Rapid Acupuncture Treatment for Post-Traumatic Stress Disorder

Sponsor
Malcolm Grow Medical Clinics and Surgery Center (U.S. Fed)
Overall Status
Recruiting
CT.gov ID
NCT05881174
Collaborator
Uniformed Services University of the Health Sciences (U.S. Fed)
204
1
3
72
2.8

Study Details

Study Description

Brief Summary

The summary of this research study is to test the effectiveness of a rapid "rescue" acupuncture technique as a non-pharmacologic alternative treatment for the reduction of post-traumatic stress disorder (PTSD) symptoms in affected individuals as a means to improve warfighter health and enable a more rapid return to duty, especially in austere environments. Patients will receive acupuncture as a research-related course of treatment for PTSD. The PCL-5 questionnaire will be used to assess the presence and severity of PTSD symptoms. A PCL-5 questionnaire will be administered at the beginning of the first treatment of "rescue" acupuncture and after the last treatment. Following the acupuncture treatment, a PCL-5 questionnaire will be initiated at the beginning of the first week of treatment and the end of the second week of treatment at the participating Mental Health Clinic (pMHC).

Condition or Disease Intervention/Treatment Phase
  • Procedure: acupuncture
N/A

Detailed Description

"The objective is to treat three ARMS of PTSD patients: ARM 1: Newly untreated diagnosed PTSD patients referred from a participating Mental Health Clinic (pMHC) who have not yet received any PTSD treatment for a 2-week therapy of rescue acupuncture (six 30 minute sessions Monday, Wednesday, and Friday); ARM 2: Newly diagnosed PTSD patients referred from the pMHC but already placed on pharmacological therapy (i.e. Prazosin, SSRI, sedative, etc.) prior to their enrollment in the pMHC; and ARM 3: newly diagnosed PTSD patients with or without medications referred to pMHC but have a mild traumatic brain injury that does not impede their judgment ability. ARMs 2 and 3 will follow the same rescue acupuncture program as ARM 1. A PCL-5 questionnaire will be administered prior to and after rescue acupuncture. ARMs 1, 2, and 3 patients will return to the pMHC (after 2 weeks of rescue acupuncture) to start or continue pharmacological and/or non-pharmacological therapy(s) and will also be evaluated by a PCL-5 questionnaire at the start and after 2 weeks. Statistical analysis of the PCL-5 questionnaire will compare the three ARMS together as to whether acupuncture is a benefit or not to the patient following therapies received for 2 weeks in the pMHC. The lowering of the PCL-5 symptomatic questionnaire score is a favorable indication of a benefit.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
204 participants
Allocation:
Non-Randomized
Intervention Model:
Crossover Assignment
Intervention Model Description:
This is a 3 arm non-randomized, crossover-design clinical investigation using "rescue" acupuncture for the treatment of PTSD symptoms. Each patient receiving rescue acupuncture for PTSD will be their own "control."This is a 3 arm non-randomized, crossover-design clinical investigation using "rescue" acupuncture for the treatment of PTSD symptoms. Each patient receiving rescue acupuncture for PTSD will be their own "control."
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Rapid Acupuncture Treatment for Post-Traumatic Stress Disorder
Actual Study Start Date :
Nov 24, 2020
Anticipated Primary Completion Date :
Nov 24, 2026
Anticipated Study Completion Date :
Nov 24, 2026

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Newly untreated diagnosed PTSD patients without medications

Newly untreated diagnosed PTSD patients who have not yet received any PTSD treatment for a 2-week therapy of acupuncture

Procedure: acupuncture
acupuncture

Active Comparator: Newly diagnosed PTSD patients on pharmacological therapy

Newly diagnosed PTSD patients on pharmacological therapy for a 2-week therapy of acupuncture

Procedure: acupuncture
acupuncture

Active Comparator: Newly diagnosed PTSD patients with or without medications with mild traumatic brain injury

Newly diagnosed PTSD patients with or without medications having mild traumatic brain injury for a 2-week therapy of acupuncture

Procedure: acupuncture
acupuncture

Outcome Measures

Primary Outcome Measures

  1. The Post Traumatic Stress Disorder Checklist (PCL-5) for the Diagnosis and Statistical Manual of Mental Disorders (DMS-5) Analysis [6 Years]

    Data will be analyzed using SAS v 9.4. The paired samples t-test will be used to assess the difference in PCL-5 score between pre and post acupuncture treatments. The paired samples t-test will be used to assess the difference in PCL-5 score between pre and post-pharmacological or non-pharmacological treatments. The ANOVA test will be used to assess differences in PCL-5 score between pharmacological, non-pharmacological or both pharmacological and non-pharmacological treatments. Mixed models will be used to assess differences in PCL-5 score between acupuncture treatments and pharmacological. The PCL-5 Analysis-pharmacological or both pharmacological and non-pharmacological treatment scale is a 20-item (0 = not at all, 4 = extremely) self-report measure that assesses the presence and severity of PTSD symptoms. The total severity score (min=0 and Max=80). A PCL-5 score of 31-33 or higher suggests the patient may benefit from PTSD treatment.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:

Active duty and retired military referred from a participating Mental Health Clinic

-

Exclusion Criteria:

Pregnancy Participated in a form of acupuncture in the last 3 months

Contacts and Locations

Locations

Site City State Country Postal Code
1 Malcom Grow Medical Clinics and Surgery Center Morningside Maryland United States 20762

Sponsors and Collaborators

  • Malcolm Grow Medical Clinics and Surgery Center
  • Uniformed Services University of the Health Sciences

Investigators

  • Study Chair: Richard C. Niemtzow, MD, PhD, MPH, Malcolm Grow Medical Clinics and Surgery Center
  • Study Director: Songxuan Zhou Niemtzow, MD, LAc, Malcolm Grow Medical Clinics and Surgery Center

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Richard Niemtzow, Lead Principal Investigator, Malcolm Grow Medical Clinics and Surgery Center
ClinicalTrials.gov Identifier:
NCT05881174
Other Study ID Numbers:
  • 20190055H
First Posted:
May 31, 2023
Last Update Posted:
Jun 1, 2023
Last Verified:
May 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Richard Niemtzow, Lead Principal Investigator, Malcolm Grow Medical Clinics and Surgery Center
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jun 1, 2023