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Trial registered on ANZCTR
Registration number
ACTRN12612000705886
Ethics application status
Approved
Date submitted
29/06/2012
Date registered
3/07/2012
Date last updated
3/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of application of Transcutaneous Electrical Nerve Stimulation on acupuncture points (Acu-TENS) on lung function in people with asthma
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Scientific title
Effect of application of Transcutaneous Electrical Nerve Stimulation on acupuncture points (Acu-TENS) on lung function in people with asthma
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Secondary ID [1]
280757
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None
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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:
Asthma
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Condition category
Condition code
Respiratory
287108
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0
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a randomised crossover study.
Participants will attend for 4 visits, weekly apart. In the first visit, participants characteristics will be measured and they will perform a Eucapnic voluntary hyperventilation (EVH) test.
On visits 2 to 4, participants will receive one the following interventions, in a random order, before undergoing the EVH test:
1) Acu-TENS and placebo ventolin
2) Placebo-TENS and placebo ventolin
3) Placebo-TENS and ventolin
Intervention:
Acu-TENS refers to the application of Transcutaneous electrical nerve stimulation (TENS) onto acupoints for reducing breathlessness, i.e. EX-B1, Dingchuan, located on the lower border of 7th Cervical Vertebrae. The intervention will last for 45 minutes. Ten minutes before the end of the Acu-TENS session, participants will receive 2 puffs of placebo-ventolin.
Placebo TENS is similar to Acu-TENS with the application of the TENS onto EX-B1 except the machine was disconnected inside such that there is no electrical output despite the machine screen is still activated. Placebo TENS will be applied for 45 minutes. Ten minutes before the end of the intervention, participants will be asked to use 2 puffs of ventolin or placebo-ventolin (depending on the group allocation).
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Intervention code [1]
285175
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Treatment: Devices
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Intervention code [2]
285176
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Treatment: Drugs
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Comparator / control treatment
Placebo TENS: similar to Acu-TENS but the machine was disconnected with no electrical output.
Placebo-ventolin
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Percentage change in Forced expirtory flow volume in one second (FEV1)
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Assessment method [1]
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Timepoint [1]
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1) Pre EVH test
2) 1st min post EVH test
3) 3rd min post EVH test
4) 5th min post EVH test
5) 10th min post EVH test
6) 15th min post EVH test
7) 20th min post EVH test
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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nil
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Eligibility
Key inclusion criteria
Patients diagnosed with asthma, with FEV1 % predicted >75%
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Minimum age
18
Years
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Maximum age
No limit
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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
Recent upper respiratory tract infection 4 weeks prior to the test.
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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)
Patients with asthma who are registered as volunteers for research will be contacted. The intervention sequence will be run by a randomisation software and the order of the intervention will be consealed in a opaque envelop by an investigator not involved in data collection. The actual or circuit disconnected machine and the ventolin or placebo ventolin will be given by an investigator who is not involved in data collection.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The intervention sequence will be generated by a ranomisation software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
4/07/2012
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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
10
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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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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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The University of Sydney
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Address [1]
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Discipline of Physiotherapy, University of Sydney
75 East Street, Lidcombe, NSW 2141
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
A/Prof Jennifer Alison
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Address
Discipline of Physiotherapy, University of Sydney
75 East Street, Lidcombe, NSW 2141
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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]
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Other collaborator category [1]
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Individual
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Name [1]
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Dr. Shirley Ngai
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Address [1]
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Department of Rehabilitation Sciences,
The Hong Kong Polytechnic University, Hung Hom, Kowloon
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Country [1]
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Hong Kong
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Other collaborator category [2]
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Individual
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Name [2]
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Prof Alice Jones
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Address [2]
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Department of Rehabilitation Sciences,
The Hong Kong Polytechnic University, Hung Hom, Kowloon
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Country [2]
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Hong Kong
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics Review Committee (RPAH Zone), Sydney
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Ethics committee address [1]
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Research Development Office, Royal Prince Alfred Hospital, Camperdown, Missenden Road, NSW 2050
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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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29/09/2011
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Approval date [1]
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17/10/2011
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Ethics approval number [1]
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11/RPAH/442
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Summary
Brief summary
Increased ventilation during exercise has been proposed to induce osmotic (Hallstrand et al., 2005) and thermal (Tan and Spector, 2002) changes in the airways during and after exercise, resulting in airway narrowing in susceptible people with asthma. Previous study showed that Acu-TENS could alleviate the post exericse bronchoconstriction in people with asthma (Ngai et al., 2009). Thus, the main aim of this study is to evaluate the effectiveness of Acu-TENS, when compared with ventolin, on alleviating the level of bronchoconstriction after Eucapnic voluntary hyperventilation (EVH), a diagnostic test for exercise induced bronchoconstriction. People with asthma who meet the inclusion and exclusion criteria will be recruited. After informed consent, each participant will attend 4 visits to the laboratory. On each visit, participants will perform one EVH test. On the second to fourth visit, participants will receive one of the following intervention protocols: 1) Acu-TENS and placebo ventolin, 2) Placebo-TENS and placebo ventolin; 3) Placebo-TENS and ventolin, in a random order generated by a computer randomisation software, before the EVH test. The intervention will be applied by an investigator who is not involved in data collection. Both assessor and patients will be blinded to the intervention protocol. The change in FEV1 before and after EVH test obtained in each of the 4 visits will be compared. The findings of the study will elucidate whether or not Acu-TENS could alleviate exercise induced bronchoconstriction when compared with ventolin.
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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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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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A/ Prof Jennifer Alison
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Address
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Discipline of Physiotherapy, Faculty of Health
Sciences, The University of Sydney,
75 East Street, Lidcombe, NSW 2141
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Country
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Australia
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Phone
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+61 2 93519371
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Fax
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+61 2 93519601
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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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A/ Prof Jennifer Alison
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Address
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Discipline of Physiotherapy, Faculty of Health
Sciences, The University of Sydney,
75 East Street, Lidcombe, NSW 2141
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Country
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Australia
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Phone
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+61 2 93519371
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Fax
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+61 2 93519601
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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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