New modified acupotomy method for ankylosing spondylitis

Clinical Trial Study on the Improved New Method of Acupotomy for Ankylosing Spondylitis

Not applicable Interventional China-Japan Friendship Hospital · NCT07578220

This study tests whether a modified ultrasound-guided acupotomy can reduce disease activity and symptoms in adults (18–75) with active ankylosing spondylitis (BASDAI ≥4) compared with a sham procedure.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment60 (estimated)
Ages18 Years to 75 Years
SexAll
SponsorChina-Japan Friendship Hospital Academic / other
Locations1 site (Henan, Zhengzhou)
Trial IDNCT07578220 on ClinicalTrials.gov

What this trial studies

This is a randomized controlled study comparing a modified, ultrasound-guided acupotomy procedure to a sham acupotomy in patients with active ankylosing spondylitis. Ultrasound is used to localize operative sites before performing the minimally invasive needle-knife intervention or the sham procedure. Outcomes focus on changes in disease activity, symptom relief, and safety measures following the intervention. The trial aims to provide evidence to guide clinical use and standardize acupotomy techniques for AS.

Who should consider this trial

Good fit: Adults aged 18–75 who meet the 1984 New York or 2009 ASAS criteria for axial spondyloarthritis, have BASDAI ≥4, and can provide informed consent are ideal candidates.

Not a fit: Patients with complete spinal ankylosis or deformity, other autoimmune spondyloarthropathies (psoriatic/reactive/IBD-associated), severe comorbidities, coagulation disorders, or who are pregnant or lactating are unlikely to benefit or be eligible.

Why it matters

Potential benefit: If successful, the procedure could lower disease activity and pain and offer a minimally invasive treatment option to improve function and quality of life for people with AS.

How similar studies have performed: Small studies of acupotomy and related minimally invasive needle-knife techniques have shown benefits for some musculoskeletal pains, but randomized data specifically in ankylosing spondylitis are limited and the ultrasound-guided modification is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Meeting the 1984 revised New York criteria or the 2009 Assessment of SpondyloArthritis International Society (ASAS) classification criteria for axial spondyloarthritis
2. Age 18-75 years
3. BASDAI ≥4
4. Signed informed consent form

Exclusion Criteria:

1. Presence of autoimmune diseases other than the studied condition
2. Complete spinal ankylosis or spinal deformity
3. Pregnant or lactating women
4. Comorbid severe cardiovascular or cerebrovascular diseases, hepatic or renal failure, malignant tumors, or coagulation disorders
5. Patients unable to comply with data collection due to mental, linguistic, or similar factors
6. Patients with psoriatic arthritis, reactive arthritis, or inflammatory bowel disease-associated spondyloarthritis

Where this trial is running

Henan, Zhengzhou

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Ankylosing Spondylitis
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.