UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057695
Receipt number R000065561
Scientific Title A Retrospective Study on Estimating Acupuncture Treatment Effects for Peripheral Facial Nerve Palsy Using Electroacupuncture-Induced Facial Muscle Contraction Response and the Yanagihara Score
Date of disclosure of the study information 2025/04/23
Last modified on 2026/03/25 15:18:15

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Basic information

Public title

Study on Estimating Acupuncture Treatment Effects using Facial Muscle Contraction Response and the Yanagihara Score

Acronym

EAFaY Study

Scientific Title

A Retrospective Study on Estimating Acupuncture Treatment Effects for Peripheral Facial Nerve Palsy Using Electroacupuncture-Induced Facial Muscle Contraction Response and the Yanagihara Score

Scientific Title:Acronym

EAFaY Study

Region

Japan


Condition

Condition

patients with peripheral facial palsy

Classification by specialty

Neurology Oto-rhino-laryngology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to estimate the therapeutic effects of acupuncture in patients with acute peripheral facial palsy (FP) by classifying them into groups based on differences in facial muscle contraction responses (FMCR) induced by electroacupuncture stimulation and the Yanagihara score, a commonly used facial palsy assessment tool.

Basic objectives2

Others

Basic objectives -Others

NA

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Two predictive models will be constructed in this study. Model 1 will classify patients into groups based solely on the facial muscle contraction response (FMCR), whereas Model 2 will classify patients into groups based on both the FMCR and the Yanagihara score. Within each model, hazard ratios for achieving the predefined recovery criteria will be estimated for each group. In addition, time-dependent area under the curve (AUC) values at 30, 90, 180, and 360 days after onset will be calculated and compared between the two models using the modified DeLong test, with Holm's procedure applied to adjust for multiple comparisons.

Key secondary outcomes

Differences in electroneurography (ENoG) values between Model 1 and Model 2 will also be examined.
In addition, hazard ratios for achieving the predefined recovery criteria will be estimated for comparisons among groups within each model: Model 1, Model 2, and Model 3 will classify patients into groups based on both electroneurography (ENoG) values and the Yanagihara score. Model 4 will classify patients into groups based on the Yanagihara score. Model 5 will classify patients into groups based on ENoG values alone. Hazard ratios for achieving the predefined recovery criteria will be estimated for comparisons among groups within each model. In addition, time-dependent AUC values at 30, 90, 180, and 360 days after onset will be calculated and compared using the modified DeLong test, with Holm's procedure applied to adjust for multiple comparisons


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Patients with peripheral facial palsy who received acupuncture treatment at the Department of Oriental Medicine, Saitama Medical University Hospital between June 1, 2016, and December 31, 2023.
 (Acupuncture treatments included electroacupuncture near the affected facial nerve and needling of the facial muscles.)
2.Patients within two weeks of onset.
3.Patients who underwent ENoG using the modified NLF method.
4.Patients whose FMCR results were recorded in the electronic medical record.
5.Patients whose Yanagihara scores within two weeks of onset were recorded in the electronic medical record.

Key exclusion criteria

1.Patients with a history of either central or peripheral facial nerve palsy.
2.Patients with unknown onset date, medical history, or medication history.
3.Patients without a confirmed diagnosis of the cause of peripheral facial palsy (e.g., insufficient differential diagnosis to conclude Bell's palsy).
4.Patients with ENoG values equal to or greater than 100%.
5.Patients who underwent ENoG more than two weeks after onset.
6.Patients who expressed a desire to be excluded from the study.

Target sample size

175


Research contact person

Name of lead principal investigator

1st name Go
Middle name
Last name Horibe

Organization

Saitama Medical University Hospital

Division name

Department of Oriental Medicine, Department of Neurology

Zip code

350-495

Address

Morohongo 38, Moroyama-machi, Iruma-gun, Saitama, Japan

TEL

049-276-2108

Email

ghoribe@saitama-med.ac.jp


Public contact

Name of contact person

1st name Go
Middle name
Last name Horibe

Organization

Saitama Medical University Hospital

Division name

Department of Oriental Medicine

Zip code

350-0495

Address

Morohongo 38, Moroyama-machi, Iruma-gun, Saitama, Japan

TEL

049-276-2108

Homepage URL


Email

ghoribe@saitama-med.ac.jp


Sponsor or person

Institute

Saitama Medical University Hospital

Institute

Department

Personal name

Go Horibe


Funding Source

Organization

Saitama Medical University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of Saitama Medical University Hospital

Address

Morohongo 38, Moroyama-machi, Iruma-gun, Saitama, Japan

Tel

049-276-1354

Email

horibe.go@1972.saitama-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 04 Month 23 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Suspended

Date of protocol fixation

2024 Year 03 Month 24 Day

Date of IRB

2025 Year 05 Month 08 Day

Anticipated trial start date

2024 Year 05 Month 08 Day

Last follow-up date

2025 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

retrospective observational study


Management information

Registered date

2025 Year 04 Month 23 Day

Last modified on

2026 Year 03 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065561