Study for the regulation mechanism of acupuncture on brain-gut in patients with migraine without aura

注册号:

Registration number:

ITMCTR2000003456

最近更新日期:

Date of Last Refreshed on:

2020-07-05

注册时间:

Date of Registration:

2020-07-05

注册号状态:

Registration Status:

预注册

Prospective registration

注册题目:

针刺对无先兆偏头痛患者的脑-肠调控机制研究

Public title:

Study for the regulation mechanism of acupuncture on brain-gut in patients with migraine without aura

注册题目简写:

English Acronym:

研究课题的正式科学名称:

针刺对无先兆偏头痛患者的脑-肠调控机制研究

Scientific title:

Study for the regulation mechanism of acupuncture on brain-gut in patients with migraine without aura

研究课题的正式科学名称简写:

Scientific title acronym:

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

ChiCTR2000034417 ; ChiMCTR2000003456

申请注册联系人:

王亚楠

研究负责人:

赵凌

Applicant:

Yanan Wang

Study leader:

Ling Zhao

申请注册联系人电话:

Applicant telephone:

+86 18382275685

研究负责人电话:

Study leader's telephone:

+86 13568801429

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

wynacumox@126.com

研究负责人电子邮件:

Study leader's E-mail:

12249847@qq.com

申请单位网址(自愿提供):

Study leader's website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website
(voluntary supply):

申请注册联系人通讯地址:

四川省成都市金牛区十二桥路37号

研究负责人通讯地址:

四川省成都市金牛区十二桥路37号

Applicant address:

37 Shi-Er-Qiao Road, Jinniu District, Chengdu, Sichuan, China

Study leader's address:

37 Shi-Er-Qiao Road, Jinniu District, Chengdu, Sichuan, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

成都中医药大学

Applicant's institution:

Chengdu University of Traditional Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

伦理委员会批件文号:

Approved No. of ethic committee:

2019KL-030

伦理委员会批件附件:

Approved file of Ethical Committee:

View

批准本研究的伦理委员会名称:

四川中医药区域伦理审查委员会/成都中医药大学附属医院医学伦理委员会

Name of the ethic committee:

Sichuan Region Ethics Review Committee on Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2019/7/12 0:00:00

伦理委员会联系人:

何成诗

Contact Name of the ethic committee:

Chengshi He

伦理委员会联系地址:

四川省成都市金牛区十二桥路39号

Contact Address of the ethic committee:

37 Shi-Er-Qiao Road, Jinniu District, Chengdu, Sichuan, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

成都中医药大学

Primary sponsor:

Chengdu University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

四川省成都市金牛区十二桥路37号

Primary sponsor's address:

37 Shi-Er-Qiao Road, Jinniu District, Chengdu, Sichuan, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

四川

市(区县):

Country:

China

Province:

Sichuan

City:

单位(医院):

成都中医药大学

具体地址:

四川省成都市金牛区十二桥路37号

Institution
hospital:

Chengdu University of Traditional Chinese Medicine

Address:

37 Shi-Er-Qiao Road, Jinniu District, Chengdu

经费或物资来源:

国家自然科学基金(优秀青年基金)

Source(s) of funding:

National Natural Science Foundation of China (Excellent Youth Fund)

研究疾病:

无先兆偏头痛

研究疾病代码:

Target disease:

migraine without aura

Target disease code:

研究类型:

Study type:

干预性研究

Interventional study

研究设计:

Study design:

随机平行对照

randomized controlled trial(parallel group design)

研究所处阶段:

Study phase:

其它

Others

研究目的:

本研究以无先兆偏头痛患者为研究对象,观察针刺对无先兆偏头痛患者临床症状改善的同时,利用fMRI技术分别观察针刺组、药物组治疗前后对无先兆偏头痛患者大脑功能活动及功能连接网络的影响;利用肠道菌群指标分别分析针刺与氟桂利嗪治疗对无先兆偏头痛患者肠道菌群的物种注释、物种组成分析、样本比较分析、物种差异分析等,比较辨证针刺与氟桂利嗪对肠道菌群种类和丰度影响的共性与差异性,分别提取与无先兆偏头痛患者疗效改善密切相关的脑功能连接和肠道菌群生物学标记,分析患者大脑功能网络变化与肠道菌群调控的相关性,揭示针刺和氟桂利嗪治疗无先兆偏头痛的脑-肠-微生物机制,为临床研究提供指导。

Objectives of Study:

In this study, patients with migraine without aura was included to observe acupuncture on the improvement of clinical symptoms, and use fMRI technique to observe the brain function and functional connection network of patients migraine without aura before and after treatment in acupuncture group and drug group. Based on analyzing the effects of acupuncture and flunarizine on the intestinal flora, species composition, sample comparison, species difference of the intestinal flora of patients without migraine, comparing the commonality and difference of the effects of acupuncture and flunarizine groups on the species and abundance of intestinal flora and extracting brain function and intestinal flora biomarkers, which were closely related to the improvement of the efficacy of patients without migraine, to analyze correlation between changes in brain function network and regulation of intestinal flora and revealing the brain-intestinal-microbial mechanism of acupuncture and flunarizine treatment on migraine without aura for providing guidance of clinical study.

药物成份或治疗方案详述:

Description for medicine or protocol of treatment in detail:

纳入标准:

(1)年龄在18-55周岁,性别不限; (2)右利手,受教育年限≥6年; (3)有1年以上偏头痛病史,偏头痛首发在50岁之前; (4)在过去的3个月及基线,偏头痛发作≥2次,且每月发作天数<15天; (5)完成基线头痛日记;(6)本人签署知情同意书。

Inclusion criteria

(1) men or women aged 18–55 years; (2) right handed, length of education >=6 years; (3) a history of migraine of at least 1 year with the first onset before the age of 50 years; (4) migraine attacks >=2 times and number of migraine days <15 days per month during the past 3 months and baseline observation; (5) completion of the baseline headache diary; (6) provision of written informed consent.

排除标准:

(1)合并有头部外伤史、继发性头痛、紧张型头痛、间歇性头痛、丛集型头痛,以及心血管和消化系统疾病的患者; (2)既往经历过主要肠道切除手术或胃肠道大手术者; (3)有精神疾病、感染、出血疾病或过敏体质者; (4)孕妇、哺乳期妇女或计划在6个月内怀孕者; (5)不能理解或记录头痛日记; (6)存在核磁禁忌症,如幽闭恐怖症; (7)过去3个月内使用过抗生素或接受针刺治疗,并持续3天或以上; (8)长期使用止痛药物和预防偏头痛的药物; (9)过去3个月内参加类似的研究。

Exclusion criteria:

(1) any combination of head trauma history, secondary headache, tension-type headache, intermittent-type headache, cluster-type headache, or cardiovascular and digestive diseases; (2) a history of major intestinal resection or gastrointestinal surgery; (3) presence of psychiatric disease, infection, bleeding disorders, or allergic constitution; (4) pregnancy, lactation, or plans to become pregnant within 6 months; (5) inability to understand or fill in a headache diary; (6) nuclear magnetic contraindications, such as claustrophobia; (7) a history of taking antibiotics or receiving acupuncture therapy for 3 days or more in the past 3 months; (8) long-term use of analgesic drugs and medications to prevent migraine attacks; (9) participation in a similar study in the last 3 months.

研究实施时间:

Study execute time:

From 2020-08-15

To      2022-12-31

征募观察对象时间:

Recruiting time:

From 2020-08-31

To      2022-03-31

干预措施:

Interventions:

组别:

对照组

样本量:

33

Group:

control group

Sample size:

干预措施:

氟桂利嗪

干预措施代码:

Intervention:

flunarizine

Intervention code:

组别:

治疗组

样本量:

33

Group:

Experimental group

Sample size:

干预措施:

针刺治疗

干预措施代码:

Intervention:

acupuncture treatment

Intervention code:

样本总量 Total sample size : 66

研究实施地点:

Countries of recruitment
and research settings:

国家:

中国

省(直辖市):

四川省

市(区县):

Country:

China

Province:

Sichuan

City:

单位(医院):

成都中医药大学附属医院

单位级别:

三级甲等

Institution/hospital:

the Hospital of Chengdu University of Traditional Chinese Medicine

Level of the institution:

Teriary A Hospital

测量指标:

Outcomes:

指标中文名:

贝克焦虑量表

指标类型:

次要指标

Outcome:

BAI

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

头痛发作天数

指标类型:

次要指标

Outcome:

Days of migraine attacks

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

头痛发作强度

指标类型:

主要指标

Outcome:

Intensity of migraine

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

核磁共振

指标类型:

主要指标

Outcome:

fMRI

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肠道菌群

指标类型:

主要指标

Outcome:

Gut microbiota

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

头痛发作次数

指标类型:

主要指标

Outcome:

Frequency of migraine attacks

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胃肠道症状量表

指标类型:

次要指标

Outcome:

GSRS

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

贝克抑郁量表

指标类型:

次要指标

Outcome:

BDI

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

偏头痛特异性生活质量评分

指标类型:

次要指标

Outcome:

MSQ

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

粪便

组织:

Sample Name:

Faeces

Tissue:

人体标本去向

使用后销毁

说明

Fate of sample 

Destruction after use

Note:

征募研究对象情况:

尚未开始

Not yet recruiting

年龄范围:

最小 18
Min age years
最大 55
Max age years

Recruiting status:

Participant age:

性别:

Gender:

男女均可

Both

随机方法(请说明由何人用什么方法产生随机序列):

由一位不参与研究其他过程的人员采用计算机软件产生的随机数字来进行随机分组

Randomization Procedure (please state who generates the random number sequence and by what method):

Random number generated by computer software will be used by a person not involved in the rest of this study and the eligible subjects will be assigned to the appropriate group for treatment.

盲法:

未说明

Blinding:

Not stated

是否共享原始数据:

IPD sharing:

Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

暂未确定

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not yet determined

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

CRF表由研究人员进行采集并管理。临床数据采用SAS或SPSS统计分析系统进行统计,影像数据采用SPM软件、Matlab软件平台等进行分析 ;肠道菌群数据采用PE300测序策略,在Illunima Miseq平台上进行高通量测序。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

CRF forms are collected and managed by researchers.The clinical data were statistically analyzed by SAS or SPSS statistical analysis system; the image data was analyzed by SPM software and Matlab software platform;the PE300 sequencing strategy will be adopted for intestinal flora data and high-throughput sequencing will be conducted on the Illunima Miseq platform.

数据管理委员会:

Data Managemen Committee:

Yes

研究计划书或研究结果报告发表信息
(杂志名称、期、卷、页,时间;或网址):

Publication information of the protocol/research results report
(name of the journal, volume, issue, pages, time; or website):

ITMCTR BJ-ICP:07032215-5 Tip: IE8 is recommended Use the system with widescreen display resolution above