The Efficacy and Mechanism of Acupuncture Treatment in Patients With Subjective Cognitive Decline
The Efficacy and Neural Mechanism of Acupuncture Treatment in Older Adults With Subjective Cognitive Decline: a Randomized Controlled Trial
1 other identifier
interventional
60
1 country
1
Brief Summary
This study evaluates the efficacy and mechanism of acupuncture treatment in patients with subjective cognitive decline. Half of patients will receive acupuncture treatment for 12 weeks, while the other half will receive sham acupuncture treatment for 12 weeks .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2018
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 4, 2018
CompletedFirst Posted
Study publicly available on registry
February 26, 2018
CompletedStudy Start
First participant enrolled
April 25, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2020
CompletedJune 17, 2019
June 1, 2019
1.7 years
February 4, 2018
June 13, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change in cognitive function
A composite score will be computed by averaging z-scores from Animal Fluency Test, Digit Symbol Substitution Test, Trail-Making Test Parts A and B, Stroop Color Word Test C, Digit Span Test, Boston Naming Test, Clock Drawing Test and Auditory Verbal Learning Test delayed recall and delayed recognition.
Changes from baseline at 12 weeks
Secondary Outcomes (1)
Neuroplasticity outcome
baseline and 12 weeks
Other Outcomes (4)
The degree of complaint in cognitive decline
baseline and 12 weeks
The sleep quality
baseline and 12 weeks
The depressive symptoms
baseline and 12 weeks
- +1 more other outcomes
Study Arms (2)
Acupuncture group
EXPERIMENTALSham acupuncture group
PLACEBO COMPARATORInterventions
Acupuncture needles were placed at acupoints Baihui (DU20), Shenting (DU24), Fengfu (DU16), Fengchi (GB20), Danzhong (RN17), Zhongwan (RN12), Qihai (RN6), Neiguan (PC6), Zusanli (ST36), Xuehai (SP10), Xinshu (BL15), Yixi (BL45), Tongli (HT5), and Zhaohai(KI6). Electrodes were attached the needle holders of the Baihui (DU20) and Shenting (DU24). The acupuncture needles are inserted through the adhesive pads and are retained for 20 minutes in every course. Treatment will be conducted over a period of 3 months, at a frequency of two times per week.
Sham acupoint (SA) 1 located in the midpoint of Shuaigu and Touwei. SA2 located in the midpoint of Touwei and Yangbai. SA3 located in the midpoint of Tianyou and Tianrong. SA4 located in 4 cun above umbilicus and 1 cun right of umbilical midline (UM). SA5 located in 2 cun below umbilicus and 1 cun right of UM. SA6 1 cun outside the point 1/4 of the line between Shenmen and Shaohai. SA7 located in 1 cun outside the midpoint of Shaohai and Tongli. SA8 located in 6 cun above mediosuperior border of the patella. SA9 located in 3 cun below the Yanglingquan and middle of the gallbladder and bladder channels. SA10 located in midpoint between Jiexi and Qiuxu. SA11 and SA12 located in 2 cun from the lower border of spinous process of fifth or sixth thoracic vertebra. Electrodes were attached the needle holders of the bilateral SA 2. Procedures, and other treatment settings were the same in the acupuncture group but with no skin penetration, electricity output, or needle manipulation for de qi.
Eligibility Criteria
You may qualify if:
- Male and female adults aged 55-75;
- Native Chinese speakers with right-handed and at least a primary school education;
- Self-reported persistent memory decline, which was confirmed by caregivers;
- Normal general cognitive function and not meeting the criterion of mild cognitive impairment, as defined by performance within the normal range on both measures within at least one cognitive domain or in each of the three cognitive domains sampled (adjusted for age and education);
- No or minimal impairment in activities of daily living;
You may not qualify if:
- Presence of positive neurologic history (e.g., traumatic brain injury, stroke, Parkinson's disease, multiple sclerosis, etc.) ;
- treatments that would affect cognitive function;
- Presence of significant psychiatric history (e.g., bipolar disorder, schizophrenia, etc.) and/or severe anxiety and depression;
- Presence of serious heart, kidney, liver, gastrointestinal, infectious, endocrine disease or cancer;
- History of alcohol or drug abuse/addiction in nearly two years;
- Any contraindications for magnetic resonance imaging (MRI) scans (e.g., aneurysm clip pacemaker, etc.);
- Significant visual and/or auditory impairment uncorrected by aids, and unable to perform neuropsychological evaluations;
- Currently enrolled in another research study;
- Received acupuncture treatment in the preceding month.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine
Beijing, Beijing Municipality, 100029, China
Related Publications (4)
Zhou H, Wang L, Wei XY, Lee CK, Wang ZY, Yan CQ, Liu CZ, Wang X, Shi GX. Brain Connectivity and Topological Reorganization of Multiple Functional Networks in Subjective Cognitive Decline After Acupuncture Intervention: A Secondary Analysis of a Randomized Controlled Trial. J Integr Neurosci. 2025 Nov 27;24(11):45003. doi: 10.31083/JIN45003.
PMID: 41351443DERIVEDWang L, Su XT, Yang NN, Wang QY, Yang JW, Liu CZ. Electroacupuncture improves cerebral blood flow in pMCAO rats during acute phase via promoting leptomeningeal collaterals. J Cereb Blood Flow Metab. 2025 Aug;45(8):1507-1518. doi: 10.1177/0271678X241270240. Epub 2025 Feb 26.
PMID: 40007441DERIVEDWang X, Zhou H, Yan CQ, Shi GX, Zhou P, Huo JW, Yang JW, Zhang YN, Wang L, Cao Y, Liu CZ. Cognitive and Hippocampal Changes in Older Adults With Subjective Cognitive Decline After Acupuncture Intervention. Am J Geriatr Psychiatry. 2024 Aug;32(8):1014-1027. doi: 10.1016/j.jagp.2024.03.001. Epub 2024 Mar 7.
PMID: 38521736DERIVEDYan CQ, Zhou P, Wang X, Tu JF, Hu SQ, Huo JW, Wang ZY, Shi GX, Zhang YN, Li JQ, Wang J, Liu CZ. Efficacy and neural mechanism of acupuncture treatment in older adults with subjective cognitive decline: study protocol for a randomised controlled clinical trial. BMJ Open. 2019 Oct 10;9(10):e028317. doi: 10.1136/bmjopen-2018-028317.
PMID: 31601583DERIVED
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- doctor
Study Record Dates
First Submitted
February 4, 2018
First Posted
February 26, 2018
Study Start
April 25, 2018
Primary Completion
January 1, 2020
Study Completion
March 1, 2020
Last Updated
June 17, 2019
Record last verified: 2019-06