journal article Open Access Oct 13, 2023

Evaluating the effectiveness and safety of acupuncture on serum uric acid in asymptomatic hyperuricemia population: a randomized controlled clinical trial study protocol

View at Publisher Save 10.3389/fendo.2023.1218546
Abstract
BackgroundThe clinical dangers of asymptomatic hyperuricemia to human health have become increasingly prominent over the past 20 years. Previous studies have shown the potential benefits of acupuncture on uric acid levels in the body. However, definitive evidence is lacking. Our objective is to evaluate the efficacy and safety of acupuncture on serum uric acid (SUA) in individuals with asymptomatic hyperuricemia.MethodsThis is a randomized, single-blind, sham-controlled trial. A total of 180 eligible patients with asymptomatic hyperuricemia will be recruited at three hospitals in China. Patients will be randomly assigned in a 1:1 ratio to receive 16 sessions of manual acupuncture or sham acupuncture for 8 weeks. Patients will be followed up for 12 weeks. The primary outcome will be the change in SUA levels at week 8 after randomization. Secondary outcomes will include dynamic changes in SUA levels, efficacy rates, proportion of gout flare, body weight, and acute medication intake. The MGH Acupuncture Sensation Scale and adverse events related to acupuncture will be measured after each treatment. A blinding assessment will be performed on patients who receive at least one session of acupuncture. Data analyses will be performed on a full analysis set and a per-protocol set.Ethics and disseminationEthics approval has been obtained from the Clinical Trial Ethics Committee of Tongji Medical College, Huazhong University of Science and Technology (approval no. 2021-S135). Written informed consent will be obtained from enrolled patients. The findings will be disseminated in a peer-reviewed journal.Clinical trial registrationClinicalTrials.gov identifier, NCT05406830
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References
46
[1]
Yip "Asymptomatic hyperuricemia: is it really asymptomatic" Curr Opin Rheumatol (2020) 10.1097/bor.0000000000000679
[2]
Pathmanathan "The prevalence of gout and hyperuricaemia in Australia: An updated systematic review" Semin Arthritis Rheumatol (2021) 10.1016/j.semarthrit.2020.12.001
[3]
Uaratanawong "Prevalence of hyperuricemia in Bangkok population" Clin Rheumatol (2011) 10.1007/s10067-011-1699-0
[4]
Liu "A pilot study on the epidemiology of hyperuricemia in Chinese adult population based on big data from Electronic Medical Records 2014 to 2018" Minerva Endocrinol (2020) 10.23736/s0391-1977.20.03131-4
[5]
Choi "A prescription for lifestyle change in patients with hyperuricemia and gout" Curr Opin Rheumatol (2010) 10.1097/bor.0b013e328335ef38
[6]
Saag "Epidemiology, risk factors, and lifestyle modifications for gout" Arthritis Res Ther (2006) 10.1186/ar1907
[7]
Liu "The development from hyperuricemia to gout:key mechanisms and natural products for treatment" Acupunct Herb Med (2022) 10.1097/hm9.0000000000000016
[8]
Mccarty "Identification of urate crystals in gouty synovial fluid" Ann Intern Med (1961) 10.7326/0003-4819-54-3-452
[9]
Puig "Ultrasonography in the diagnosis of asymptomatic hyperuricemia and gout" Nucleosides Nucleotides Nucleic Acids (2016) 10.1080/15257770.2015.1124999
[10]
Joint and tendon subclinical involvement suggestive of gouty arthritis in asymptomatic hyperuricemia: an ultrasound controlled study

Carlos Pineda, Luis M Amezcua-Guerra, Carla Solano et al.

Arthritis Res Ther 2011 10.1186/ar3223
[11]
Dalbeth "Urate crystal deposition in asymptomatic hyperuricaemia and symptomatic gout: a dual energy CT study" Ann Rheum Dis (2015) 10.1136/annrheumdis-2014-206397
[12]
A glance into the future of gout

Francisca Sivera, Mariano Andrés, Nicola Dalbeth

Therapeutic Advances in Musculoskeletal Disease 2022 10.1177/1759720x221114098
[13]
Borges "Uric acid as a factor in the metabolic syndrome" Curr Hypertens Rep (2010) 10.1007/s11906-010-0098-2
[14]
Yang "Uric acid level as a risk marker for metabolic syndrome: a Chinese cohort study" Atherosclerosis (2012) 10.1016/j.atherosclerosis.2011.11.014
[15]
Nagahama "Hyperuricemia predicts future metabolic syndrome: a 4-year follow-up study of a large screened cohort in Okinawa, Japan" Hypertens Res (2014) 10.1038/hr.2013.137
[16]
Kobalava "[Asymptomatic hyperuricemia and risk of cardiovascular and renal diseases]" Kardiologiia (2020) 10.18087/cardio.2020.10.n1153
[17]
Susic "Hyperuricemia: A biomarker of renal hemodynamic impairment" Cardiorenal Med (2015) 10.1159/000381317
[18]
Prasad Sah "Associations between hyperuricemia and chronic kidney disease: A review" Nephrourol Mon (2015) 10.5812/numonthly.7(3)2015.27233
[19]
Comorbidities of Gout and Hyperuricemia in the US General Population: NHANES 2007-2008

Bhavik J. Pandya, Hyon K. Choi

The American Journal of Medicine 2012 10.1016/j.amjmed.2011.09.033
[20]
Silbernagel "Uric acid is predictive of cardiovascular mortality and sudden cardiac death in subjects referred for coronary angiography" Nutr Metab Cardiovasc Dis (2013) 10.1016/j.numecd.2011.02.008
[21]
FitzGerald "2020 American college of rheumatology guideline for the management of gout" Arthritis Rheumatol (2020) 10.1002/art.41247
[22]
Richette "2016 updated EULAR evidence-based recommendations for the management of gout" Ann Rheum Dis (2017) 10.1136/annrheumdis-2016-209707
[23]
Yamanaka "Japanese guideline for the management of hyperuricemia and gout: second edition" Nucleosides Nucleotides Nucleic Acids (2011) 10.1080/15257770.2011.596496
[24]
Stamp "Urate-lowering therapy for asymptomatic hyperuricaemia: A need for caution" Semin Arthritis Rheumatol (2017) 10.1016/j.semarthrit.2016.07.015
[25]
Chalès "How should we manage asymptomatic hyperuricemia" Joint Bone Spine (2019) 10.1016/j.jbspin.2018.10.004
[26]
Hwang "Acupuncture to treat asymptomatic hyperuricemia: A protocol for systematic review and meta-analysis of randomized controlled trials" Med (Baltimore) (2021) 10.1097/md.0000000000024719
[27]
Pan "Clinical experience of Professor Fu Wenbin’s integrated thinking “one needle, two moxibustion and three consolidation” model in the treatment of acute gouty arthritis" JETCM (2019)
[28]
Liu "Analysis of the characteristics of acupoint selection in the treatment of gout by acupuncture" Acupuncture Res (2017)
[29]
Li "Acu-points selection of acupuncture treatment for acute gouty arthritis" J Changchun Univ Chin Med (2015)
[30]
Xu "Clinical efficacy of acupuncture in the treatment of acute gouty arthritis" JCAM (2011)
[31]
Wang "Effects of acupuncture at Shu, Yuan, and Mu acupoints on blood serum uric acid and xanthine oxidase levels in a rat model of gout and hyperuricemia" J Tradit Chin Med (2017)
[32]
Huang "Acupuncture for serum uric acid in patients with asymptomatic hyperuricemia: A randomized, double-blind, placebo-controlled trial" (2017) 10.1016/j.ijcard.2017.01.016
[33]
Huang "Acupuncture for serum uric acid in patients with asymptomatic hyperuricemia: A randomized, double-blind, placebo-controlled trial" Int J Cardiol (2017) 10.1016/j.ijcard.2017.01.016
[34]
Sun "Acupuncture of the Five Shu Acupoints in spleen meridian to lower blood uric acid level" Ann Palliat Med (2014) 10.3978/j.issn.2224-5820.2014.01.04
[35]
SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials

A.-W. Chan, J. M. Tetzlaff, P. C. Gotzsche et al.

BMJ 2013 10.1136/bmj.e7586
[36]
MacPherson "Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement" Acupunct Med (2010) 10.1136/aim.2009.001370
[37]
Khanna "2012 American College of Rheumatology guidelines for management of gout. Part 1: systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia" Arthritis Care Res (Hoboken) (2012) 10.1002/acr.21772
[38]
Zhou "Characterization of de qi with electroacupuncture at acupoints with different properties" J Altern Complement Med (2011) 10.1089/acm.2010.0652
[39]
Xu "Manual acupuncture versus sham acupuncture and usual care for prophylaxis of episodic migraine without aura: multicentre, randomised clinical trial" BMJ (2020) 10.1136/bmj.m697
[40]
Streitberger "Introducing a placebo needle into acupuncture research" Lancet (1998) 10.1016/s0140-6736(97)10471-8
[41]
Angus-Leppan "Manual acupuncture for migraine" BMJ (2020) 10.1136/bmj.m1096
[42]
Dehlin "Global epidemiology of gout: prevalence, incidence, treatment patterns and risk factors" Nat Rev Rheumatol (2020) 10.1038/s41584-020-0441-1
[43]
Joosten "Asymptomatic hyperuricaemia: a silent activator of the innate immune system" Nat Rev Rheumatol (2020) 10.1038/s41584-019-0334-3
[44]
Grimes "The Good Clinical Practice guideline: a bronze standard for clinical research" Lancet (2005) 10.1016/s0140-6736(05)66875-4
[45]
Spaeth "A longitudinal study of the reliability of acupuncture deqi sensations in knee osteoarthritis" Evid Based Complement Alternat Med (2013) 10.1155/2013/204259
[46]
Kuwabara "Tips and pitfalls in uric acid clinical research" Hypertens Res (2023) 10.1038/s41440-022-01148-z
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Published
Oct 13, 2023
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Ling-ling Yu, Chen-nan Li, Meng-yue Fang, et al. (2023). Evaluating the effectiveness and safety of acupuncture on serum uric acid in asymptomatic hyperuricemia population: a randomized controlled clinical trial study protocol. Frontiers in Endocrinology, 14. https://doi.org/10.3389/fendo.2023.1218546
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