Stroke Clinical Trial
— PSD2Official title:
A Multisite, Assessor-blinded, Randomized Controlled Trial of Acupuncture for Post-stroke Depression
NCT number | NCT02644161 |
Other study ID # | UW 15-421 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | October 2015 |
Est. completion date | October 2018 |
Verified date | May 2019 |
Source | The University of Hong Kong |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
An 8-week, assessor-blind, randomized controlled trial will be conducted. A total of 138 patients with post-stroke depression (PSD) will be randomly assigned to the combination acupuncture treatment (CAI) (n = 69) or least acupuncture stimulation (LAS) (n = 69) for 3 sessions per week for 8 weeks. Treatment outcomes will be measured using the 17-item Hamilton Self-Rating Depression Scale (HAMD-17), the Montgomery-Asberg Depression Rating Scale (MADRS), and Self-Rating Depression Scale (SDS) for depression symptoms; Barthel Index (BI) for physical function, the Montreal Cognitive Assessment (MoCA) for cognitive performance. The assessment will be performed at baseline and once monthly thereafter. The study will be conducted in School of Chinese Medicine Clinics, Tung Wah Hospital, Kowloon Hospital.
Status | Completed |
Enrollment | 91 |
Est. completion date | October 2018 |
Est. primary completion date | July 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 35 Years to 80 Years |
Eligibility |
Inclusion Criteria: 1. men or women aged 35 to 80 years old; 2. diagnosed as ischemic or haemorrhagic stroke within 18 months, confirmed with cerebral computed topographic scanning or magnetic resonance imaging; and 3. developed significant depressive episode, with score of 16 or greater in the 17-item Hamilton Rating Scale for Depression (HAMD-17) and depression has lasted at least 2 weeks. Exclusion Criteria: 1. presence of severe aphasia, especially fluent aphasia; 2. presence of severe cognitive dysfunction, as indicated by the Mini-mental State Examination (MMSE) score < 18; 3. history of psychiatric illness other than depression; 4. presence of another chronic disorder, including severe Parkinson's disease, cardiac disease, cancers, epilepsy, or chronic alcoholism; 5. having impaired hepatic or renal function; or (6) having bleeding tendency. |
Country | Name | City | State |
---|---|---|---|
Hong Kong | Department of Rehabilitation, Kowloon Hospital | Kowloon | |
Hong Kong | Division of Rehabilitation Medicine, Tung Wah Hospital. | Sheung Wan |
Lead Sponsor | Collaborator |
---|---|
The University of Hong Kong | Kowloon Hospital, Hong Kong, Tung Wah Hospital |
Hong Kong,
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* Note: There are 26 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in depression measured by HAMD-17 | Depression will be measured using the Hamilton Rating Scale for Depression (HAMD-17). Assessments will be conducted at baseline and once monthly thereafter. | Baseline, 4 week, 8 week | |
Primary | Changes in depression measured by MADRS | Depression will be measured using the Montgomery-Åsberg Depression Rating Scale (MADRS). Assessments will be conducted at baseline and once monthly thereafter. | Baseline, 4 week, 8 week | |
Primary | Changes in depression measured by SDS | Depression will be measured using the Zung Self-Rating Depression Scale (SDS). Assessments will be conducted at baseline and once monthly thereafter. | Baseline, 4 week, 8 week | |
Primary | Changes in locomotor function measured by BI | Locomotor function will be measured using the Barthel Index of Activities of Daily Living (BI). Assessments will be conducted at baseline and once monthly thereafter. | Baseline, 4 week, 8 week | |
Primary | Changes in cognitive function | The Montreal Cognitive Assessment (MoCA) will be used as an objective measurement for subjects' cognitive function. Assessments will be conducted at baseline and once monthly thereafter. | Baseline, 4 week, 8 week | |
Secondary | Clinical outcome of treatment | It includes clinical response, defined as <50% reduction at endpoint from baseline on HAMD-17, and remission, defined as 7 points or less on HAMD-17 score. | 8 week | |
Secondary | Emergence of adverse events | Adverse events are assessed using the Treatment Emergent Symptom Scale (TESS). | Baseline, 4 week, 8 week | |
Secondary | TCM syndrome diagnosis | To determine Traditional Chinese Medicine (TCM) syndrome correlated of the treatment efficacy, the investigators will conduct TCM syndrome diagnosis. The 5 most common syndromes of PSD are listed below: Liver Depression with Qi-stagnation; Liver Depression with Spleen deficiency; Blood stasis and phlegm obstruction; Deficiency of Both Heart and Spleen; or Deficiency of Both Liver and Kidney Yin. |
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