Effectiveness of Auricular Acupuncture for Migraine

NCT ID: NCT07024511

Last Updated: 2025-06-17

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 156 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-07-01
• Study Completion Date: 2025-12-31

Brief Summary

Migraine is a primary headache disorder characterized by recurrent episodes of moderate to severe pain, frequently accompanied by nausea, photophobia, and phonophobia. It ranks as the third most prevalent medical condition globally and is recognized by the World Health Organization (WHO) as one of the top ten causes of disability worldwide. Migraine presents substantial public health concerns due to its considerable socioeconomic burden and its detrimental impact on individuals' quality of life. Although pharmacological treatments are widely available, their effectiveness is often limited, with many patients experiencing inadequate symptom relief or adverse side effects. Consequently, there has been growing interest in non-pharmacological approaches, particularly acupuncture and auricular therapy, due to their favorable safety profiles and reported efficacy in alleviating migraine symptoms. Auricular therapy, a microsystem of acupuncture applied to specific points on the external ear, has gained popularity for its simplicity, low risk, and therapeutic potential. Despite its increasing clinical use, robust scientific evidence supporting the effectiveness of auricular therapy for migraine remains insufficient, underscoring the need for well-designed clinical studies to validate its therapeutic value.

Detailed Description

Migraine is a complex and dynamic neurological disorder characterized by fluctuations in attack frequency, duration, severity, and associated symptoms, necessitating timely prevention and effective management strategies. While pharmacological treatments remain the mainstay, their limitations have led to increasing interest in non-pharmacological interventions such as acupuncture. Acupuncture has gained global recognition for its efficacy, particularly in migraine, which is one of the conditions most responsive to this therapy. Supported by strong clinical evidence, acupuncture is considered safe and well-tolerated, with a low incidence of adverse effects. Guidelines for managing primary headache disorders now advocate a range of complementary approaches, including acupuncture, dietary changes, physical activity, and cognitive behavioral therapy which reflecting a paradigm shift towards integrative care. Clinical studies have demonstrated that acupuncture can significantly reduce migraine frequency, shorten attack duration, and alleviate symptom severity. Mechanistic research suggests acupuncture modulates migraine pathophysiology through neuroimmune and neurotransmitter regulation, although further studies are needed to elucidate its molecular effects, particularly beyond the trigeminovascular system. Within Traditional Chinese Medicine, auricular therapy based on stimulating specific points on the external ear aligned with internal organ systems via the "inverted fetus" model offers a simplified, non-invasive modality that activates neural signaling pathways to regulate bodily functions and relieve migraine symptoms. Despite its growing clinical use, further clinical evidence is needed to confirm the therapeutic efficacy and mechanisms of auricular acupuncture in migraine management.

Conditions

Migraine

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

Auricular acupuncture and acupuncture

A total of eight treatment sessions will be administered over a period of three weeks, with sessions scheduled approximately every two to three days.

Group Type: EXPERIMENTAL

Auricular acupuncture

Intervention Type: OTHER

Auricular acupuncture

Acupuncture

Intervention Type: OTHER

Acupuncture

Acupuncture and sham auricular acupuncture

A total of eight treatment sessions will be administered over a period of three weeks, with sessions scheduled approximately every two to three days.

Group Type: PLACEBO_COMPARATOR

Acupuncture

Intervention Type: OTHER

Acupuncture

Interventions

Auricular acupuncture

Auricular acupuncture

Intervention Type: OTHER

Acupuncture

Acupuncture

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosed as having migraine with aura and without aura according to the diagnostic criteria specified by the ICHD 3;
• Aged between 18 and 65 years old;
• Provided written informed consent;
• Headache lasting for 4 to 72 hours and occur at least 5 times (untreated or poorly treated);
• At least 2 out of 4 criteria must be met (unilateral, pulsatile, moderate to severe pain, headache aggravated by daily physical activity, or avoidance of daily activities such as walking or climbing stairs due to headache);
• At least one of the two criteria must be met (nausea and/or vomiting, photophobia, and fear of sound);
• At least one fully recoverable premonitory symptom (visual, sensory, speech and/or language, motor, brainstem, retina); Onset time more than 5 minutes; (8) No prophylaxis treatments with acupuncture or drugs in the past 3 months; (9) Written informed consent provided.

Exclusion Criteria

• All other diagnoses of chronic, tension-type headache, cluster headache and/or secondary headaches;
• History of psychotic disorder(s).;
• Pregnancy or lactation;
• Severe somatic disorder(s);
• History of severe organic psychiatric disorder(s);
• History of other chronic pain condition(s) in the pass 3 months;
• History of addictive disorder(s);
• Visual Aura Rating Scale, VARS≥5 score;
• Taking long-term painkillers for more than 1 month within 3 months.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universiti Tunku Abdul Rahman

OTHER

Sponsor Role: lead

Responsible Party

Foo Chai Nien

Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Hebei University of Engineering Affiliated Hospital

Handan, Hebei, China

Yurangqiao Community Health Service Center, Xingdong New District, Xingtai City

Xingtai, Hebei, China

Countries

China

Central Contacts

Chai Nien Foo, PhD

Role: CONTACT

foocn@utar.edu.my

+60123167252

Facility Contacts

玉萍 Yuping SHI

Role: primary

shiyuping0910@hotmail.com

+8615231937026

Yuping SHI Yuping

Role: primary

shiyuping0910@hotmail.com

+8615231937026

Other Identifiers

2024[K]122-01

Identifier Type: -

Identifier Source: org_study_id