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| Name | Class |
|---|---|
| Beijing Union Pharmaceutical Factory Ltd | INDUSTRY |
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The study adopted the superiority design of multi center, randomized, double-blind, positive control drug, dose finding, using two simulation skills. The qualified subjects, according to the ratio of 1:1:1, were randomized into low dose group, high dose group and positive drug control group, and received a treatment course of 4-8 weeks, all individuals were followed up for 4 weeks after drug withdrawal.
Explore the safety and efficacy of different doses of bicyclol in treatment of acute drug-induced liver injury using polyene phosphatidylcholine capsule as the positive control drug.
The study adopted the design of multi center, randomized, double-blind, dose finding, positive control drug, superiority test, using two simulation skills. The qualified subjects, according to the ratio of 1:1:1, were randomized into low dose group and high dose group and positive drug control group, and received a treatment course of 4-8 weeks, all individuals were followed up for 4 weeks after drug withdrawal.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| low dose group | Experimental | Patients in the low dose group administrated bicyclol tablet 25mg orally, three times daily for 4-8 weeks. |
|
| high dose group | Experimental | Patients in the high dose group administrated bicyclol tablet 50mg orally, three times daily for 4-8 weeks. |
|
| positive drug control group | Active Comparator | Patients in the positive drug control group administrated polyene phosphatidylcholine capsule 456mg orally, three times daily for 4-8 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bicyclol tablet 25mg | Drug | Patients in the low dose group administrated bicyclol tablet 25mg, one bicyclol blank analog tablet and two polyene phosphatidylcholine blank analog capsules orally, three times daily for 4-8 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| The decline range of serum ALT after 4 weeks of treatment | The decrease value of serum ALT after 4 weeks of treatment compared to the baseline | after 4 weeks of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| The decrease value of serum AST compared to the baseline of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks | The decrease value of serum AST compared to the baseline | after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks |
| The decrease value of serum ALT compared to the baseline of treatment for 1, 2, 6, 8 weeks and follow-up for 2, 4 weeks |
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Inclusion criteria:
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yimin Mao | RenJi Hospital | Study Chair |
| Chengwei Chen | No.85 hospital of PLA | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anhui Provincial Hospital | Hefei | Anhui | China | |||
| Beijing Chest Hospital, Capital Medical University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35567757 | Derived | Tang J, Gu J, Chu N, Chen Y, Wang Y, Xue D, Xie Q, Li L, Mei Z, Wang X, Li J, Chen J, Li Y, Yang C, Wang Y, Shang J, Xie W, Hu P, Li D, Zhao L, Lan P, Wang C, Chen C, Mao Y. Efficacy and safety of bicyclol for treating patients with idiosyncratic acute drug-induced liver injury: A multicenter, randomized, phase II trial. Liver Int. 2022 Aug;42(8):1803-1813. doi: 10.1111/liv.15290. Epub 2022 May 25. |
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| bicyclol tablet 50mg | Drug | Patients in the high dose group administrated bicyclol tablet 50mg and two polyene phosphatidylcholine blank analog capsules orally, three times daily for 4-8 weeks. |
|
|
| polyene phosphatidylcholine capsule 456mg | Drug | Patients in the positive drug control group administrated polyene phosphatidylcholine capsules 456mg and two bicyclol blank analog tablets orally, three times daily for 4-8 weeks. |
|
|
The decrease value of serum ALT compared to the baseline |
| after 1, 2, 6, 8 weeks treatment and follow-up for 2, 4 weeks |
| The decrease rate of serum ALT compared to the baseline of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks | The decrease rate of serum ALT compared to the baseline | after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks |
| The time from treatment to ALT normalization | The time from treatment to ALT normalization | treatment period |
| The ratio of subjects whose ALT and AST declined more than 50% compared to the base line of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks | The ratio of subjects whose ALT and AST declined more than 50% compared to the base line | after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks |
| The serum ALT and AST normalization rate of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks | The serum ALT and AST normalization rate | after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks |
| The area under curve of ALT and AST of treatment for 1, 2, 4, 6, 8 weeks and follow-up for 2, 4 weeks | The area under curve of ALT and AST | after 1, 2, 4, 6, 8 weeks treatment and follow-up for 2, 4 weeks |
| Beijing |
| Beijing Municipality |
| 101149 |
| China |
| Beijing Ditan Hospital, Capital Medical University | Beijing | Beijing Municipality | China |
| The second affiliated Hospital of Chongqing Medical University | Chongqing | Chongqing Municipality | China |
| Fuzhou General Hospital of Nanjing Military Command | Fuzhou | Fujian | 350025 | China |
| The First affiliated Hospital of Xinxiang Medical University | Weihui | Henan | China |
| Henan Infectious Diseases Hospital | Zhengzhou | Henan | China |
| Henan Provincial People's Hospital | Zhengzhou | Henan | China |
| The Second Xiangya Hospital of Central South University | Changsha | Hunan | China |
| Jiangsu Province Hospital | Nanjing | Jiangsu | China |
| Renji Hospital ,Shanghai Jiao Tong University School of Medicine | Shanghai | Shanghai Municipality | 200127 | China |
| No.85 hospital of PLA | Shanghai | Shanghai Municipality | China |
| Ruijin Hospital ,Shanghai Jiao Tong University School of Medicine | Shanghai | Shanghai Municipality | China |
| Shanghai Putuo District Central Hospital | Shanghai | Shanghai Municipality | China |
| Tongji Hospital of Tongji University | Shanghai | Shanghai Municipality | China |
| Tianjin Haihe Hospital | Tianjin | Tianjin Municipality | China |
| Shanghai Lung Hospital | Shanghai | China |
| ID | Term |
|---|---|
| D056486 | Chemical and Drug Induced Liver Injury |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| D064419 | Chemically-Induced Disorders |
| D011041 | Poisoning |
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| ID | Term |
|---|---|
| C477843 | bicyclol |
| C029449 | polyene phosphatidylcholine |
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