Acupuncture First for IC/BPS

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-89
SponsorUniversity Hospitals Cleveland Medical Center

About this trial

The goal of this clinical trial is to learn if acupuncture in addition to behavioral changes can better treat in women with bladder pain syndrome (also known as interstitial cystitis) that have not received other treatments. The main question it aims to answer is:

Does acupuncture improve pain symptoms on the Interstitial Cystitis Index? Researchers will compare six (6) weeks behavioral management alone to behavioral management and acupuncture.

Participants will

* complete surveys about their bladder pain symptoms * make behavioral changes that have been shown to improve bladder pain symptoms * attend six (6) weekly acupuncture sessions * attend six (6) weekly physical therapy sessions after finishing acupuncture

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Meets American Urologic Association (AUA) criteria for interstitial cystitis/bladder pain syndrome (IC/BPS): "An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than 6 weeks duration, in the absence of other identifiable cause"

Negative urine culture

Has completed cystoscopic evaluation for IC/BPS

Disqualifiers

History of recurrent urinary tract infection (2 or more culture-positive in 6 months or 3 or more in 12 months)

History of overactive bladder

History of bleeding disorder or are currently on chronic anti-coagulation

Post-void residual >100mL

Trial design

Design model

Parallel

Treatments tested in this trial

  • Acupuncture

    Other intervention

    traditional and electroacupuncture

  • Behavioral management

    Behavioral

    based on American urologic association guidelines

  • Physical therapy

    Other intervention

    pelvic floor with biofeedback

Treatment groups

34 Participants
are divided into 2 treatment groups
Group A: AcupunctureExperimental treatment 3 interventions
Group B: Behavioral ManagementActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

O'Leary-Sant Interstitial Cystitis Index (OLSICI)

Validated 8-item questionnaire with reported scores ranging 0-37. Higher scores are consistent with worse symptoms.

Time frame
Baseline, every 2 weeks x3 (6 week study protocol period), every 4 weeks x 13 (52 week post-treatment period)

Secondary outcomes

1

Patient Global Impression of Improvement (PGI-I)

Validated 1-item likert-scale question on a scale from 1 (very much better) to 7 (very much worse).

Time frame
x1 (end of 6 week study protocol period), x1 (end of 1 year post-treatment period)
2

Short Form (SF-36)

Validated 36-item questionnaire. Higher scores are consistent with worse symptom control.

Time frame
x1 (end of 6 week study protocol period), x1 (end of 1 year post-treatment period)
3

Genitourinary Pain Index (GUPI)

Validated 9-item questionnaire with reported scores ranging 0-45. Higher scores are consistent with worse symptom control.

Time frame
Baseline, every 2 weeks x3 (6 week study protocol period), every 4 weeks x 13 (52 week post-treatment period)
4

Number of additional treatments used during study period

Treatments include pharmacotherapy, intradetrusor botox, neuromodulation, cyclosporine

Time frame
1 year post-treatment period

Other outcomes

Sponsors and contacts

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