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To evaluate the efficacy and safety of Kuntai capsule alone or combined with hormone therapy in improving ovarian function in POI patients (including subclinical stage).
The study is expected to be conducted between 2021.08 and 2023.12.120 subjects with early-onset ovarian insufficiency will be randomly assigned to trial, control, or combination groups using a computer-generated randomization table.By comparing the data of primary efficacy indexes, secondary efficacy indexes and safety indexes before and after medication, The principal investigator will write and publish the paper.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| POI patients who taking Kuntai capsule | Experimental | Patients in this group will take Kuntai capsule orally, 4 capsules each time, 3 times a day, and take the medicine for 3 courses. |
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| POI patients who accepting hormone therapy | Active Comparator | The estrogen and progesterone sequential regimen was adopted. The drug was estradiol tablets/estradiol didroxyprogesterone tablets (Femoston). Red tablets (estradiol, 2mg/d) were taken in the first 14 days, and gray tablets (estradiol, 2mg/d, dydrogesterone,10 mg/d) were taken in the last 14 days. 28 days was a course of treatment, and 3 courses of treatment were taken. |
|
| POI patients who taking Kuntai capsule combined with hormone therapy | Experimental | Kuntai capsule was taken at the same dose as Kuntai group on the basis of hormone therapy for 3 courses. |
|
| Subclinical POI patients who taking Kuntai capsule | Experimental | Subclinical POI patients in this group which with Kuntai capsule intervention. This group is a self-controlled experiment before and after treatment |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kuntai Capsule | Drug | The instructions is pointed that each Kuntai capsule is 0.5g and the usage of Kuntai capsule is oral taking 4 capsules each time, 3 times a day, and 4 weeks is a course of treatment. The patients will taking 3 courses of treatment in this study. |
| Measure | Description | Time Frame |
|---|---|---|
| Follicle-stimulating hormone (FSH) | Changes of the level of FSH before and after treatment | Baseline, 3 months, 6 months |
| Kupperman Score | Changes of the Kupperman score before and after treatment,Kupperman Score ranges from 0 to 69, with the smaller the score, the better off the subject | Baseline, 3 months, 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Luteinizing hormone (LH) | Changes of the level of LH before and after treatment | Baseline, 3 months, 6 months |
| Estradiol hormone (E2) | Changes of the level of Estradiol hormone before and after treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yuquan Zhang, Professor | Contact | +8613706299363 | jsnt_zhangyuquan@163.com | |
| Weina Wang, Postgraduate | Contact | 13795242689 | 451579895@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Yuquan Zhang, Professor | Affiliated Hospital of Nantong University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hai'an People's Hospital | Recruiting | Hai’an | Jiangsu | 226600 | China |
Not planning sharing at present.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Aug 4, 2021 | Mar 23, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 4, 2021 | Mar 23, 2022 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D016649 | Primary Ovarian Insufficiency |
| ID | Term |
|---|---|
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
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| ID | Term |
|---|---|
| C000620717 | kuntai capsule |
| C472241 | femoston |
| D004958 | Estradiol |
| D004394 | Dydrogesterone |
| ID | Term |
|---|---|
| D004963 | Estrenes |
| D004962 | Estranes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
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Subclinical POI and POI patients
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blind experiment
|
| Femoston | Drug | The estrogen and progesterone sequential regimen was adopted. The Femoston was contain estradiol tablets and estradiol didroxyprogesterone tablets. Red tablets (estradiol, 2 mg/d) were taken in the first 14 days, and gray tablets (estradiol, 2 mg/d, dydrogesterone,10 mg/d) were taken in the last 14 days. 28 days was a course of treatment, and three courses of treatment were taken. The patients will taking 3 courses of treatment in this study. |
|
|
| Baseline, 3 months, 6 months |
| Antral follicle count (AFC) | Changes of the AFC before and after treatment | Baseline, 3 months, |
| anti-Müllerian hormone (AMH) | Changes of the level of AMH before and after treatment | Baseline, 3 months, |
| The peak systolic blood flow velocity (PSV) | The peak systolic blood flow velocity before and after treatment was assessed by vaginal B ultrasound | Baseline, 3 months, |
| The end-diastolic blood flow velocity(EDV) | The uterine artery end-diastolic blood flow velocity before and after treatment was assessed by vaginal B ultrasound | Baseline, 3 months, |
| Uterine artery resistance index(RI) | The uterine artery resistance index before and after treatment was assessed by vaginal B ultrasound | Baseline, 3 months, |
| Proportion of patients with normal menstruation | To measure the ratio of patients have normal menstruation after treatment | Baseline,3 months, 6 months, 9 months |
| Pregnancy situation | To ask the patient if there is pregnancy (for patient who has pregnancy need) | 6 months |
| Hai'an Hospital of traditional Chinese Medicine | Recruiting | Huai'an | Jiangsu | 226600 | China |
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| Nantong First People's Hospital | Recruiting | Nantong | Jiangsu | 226001 | China |
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| Nantong Hospital of Traditional Chinese Medicine | Recruiting | Nantong | Jiangsu | 226001 | China |
|
| Affiliated Hospital of Nantong University | Recruiting | Nantong | Jiangsu | China |
|
| Rugao Boai Hospital | Recruiting | Ru'gao | Jiangsu | 226500 | China |
|
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
| D011083 |
| Polycyclic Compounds |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |