MedPath

Transcutaneous Electroacupuncture for Gastric Complications of Scleroderma

Not Applicable
Completed
Conditions
Scleroderma
Gastroparesis
Interventions
Device: transcutaneous electroacupuncture
Registration Number
NCT03294616
Lead Sponsor
Johns Hopkins University
Brief Summary

An innovative method of needleless transcutaneous electroacupuncture (TEA) using a newly developed watch-size stimulator is proposed. Weak electrical current will be delivered via skin surface electrodes to acupuncture points related to gastrointestinal functions. The stimulator can be attached to the skin near the acupuncture points and therefore daily activity of the patient does not need to be altered. Two experiments are designed to prove the feasibility of the proposed therapy for gastric complications of Scleroderma .

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
23
Inclusion Criteria
  • No any systemic diseases;
  • no scleroderma; no history of gastrointestinal surgery;
  • no dyspeptic symptoms during the past 2 weeks;
  • not taking any medications except contraceptives during the past 2 weeks;
  • age 18 and older.
Exclusion Criteria
  • History of any systemic diseases or surgeries;
  • allergic to adhesives; pregnancy;
  • unable to sign the consent form.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
scleroderma patient-1transcutaneous electroacupuncturefor chronic study: 2 weeks of Sham transcutaneous electroacupuncture treatment, 2 weeks of wash out, 2 weeks of transcutaneous electroacupuncture/Sham transcutaneous electroacupuncture treatment. Best parameter gained from acute study will be used.
scleroderma patients-0transcutaneous electroacupuncturefor acute study: The experiment in patients will be performed in 4 randomized sessions on separate days (at least 3 days apart): one control session with sham-TEA and 3 TEA sessions at various parameters. TEA will be applied on both acupoints ST36 and PC6; the following sets of parameters will be tested for TEA at ST36: A) standard parameters: the set used in the previous SSc study: 25 Hz, 0.3ms, 2s-on and 3s-off; B) same as A but pulse width of 0.6ms; C) same as B but 0.1s-on and 0.4s-off. For TEA at PC6, 25 Hz will be replaced by 100Hz because TEA at PC6 is used to treat symptoms and 100Hz is believed to be better than 25Hz. The patient will be fasted overnight, and the test will last 2 hours (1 hour fasting and 1 hour postprandial).
scleroderma patients-2transcutaneous electroacupuncturefor chronic study: 2 weeks of transcutaneous electroacupuncture treatment, 2 weeks of wash out, 2 weeks of transcutaneous electroacupuncture/Sham transcutaneous electroacupuncture treatment. Best parameter gained from acute study will be used.
Primary Outcome Measures
NameTimeMethod
effect of TEA on symptoms in Systemic Sclerosis (SSc) patients70 days

a validated method including 9 symptoms will be used to assess GI symptoms

Secondary Outcome Measures
NameTimeMethod
effects of TEA on autonomic function70 days

60 minutes after the testing meal; pancreatic polypeptide (PP, indication of vagal activity) will be assessed using ELISA autonomic function.

effects of TEA on GI hormones and inflammatory cytokine70 days

60 minutes after the testing meal; tumor necrosis factor alpha(TNFα)

effects of TEA on gastric motility70 days

visit 4 in chronic phase; breath test will be used to assess gastric emptying

Trial Locations

Locations (1)

Johns Hopkins Bayview Medical Center

🇺🇸

Baltimore, Maryland, United States

© Copyright 2025. All Rights Reserved by MedPath