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To Evaluate the Short-term and Long Term Efficacy of Acupuncture in Ocular and Oral Dryness Symptoms of Dry Eye Syndrome

T

Taipei Veterans General Hospital

Status

Enrolling

Conditions

Dry Eye Syndrome
Xerophthalmia

Treatments

Diagnostic Test: Tear breakup time
Diagnostic Test: Oral microbiota
Diagnostic Test: Whole-genome genotyping(TWBv2.0)
Diagnostic Test: TCM heart rate variability
Diagnostic Test: ESSPRI(EULAR Sjögren's Syndrome Patient Reported Index)
Diagnostic Test: TCM pulse diagnosis
Diagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosis
Diagnostic Test: complete blood count (CBC)
Diagnostic Test: Cytokine markers
Diagnostic Test: TCM pattern
Diagnostic Test: OSDI(Ocular Surface Disease Index)
Procedure: Acupuncture
Diagnostic Test: Schirmer's test
Diagnostic Test: SF-36(36-Item Short Form Survey )
Diagnostic Test: Blood biochemical analysis

Study type

Interventional

Funder types

Other

Identifiers

NCT04877483
2020-07-003C

Details and patient eligibility

About

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.

Full description

Method: 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.

Expected Results:

  1. To evaluate the difference among Schirmer's test, TBUT, TCM pattern, TCM tongue diagnosis, TCM pulse diagnosis, heart rate variability, Whole-genome genotyping, oral microbiota, and Cytokines for dry eye syndrome, Sjögren's syndrome and healthy control.
  2. Integrated functional multi-omics for dry eye syndrome and healthy control.
  3. To evaluate the efficacy of GB20 plus BL2 for dry eye syndrome and Sjögren's syndrome.
  4. To evaluate the efficacy of GB20 for dry eye syndrome and Sjögren's syndrome.
  5. To evaluate the efficacy of BL2 for dry eye syndrome and Sjögren's syndrome.

Keywords: Dry eye syndrome, Sjögren's syndrome, Xerophthalmia, Acupuncture, GB20, BL2

Enrollment

120 estimated patients

Sex

All

Ages

20 to 75 years old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

  • Dry eye syndrome

    • Inclusion Criteria:

      1. aged between 20 and 75 years
      2. Schirmer's test less than 10 mm/5 min
    • Exclusion Criteria:

      1. Pregnancy
      2. With eye inflammation or infectious eye disease
      3. Accepted operation of eye
  • Sjögren's syndrome

    • Inclusion Criteria:

      1. primary or secondary SS
      2. aged between 20 and 75 years
      3. fulfilled the 2002 American-European Consensus Criteria for SS (AECG)
      4. had no abnormal findings of immune, liver, kidney, or blood function evaluations.
    • Exclusion Criteria:

      1. a history of alcohol abuse, diabetes mellitus, or major life-threatening condition
      2. pregnancy or breastfeeding
      3. steroid pulse therapy within three months prior to the commencement of our study.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

120 participants in 4 patient groups

Group GB20
Experimental group
Description:
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.
Treatment:
Procedure: Acupuncture
Diagnostic Test: Whole-genome genotyping(TWBv2.0)
Diagnostic Test: Blood biochemical analysis
Diagnostic Test: Tear breakup time
Diagnostic Test: complete blood count (CBC)
Diagnostic Test: OSDI(Ocular Surface Disease Index)
Diagnostic Test: Cytokine markers
Diagnostic Test: TCM pattern
Diagnostic Test: SF-36(36-Item Short Form Survey )
Diagnostic Test: TCM heart rate variability
Diagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosis
Diagnostic Test: Schirmer's test
Diagnostic Test: Oral microbiota
Diagnostic Test: ESSPRI(EULAR Sjögren's Syndrome Patient Reported Index)
Diagnostic Test: TCM pulse diagnosis
Group GB20 plus BL2
Experimental group
Description:
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.
Treatment:
Procedure: Acupuncture
Diagnostic Test: Whole-genome genotyping(TWBv2.0)
Diagnostic Test: Blood biochemical analysis
Diagnostic Test: Tear breakup time
Diagnostic Test: complete blood count (CBC)
Diagnostic Test: OSDI(Ocular Surface Disease Index)
Diagnostic Test: Cytokine markers
Diagnostic Test: TCM pattern
Diagnostic Test: SF-36(36-Item Short Form Survey )
Diagnostic Test: TCM heart rate variability
Diagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosis
Diagnostic Test: Schirmer's test
Diagnostic Test: Oral microbiota
Diagnostic Test: ESSPRI(EULAR Sjögren's Syndrome Patient Reported Index)
Diagnostic Test: TCM pulse diagnosis
Healthy control
Other group
Description:
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.
Treatment:
Diagnostic Test: Whole-genome genotyping(TWBv2.0)
Diagnostic Test: Cytokine markers
Diagnostic Test: TCM pattern
Diagnostic Test: TCM heart rate variability
Diagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosis
Diagnostic Test: Oral microbiota
Diagnostic Test: TCM pulse diagnosis
Waiting list
Other group
Description:
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.
Treatment:
Diagnostic Test: Whole-genome genotyping(TWBv2.0)
Diagnostic Test: Blood biochemical analysis
Diagnostic Test: Tear breakup time
Diagnostic Test: complete blood count (CBC)
Diagnostic Test: OSDI(Ocular Surface Disease Index)
Diagnostic Test: Cytokine markers
Diagnostic Test: TCM pattern
Diagnostic Test: SF-36(36-Item Short Form Survey )
Diagnostic Test: TCM heart rate variability
Diagnostic Test: Traditional Chinese Medicine (TCM) tongue diagnosis
Diagnostic Test: Schirmer's test
Diagnostic Test: Oral microbiota
Diagnostic Test: ESSPRI(EULAR Sjögren's Syndrome Patient Reported Index)
Diagnostic Test: TCM pulse diagnosis

Trial contacts and locations

1

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Central trial contact

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

Data sourced from clinicaltrials.gov

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