, α-adrenoreceptors, NGF, CX3CR1, GAP-43, and NT3).

Intervention will be applied in a total of 32 acupuncture sessions, divided into two intervention cycles, that is, 16 sessions over two months, with a rest period of one month in between.

At the end of both cycles of interventions, the questionnaires, the nerve conduction velocity study the biochemical and molecular studies will be re-assessed. Finally, this will be re-evaluated after three months post-intervention in order to evaluate the effect of intervention over time.

Conditions

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Electroacupuncture Acupuncture Diabetic Polyneuropathy Diabetic Peripheral Neuropathy Diabetic Peripheral Neuropathic Pain Nerve Conduction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The protocol consists of two study groups, including a control group of sham acupuncture, and an interventional group of Electroacupuncture. Both interventions will be applied in a total of 32 sessions, divided into two intervention cycles, that is, 16 sessions over two months, with a rest period of one month in between. ,Acupuncture points are Zusanli (E36), Fenlong (E40), Yinlingquan (B9), Sanyinjiao (B6), Taichong (H3) and Zulinqi (VB41).
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Patient masking: During the application of the intervention, a bandage is placed over the patients eyes so that the participants cannot see the type of therapy applied (electroacupuncture or sham acupuncture).

Statistical masking: The researcher in charge of the statistical analysis is unaware of the type of intervention received by the patients and delivers the results to the responsible researcher.

Study Groups

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Sham group

Sham acupuncture will be administered in a total of 32 sessions within five months.

Group Type SHAM_COMPARATOR

Sham Acupuncture

Intervention Type PROCEDURE

Intervention consists of a total of 32 sessions, divided into two intervention cycles, that is, 16 sessions over two months, with a rest period of one month in between. Sham acupuncture will be applied using a nonpuncture device without electrical stimulation at the same acupunctural points as in the EA group.

Interventional group

Electroacupuncture will be administered in a total of 32 sessions within five months.

Group Type EXPERIMENTAL

Electroacupuncture

Intervention Type PROCEDURE

Intervention consists of a total of 32 sessions, divided into two intervention cycles, that is, 16 sessions over two months, with a rest period of one month in between. EA is applied for 20 minutes at an alternating frequency of 2 Hz. Acupunctural points are Zusanli (E36), Fenlong (E40), Yinlingquan (B9), Sanyinjiao (B6), Taichong (H3) and Zulinqi (VB41).

Interventions

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Electroacupuncture

Intervention consists of a total of 32 sessions, divided into two intervention cycles, that is, 16 sessions over two months, with a rest period of one month in between. EA is applied for 20 minutes at an alternating frequency of 2 Hz. Acupunctural points are Zusanli (E36), Fenlong (E40), Yinlingquan (B9), Sanyinjiao (B6), Taichong (H3) and Zulinqi (VB41).

Intervention Type PROCEDURE

Sham Acupuncture

Intervention consists of a total of 32 sessions, divided into two intervention cycles, that is, 16 sessions over two months, with a rest period of one month in between. Sham acupuncture will be applied using a nonpuncture device without electrical stimulation at the same acupunctural points as in the EA group.

Intervention Type PROCEDURE

Other Intervention Names

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EA Sham

Eligibility Criteria

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Inclusion Criteria

* Patients with type 2 diabetes.
* Patients with clinical diabetic peripheral polyneuropathy.
* Patients with electrophysiological diagnosis of diabetic peripheral polyneuropathy in its different types of classification.

Exclusion Criteria

* Type 1 Diabetes or gestational diabetes.
* Systemic autoimmune diseases.
* Hematological disorders.
* HIV diagnosis.
* Cancer in treatment.
* Pregnancy.
* Other types of neurological disorders or neuropathies.
* Intervention with acupuncture six months previously.
* Patients with pacemarkers.
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Polytechnic Institute, Mexico

OTHER

Sponsor Role collaborator

Instituto Nacional de Salud Publica, Mexico

OTHER

Sponsor Role collaborator

Escuela Superior de Medicina, Instituto Politécnico Nacional

UNKNOWN

Sponsor Role collaborator

Escuela Nacional de Medicina y Homeopatía, Instituto Politécnico Nacional

UNKNOWN

Sponsor Role collaborator

Universidad Nacional Autonoma de Mexico

OTHER

Sponsor Role collaborator

Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de Mexico

UNKNOWN

Sponsor Role collaborator

Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de Mexico

UNKNOWN

Sponsor Role collaborator

Facultad de Medicina, UNAM

UNKNOWN

Sponsor Role collaborator

Instituto Mexicano del Seguro Social

OTHER_GOV

Sponsor Role lead

Responsible Party

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José de Jesús Peralta Romero

Principal investigator, head of clinical department of the Medical Research Unit in Biochemistry, UMAE

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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José de Jesús Peralta Romero, PhD

Role: PRINCIPAL_INVESTIGATOR

Instituto Mexicano del Seguro Social

Locations

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Medical research unit in biochemistry, UMAE "Dr. Bernardo Sepúlveda".Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social.

Mexico City, Cuauhtémoc, Mexico

Site Status RECRUITING

Countries

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Mexico

Central Contacts

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José de Jesús Peralta Romero, PhD

Role: CONTACT

5532318563

María Fernanda Pérez Hernández, MsC

Role: CONTACT

5574021093

Facility Contacts

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José de Jesús Peralta Romero, PhD

Role: primary

5532318563

María Fernanda Pérez Hernández, MsC

Role: backup

5574021093

References

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Perez Hernandez MF, Calderon Vallejo A, Aguilar Castillo SJ, Gomez Jimenez DC, Rodriguez Guerrero E, Aguilar Morales F, Moreno Tovar MG, Zurita Munoz MA, Bautista Cortez AE, Calzada Mendoza CC, De Nova Ocampo MA, Ordonez Rodriguez JM, Gomez Esquivel ML, Garcia Mendez A, Flores Gil O, Macias Zaragoza VM, Cortes Moreno GY, Salinas Lara C, Velazquez Garcia G, Saldivar Ceron HI, Perez Navarro LM, Avila Jimenez L, Gomez Zamudio JH, Diaz Flores M, Cruz Lopez M, Ocharan Hernandez ME, Peralta Romero JJ. Electroacupuncture efficacy in diabetic polyneuropathy: Study protocol for a double-blinded randomized controlled multicenter clinical trial. BMC Complement Med Ther. 2024 Feb 15;24(1):90. doi: 10.1186/s12906-024-04375-8.

Reference Type BACKGROUND
PMID: 38360684 (View on PubMed)

Provided Documents

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Document Type: Study Protocol: COMITEE PROTOCOL REAPPROVAL 2022 - 2023

View Document

Document Type: Study Protocol: COMITEE PROTOCOL APPROVAL 2020 - 2021

View Document

Document Type: Study Protocol: COMITEE PROTOCOL REAPPROVAL 2021 - 2022

View Document

Document Type: Study Protocol: Publication of Study Protocol

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Document Type: Study Protocol: RESEARCH COMITEE PROTOCOL REAPPROVAL 2023 - 2024

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Document Type: Statistical Analysis Plan

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Document Type: Informed Consent Form

View Document

Study Documents

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Document Type: Protocol reapproval report

View Document

Other Identifiers

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09-CEI-009-20160601

Identifier Type: OTHER

Identifier Source: secondary_id

17 CI 09 015 006

Identifier Type: OTHER

Identifier Source: secondary_id

R-2020-785-070

Identifier Type: -

Identifier Source: org_study_id

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