Trial Outcomes & Findings for Acupuncture and Relaxation Response for GI Symptoms and HIV Medication Adherence (NCT NCT00545623)

NCT ID: NCT00545623

Last Updated: 2014-09-03

Results Overview

We used the GI symptom subscale of the Revised HIV Sign and Symptom Checklist (SSC-HIV) to measure the intensity (0-10) of the six targeted GI symptoms: diarrhea, loose stools, gas/bloating, abdominal pain, nausea and vomiting, with 0 indicating no symptom and 10 indicating most sever symptom. Rating changes per intervention session were estimated using a mixed effects regression model controlling for baseline ratings. Data of loose stools are presented here.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

130 participants

Primary outcome timeframe

8 weeks

Results posted on

2014-09-03

Participant Flow

Participant milestones

Participant milestones
Measure
ACUP+RR
acupuncture + relaxation response CD Acupuncture: acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks Relaxation Response: listening to CDs with verbal instructions of techniques to elicit relaxation response
SHAM+RR
sham acupuncture + relaxation response CD Relaxation Response: listening to CDs with verbal instructions of techniques to elicit relaxation response
ACUP+EDU
acupuncture+education CD Acupuncture: acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks
SHAM+EDU
sham acupuncture+education CD sham acupuncture: sham acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks
Overall Study
STARTED
32
31
33
34
Overall Study
COMPLETED
25
21
20
23
Overall Study
NOT COMPLETED
7
10
13
11

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Acupuncture and Relaxation Response for GI Symptoms and HIV Medication Adherence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ACUP+RR
n=31 Participants
acupuncture + relaxation response CD Acupuncture: acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks Relaxation Response: listening to CDs with verbal instructions of techniques to elicit relaxation response
SHAM+RR
n=27 Participants
sham acupuncture + relaxation response CD Relaxation Response: listening to CDs with verbal instructions of techniques to elicit relaxation response
ACUP+EDU
n=27 Participants
acupuncture+education CD Acupuncture: acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks
SHAM+EDU
n=30 Participants
sham acupuncture+education CD sham acupuncture: sham acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks
Total
n=115 Participants
Total of all reporting groups
Age, Continuous
47.2 years
STANDARD_DEVIATION 8.8 • n=99 Participants
45.0 years
STANDARD_DEVIATION 7.1 • n=107 Participants
47.1 years
STANDARD_DEVIATION 9.9 • n=206 Participants
47.0 years
STANDARD_DEVIATION 8.2 • n=7 Participants
46.6 years
STANDARD_DEVIATION 8.5 • n=31 Participants
Sex: Female, Male
Female
9 Participants
n=99 Participants
9 Participants
n=107 Participants
7 Participants
n=206 Participants
9 Participants
n=7 Participants
34 Participants
n=31 Participants
Sex: Female, Male
Male
22 Participants
n=99 Participants
18 Participants
n=107 Participants
20 Participants
n=206 Participants
21 Participants
n=7 Participants
81 Participants
n=31 Participants
Region of Enrollment
United States
31 participants
n=99 Participants
27 participants
n=107 Participants
27 participants
n=206 Participants
30 participants
n=7 Participants
115 participants
n=31 Participants

PRIMARY outcome

Timeframe: 8 weeks

Population: An intent-to-treat approach was used for analysis. That is all patients who had at least one data points were included in the analysis.

We used the GI symptom subscale of the Revised HIV Sign and Symptom Checklist (SSC-HIV) to measure the intensity (0-10) of the six targeted GI symptoms: diarrhea, loose stools, gas/bloating, abdominal pain, nausea and vomiting, with 0 indicating no symptom and 10 indicating most sever symptom. Rating changes per intervention session were estimated using a mixed effects regression model controlling for baseline ratings. Data of loose stools are presented here.

Outcome measures

Outcome measures
Measure
ACUP+RR
n=27 Participants
acupuncture + relaxation response CD Acupuncture: acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks Relaxation Response: listening to CDs with verbal instructions of techniques to elicit relaxation response
SHAM+RR
n=25 Participants
sham acupuncture + relaxation response CD Relaxation Response: listening to CDs with verbal instructions of techniques to elicit relaxation response
ACUP+EDU
n=25 Participants
acupuncture+education CD Acupuncture: acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks
SHAM+EDU
n=27 Participants
sham acupuncture+education CD sham acupuncture: sham acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks
Changes in GI Symptom Per Intervention Session
-0.24 units on a scale
Standard Error 0.04
-0.08 units on a scale
Standard Error 0.04
-0.09 units on a scale
Standard Error 0.04
-0.09 units on a scale
Standard Error 0.04

Adverse Events

ACUP+RR

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

SHAM+RR

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

ACUP+EDU

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

SHAM+EDU

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
ACUP+RR
n=32 participants at risk
acupuncture + relaxation response CD Acupuncture: acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks Relaxation Response: listening to CDs with verbal instructions of techniques to elicit relaxation response
SHAM+RR
n=31 participants at risk
sham acupuncture + relaxation response CD Relaxation Response: listening to CDs with verbal instructions of techniques to elicit relaxation response
ACUP+EDU
n=33 participants at risk
acupuncture+education CD Acupuncture: acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks
SHAM+EDU
n=34 participants at risk
sham acupuncture+education CD sham acupuncture: sham acupuncture twice/week for the first 4 weeks and once/week for another 4 weeks
Infections and infestations
pneumonia
3.1%
1/32 • Number of events 1 • 8 week study intervention period and 6 month follow up period
3.2%
1/31 • Number of events 1 • 8 week study intervention period and 6 month follow up period
6.1%
2/33 • Number of events 2 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period
Musculoskeletal and connective tissue disorders
broken hip
0.00%
0/32 • 8 week study intervention period and 6 month follow up period
0.00%
0/31 • 8 week study intervention period and 6 month follow up period
3.0%
1/33 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period
Infections and infestations
thrush
3.1%
1/32 • Number of events 1 • 8 week study intervention period and 6 month follow up period
3.2%
1/31 • Number of events 1 • 8 week study intervention period and 6 month follow up period
3.0%
1/33 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period
Injury, poisoning and procedural complications
car accident
0.00%
0/32 • 8 week study intervention period and 6 month follow up period
0.00%
0/31 • 8 week study intervention period and 6 month follow up period
3.0%
1/33 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period
Gastrointestinal disorders
abnormal but benign tissue in descending colon
3.1%
1/32 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/31 • 8 week study intervention period and 6 month follow up period
0.00%
0/33 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period
Respiratory, thoracic and mediastinal disorders
cold
3.1%
1/32 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/31 • 8 week study intervention period and 6 month follow up period
0.00%
0/33 • 8 week study intervention period and 6 month follow up period
2.9%
1/34 • Number of events 1 • 8 week study intervention period and 6 month follow up period
Infections and infestations
cellulitis
3.1%
1/32 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/31 • 8 week study intervention period and 6 month follow up period
0.00%
0/33 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period
Gastrointestinal disorders
sever esophagitis
0.00%
0/32 • 8 week study intervention period and 6 month follow up period
0.00%
0/31 • 8 week study intervention period and 6 month follow up period
0.00%
0/33 • 8 week study intervention period and 6 month follow up period
2.9%
1/34 • Number of events 1 • 8 week study intervention period and 6 month follow up period
Renal and urinary disorders
kidney problem
0.00%
0/32 • 8 week study intervention period and 6 month follow up period
3.2%
1/31 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/33 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period
Skin and subcutaneous tissue disorders
basal cell CA surgery
0.00%
0/32 • 8 week study intervention period and 6 month follow up period
3.2%
1/31 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/33 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period
Gastrointestinal disorders
stomach virus
0.00%
0/32 • 8 week study intervention period and 6 month follow up period
3.2%
1/31 • Number of events 1 • 8 week study intervention period and 6 month follow up period
0.00%
0/33 • 8 week study intervention period and 6 month follow up period
0.00%
0/34 • 8 week study intervention period and 6 month follow up period

Additional Information

Bei-Hung Chang

Boston University

Phone: 508-856-8959

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place