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| Name | Class |
|---|---|
| China Food and Drug Administration | OTHER_GOV |
| Chinese Academy of Medical Sciences | OTHER |
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This is a multicenter, double-blind, randomized and placebo-controlled trial. The study aims to evaluate the effectiveness and safety of Xue-Fu-Zhu-Yu Capsule (XFZYC) for Qi Stagnation and Blood Stasis syndrome (QS&BSS). QS&BSS is one of the common Zhengs in Traditional Chinese Medicine, which manifests as various symptoms and signs, such as distending pain or tingling sensation in a fixed position, irritability or depression, dim complexion, lumps in body, blood spot under the skin, unsmooth or string-like pulse, purplish tongue or petechia in the tongue, etc. In fact, Qi stagnation and blood stasis are common pathological conditions that would occur on human body for several times in the long period of human's life. Besides, QS&BSS is associated with over 50 kinds of diseases including Coronary Heart Disease, hypertension, cerebral infarction, gastritis, arthritis, dysmenorrhea, chronic pelvic infection, skin disease, and cancer. Xue-Fu-Zhu-Yu Capsule, one of Chinese herbal medicine drugs, could perform the function of promoting Qi and activating blood to relieve the symptoms of QS&BSS, which was approved by the China Food and Drug Administration in 2002. It has been applied for QS&BSS since it was recorded in the book Correction on Errors in Medical Classics 200 years ago. In recent years, a number of clinical trials have focused on the effectiveness and safety of XFZYC on patients with QS&BSS subtype of coronary heart disease, hyperlipidemia, ischemic cerebrovascular disease, gastritis, dysmenorrhea, and arthritis in terms of the outcomes of relevant diseases. Our research group plan this randomized controlled trial to evaluate the effectiveness and safety of Xue-Fu-Zhu-Yu Capsule (XFZYC). A total of 120 patients will be enrolled at the following three hospitals: (1)Guang'anmen Hospital, China Academy of Chinese Medical Sciences, (2)Huguosi TCM Hospital Affiliated to Beijing University of Chinese Medicine, (3)Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China. All participants, with different kinds of disease, will receive the standard medical care according to the guidelines. Participants will undergo a 7-week treatment. The primary outcome is the total score of the Traditional Chinese Medicine Patient Reported Outcome (PRO) Scale in Patients of QS&BSS; the secondary outcome is the score of the single symptom and sign scale of QS&BSS and the score of the pain scale of QS&BSS on the day of enrollment, and at 2nd, 4th, 6th, 7th weeks. Safety outcomes include physical examination (temperature, respiration, heart rate, blood pressure, height and weight); electrocardiogram (ECG); complete blood cell count; coagulation function (prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT), fibrinogen (FIB), D-Dimer, INR); urinalysis; fecal occult blood test; Liver function (ALT, aspartate aminotransferase (AST), alkaline phosphatase (ALP), serum total bilirubin (STB), and γ-glutamyl transpeptidase (γ-GT)); renal function (Creatinine (Cr), blood urea nitrogen (BUN), and urine N-acetyl-β glucosaminidase) on the day of enrollment, and at 7th weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| test group | Experimental | the patients in this group take 6 xue-fu-zhu-yu capsules once, twice a day, for 7weeks. |
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| control group | Placebo Comparator | the patients in this group take 6 xue-fu-zhu-yu capsule simulated agents once, twice a day, for 7weeks.. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| xue-fu-zhu-yu capsule | Drug | participants are given to 6 xue-fu-zhu-yu capsule per time, twice a day. The duration is 7 weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| The Traditional Chinese Medicine PRO Scale | The Traditional Chinese Medicine PRO scale includes physiological domain,psychological domain,independence and social domain. And the change of the total score of the Traditional Chinese Medicine PRO Scale in Patients of QS&BSS will be assessed. | baseline, 2nd,4th,6th and 7th week |
| Measure | Description | Time Frame |
|---|---|---|
| The single symptom and sign scale of QS&BSS | Patients' single symptom and sign evaluation will use the score of the single symptom and sign scale of QS&BSS. According to the degree of symptom and sign, the score is given as no = 0; mild = 1; moderate = 2; severe = 3 | baseline, 2nd,4th,6th and 7th week |
| The pain scale of QS&BSS |
| Measure | Description | Time Frame |
|---|---|---|
| safety outcome | physical examination (temperature, respiration, heart rate, blood pressure, height and weight), complete blood cell count, urinalysis, stool examination, fecal occult blood test, liver function (ALT, AST, alkaline phosphatase (ALP), serum total bilirubin (STB), and γ-glutamyl transpeptidase (γ-GT)), renal function (Cr, BUN, and urine N-acetyl-β-glucosaminidase) and electrocardiogram (ECG) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jie Wang, professor | Guang'anmen Hospital of China Academy of Chinese Medical Sciences | Study Chair |
| Yu Liu, master | Huguosi TCM Hospital Affiliated to Beijing University of CM | Principal Investigator |
| Chenhao Zhang, professor | Wangjing Hospital, China Academy of Chinese Medical Sciences | Principal Investigator |
| Yongyan Wang, professor | Institute of Basic Research in Clinical Medicine | Study Chair |
| Jianyuan Tang | China Food and Drug Administration | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guang'anmen Hospital, China Academy of Chinese Medical Sciences | Beijing | 100053 | China | |||
| Huguosi TCM Hospital Affiliated to Beijing University of CM |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30241562 | Derived | He H, Chen G, Gao J, Liu Y, Zhang C, Liu C, Li H, He Q, Li J, Wang J. Xue-Fu-Zhu-Yu capsule in the treatment of qi stagnation and blood stasis syndrome: a study protocol for a randomised controlled pilot and feasibility trial. Trials. 2018 Sep 21;19(1):515. doi: 10.1186/s13063-018-2908-9. |
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| xue-fu-zhu-yu capsule simulated agent | Drug | participants are given to 6 xue-fu-zhu-yu capsule simulated agent per time, twice a day. The duration is 7 weeks |
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The pain will be assessed by the score of the pain scale of QS&BSS. The total score includes visual analogue scale pain index and the score of degree, duration, and frequency of pain . The position of pain will be counted independently. |
| baseline, 2nd,4th,6th and 7th week |
| baseline and 7th week |
| Beijing |
| China |
| Wangjing Hospital, China Academy of Chinese Medical Sciences | Beijing | China |