UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061637
Receipt number R000070520
Scientific Title The effect of press needles on myofascial pain syndrome in patients with advanced cancer: a randomized controlled trial
Date of disclosure of the study information 2026/07/01
Last modified on 2026/05/19 22:55:12

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Basic information

Public title

The effect of press needles on myofascial pain syndrome in patients with advanced cancer: a randomized controlled trial

Acronym

The effect of press needles on myofascial pain syndrome in patients with advanced cancer: a randomized controlled trial

Scientific Title

The effect of press needles on myofascial pain syndrome in patients with advanced cancer: a randomized controlled trial

Scientific Title:Acronym

The effect of press needles on myofascial pain syndrome in patients with advanced cancer: a randomized controlled trial

Region

Japan


Condition

Condition

myofascial pain syndrome

Classification by specialty

Hematology and clinical oncology Anesthesiology Adult

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We aim to evaluate the analgesic effect of press needles on myofascial pain syndrome, which occurs in terminally ill cancer patients who are bedridden for long periods of time, and to establish a non-pharmacological analgesic treatment.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Difference in pain change 24 hours before and after placement of press needles (Numerical Rating Scale)

Key secondary outcomes

1) Secondary effects other than pain relief (improvement of sleep, fatigue, etc.)
2) Frequency of adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking

YES

Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Press needle placement is performed on patients with advanced cancer who are hospitalized in a palliative care ward and have myofascial pain syndrome. Before inserting the Press needles, the painful areas that meet the diagnostic criteria for MPS are identified by palpation based on Rivers' diagnostic criteria. After identifying the pain site, the physician places 1.5 mm press needles (Pyonex, Seirin TM) in patients in the acupuncture group. Pain assessment and treatment are performed by different physicians. The treatment is performed in a way that the shape of the needles is not visible to the patients, and they are not informed which type of needle was placed (the practitioners are not blinded because the needles have different shapes).

Interventions/Control_2

Press needle placement is performed on patients with advanced cancer who are hospitalized in a palliative care ward and have myofascial pain syndrome. Before inserting the Press needles, the painful areas that meet the diagnostic criteria for MPS are identified by palpation based on Rivers' diagnostic criteria. After identifying the pain site, the physician places sham needles (brand names: Pyonex Zero, Seirin TM) in patients in the acupuncture-free group. Pain assessment and treatment are performed by different physicians. The treatment is performed in a way that the shape of the needles is not visible to the patients, and they are not informed which type of needle was placed (the practitioners are not blinded because the needles have different shapes).

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

20 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Eastern Cooperative Oncology Group Performance Status (ECOG-PS) 2-4
2)Those diagnosed with MPS who meet Rivers' diagnostic criteria
3)Those with pain in the area affected by MPS of NRS 4/10
4)Those whose MPS is caused by being bedridden for more than one week

Key exclusion criteria

1)Those who are likely to bleed easily
2)Those who are likely to be susceptible to infection
3)Those who have skin abnormalities such as redness, swelling, or edema at the site of pain that may be MPS

Target sample size

16


Research contact person

Name of lead principal investigator

1st name Kenji
Middle name
Last name Yamamoto

Organization

NHO Hokkaido Cancer Center

Division name

Division of Palliative Care Medicine

Zip code

0030804

Address

2-3-54 Kikusui 4-jo, Shiroishi-ku, Sapporo, Hokkaido, Japan

TEL

09036406610

Email

cab55640@yahoo.co.jp


Public contact

Name of contact person

1st name Kenji
Middle name
Last name Yamamoto

Organization

NHO Hokkaido Cancer Center

Division name

Division of Palliative Care Medicine

Zip code

3900803

Address

2-3-54 Kikusui 4-jo, Shiroishi-ku, Sapporo, Hokkaido, Japan

TEL

09036406610

Homepage URL


Email

cab55640@yahoo.co.jp


Sponsor or person

Institute

NHO Hokkaido Cancer Center

Institute

Department

Personal name

Kenji Yamamoto


Funding Source

Organization

none

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

NHO Hokkaido Cancer Center IRB

Address

2-3-54 Kikusui 4-jo, Shiroishi-ku, Sapporo, Hokkaido, Japan

Tel

011-811-9111

Email

100-mb10kar5@mail.hosp.go.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

2026 Year 07 Month 01 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

Preinitiation

Date of protocol fixation

2026 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 07 Month 01 Day

Last follow-up date

2028 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 05 Month 19 Day

Last modified on

2026 Year 05 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070520