Cognitive Impairment Clinical Trial
Official title:
The Effect of Electroacupuncture Combined With Donepezil on Cognitive Function in Alzheimer's Disease Patients: Study Protocol for a Randomized Controlled Trial
A prospective randomized controlled trial aimed at assessing if electroacupuncture (EA)
combined with donepezil is more effective than donepezil for improving the cognitive
function of AD patients. The hypothesis of this study is as follow:
- Is the short-term effect of EA combined with donepezil better than donepezil on
improving cognitive function of patients with Alzheimer's disease after 12 weeks'
treatment?
- Whether the effect of EA combined with donepezil on improving cognitive function can
last until the end of 6 months' follow-up?
- Patient registry: Participants experiencing cognitive impairment will be recruited will
be recruited at Guang'anmen Hospital, Beijing, China, via web or posters. A neurologist
will make the diagnosis. Randomization will be performed by the pharmacological
assessment center at Guang'anmen Hospital.
- Sample size: The calculation of sample size is based on the primary outcome that the
change from baseline in ADAS-cog. According to previous studies [26], 39% of patients
showed an improvement of at least 4 points on the ADAS-cog after treating by donepezil.
We estimated the rate 39% in the donepezil group and 55% in the EA combined with
donepezil group. 304 participants were needed to provide 80% power at a significant
level of 5% using analysis of variance. The total sample size required for the study is
334 (167 each group) assuming a 10% loss to follow-up.
- Quality control
1. Investigators participating in this trial will take a strict course about the
process of randomization, manipulation of electroacupuncture, selection of
patients, the whole process of this trial and request for filling out case report
form in order to improve the internal consistency of observation between different
researchers.
2. The process of randomization will be under a rigorous control.
3. This trial has a specific inclusion and exclusion criteria.
4. Both outcome assessors and statisticians will be blinding.
5. Patients will sign the informed consent voluntarily and a good relationship
between researchers and patients will be established in order to improve patients'
compliance. Participants will have a detailed record of the contact information
easy for follow-up.
6. The standard of the drugs, acupuncture apparatus, inspection equipment are
consistent for the patients in the two groups.
- Outcome assessment, completion of case report forms and data management will be under a
rigorous supervision.
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