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Efficacy and safety of acupuncture for chronic pain caused by tension-type headache: a multi-centre randomised controlled clinical trial
ISRCTN ISRCTN36780548
ClinicalTrials.gov identifier
Public title Efficacy and safety of acupuncture for chronic pain caused by tension-type headache: a multi-centre randomised controlled clinical trial
Scientific title
Acronym Gerac-sks
Serial number at source 1748
Study hypothesis The aim of the study is to evaluate the efficacy of Chinese acupuncture = TCM acupuncture (verum) in comparison to sham-acupuncture and standard therapy (drug therapy with amitriptyline) in tension-type headache.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Germany
Disease/condition/study domain Tension-type headache
Participants - inclusion criteria Signed informed consent, aged 18-65, diagnosis of tension-type headache according to the criteria of the International Headache Society, tension-type headaches for >6 months, at least 10 headache days per month during the last 4 weeks before randomization (completed baseline headache diary), each day is rated as a headache day if headaches persisted for at least 4 hours or if the administration of analgesics is necessary to attenuate the pain, von Korff Chronic Pain Score at least Grade I, ability to speak and read German (to understand the questionnaires and telephone interviews).
Participants - exclusion criteria Additional migraines for more than 1 day per month, secondary headaches, additional chronic pain as a result of other additional diseases, prophylaxis of headaches with drugs during the last 12 months, modification of a permanent analgesic therapy, or a new cortison-therapy within the last 8 weeks before randomization, abuse of drugs or pain medication, any acupuncture treatment against tension-type headaches at any time, or previous treatment with needle-acupuncture in any other indication in the last year.
Anticipated start date 29/04/2002
Anticipated end date 15/06/2005
Status of trial Completed
Patient information material
Target number of participants 945
Interventions Chronic pain sufferers (tension-type headache) are randomly allocated to one of the three treatment groups (verum acupuncture, sham acupuncture, or established standard therapy = amitriptyline).
Primary outcome measure(s) The binary endpoint is success, yes or no, 6 months after randomization. Success is defined as a reduction of the number of headache days per month of more than 50% in comparison with the number per month at baseline.
Secondary outcome measure(s) Pain intensity, von Korff Score, health-related quality of life (12-Item Short-Form Health Survey SF-12), Global Patient Assessment, number of adverse and severe adverse events, quality parameters e.g. the assessment of patients blindness to the mode of acupuncture (by asking the patient to guess their group assignment after the last follow up)
Sources of funding German public health insurance providers: AOK, BKK, IKK, Bundesknappschaft, Bundesverband der Landwirtschaftlichen Krankenkassen, and Seekasse (Germany)
Trial website http://www.gerac.de
Publications
Contact name Prof  Martin  Tegenthoff
  Address Bürkle de la Camp Platz 1
  City/town Bochum
  Zip/Postcode 44789
  Country Germany
  Tel +49 (0)234 3026809
  Email martin.tegenthoff@ruhr-uni-bochum.de
Sponsor Ruhr-University Bochum (Germany)
  Address c/o Prof. Dr. H.J. Trampisch
Universitaetsstr. 150
  City/town Bochum
  Zip/Postcode 44780
  Country Germany
  Tel +49 (0)234 3227790
  Fax +49 (0)234 3214325
  Email hans.j.trampisch@ruhr-uni-bochum.de
  Sponsor website: http://www.amib.ruhr-uni-bochum.de/
Date applied 08/06/2005
Last edited 11/09/2009
Date ISRCTN assigned 29/06/2005
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