TEAS for the Treatment of Pain in Bone Metastases of Lung Cancer

NCT ID: NCT05730972

Last Updated: 2023-12-13

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

188 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-15

Study Completion Date

2025-12-31

Brief Summary

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This multicenter, prospective, randomized controlled research study aims to objectively evaluate the role of transcutaneous electrical acupoint stimulation (TEAS), which combines the theory of acupuncture with transcutaneous electrical nerve stimulation (TENS) therapy, for the treatment of pain in patients with bone metastases from lung cancer.

Detailed Description

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Conditions

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Cancer Pain Non Small Cell Lung Cancer Bone Metastases Acupuncture

Keywords

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transcutaneous electrical nerve stimulation Transcutaneous electrical acupoint stimulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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true TEAS

A pair of conductive gel patch, connecting to the Huatuo SDZ-ⅡB portable electronic needle therapy instrument, are respectively affixed to the ipsilateral Jiaji acupoint group (EX-B2) or the ipsilateral limb acupoint group(Hegu (LI4) - Waiguan (TE5), or Zusanli (ST36) - Sanyinjiao (SP6)), so as contralateral side.

A single TEAS treatment takes 30 min. TEAS specific parameters were dilatation wave 2Hz and stimulus current intensity in degrees as tolerated by the patient.

7 days was considered as 1 session. Self-controlled treatment refers to not setting an upper limit on the number of treatment times, but must have met at least 3 days or 5 times of TEAS treatment within each session.

A total of 4 sessions of treatment were administered.

Group Type EXPERIMENTAL

Transcutaneous electrical acupoint stimulation

Intervention Type DEVICE

The patients are taken in the recumbent or sitting position, and the local skin at the acupoints is routinely disinfected. A pair of conductive gel patch, connecting to the Huatuo SDZ-ⅡB portable electronic needle therapy instrument, are respectively affixed to the ipsilateral acupoint group, so as contralateral side.

Routine palliative treatment

Intervention Type DRUG

The patients in both groups received routine palliative treatment of tumors, such as chemotherapy, immunotherapy, targeted therapy, drug analgesic therapy, nutrition support, and so on.

sham TEAS

Each step of the sham TEAS operation is the same as the TEAS group. A total of 4 sessions of treatment were administered. 10 free TEAS treatments will be given after the trial.

Group Type SHAM_COMPARATOR

Sham transcutaneous electrical acupoint stimulation

Intervention Type DEVICE

The electroacupuncture instrument has a normal screen display as the Huatuo SDZ-ⅡB portable electronic needle therapy instrument, but could not output current normally.

Routine palliative treatment

Intervention Type DRUG

The patients in both groups received routine palliative treatment of tumors, such as chemotherapy, immunotherapy, targeted therapy, drug analgesic therapy, nutrition support, and so on.

Interventions

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Transcutaneous electrical acupoint stimulation

The patients are taken in the recumbent or sitting position, and the local skin at the acupoints is routinely disinfected. A pair of conductive gel patch, connecting to the Huatuo SDZ-ⅡB portable electronic needle therapy instrument, are respectively affixed to the ipsilateral acupoint group, so as contralateral side.

Intervention Type DEVICE

Sham transcutaneous electrical acupoint stimulation

The electroacupuncture instrument has a normal screen display as the Huatuo SDZ-ⅡB portable electronic needle therapy instrument, but could not output current normally.

Intervention Type DEVICE

Routine palliative treatment

The patients in both groups received routine palliative treatment of tumors, such as chemotherapy, immunotherapy, targeted therapy, drug analgesic therapy, nutrition support, and so on.

Intervention Type DRUG

Other Intervention Names

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TEAS sham TEAS

Eligibility Criteria

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Inclusion Criteria

* Fulfilled the diagnostic criteria of non-small cell lung cancer and had a diagnosis of definite bone-metastatic-related pain.
* Potent opioid analgesics have been prescribed regularly.
* Bone protective agents (bisphosphonates or desumumab) have been used regularly.
* Expected survival ≥ 3 months with no obvious contraindication to opioid therapy.
* Stable vital signs and ECOG-PS score ≤ 2 points; able to cooperate with researchers to complete relevant study evaluations.
* Signed informed consent.

Exclusion Criteria

* Definitively diagnosed with pain unrelated to lung cancer.
* Received local radiation therapy or surgery targeting bone metastases within 1 week before enrollment or will receive during the intervention period. The surgery including vertebroplasty, radioparticle implantation, neurological lesions, and other minimally invasive interventions.
* Venous thrombosis in the upper and lower extremities (below the elbow / knee joint), active cerebrovascular disease, severe cardiopulmonary dysfunction, or those with respiratory depression.
* Pacemaker implantation or metallic implants in vivo.
* Skin lesions at the acupoints, poor skin condition, or other situations that are not suitable for treatment with TEAS.
* Opioid hypersensitivity.
* Psychiatric disorders or severe cognitive deficits.
* Participating in other clinical trialists influencing the evaluation of the results of this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Third Affiliated hospital of Zhejiang Chinese Medical University

OTHER

Sponsor Role lead

Responsible Party

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Yi Liang

Professor, Chief Chinese Medicine Practitioner

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yi Liang, PhD

Role: STUDY_CHAIR

Zhejiang Chinese Medical University, China

Central Contacts

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Yi Liang, PhD

Role: CONTACT

Phone: 86-571-86633328

Email: [email protected]

Zhengyi Lyu, PhD

Role: CONTACT

Email: [email protected]

References

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Lyu Z, Shen Q, Tian S, Gong L, Lou H, Bao G, Wu Z, Lu C, Zhang W, Huang R, Ji C, Zheng S, Pan W, Ying Y, Jin J, Liang Y. Effects of Patient-Controlled Transcutaneous Electrical Acupoint Stimulation on Cancer Induced Bone Pain Relief in Patients with Non-Small Cell Lung Cancer: Study Protocol for a Randomized Controlled Trial. J Pain Res. 2024 Mar 26;17:1285-1298. doi: 10.2147/JPR.S437296. eCollection 2024.

Reference Type DERIVED
PMID: 38560406 (View on PubMed)

Other Identifiers

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2021ZZ017

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2014KYA162

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2021ZZ017

Identifier Type: -

Identifier Source: org_study_id