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Trial registered on ANZCTR
Registration number
ACTRN12614000281695
Ethics application status
Not yet submitted
Date submitted
7/03/2014
Date registered
18/03/2014
Date last updated
18/03/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Acupuncture Transcutaneous Electrical Nerve Stimulation (Acu-TENS) for acute exacerbations of Chronic Obstructive Pulmonary Disease(COPD)
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Scientific title
Can Acupuncture Transcutaneous Electrical Nerve Stimulation (Acu-TENS) reduce the rate of hospital admission for people with acute exacerbation of chronic obstructive pulmonary disease?
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Secondary ID [1]
284179
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
acute exacerbation chronic obstructive pulmonary disease(AECOPD)
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Condition category
Condition code
Respiratory
291632
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0
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants in the Acu-TENS group will get be educated on breathing techniques in management of dyspnoea prior to their discharge.And besides this,they will have two small electrodes placed on the skin on two acupoints (called Ding Chuan) on either side of the spine at the base of the neck (spinal level C7). The points will be identified by an experienced research assistant who is trained in traditional Chinese medicine as well as western medicine, specialized in management of respiratory conditions. The skin over the acupoints will be cleaned with an alcohol swab. TENS electrodes (3M Registered Trademark) will be pressed against the skin at the acupoints. The electrodes wires will then be attached to a TENS unit (ITO320) and a pre-set stimulation protocol (Burst Modulation,Frequency 2Hz,Pulse duration 200 microsec)will be activated. Participants having Acu-TENS should expect to feel a strong but comfortable tingling sensation at the site of the electrodes; it must not be painful. The duration of the stimulation will be 45 minutes in a relaxed sitting position only once.
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Intervention code [1]
288878
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Treatment: Devices
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Comparator / control treatment
Participants who are randomized to the control group (no Acu-TENS) will be asked to sit in a relaxed position for 45minutes
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Control group
Active
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Outcomes
Primary outcome [1]
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Reduce symptoms of breathlessness in people with COPD presenting to the Emergency Department (ED) of the Gold Coast University Hospital (GCUH)
Baseline heart rate (HR) and oxygen saturation (SpO2) - continuously recorded by a pulse oximeter.
Respiratory rate (RR) will be recorded by observation.
Peak expiratory flow rate (PEFR) will be recorded using a Wright peak flow meter
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Assessment method [1]
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Timepoint [1]
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At 45 minutes when Acu-TENS treatment has been completed
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Primary outcome [2]
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Reduce the need for hospital admission
The physician in charge will examine the patient at the end of the 45 minutes. Discharge destination (ward, home) from AED will be recorded.
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Assessment method [2]
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Timepoint [2]
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At 45 minutes when Acu-TENS treatment has been completed
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Secondary outcome [1]
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The levels of Beta-endorphin and interleukin-8 (IL-8), tumour necrosis factor-a (TNF-a), and C-reactive protein (CRP) will be measured by Enzyme-Linked Immunosorbent Assay (ELISA)analysis.
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Assessment method [1]
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Timepoint [1]
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Baseline,45minutes.
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Eligibility
Key inclusion criteria
Participants who have been previously diagnosed with COPD of mild or moderate severity.
Inclusion criteria for enrolment into this study were all adult patients who presented with symptoms of breathlessness and/or wheezing and a self-reported previous history of COPD.
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Minimum age
40
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants who have a co-existing condition of the heart or lungs other than COPD; or other medical diseases that might require you to be admitted to hospital (for example, unstable diabetes, respiratory failure, cardiac condition etc.).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/04/2014
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Physiotherapy Research Fellowships Health and Medical Research (HMR) Funding,Preventive Health Unit, Department of Health Queensland
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Address [1]
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Preventive Health Unit
PO Box 2368
FORTITUDE VALLEY BC Qld 4006
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Liisa Laakso
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Address
School of Allied Health Sciences
Gold Coast Campus,
Griffith University Queensland 4222
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Zhenwei Wang
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Address [1]
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16 Spikes Court, Arundel, Queensland, 4214
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Country [1]
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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Alice Jones
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Address [2]
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School of Allied Health Sciences
Gold Coast Campus,
Griffith University Queensland 4222
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Country [2]
287503
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Gold Coast Hospital and Health Service Human Research Ethics Committee
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Ethics committee address [1]
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Level 5, D Block, Room 101 Gold Coast University Hospital Hospital Boulevard SOUTHPORT QLD 4215
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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12/03/2014
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Approval date [1]
290652
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Ethics approval number [1]
290652
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Summary
Brief summary
This study will investigate if Acu-TENS is able to reduce symptoms of breathlessness in people with COPD presenting to the Emergency Department (ED) of the Gold Coast University Hospital (GCUH) and if it is enough to reduce the need for hospital admission. We will also try to clarify the brain and nerve system (neurochemical) pathways whereby Acu-TENS relieves breathlessness - this will be assessed by blood samples.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Liisa Laakso
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Address
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School of Allied Health Sciences
Gold Coast Campus,
Griffith University Queensland 4222
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Country
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Australia
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Phone
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+61 (0) 7 5552 9122
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Liisa Laakso
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Address
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School of Allied Health Sciences
Gold Coast Campus,
Griffith University Queensland 4222
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Country
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Australia
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Phone
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+61 (0) 7 5552 9122
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Liisa Laakso
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Address
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School of Allied Health Sciences
Gold Coast Campus,
Griffith University Queensland 4222
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Country
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Australia
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Phone
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+61 (0) 7 5552 9122
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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