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Trial registered on ANZCTR
Registration number
ACTRN12611000393954
Ethics application status
Approved
Date submitted
13/04/2011
Date registered
14/04/2011
Date last updated
24/10/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
The Acupause study: Acupuncture for postmenopausal hot flushes
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Scientific title
A randomised sham-controlled single-blind trial of the efficacy of needle acupuncture vs sham acupuncture in reducing hot flush score in postmenopausal women
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Secondary ID [1]
259940
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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:
Postmenopausal vasomotor symptoms
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Condition category
Condition code
Reproductive Health and Childbirth
265719
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0
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Menstruation and menopause
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Alternative and Complementary Medicine
265796
265796
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0
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Other alternative and complementary medicine
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Women in the intervention group will receive ten sessions of acupuncture given twice weekly over the first two weeks then weekly for the subsequent six weeks, a total of eight weeks duration of treatment. Acupuncture will be administered by trained practitioners of Traditional Chinese medicine who have five years of more clinical experience and are registered with the Chinese Medicine Registration Board. Six acupoints will be needled at each visit (Kidney 6, Kidney 7, Spleen 6, Conception Vessel 4, Heart 6 and Liver 3). Needles will be retained for twenty minutes and manually stimulated at ten minutes. No cointerventions are allowed.
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Intervention code [1]
264361
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Treatment: Devices
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Comparator / control treatment
Women in the sham group will receive ten sessions of sham acupuncture according to the same schedule as the intervention group. Sham needles are blunt and do not penetrate the skin. Six non-acupuncture points will be "needled" and "retained" for twenty minutes, again with manual stimulation at ten minutes.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Hot flush score (comprising hot flush severity and frequency measures) using seven-day hot flush diaries
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Assessment method [1]
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Timepoint [1]
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End of treatment (8 weeks)
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Secondary outcome [1]
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Quality of life as measured by the Menopause-Specific-Quality of Life Questionnaire (MENQOL)
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Assessment method [1]
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Timepoint [1]
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End of treatment (8 weeks), 3 and 6 months post end of treatment
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Secondary outcome [2]
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Hot flush score (comprising hot flush severity and frequency measures) using seven-day hot flush diaries
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Assessment method [2]
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Timepoint [2]
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3 and 6 months post end of treatment
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Secondary outcome [3]
273865
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Expectancy and beliefs about acupuncture, and credibility of the sham control, as measured by the Credibility and Expectancy questionnaire
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Assessment method [3]
273865
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Timepoint [3]
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Immediately following the first treatment session
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Eligibility
Key inclusion criteria
Inclusion criteria will be postmenopausal women at least 12 months since final menstrual period, who have a mean hot flush score of at least 14 over a 7 day period (assessed on a validated hot flush diary and who meet the criteria for the traditional Chinese medicine diagnosis of Kidney Yin deficiency (determined by a structured Chinese Medicine history and examination. )
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Exclusion criteria include contraindications to acupuncture (anticoagulation, heart valve disease, poorly controlled diabetes mellitus); past experience of needle acupuncture in the preceding two years; hot flushes starting or worsening after surgical or chemotherapy-induced menopause or after diagnosis with or treatment of breast cancer; premature ovarian failure; endocrine or other medical disorders (uncontrolled thyroid disease, medical reasons to be amenorrheic eg uncontrolled hyperprolactinemia or Cushing’s syndrome); hormonal treatment prior to screening, depending on route of administration, ranging from 4 weeks for vaginal to 6 months for injectable pellets; phytoestrogen therapy in the preceeding 6 months; other treatments for hot flushes within 8 weeks of screening (including complementary medicines); unable to give informed consent or use outcome measurement tools; or unable to attend for acupuncture sessions as per protocol.
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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)
A research assistant will randomly allocate the participants to either real or sham acupuncture using a computer generated randomisation schedule, stratified by practitioner and blocked randomised. She will inform the practitioner of group allocation by SMS or fax, depending on the practitioner’s preference. The group allocation will be indicated only by the point prescription to avoid unblinding should the participant inadvertently see the fax or SMS.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation sequence will be computer-generated
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
19/07/2011
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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
360
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
3898
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3058
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Recruitment postcode(s) [2]
3899
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3134
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Recruitment postcode(s) [3]
3900
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3084
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Recruitment postcode(s) [4]
3901
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3053
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Recruitment postcode(s) [5]
3902
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3149
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Recruitment postcode(s) [6]
3903
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3204
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Recruitment postcode(s) [7]
3904
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3337
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Recruitment postcode(s) [8]
3905
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3182
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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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National Health and Medical Research Council
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Melbourne
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Address
Grattan St
Parkville 3052
Victoria
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
263988
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
266794
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Human Research Ethics Committee
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Ethics committee address [1]
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University of Melbourne
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
266794
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15/02/2011
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Approval date [1]
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16/06/2011
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Ethics approval number [1]
266794
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1135293
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Summary
Brief summary
This study aims to test if acupuncture is effective in treating hot flushes after the menopause.
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Trial website
http://www.gp.unimelb.edu.au/acupause
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Carolyn Ee
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Address
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200 Berkeley St
Carlton
Victoria 3053
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Country
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Australia
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Phone
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+61 413319830
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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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Dr Marie Pirotta
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Address
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200 Berkeley St
Carlton
Victoria 3053
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Country
6620
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Australia
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Phone
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+613 83449723
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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
Source
Title
Year of Publication
DOI
Embase
Acupuncture for menopausal hot flashes.
2016
https://dx.doi.org/10.7326/M15-1380
Dimensions AI
International Scientific Acupuncture and Meridian Symposium 2016
2017
https://doi.org/10.1016/j.jams.2017.02.004
N.B. These documents automatically identified may not have been verified by the study sponsor.
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