Evidence map›Paper›PMID 38894565›Full record

Trial reportJournal of cosmetic dermatology2024

Efficacy and safety of fire needle therapy in treating non-segmental stable vitiligo: A randomized self-controlled clinical trial.

Yuyi Wang, Mao Lin, Fang Huang, Ruiling Jia, Wei Xu, Qi He, Qiong Xiong, Qin Hu, Qingchun Diao, Zhaolan Liu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cosmetic dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yuyi WangCentre for Evidence Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Mao LinDepartment of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Fang HuangChongqing Jiulongpo District Shiqiaopu Community Health Service Center, Chongqing, China.
Ruiling JiaDepartment of Dermatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Wei XuDepartment of Dermatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Qi HeDepartment of Dermatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Qiong XiongDepartment of Dermatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Qin HuDepartment of Dermatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Qingchun DiaoDepartment of Dermatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
Zhaolan LiuCentre for Evidence Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

Funding

National Natural Science Foundation of China 82374298Project on Enhancing Evidence-Based Capability in Traditional Chinese Medicine
6 · The paper itself

Abstract

backgroundVitiligo remains a challenging condition to treat. Fire needle therapy, a traditional Chinese medicine technique, has potential as an alternative therapeutic strategy. However, rigorous evidence on its efficacy is lacking.

objectiveWe aimed to evaluate the efficacy and safety of fire needle therapy, alone and combined with topical tacrolimus ointment, for non-segmental stable vitiligo.

methodsIn this 6-month randomized self-controlled trial, 35 vitiligo patients were enrolled, providing three similar lesions each. Lesions were randomly allocated to receive fire needle monotherapy, 0.1% tacrolimus ointment monotherapy, or combined fire needle and tacrolimus ointment therapy. The main outcome was change in vitiligo surface area.

resultsIn total, 29 patients completed the 6-month follow-up. The combination therapy group showed significantly greater reductions in vitiligo surface area compared to monotherapy groups starting at months 4 and 5. By the end of the study, combination therapy resulted in remarkably higher repigmentation responses, with 89.7% of lesions showing at least mild (≥25%) repigmentation and 51.7% showing good (≥50%) repigmentation. This significantly exceeded the outcomes with topical tacrolimus ointment alone, which only achieved 6.9% mild response and 6.9% good response. Fire needle monotherapy also demonstrated steady repigmentation over time, with 69% of lesions attaining a mild response by month 6. Importantly, no major adverse events occurred.

conclusionThis study provides promising preliminary evidence supporting the use of fire needle therapy, alone or in combination with topical tacrolimus ointment, for inducing repigmentation in non-segmental stable vitiligo. As a non-pharmacological approach, fire needle therapy warrants further study as an alternative vitiligo treatment.

Indexed as

OintmentsSkin PigmentationTacrolimusVitiligoAcupuncture TherapyAdministration, CutaneousAdolescentAdultCombined Modality TherapyFemaleFollow-Up StudiesHumansImmunosuppressive AgentsMaleMiddle AgedTreatment OutcomeImmunosuppressive AgentsOintmentsTacrolimusfire needle therapyrandomized controlled trialrepigmentationtacrolimusvitiligo

Identifiers

PMID38894565
PMCPMC13648882

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.