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CTRI Number  CTRI/2024/05/067587 [Registered on: 17/05/2024] Trial Registered Prospectively
Last Modified On: 20/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Determining the effect of duration of ear acupuncture at a specific point 
Scientific Title of Study   Clinical evaluation of the time effect relationship of auriculoacupuncture at point zero on autonomic function among healthy volunteers 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr D Annamalai 
Designation  PG Scholar 
Affiliation  International Institute Of Yoga and Naturopathy Medical Sciences 
Address  184/4,International Institute of Yoga and Naturopathy Medical Sciences, Faculty block ,Ground floor , Kamarajar nagar, Chengalpattu

Kancheepuram
TAMIL NADU
603001
India 
Phone  9025899710  
Fax    
Email  annamalai.sd@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr N Prabu 
Designation  Assistant Medical Officer / Lecturer Grade II 
Affiliation  International Institute Of Yoga and Naturopathy Medical Sciences 
Address  184/4,International Institute of Yoga and Naturopathy Medical Sciences, Faculty block ,Ground floor , Kamarajar nagar, Chengalpattu

Kancheepuram
TAMIL NADU
603001
India 
Phone  9566351891  
Fax    
Email  drprabubnys91@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr N Prabu 
Designation  Assistant Medical Officer / Lecturer Grade II 
Affiliation  International Institute Of Yoga and Naturopathy Medical Sciences 
Address  184/4,International Institute of Yoga and Naturopathy Medical Sciences, Faculty block ,Ground floor , Kamarajar nagar, Chengalpattu

Kancheepuram
TAMIL NADU
603001
India 
Phone  9566351891  
Fax    
Email  drprabubnys91@gmail.com  
 
Source of Monetary or Material Support  
International Institute of Yoga and Naturopathy Medical Sciences,Chengalpattu 
 
Primary Sponsor  
Name  Dr D Annamalai 
Address  184/4,International Institute of Yoga and Naturopathy Medical Sciences, Faculty block ,Ground floor , Kamarajar nagar, Chengalpattu 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
nil  nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr D Annamalai  International Institute of Yoga and Naturopathy Medical Sciences  184/4,International Institute of Yoga and Naturopathy Medical Sciences, Faculty block ,Ground floor , Kamarajar nagar, Chengalpattu
Kancheepuram
TAMIL NADU 
9025899710

annamalai.sd@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
International Institute of Yoga and Naturopathy Medical Sciences, Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Autonomic function 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  AURICULO ACUPUNCTURE  A sterile press needle will be inserted bilaterally at point zero ( root of the helix ) with penetration upto 0.3 mm perpendicularly which is retained for 30 minutes 
Intervention  AURICULO ACUPUNCTURE  A sterile press needle will be inserted bilaterally at point zero ( root of the helix ) with penetration upto 0.3 mm perpendicularly which is retained for 5 minutes  
Intervention  AURICULO ACUPUNCTURE  A sterile press needle will be inserted bilaterally at point zero ( root of the helix ) with penetration upto 0.3 mm perpendicularly which is retained for 60 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Healthy volunteers with BMI less than 25 kg/m2 and who are willing to participate 
 
ExclusionCriteria 
Details  Individuals with open wound in the ear, extensive ear rings, previously diagnosed of psychiatric disease , presence of neurological and cardiac disease, individual under addictions of alcohol , drugs and smoking 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary outcome will determine the effectiveness of acupuncture in eliciting parasympathetic activation based on changes in heart rate variability.  ONLY BASELINE AND 5 MINUTES/30 MINUTES/60 MINUTES 
 
Secondary Outcome  
Outcome  TimePoints 
Mini-Wright’s Peak expiratory flowmeter has been used a standard method for Peak expiratory
flow rate will be determined before and after the study and record the changes. 
ONLY BASELINE AND 5 MINUTES/30 MINUTES/60 MINUTES 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/06/2024 
Date of Study Completion (India) 02/06/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="1"
Days="1" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response (Others) -  online

  6. For how long will this data be available start date provided 10-05-2024 and end date provided 11-05-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   Auriculotherapy (Part of Acupuncture) has been utilized in Traditional Chinese Medicine (TCM) for both diagnosis and treatment. According to TCM, the ear is believed to be directly connected with the 12 meridians.Dr. Paul Nogier introduced an ear diagrammatic chart in 1957, representing an inverted fetus, which was subsequently approved by the World Health Organization (WHO).In 2009, Dr.Romoli and Mazzoni updated this chart into a sectogram, incorporating auriculotherapy points that extend outward from the root of the helix, known as Point Zero. The practice of acupuncture depends on several factors like type of needle, frequency, technique, manual acupuncture, electrical acupuncture, disease and particularly duration of needle retention makes it difficult for clinical practice. The duration of acupuncture treatment has not been paid attention on clinical research so  this study focuses on investigating the effects of needle retention period on auriculotherapy at Point Zero. Healthy volunteers of age group between 18- 40 years with BMI (18-25 kg/m2). After screening of healthy volunteers ,they will be divided into 3 different groups, each group will have n=30 subjects called Arm 1, Arm 2, Arm 3. Participants of Arm 1(n=30) will receive acupuncture at Point zero with Press needle(3×3mm) for a duration of 5 minutes, Arm 2(n=30) participants will receive the same procedure for 30 minutes and participants of Arm 3 will receive the same procedure for 60(n=30) minutes.  As a primary outcome, HRV will be assessed on baseline and after 5/30/60 minutes. As a secondary outcome, PEFM ( Peak Exploratory Flow Meter) will be assessed on baseline and after 5/30/60 minutes. 
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