Efficacy of acupuncture in improving the symptoms and the quality of life of patients with moderate or severe acne vulgaris: a protocol for a randomized controlled trial

Abstract

Background : Acne vulgaris (AV) is a common chronic dermatologic disease that tends to impair the appearance and the quality of life (QoL) of patients. Although several trials have indicated the effectiveness of acupuncture for treatment of patients with AV, the results of these trials have been contested owing to potential bias in their design. Thus, there is a lack of robust data to evaluate the efficacy of acupuncture in patients with AV. In addition, none of the previous clinical trials of acupuncture therapy for AV used QoL as a primary outcome or employed a sham acupuncture control arm. The aim of the study is to evaluate the effect of acupuncture on the symptoms and the QoL of patients with moderate or severe AV. Methods/design: One hundred eligible participants with AV will be randomly assigned to acupuncture or sham acupuncture groups (1:1 allocation). All participants will receive 4-week treatment comprising of a total of 12 sessions (3 sessions per week). The primary outcome will be change from baseline in the Skindex-16 scale total score at treatment completion. The secondary outcomes will be: Skindex-16 subscale score; the Dermatology Life Quality Index scale total score; the total lesion count and inflammatory lesion count; visual analogue scale scores for assessment of itch and pain; patient expectations of acupuncture; and the blinding of the effect of sham acupuncture. Follow-up evaluation will be performed at weeks 16 and 28. All outcome analyses will be performed in the intention-to-treat population. Discussion: We expect to evaluate the effectiveness of acupuncture in ameliorating the symptoms and improving the QoL of patients with moderate or severe AV compared with sham acupuncture with more robust evidence. The limitations of the trial design are its single center scope, relatively small sample size, and lack of blinding of the acupuncturists. Trial Registration: Chinese Clinical Trial Registry, ChiCTR-1900023649 (Date of registration: Jan 2, 2019). Keywords: acupuncture, acne vulgaris, quality of life, randomized-controlled trial, protocol.

Efficacy of acupuncture in improving symptoms and quality of life of patients with acne vulgaris: a randomized sham acupuncture-controlled trial

“…The trial protocol has been described in detail elsewhere. 13 The study conformed to the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 14 and the STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) 15 guidelines. Participants were recruited by advertisements.…”

Acupuncture: A therapeutic approach against acne

“…Various clinical investigations have been conducted to examine the potential of acupuncture therapy on patients with acne 51‐55 . The exact functioning of acupuncture in acne treatment is still unsettled; however, based on the research analysis, acupuncture includes the hypothalamus‐pituitary‐adrenal Axis, brain‐derived neurotrophic factor, and the autonomic nervous system 56 .…”

“…48 Various clinical investigations have been conducted to examine the potential of acupuncture therapy on patients with acne. [51][52][53][54][55] The exact functioning of acupuncture in acne treatment is still unsettled; however, based on the research analysis, acupuncture includes the hypothalamus-pituitary-adrenal Axis, brain-derived neurotrophic factor, and the autonomic nervous system. 56 Furthermore, it also acts as an immune system modulator, which is supported by different studies 57,58 The studies have shown successful acne treatment on a distinct number of populations, and utilizing different methods includes acupuncture anesthesia on acne vulgaris of prickingbloodletting cupping, 59 warm needling method for keloidal acne, 60 fire needle therapy, 61 sham acupuncture on severe acne vulgaris, 51 and ah shi point acupuncture on acne vulgaris.…”

“…Studies also define as specified usual or superficial needle penetration to obtain minimum stimuli 75 . A clinical study by Ruimin Jiao and colleagues has selected fake acupoints like CV14, LI11, LI4, ST36, and ST44 inserted vertically for 30 mins in sham acupuncture for acne vulgaris and have concluded that sham acupuncture is efficacious in treating acne vulgaris 51 . Other studies have shown its potential against chronic sinusitis, 76 migraine, 77 irritable bowel, 78 and knee osteoarthritis 79…”