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Acupuncture for Overactive Bladder in Adults

Not Applicable
Recruiting
Conditions
Overactive Bladder
Interventions
Other: Sham acupuncture
Other: Acupuncture
Registration Number
NCT05158361
Lead Sponsor
Guang'anmen Hospital of China Academy of Chinese Medical Sciences
Brief Summary

The purpose of this study is to assess the effectiveness and safety of acupuncture for treating overactive bladder in adults.

Detailed Description

This randomized, controlled trial is aimed to assess the effectiveness and safety of acupuncture in the treatment of overactive bladder (OAB) in adults. Eligible participants will be randomly allocated to acupuncture or sham acupuncture.

To minimize the evaluation bias, the outcome assessors and statisticians will be masked to treatment allocation besides participants.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
110
Inclusion Criteria
  • Present symptoms of urinary frequency and urgency for more than 3 months.
  • With a total score of more than 3 points on the overactive Bladder Symptom Score (OABSS) and a score of more than 2 points on question 3 of OABSS.
Exclusion Criteria
  • With other lower urinary tract disorders (e.g. urinary tract infection, bladder outlet obstruction, neurogenic bladder, interstitial cystitis, etc.)
  • With previous pelvic floor surgery or a post-void residual urine volume more than 100 mL.
  • With neurological disease or psychiatric illness.
  • Taking medications affecting lower urinary tract function.
  • With contraindications to acupuncture.
  • Pregnant women.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Sham acupunctureSham acupunctureParticipants will receive sham acupuncture.
AcupunctureAcupunctureParticipants will receive acupuncture.
Primary Outcome Measures
NameTimeMethod
Change in number of micturition episodes per 24 hoursBefore treatment (baseline), 8 week (post-treatment) and 12 week (follow-up)

Assessed by 72 h bladder diary

Secondary Outcome Measures
NameTimeMethod
Change in mean volume voided per micturitionBefore treatment (baseline), 8 week (post-treatment) and 12 week (follow-up)

Assessed by 72 h bladder diary

Number of daytime micturition episodes per 24 hoursBefore treatment (baseline), 8 week (post-treatment) and 12 week (follow-up)

Assessed by 72 h bladder diary

Urinary MCP-1/Cr levelBefore treatment (baseline), 8 week (post-treatment)

Measured by human monocyte chemoattractant protein-1 (MCP-1) ELISA Kit. MCP-1/Cr: MCP-1 normalized to urine creatinine (Cr)

Change in OAB-q SF questionnaireBefore treatment (baseline), 8 week (post-treatment) and 12 week (follow-up)

Assessed by overactive bladder questionnaire short form (OAB-q SF) questionnaire. OAB-q SF includes 6 questions on 6-point Likert-type scales, with the outcomes transformed to a 0-100 point scale in which higher scores indicate more severe symptoms. The minimal important difference (MID) for the OAB-q SF is 11 points.

Urinary NGF/Cr levelBefore treatment (baseline), 8 week (post-treatment)

Measured by human nerve growth factor (NGF) ELISA Kit. NGF/Cr: NGF normalized to urine creatinine (Cr)

Number of nocturia episodes per 24 hoursBefore treatment (baseline), 8 week (post-treatment) and 12 week (follow-up)

Assessed by 72 h bladder diary

Urinary BDNF/Cr levelBefore treatment (baseline), 8 week (post-treatment)

Measured by human brain derived neurotrophic factor (BDNF) ELISA Kit. BDNF/Cr: BDNF normalized to urine creatinine (Cr)

Number of urinary urgency episodes per 24 hoursBefore treatment (baseline), 8 week (post-treatment) and 12 week (follow-up)

Assessed by 72 h bladder diary

Change in OABSS questionnaireBefore treatment (baseline), 8 week (post-treatment) and 12 week (follow-up)

Assessed by Overactive Bladder Symptom Score (OABSS) questionnaire. OABSS includes 4 questions about individual symptoms, and the total score ranged from 0 to 15, with higher scores indicating more severe symptoms. The minimal important difference (MID) for the OABSS is 3 points.

Trial Locations

Locations (1)

Guang'anmen Hospital, China Academy of Chinese Medical Sciences

🇨🇳

Beijing, Beijing, China

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