Plain English Summary
Background and study aims
Insomnia is a common sleeping problem. Insomnia makes it hard to initiate or maintainsleep or nonrestorative sleep. Sleep disturbance causes distress or damage in social, occupational, or other important areas of functioning. As an alternative therapeutic method, acupuncture offers another option for insomnia. Acupuncture is a treatment that inserts fine needles at certain areas in the body to be therapeutic. It is based on the theory of meridians of Traditional Chinese Medicine (TCM). Meridian is considered to be a network of passages of the energy power, Qi. According to ancient TCM classic of Nei Jing (Inner Classic), insomnia is a consequence of the vicious cycle of “daytime low-spirit” and “nighttime hyperarousal state.” Acupuncture is considered to be beneficial to restore the normal sleep-wake cycle by regulating and restoring the natural flow of Qi. The aim of this study is to explore the effect of using acupuncture (and using specific Chou’s Tiaoshen acupoints) to help patients with insomnia.
Who can participate?
Adults aged 20-60 years old who have sleep difficulties at least three nights per week.
What does the study involve?
Participants are randomly allocated to one of two groups. Those in the first group receive acupuncture using the “Chou’s Tiaoshen” acupoints five times a week for two weeks. Those in the second group take estazolam 30 minutes prior to bedtime for two weeks. Participants are followed up to examine the quality of their sleep and their insomnia symptoms using sleep diaries and questionnaires before and after the treatment.
What are the possible benefits and risks of participating?
It is expected that participants will experience lower frequency and severity of subacute insomnia as well as improved sleep quality, thus improving life quality of patients and alleviating side effects of taking drugs and operations. Furthermore, data and evidence gained from this study will be helpful in the future research projects. The risks of taking part are minimal. Acupuncture is a very safe treatment when given by properly trained clinicians. Occasionally acupuncture can make people feel nauseous or faint or experience a temporary increase in pain either during or after treatment. Participants are warned of these potential side-effects before consenting to have acupuncture.
Where is the study run from?
Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University (China)
When is the study starting and how long is it expected to run for?
June 2017 to December 2018
Who is funding the study?
Beijing Municipal Administration of Hospitals (China)
Who is the main contact?
Dr Huanqin Li
Trial website
Contact information
Type
Scientific
Primary contact
Ms Huanqin Li
ORCID ID
Contact details
Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University
Backstreet Gallery No. 23
Dongcheng District
Beijing
100010
China
Type
Public
Additional contact
Miss Tuo Tuo
ORCID ID
Contact details
Beijing University of Chinese Medicine
North Third Ring Road NO.11
Chaoyang District
Beijing
100029
China
+86 18001104650
tuotuo1123@icloud.com
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Observation on clinical efficacy of acupuncturing “Chou’s Tiaoshen” acupoints on patients in subacute insomnia
Acronym
Study hypothesis
Compared with taking estazolam, acupuncturing “Chou’s Tiaoshen” acupoints can improve patients’ sleeping quality in subacute insomnia equally or better.
Ethics approval
Research Ethical Committee of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, 18/07/2017, ref:2017BL-055-01.
Study design
Interventional randomised controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Hospitals
Trial type
Treatment
Patient information sheet
Condition
Subacute insomnia
Intervention
Participants are randomly allocated to one of two groups.
Treatment group: Participants receive acupuncture using "Chou’s Tiaoshen” acupoints, including Baihui (GV-20), Shenting (GV-24), and Sishencong (EX-HN1), Sanyinjiao (SP-6), Shenmen (HT-7) . Using stainless steel needles (0.32×40 mm, HuaTuo, China). Then some other points like, Danzhong(CV-17), Taixi (KI-3), Qihai (CV-6), Taichong (LR3), and Qiuxu(GB-40) are chosen. Operation: Patients in supine position. Baihui (GV-20), Shenting (GV-24), and Sishencong (EX-HN1) are punctured at a depth of 20-25mm obliquely. Sanyinjiao (SP-6) and Shenmen (HT-7) are inserted 15mm perpendicularly. Until feeling tactile sensation then manually manipulated by rotation methods to produce a characteristic sensation known as "De Qi".
Mild reinforcing and attenuating, retaining the needle for 30minutes. When all the needles inserted, needle handles needs to be a line horizontally and vertically. The treatment will be given once a day and 5 times a week in weekdays, the course will last two weeks.
Control group: Participants take estazolam 30min prior to bedtime in the day. The course will last two weeks.
Participants keep sleep diaries and are followed up with questionnaires to examine thier symptoms of insomnia and sleep quality.
Intervention type
Other
Phase
Drug names
Primary outcome measure
Sleep quality and disturbances are measured using the Pittsburgh sleep quality index (PSQI) at baseline, day 14 and day 28.
Secondary outcome measures
1. Insomnia severity level are measured using insomnia severity index (ISI) at baseline, day 14 and day 28
2. Daytime function or daytime fatigue is measured using Fatigue Scale (FS)(FS incluing the items of physical fatigue and mental fatigue) at baseline, day 14 and day 28
3. Symptoms of insomnia are measured using Sleep diaries. It will be recorded everyday after patients start to be treated, and we will take their Sleep diaries at day 14 and day 28
Overall trial start date
01/06/2017
Overall trial end date
30/03/2019
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. According to the Diagnostic and Statistical Manual of Mental Disorders Text Revision, 5th ed (DSM-V) and Chinese Adult Insomnia Diagnosis and Treatment Guide 2012
2. A predominant complaint of dissatisfaction with sleep quantity or quality, associated with one (or more) of the following symptoms:
2.1. Difficulty initiating sleep
2.2. Difficulty maintaining sleep, characterized by frequent awakenings or problems returning to sleep after awakenings
2.3. Early-morning awakening with inability to return to sleep
3. The sleep disturbance causes clinically significant distress or impairment in social, occupational, educational, academic, behavioral, or other important areas of functioning
4. The sleep difficulty occurs at least 3 nights per week. The sleep difficulty is present for at least 1 months
5. Experienced insomnia between 4 weeks and 3 months before the start of project
6. Age: patients between 20 and 60 years old
7. Not yet taken estazolam for more than 3 days
8. Patients who agreed to participant in this trial and assigned the informed consent
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
96
Participant exclusion criteria
1. Having depression, anxiety or schizophrenia
2. Patients with serious heart, liver, kidney and hematopoietic system diseases or mental disorders
3. Patients who could not cooperate with the investigators
4. Insomnia course less than 4 weeks
5.Taken anti-anxiety depression drugs or assisted sleeping medication in the past 6 months
Recruitment start date
20/01/2018
Recruitment end date
31/12/2018
Locations
Countries of recruitment
China
Trial participating centre
Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University
Backstreet Gallery No. 23 in Dongcheng District
Beijing
100010
China
Sponsor information
Organisation
Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University
Sponsor details
Backstreet Gallery No. 23
Dongcheng District
Beijing
100010
China
+86 10 52176813
bjzykyc@163.com
Sponsor type
Hospital/treatment centre
Website
Funders
Funder type
Government
Funder name
Beijing Municipal Administration of Hospitals
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
We plan to publish a protocol of this trial in about 6-8 months after the registration, and one paper of the trial including results in a high-impact peer reviewed journal in one year after the trial.
IPD sharing statement:
The datasets generated during and/or analysed during the current study are/will be available upon request from Ms Huanqin Li (hqin_li@163.com).
Intention to publish date
01/08/2019
Participant level data
Available on request
Basic results (scientific)
See additional file ISRCTN24323119_BasicResults_26March2020 (Added 26/03/2020)
Publication list
Publication citations
Additional files
- ISRCTN24323119_BasicResults_26March20.pdf Uploaded 26/03/2020