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A Study of Xiangjurupining Capsule in the Treatment of Hyperplasia of Breast (Liver Stagnation and Phlegm Coagulation)

Primary Purpose

Hyperplasia of Breast

Status
Active
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
xingjurupining capsule
xiangjurupining capsule, xiangjurupining capsule placebo
xiangjurupining capsule placebo
Sponsored by
Tasly Pharmaceutical Group Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperplasia of Breast focused on measuring hyperplasia of breast, Xiangjurupining capsule

Eligibility Criteria

18 Years - 50 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Female patients aged 18-50 years.
  2. Those who meet the diagnostic criteria of breast hyperplasia and has a course of more than 3 months;
  3. Conform to the syndrome differentiation standard of liver depression and phlegm coagulation;
  4. Patients have a basic regular menstrual cycle (21-35 days) and a menstrual period (3-7 days)
  5. BI-RADS grade 2-3
  6. NRS score ≥ 4 points in screening period
  7. The average score of NRS was ≥ 4 in the run-in period, and there was still a target lump in palpation
  8. Volunteer to participate in the experiment and sign the informed consent form after informed consent(Patients voluntarily accepted the test and gave informed consent)

Exclusion Criteria:

  1. Patients with other breast diseases or other causes of breast pain, such as mastitis, breast cancer, etc.
  2. Patients with severe cardiovascular and cerebrovascular diseases, liver, kidney, malignant tumor, blood system diseases and mental diseases.
  3. Patients who have been confirmed with dysfunctional uterine bleeding, amenorrhea, polycystic ovary syndrome, menopausal syndrome and hyperprolactinemia before, still need to be treated by regulating hormone level.
  4. Patients with previously confirmed hypercortisolism who still need to be treated with bromocriptine.
  5. Those with menstrual period more than 7 days, menopause and serious irregular menstrual cycle.
  6. Alt, AST, ALP, TBIL, GGT more than 1.2 times the upper limit of normal value; serum Cr, bun more than 1.2 times the upper limit of normal value, or blood, urine routine, ECG and other examination items are abnormal and of clinical significance.
  7. That who pregnant or lactating women, or have a pregnant plan within the next 6 months
  8. Chinese or Western medicine was used to treat hyperplasia of mammary gland within 1 month before the treatment and during run-in period(including external application medicine, acupuncture, etc.) and hormone drugs have been used within half a year (except for long-term oral contraceptives).
  9. Allergic constitution, known to be allergic to the ingredients of the prescription of the test drug
  10. History of alcohol or drug abuse.
  11. Participants in other clinical trials within 3 months before screening
  12. According to the judgment of the researchers, there are other diseases or situations that reduce the possibility of enrollment or complicate the enrollment, such as frequent changes in the working environment, which are likely to cause lost visits, and people with mental and behavioral disorders that cannot be based on the full informed consent.

Sites / Locations

  • Baoding No.1 Hospital of TCM
  • Dongfang Hospital ,Beijing University of Chinese Medicine
  • Dongzhimen Hospital,Beijing University of Chinese Medicine
  • Guangdong Provincial Hospital of TCM
  • the First Affiliated Hospital of Guangzhou University of TCM
  • Longhua Hospital, Shanghai University of Traditional Chinese Medicine
  • SHUGUANG Hospital, Shanghai University of Traditional Chinese Medicine
  • Weifang Traditional Chinese Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

High dose group

Lower dose group

Placebo group

Arm Description

xiangjurupining capsule ,8 capsules,tid

xiangjurupining capsule, 4 capsules,tid, xiangjurupining capsule placebo ,4 capsules,tid,po

xiangjurupining capsule placebo ,8 capsules,tid,po

Outcomes

Primary Outcome Measures

The pain of breast
Subject reported breast pain using NRS( Numerical Rating Scale)scale on the subject daily diary..The NRS scale is a line composed of 11 points, marked with a scale of 0 to 10. The subjects rated themselves according to the most painful degree every day. The higher the score, the higher the degree of pain.
The days of pain
Subject reported breast pain as measured using NRS scale on the subject daily diary.The number of the pain days was calculated and compared with the baseline which the number of pain days in the lead-in period.
The target lump
Assess the scope ,the size and the hardness of the target lump by palpation.The doctor palpated the breast of the subjects and measured the size of the target lump with a ruler.Four quadrant method was used to record the number of the target lump's quadrants.Four level(0,2,4,6) to measure The scope,the size and the hardness of lump .the Score from 0(none) to 6(most severe).
The target lump area
Assess the breast glandular section thickness, breast duct width and nodules of the target lump area by B-ultrasound.
TCM syndrome scores
Compared wth baseline,the scores of changes of TCM syndrome Evaluation at each visit .This instrument consists of two primary symptoms: breast pain, breast mass ,and four secondary symptoms.Four levels to measure severity of primary symptoms(0、2、4、6)and secondary symptoms(0、1、2、3), respectively. Record the tongue and pulse conditions. The TCM syndrome effect calculated by nimodipine method. The final score has a range of 0 to 100. The effect of TCM syndrome from 0% (negative ) to 100% (disappear).

Secondary Outcome Measures

Full Information

First Posted
January 8, 2020
Last Updated
November 22, 2022
Sponsor
Tasly Pharmaceutical Group Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04229706
Brief Title
A Study of Xiangjurupining Capsule in the Treatment of Hyperplasia of Breast (Liver Stagnation and Phlegm Coagulation)
Official Title
A Randomized, Double-blind, Placebo-controlled, Multicenter Phase II Clinical Study on the Efficacy and Safety of Xiangjurupining Capsule in the Treatment of Hyperplasia of Breast (Liver Stagnation and Phlegm Coagulation)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
December 31, 2019 (Actual)
Primary Completion Date
January 12, 2022 (Actual)
Study Completion Date
January 15, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tasly Pharmaceutical Group Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The study is to evaluate the efficacy and safety of two doses of xiangjurupining capsule in Hyperplastic disease of breast patients .
Detailed Description
The study is to evaluate the efficacy and safety of two doses of xiangjurupining capsule,give three times a day versus placebo in Hyperplastic disease of breast patients .The clinical phase of the study comprises a run-in period,an 3-months double-blind treatment period and a 1-month follow-up period, resulting in 5-months overall duration of the study for each patient. Patients report their breast pain as measured using NRS scale on the subject daily diary。

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperplasia of Breast
Keywords
hyperplasia of breast, Xiangjurupining capsule

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
180 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
High dose group
Arm Type
Experimental
Arm Description
xiangjurupining capsule ,8 capsules,tid
Arm Title
Lower dose group
Arm Type
Experimental
Arm Description
xiangjurupining capsule, 4 capsules,tid, xiangjurupining capsule placebo ,4 capsules,tid,po
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
xiangjurupining capsule placebo ,8 capsules,tid,po
Intervention Type
Drug
Intervention Name(s)
xingjurupining capsule
Other Intervention Name(s)
High dose group
Intervention Description
xingjurupining capsule,8 capsule,tid,3 months.
Intervention Type
Drug
Intervention Name(s)
xiangjurupining capsule, xiangjurupining capsule placebo
Other Intervention Name(s)
Low dose group
Intervention Description
xiangjurupining capsule,4 capsules , and xiangjurupining capsule placebo,4 capsules,tid,3 months.
Intervention Type
Drug
Intervention Name(s)
xiangjurupining capsule placebo
Other Intervention Name(s)
Placebo
Intervention Description
xiangjurupining capsule,8 capsule,tid,3 months.
Primary Outcome Measure Information:
Title
The pain of breast
Description
Subject reported breast pain using NRS( Numerical Rating Scale)scale on the subject daily diary..The NRS scale is a line composed of 11 points, marked with a scale of 0 to 10. The subjects rated themselves according to the most painful degree every day. The higher the score, the higher the degree of pain.
Time Frame
up to 3 months
Title
The days of pain
Description
Subject reported breast pain as measured using NRS scale on the subject daily diary.The number of the pain days was calculated and compared with the baseline which the number of pain days in the lead-in period.
Time Frame
up to 3 months
Title
The target lump
Description
Assess the scope ,the size and the hardness of the target lump by palpation.The doctor palpated the breast of the subjects and measured the size of the target lump with a ruler.Four quadrant method was used to record the number of the target lump's quadrants.Four level(0,2,4,6) to measure The scope,the size and the hardness of lump .the Score from 0(none) to 6(most severe).
Time Frame
3 months after treatment
Title
The target lump area
Description
Assess the breast glandular section thickness, breast duct width and nodules of the target lump area by B-ultrasound.
Time Frame
3 months after treatment
Title
TCM syndrome scores
Description
Compared wth baseline,the scores of changes of TCM syndrome Evaluation at each visit .This instrument consists of two primary symptoms: breast pain, breast mass ,and four secondary symptoms.Four levels to measure severity of primary symptoms(0、2、4、6)and secondary symptoms(0、1、2、3), respectively. Record the tongue and pulse conditions. The TCM syndrome effect calculated by nimodipine method. The final score has a range of 0 to 100. The effect of TCM syndrome from 0% (negative ) to 100% (disappear).
Time Frame
3 months after treatment

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female patients aged 18-50 years. Those who meet the diagnostic criteria of breast hyperplasia and has a course of more than 3 months; Conform to the syndrome differentiation standard of liver depression and phlegm coagulation; Patients have a basic regular menstrual cycle (21-35 days) and a menstrual period (3-7 days) BI-RADS grade 2-3 NRS score ≥ 4 points in screening period The average score of NRS was ≥ 4 in the run-in period, and there was still a target lump in palpation Volunteer to participate in the experiment and sign the informed consent form after informed consent(Patients voluntarily accepted the test and gave informed consent) Exclusion Criteria: Patients with other breast diseases or other causes of breast pain, such as mastitis, breast cancer, etc. Patients with severe cardiovascular and cerebrovascular diseases, liver, kidney, malignant tumor, blood system diseases and mental diseases. Patients who have been confirmed with dysfunctional uterine bleeding, amenorrhea, polycystic ovary syndrome, menopausal syndrome and hyperprolactinemia before, still need to be treated by regulating hormone level. Patients with previously confirmed hypercortisolism who still need to be treated with bromocriptine. Those with menstrual period more than 7 days, menopause and serious irregular menstrual cycle. Alt, AST, ALP, TBIL, GGT more than 1.2 times the upper limit of normal value; serum Cr, bun more than 1.2 times the upper limit of normal value, or blood, urine routine, ECG and other examination items are abnormal and of clinical significance. That who pregnant or lactating women, or have a pregnant plan within the next 6 months Chinese or Western medicine was used to treat hyperplasia of mammary gland within 1 month before the treatment and during run-in period(including external application medicine, acupuncture, etc.) and hormone drugs have been used within half a year (except for long-term oral contraceptives). Allergic constitution, known to be allergic to the ingredients of the prescription of the test drug History of alcohol or drug abuse. Participants in other clinical trials within 3 months before screening According to the judgment of the researchers, there are other diseases or situations that reduce the possibility of enrollment or complicate the enrollment, such as frequent changes in the working environment, which are likely to cause lost visits, and people with mental and behavioral disorders that cannot be based on the full informed consent.
Facility Information:
Facility Name
Baoding No.1 Hospital of TCM
City
Baoding
Country
China
Facility Name
Dongfang Hospital ,Beijing University of Chinese Medicine
City
Beijing
Country
China
Facility Name
Dongzhimen Hospital,Beijing University of Chinese Medicine
City
Beijing
Country
China
Facility Name
Guangdong Provincial Hospital of TCM
City
Guangzhou
Country
China
Facility Name
the First Affiliated Hospital of Guangzhou University of TCM
City
Guangzhou
Country
China
Facility Name
Longhua Hospital, Shanghai University of Traditional Chinese Medicine
City
Shanghai
Country
China
Facility Name
SHUGUANG Hospital, Shanghai University of Traditional Chinese Medicine
City
Shanghai
Country
China
Facility Name
Weifang Traditional Chinese Hospital
City
Weifang
Country
China

12. IPD Sharing Statement

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A Study of Xiangjurupining Capsule in the Treatment of Hyperplasia of Breast (Liver Stagnation and Phlegm Coagulation)

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