AzTrials
AzTrials

COPD Exacerbation AcuteNCT06869525

Study on Acupuncture Treatment of Chronic Airway Diseases(Asthma and Chronic Obstructive Pulmonary Disease)

A study testing Acupuncture in people with COPD Exacerbation Acute and Asthma Acute, run by Henan University of Traditional Chinese Medicine.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

For patients in the acute phase of chronic airway diseases, on the basis of guideline-directed treatment, the experimental group was given acupuncture treatment, while the control group was given sham acupuncture treatment. The treatment lasted for one week, followed by a 13-week follow-up. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
COPD Exacerbation Acute, Asthma Acute
What is being tested?
Acupuncture
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
576 participants
Where
No sites listed yet
Study dates
Mar 2025to Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Meets the diagnostic criteria for acute attack of asthma/AECOPD;
  • Age range from18 years to 80 years(asthma) and 40 yesrs to 80 years(COPD);
  • The investigators agreed to participate in this clinical study by voluntarily signing an informed consent form.

Who cannot join

  • Patients with combined pulmonary abscess, pulmonary interstitial fibrosis, active pulmonary tuberculosis, bronchiectasis and other pulmonary diseases;
  • Patients with severe cardiovascular and cerebrovascular diseases (such as malignant arrhythmia, unstable angina pectoris, acute myocardial infarction, grade 3 or above cardiac function, stroke, cerebral hemorrhage, etc.);
  • Patients with severe liver diseases (such as liver cirrhosis, portal hypertension and bleeding caused by esophageal and gastric fundus varices) and severe kidney diseases (such as dialysis, kidney transplantation, etc.);
  • Patients with impaired consciousness or various mental disorders who are unable to communicate normally;
  • Pregnant and lactating women;
  • Those who are currently participating in other clinical trials within 1 month before enrollment;
  • Patients with contraindications to acupuncture (such as severe allergic or infectious skin diseases);

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Yang Xie, Professor contact

13526621325

xieyanghn@163.com

About this study

Official title: Study on the Efficacy and Mechanism of Acupuncture in the Acute Stage of Chronic Airway Diseases (Asthma and Chronic Obstructive Pulmonary Disease)

For patients in the acute phase of chronic airway diseases, on the basis of guideline-directed treatment, the experimental group was given acupuncture treatment, while the control group was given sham acupuncture treatment. The treatment lasted for one week, followed by a 13-week follow-up. For asthma and COPD, PEF and CAT were respectively used as the primary outcome measures to evaluate the clinical efficacy and safety of acupuncture. Based on the improvement of the primary outcome measures, the advantageous population was identified. The mechanism by which acupuncture reduces airway mucus hypersecretion was preliminarily explained.

Read the detailed description

This study was a multicenter, randomized, double-blind, controlled trial. A total of 336 patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) and 240 patients with acute attack of asthma were included. On the basis of guideline-directed treatment, the experimental group received acupuncture treatment, while the control group was given sham acupuncture treatment. For patients with AECOPD, the acupoints selected were Zhongfu, Dingchuan, Tiantu, Fenglong, and Feishu. For patients with acute attack of asthma, the acupoints selected were Dingchuan, Zhongfu, Tiantu, Feishu, and Kongzui. The acupoints were connected to electroacupuncture and treated for 30 minutes. The control group received sham acupuncture treatment. The acupoints were located 5 to 10 mm away from the actual acupoints, and the needles were inserted superficially through the skin. The acupoints were connected to electroacupuncture but without electricity. The treatment lasted for 30 minutes, once a day, for one week. Follow-up was conducted for 13 weeks. For COPD, the COPD Assessment Test (CAT) was the primary outcome measure, and the secondary outcome measures included the mMRC scale, assessment of airway mucus hypersecretion, CT assessment of airway mucus, basic vital signs, clinical symptom scores, use of control medications and antibiotics, acute exacerbation status, hospitalization time, tracheal intubation rate, and arterial blood gas. For asthma, the peak expiratory flow (PEF) was the primary outcome measure, and the secondary outcome measures included the Asthma Control Test (ACT), Asthma Control Questionnaire (ACQ), Asthma Quality of Life Questionnaire (AQLQ), assessment of airway mucus hypersecretion, CT assessment of airway mucus, basic vital signs, clinical symptom scores, use of control medications and antibiotics, acute attack status, hospitalization time, and fractional exhaled nitric oxide (FeNO). The clinical efficacy and safety of acupuncture were evaluated. The population with advantages was identified based on the improvement of the primary outcome measures. The mechanism of acupuncture in reducing airway mucus hypersecretion was preliminarily explained.

Being tested
Acupuncture, Sham Acupuncture
Keywords
COPD Exacerbation Acute, Asthma Acute, Acupuncture, Randomized Controlled Trial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AcupunctureBehavioural

    Dingchuan, Shanzhong, Tiantu, Feishu, Kongji, after obtaining qi, connect the electric needle (continuous wave, The frequency was 2Hz, the current intensity was 1~5mA, and the current intensity was gradually increased according to patient tolerance), and the treatment was 30min.

  • Sham AcupunctureBehavioural

    Dingchuan, Shanzhong, Tiantu, Feishu, hole the most points open 5~10mm, shallow piercing through the skin, connected with the electric needle but no electricity, treatment 30min.

Study groups in NCT06869525
Study groupRoleWhat they receive
Acupuncture group for Asthma Acute/AECOPDExperimentalPatients in the Asthma Acute/AECOPD experimental group were treated with Acupuncture
Receives: Behavioral: Acupuncture
Sham Acupuncture group for Asthma Acute/AECOPDSham comparatorPatients in the Asthma Acute/AECOPD experimental group were treated with Sham Acupuncture
Receives: Behavioral: Sham Acupuncture

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Astham part: PEF

    Record the peak expiratory flow rate(PEF) for each patient, and evaluate the impact of acupuncture on improving the peak expiratory flow (PEF) of asthma patients.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  2. COPD part:CTA

    Record the COPD Assessment Test (CAT) for each patient, and evaluate the impact of acupuncture on improving the clinical symptoms of patients with AECOPD.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

Secondary outcomes (19)
  1. Astham part: the Asthma Control Test (ACT)

    ACT includes five questions. Every question will be assessed using a 5-point scale with scores ranging from 5 to 25. The higher the score, the better the symptom control.25 is considered complete control level, 20 ~ 24 is considered good control level, and <20 is considered non-control level.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  2. Asthma part:Asthma Control Questionnaire(ACQ)

    The content of ACQ involves the following aspects: asthma-related, symptoms, the use of first-aid drugs, the impact on daily life and lung function test results.The higher the score, the worse the state.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  3. Asthma part:Asthma Quality of Life Questionnaire(AQLQ)

    The asthma quality of life scale (5-point scale-RRB- consists of 35 items, including activity limitation (1-12) , asthma symptoms (13-20) , psychological status (22-26) , response to stimuli (27-31) , concern for one's own health (32-35) . On a 5-point scale, 1 is the worst and 5 is the best.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  4. Asthma part:The cough and expectoration assessment questionnaire (CASA-Q)

    Each indicator of the patient is scored from 1 to 5 based on the severity. After reverse scoring, the lower the score, the more severe the airway mucus hypersecretion and the poorer the therapeutic effect.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  5. Asthma part:Evaluation of Airway Mucus Hypersecretion

    The assessment includes: the difficulty of expectoration score, the sputum character score, and the sputum viscosity grading. They represent the nature of the sputum and the difficulty of coughing, ranging from 0 to 3 points. The higher the score, the more mucus secretion in the airway and the more severe the symptoms.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  6. Asthma part:Evaluation of Airway Mucus by CT Imaging

    Airway mucus CT assessment evaluates the distribution characteristics of airway mucus through the imaging features of thin-layer CT.

    Measured: Before treatment, and day 7

  7. Asthma part:Clinical symptom score

    Including wheezing, coughing, expectoration, chest tightness and wheezing sounds.A score of 0-3 will be given to every symptom or sign with a higher score indicating a worse conditoin.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  8. Asthma part:Acute attack status

    Including the number and severity of acute attacks, the re-admission rate after acute attacks, and the interval between the first acute attack and the subsequent ones.

    Measured: Follow-up at the 4th and 13th weeks

  9. Asthma part:Hospitalization time

    The time required from the point of enrollment to the attainment of the discharge criteria

    Measured: At 4 weeks of follow-up

  10. Asthma part:Fractional exhaled nitric oxide (FeNO)

    FeNO is measured by a FeNO detector. It is used to determine the concentration of nitric oxide in exhaled breath of the human body. As a biomarker of airway inflammation, its normal range is less than 25ppb (adults) .

    Measured: Before treatment, and day 7

  11. COPD part:clinical symptoms and signs questionnaire

    Assessment will be performed by clinical symptoms and signs questionnaire. The clinical symptoms to be evaluated in this study include cough, phlegm, chest tightness, gasp,shortness of breath, feeble and cyanosis. A score of 0-3 will be given to every symptom or sign with a higher score indicating a worse conditoin.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  12. COPD part:mMRC

    The modified Medical Research Council (mMRC) scale is a 5-point (0-4) scale based on the severity of dyspnoea. "0" means no dyspnea perception, "4" means severe dyspnea perception.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  13. COPD part:The cough and expectoration assessment questionnaire (CASA-Q)

    Each indicator of the patient is scored from 1 to 5 based on the severity. After reverse scoring, the lower the score, the more severe the airway mucus hypersecretion and the poorer the therapeutic effect.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  14. COPD part:Evaluation of Airway Mucus Hypersecretion

    The assessment includes: the difficulty of expectoration score, the sputum character score, and the sputum viscosity grading. They represent the nature of the sputum and the difficulty of coughing, ranging from 0 to 3 points. The higher the score, the more mucus secretion in the airway and the more severe the symptoms.

    Measured: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up

  15. COPD part:Evaluation of Airway Mucus by CT Imaging

    Airway mucus CT assessment evaluates the distribution characteristics of airway mucus through the imaging features of thin-layer CT.

    Measured: Before treatment, and day 7

  16. COPD part:Acute attack status

    The number of acute attacks

    Measured: Follow-up at the 4th and 13th weeks

  17. COPD part:Hospitalization time

    The time required from the point of enrollment to the attainment of the discharge criteria

    Measured: At 4 weeks of follow-up

  18. COPD part:Tracheal intubation rate

    The proportion of patients with tracheal intubation during the treatment period;

    Measured: At 4 weeks of follow-up

  19. COPD part: Arterial blood gas

    The arterial blood PaO2, PaCO2 of the two groups of subjects were measured.

    Measured: Before treatment, and day 7

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Mar 2025
  2. Study startMar 2025 (estimated)
  3. Primary completionJun 2027 (estimated)
  4. Study completionDec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
576 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06869525
Sponsor's protocol ID
TCM for Chronic Airway Disease
Status last verified
Jan 2025
First submitted
18 Feb 2025
Last updated
11 Mar 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Zhu S, Yang Q, Zhang P, Xu J, Li S, Xie Y. Efficacy of electroacupuncture in the treatment of Acute Exacerbation of Chronic Obstructive Pulmonary disease: study protocol for a multicenter, randomized, sham-controlled trial. Front Med (Lausanne). 2026 Jul 13;13:1879332. doi: 10.3389/fmed.2026.1879332. eCollection 2026.

    PubMed 42517050

Questions about this trial

What is this clinical trial studying?

A study testing Acupuncture in people with COPD Exacerbation Acute and Asthma Acute, run by Henan University of Traditional Chinese Medicine.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 11 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yang Xie, Professor (13526621325, xieyanghn@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Astham part: PEF (time frame: Before treatment, at 4 and 7 days of treatment, and at 4 and 13 weeks of follow-up). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06869525, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Mar 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in