NCT04877483

Brief Summary

This study wants to use a randomized, single-blind, controlled trial to evaluate the efficacy of receiving acupuncture GB20 or GB20 plus BL2 on alleviating the ocular dryness symptom from dry eye syndrome and Sjögren's syndrome. One hundred dry eye syndrome subjects are composed of 50 dry eye syndrome subjects and 50 Sjögren's syndrome' dry eye subjects, and all are randomized into 40 Group GB20 and 40 Group GB20 plus BL2 (GBL), and 20 Group Waiting list; while we also include 20 healthy controls. Fifty dry eye syndrome subjects are randomized into 20 Group GB20, 20 Group GBL and 10 Group Waiting list in first year; while both Group GB20 or GBL received acupuncture twice a week 8 weeks for efficacy evaluation, and 10 Group Waiting list receive no any acupuncture treatment. And we could use the Whole-genome genotyping, oral microbiota, Schirmer's test, Tear breakup time, Cytokines, OSDI, TCM pattern, Traditional Chinese Medicine (TCM) tongue diagnosis, TCM pulse diagnosis, and TCM heart rate variability for this purpose. In second year, another 50 dry eye syndrome subjects are also enrolled and randomized into randomized into 20 Group GB20, 20 Group GBL and 10 Group Waiting list; while both Group GB20 or GBL received acupuncture twice a week 8 weeks for efficacy evaluation with above outcome measurements, and 10 Group Waiting list receive no any acupuncture treatment. Meanwhile, we also include 20 healthy controls, and we want to find the difference with the comparison between the dry eye syndrome, Sjögren's syndrome and healthy control in second year. Through the analysis for dry eye syndrome and Sjögren's syndrome, we could find the biomarker to differentiate dry eye syndrome, Sjögren's syndrome and healthy control. In the future, this work could be applied for screening and diagnosis of pre-dry eye syndrome and Sjögren's syndrome, and this integrated TCM with Western Medicine plan could be applied for the goal of holistic health care.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Dec 2022

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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

May 4, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 7, 2021

Completed
1.6 years until next milestone

Study Start

First participant enrolled

December 6, 2022

Completed
25 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2022

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2024

Completed
Last Updated

December 13, 2022

Status Verified

December 1, 2022

Enrollment Period

25 days

First QC Date

May 4, 2021

Last Update Submit

December 11, 2022

Conditions

Keywords

dry eye syndromesXerophthalmiaacupunctureGB20BL2Oral microbiota

Outcome Measures

Primary Outcomes (2)

  • Schirmer's test

    Schirmer's test is a tool for evaluating aqueous tear production among the dry eye syndrome.

    one year

  • OSDI(Ocular Surface Disease Index)

    OSDI(Ocular Surface Disease Index) is a tool to rate the severity of dry eye disease among the dry eye syndrome.

    one year

Secondary Outcomes (12)

  • TCM pattern

    one year

  • TCM tongue diagnosis

    one year

  • Heart rate variability (HRV)

    one year

  • TCM pulse diagnosis

    one year

  • SF-36(36-Item Short Form Survey )

    one year

  • +7 more secondary outcomes

Study Arms (4)

Group GB20

EXPERIMENTAL

Group GB20 will received acupuncture at acupoint GB20 twice a week 8 weeks for efficacy evaluation. And we could use the oral microbiota, Schirmer's test, Tear breakup time, 6-GSI, OSDI, TCM pattern, Traditional Chinese Medicine (TCM) tongue diagnosis, TCM pulse diagnosis, and TCM heart rate variability for this purpose.

Procedure: AcupunctureDiagnostic Test: Oral microbiotaDiagnostic Test: Schirmer's testDiagnostic Test: Tear breakup timeDiagnostic Test: OSDI(Ocular Surface Disease Index)Diagnostic Test: TCM patternDiagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosisDiagnostic Test: TCM pulse diagnosisDiagnostic Test: TCM heart rate variabilityDiagnostic Test: ESSPRI(EULAR Sjögren's Syndrome Patient Reported Index)Diagnostic Test: Whole-genome genotyping(TWBv2.0)Diagnostic Test: Cytokine markersDiagnostic Test: Blood biochemical analysisDiagnostic Test: complete blood count (CBC)Diagnostic Test: SF-36(36-Item Short Form Survey )

Group GB20 plus BL2

EXPERIMENTAL

Group GB20 plus BL2 will received acupuncture at acupoint GB20 plus BL2 twice a week 8 weeks for efficacy evaluation. And we could use the oral microbiota, Schirmer's test, Tear breakup time, 6-GSI, OSDI, TCM pattern, Traditional Chinese Medicine (TCM) tongue diagnosis, TCM pulse diagnosis, and TCM heart rate variability for this purpose.

Procedure: AcupunctureDiagnostic Test: Oral microbiotaDiagnostic Test: Schirmer's testDiagnostic Test: Tear breakup timeDiagnostic Test: OSDI(Ocular Surface Disease Index)Diagnostic Test: TCM patternDiagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosisDiagnostic Test: TCM pulse diagnosisDiagnostic Test: TCM heart rate variabilityDiagnostic Test: ESSPRI(EULAR Sjögren's Syndrome Patient Reported Index)Diagnostic Test: Whole-genome genotyping(TWBv2.0)Diagnostic Test: Cytokine markersDiagnostic Test: Blood biochemical analysisDiagnostic Test: complete blood count (CBC)Diagnostic Test: SF-36(36-Item Short Form Survey )

Healthy control

OTHER

Healthy control group will not received any treatment. And we could use the oral microbiota, TCM pattern, Traditional Chinese Medicine (TCM) tongue diagnosis, TCM pulse diagnosis, and TCM heart rate variability to find the difference with the comparison between the dry eye syndrome and healthy control.

Diagnostic Test: Oral microbiotaDiagnostic Test: TCM patternDiagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosisDiagnostic Test: TCM pulse diagnosisDiagnostic Test: TCM heart rate variabilityDiagnostic Test: Whole-genome genotyping(TWBv2.0)Diagnostic Test: Cytokine markers

Waiting list

OTHER

Group Waiting list will not received any treatment. at acupoint GB20 plus BL2 twice a week 8 weeks for efficacy evaluation. And we could use the oral microbiota, Schirmer's test, Tear breakup time, 6-GSI, OSDI, TCM pattern, Traditional Chinese Medicine (TCM) tongue diagnosis, TCM pulse diagnosis, and TCM heart rate variability for this purpose.

Diagnostic Test: Oral microbiotaDiagnostic Test: Schirmer's testDiagnostic Test: Tear breakup timeDiagnostic Test: OSDI(Ocular Surface Disease Index)Diagnostic Test: TCM patternDiagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosisDiagnostic Test: TCM pulse diagnosisDiagnostic Test: TCM heart rate variabilityDiagnostic Test: ESSPRI(EULAR Sjögren's Syndrome Patient Reported Index)Diagnostic Test: Whole-genome genotyping(TWBv2.0)Diagnostic Test: Cytokine markersDiagnostic Test: Blood biochemical analysisDiagnostic Test: complete blood count (CBC)Diagnostic Test: SF-36(36-Item Short Form Survey )

Interventions

AcupuncturePROCEDURE

Acupuncture is a form of treatment that inserting very thin needles through a person's skin at specific points on the body. Group GB20 and Group GB20 plus BL2 will received the acupuncture treatment.

Group GB20Group GB20 plus BL2
Oral microbiotaDIAGNOSTIC_TEST

Group GB20, Group GB20 plus BL2 and Healthy control will take the oral microbiota analysis.

Group GB20Group GB20 plus BL2Healthy controlWaiting list
Schirmer's testDIAGNOSTIC_TEST

Group GB20 and Group GB20 plus BL2 will take the Schirmer's test.

Group GB20Group GB20 plus BL2Waiting list
Tear breakup timeDIAGNOSTIC_TEST

Group GB20 and Group GB20 plus BL2 will take the tear breakup time test.

Group GB20Group GB20 plus BL2Waiting list

Group GB20 and Group GB20 plus BL2 will take the OSDI test.

Group GB20Group GB20 plus BL2Waiting list
TCM patternDIAGNOSTIC_TEST

Group GB20, Group GB20 plus BL2 and Healthy control will take the Traditional Chinese Medicine pattern diagnosis.

Group GB20Group GB20 plus BL2Healthy controlWaiting list

Group GB20, Group GB20 plus BL2 and Healthy control will take the Traditional Chinese Medicine(TCM) tongue diagnosis.

Group GB20Group GB20 plus BL2Healthy controlWaiting list
TCM pulse diagnosisDIAGNOSTIC_TEST

Group GB20, Group GB20 plus BL2 and Healthy control will take the Traditional Chinese Medicine(TCM) pulse diagnosis.

Group GB20Group GB20 plus BL2Healthy controlWaiting list

Group GB20, Group GB20 plus BL2 and Healthy control will take the TCM Heart rate variability.

Group GB20Group GB20 plus BL2Healthy controlWaiting list

Group GB20 and Group GB20 plus BL2 will take the ESSPRI.

Group GB20Group GB20 plus BL2Waiting list

Group GB20, Group GB20 plus BL2 and Healthy control will take the Whole-genome genotyping(TWBv2.0).

Group GB20Group GB20 plus BL2Healthy controlWaiting list
Cytokine markersDIAGNOSTIC_TEST

Group GB20, Group GB20 plus BL2 and Healthy control will take the cytokine markers(IL-17、MMP-9、BAFF、BCMA) analysis.

Group GB20Group GB20 plus BL2Healthy controlWaiting list

Group GB20 and Group GB20 plus BL2 will take the Blood biochemical analysis(BUN,Cre,AST,ALT,ESR and CRP).

Group GB20Group GB20 plus BL2Waiting list

Group GB20 and Group GB20 plus BL2 will take the CBC(WBC、RBC、Hb、Platelet) analysis.

Group GB20Group GB20 plus BL2Waiting list

Group GB20 and Group GB20 plus BL2 will take the SF-36 test.

Group GB20Group GB20 plus BL2Waiting list

Eligibility Criteria

Age20 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • aged between 20 and 75 years
  • Schirmer's test less than 10 mm/5 min

You may not qualify if:

  • Pregnancy
  • With eye inflammation or infectious eye disease
  • Accepted operation of eye
  • Sjögren's syndrome
  • primary or secondary SS
  • aged between 20 and 75 years
  • fulfilled the 2002 American-European Consensus Criteria for SS (AECG)
  • had no abnormal findings of immune, liver, kidney, or blood function evaluations.
  • a history of alcohol abuse, diabetes mellitus, or major life-threatening condition
  • pregnancy or breastfeeding
  • steroid pulse therapy within three months prior to the commencement of our study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ching-Mao Chang

Taipei, 112, Taiwan

RECRUITING

MeSH Terms

Conditions

Dry Eye SyndromesXerophthalmia

Interventions

Acupuncture TherapyMicrobiotaBlood Cell Count

Condition Hierarchy (Ancestors)

Lacrimal Apparatus DiseasesEye DiseasesConjunctival Diseases

Intervention Hierarchy (Ancestors)

Complementary TherapiesTherapeuticsMicrobiological PhenomenaBiotaBiodiversityEcosystemEnvironmentEcological and Environmental PhenomenaBiological PhenomenaEnvironment and Public HealthCell CountCytological TechniquesClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisHematologic TestsInvestigative TechniquesCell Physiological PhenomenaBlood Physiological PhenomenaCirculatory and Respiratory Physiological Phenomena

Study Officials

  • Chang Ching-Mao, M.D., Ph.D.

    Taipei Veterans General Hospital, Taiwan

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Chang Ching-Mao, M.D., Ph.D.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 4, 2021

First Posted

May 7, 2021

Study Start

December 6, 2022

Primary Completion

December 31, 2022

Study Completion

December 31, 2024

Last Updated

December 13, 2022

Record last verified: 2022-12

Locations