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Effects of Traditional Chinese Medicine on Bronchiectasis Patients

Primary Purpose

Bronchiectasis

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Bufei Huatan granule
Yifei Qinghua granule
Placebo Bufei Huatan granule
Placebo Yifei Qinghua granule
Sponsored by
Henan University of Traditional Chinese Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bronchiectasis focused on measuring Bronchiectasis, Traditional Chinese Medicine

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • A confirmed diagnosis of clinically stable bronchiectasis
  • Age between 18 and 80 years
  • Syndrome differentiation meets criteria of syndrome of Qi deficiency of lung and phlegm-turbidity obstructing the lung, syndrome of Qi and Yin deficiency of the lung and the phlegm-heat obstructing the lung
  • Without participations in other interventional trials in the previous one month
  • With the informed consent signed

Exclusion Criteria:

  • Current respiratory disorders other than bronchiectasis (e.g. COPD,bronchial asthma, lung cancer,active tuberculosis, Interstitial lung disease, pulmonary thromboembolic, or Other patients who have an impact on the observation of disease)
  • Patients with severe cardiovascular disease (e.g. Acute myocardial infarction,Acute heart failure)
  • Severe liver disease(e.g.Active phase of hepatitis, Cirrhosis, Severe impairment of liver function by portal hypertension)
  • Severe renal disease(e.g. renal transplant, dialysis)
  • Patients with large hemoptysis in the last month
  • Pregnant and lactating women
  • Insanity, Dementia, and all kinds of Psychosis
  • Smoking patients (Years of smoking10/ package year)
  • Participating in other clinical trials with other interventions;
  • Allergic to the used medicine.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    TCM

    placebo TCM

    Arm Description

    Patients in this group will receive two types of TCM treatment, which are Bufei Huatan granule, Yifei Qinghua granule. The herbal extract twice daily for 24 weeks for lower dosage. The two granules are corresponding to the two traditional Chinese syndromes in sequence, which are syndrome of qi deficiency of lung and phlegm-turbidity obstructing the lung, Qi and Yin deficiency of the lung and the phlegm-heat obstructing the lung.

    Patients in this group will be given two placebo TCM treatment, which are which are placebo Bufei Huatan granule, placebo Yifei Qinghua granule, corresponding to the two traditional Chinese syndromes in sequence, which are syndrome of qi deficiency of lung and phlegm-turbidity obstructing the lung, Qi and Yin deficiency of the lung and the phlegm-heat obstructing the lung.

    Outcomes

    Primary Outcome Measures

    The frequency of bronchiectasis exacerbation
    The bronchiectasis exacerbations often result in reduced quality of life, increased rate of lung function decline, increased hospitalization. It is important to assess the changes of bronchiectasis exacerbations over time.

    Secondary Outcome Measures

    The time to the first bronchiectasis exacerbation
    Changes in Forced expiratory volume in one second
    Forced expiratory volume in one second (FEV1)is the amount of air that can be exhaled in one second. A positive change from baseline in FEV1 indicates improvement in lung function.

    Full Information

    First Posted
    January 26, 2018
    Last Updated
    February 17, 2018
    Sponsor
    Henan University of Traditional Chinese Medicine
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03443531
    Brief Title
    Effects of Traditional Chinese Medicine on Bronchiectasis Patients
    Official Title
    Effects of Traditional Chinese Medicine on Bronchiectasis Patients: A Multi-center, Randomized, Double-blind, Controlled Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2018
    Overall Recruitment Status
    Unknown status
    Study Start Date
    March 2018 (Anticipated)
    Primary Completion Date
    September 2020 (Anticipated)
    Study Completion Date
    December 2020 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Henan University of Traditional Chinese Medicine

    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 aim of this study is to evaluate the effectiveness of Traditional Chinese Medicine (TCM) on patients with clinically stable bronchiectasis by a multi-center, randomized, double-blind, controlled trial: one, TCM treatments based on syndrome differentiation; the other, a placebo of TCM treatment.
    Detailed Description
    Bronchiectasis is a common and frequently occurring respiratory disease, with more hospitalization rate and mortality, poor quality of life and heavy financial burden. The main clinical manifestations are persistent or recurrent cough, expectoration, sometimes accompanied by hemoptysis, which can cause respiratory dysfunction and chronic pulmonary heart disease. There are some randomized controlled trials of TCM for bronchiectasis, and have the effect in the treatment of bronchiectasis, reducing the number of acute aggravation and alleviating dyspnea. However, some TCM interventions lack comprehensive syndrome differentiation and the placebo control. This is a multi-center, randomized, double-blind, controlled trial to compare the efficacy to evaluate the effectiveness of TCM on patients with clinically stable bronchiectasis. 216 subjects will be randomly assigned to one therapies (TCM treatments based on syndrome differentiation) and the other therapy (placebo of TCM treatment) for 24 weeks. After the treatment period, the subjects will be followed up for 24 weeks. The primary outcomes include the frequency of bronchiectasis exacerbation, and the secondary outcomes include quality of life (SGRQ, LCQ, QOL-B), pulmonary function, safety observation index.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Bronchiectasis
    Keywords
    Bronchiectasis, Traditional Chinese Medicine

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    216 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    TCM
    Arm Type
    Experimental
    Arm Description
    Patients in this group will receive two types of TCM treatment, which are Bufei Huatan granule, Yifei Qinghua granule. The herbal extract twice daily for 24 weeks for lower dosage. The two granules are corresponding to the two traditional Chinese syndromes in sequence, which are syndrome of qi deficiency of lung and phlegm-turbidity obstructing the lung, Qi and Yin deficiency of the lung and the phlegm-heat obstructing the lung.
    Arm Title
    placebo TCM
    Arm Type
    Placebo Comparator
    Arm Description
    Patients in this group will be given two placebo TCM treatment, which are which are placebo Bufei Huatan granule, placebo Yifei Qinghua granule, corresponding to the two traditional Chinese syndromes in sequence, which are syndrome of qi deficiency of lung and phlegm-turbidity obstructing the lung, Qi and Yin deficiency of the lung and the phlegm-heat obstructing the lung.
    Intervention Type
    Drug
    Intervention Name(s)
    Bufei Huatan granule
    Intervention Description
    According to traditional Chinese syndrome differentiation and treatment, patients with syndrome of qi deficiency of lung and phlegm-turbidity obstructing the lung will be given Bufei Huatan granule, twice daily for 24 weeks for lower dosage.
    Intervention Type
    Drug
    Intervention Name(s)
    Yifei Qinghua granule
    Intervention Description
    According to traditional Chinese syndrome differentiation and treatment, patients with syndrome of Qi and Yin deficiency of the lung and the phlegm-heat obstructing the lung will be given Yifei Qinghua granule, twice daily for 24 weeks for lower dosage.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo Bufei Huatan granule
    Intervention Description
    According to traditional Chinese syndrome differentiation and treatment, patients with syndrome of qi deficiency of lung and phlegm-turbidity obstructing the lung will be given placebo Bufei Huatan granule, twice daily for 24 weeks for lower dosage.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo Yifei Qinghua granule
    Intervention Description
    According to traditional Chinese syndrome differentiation and treatment, patients with syndrome of Qi and Yin deficiency of the lung and the phlegm-heat obstructing the lung will be given placebo Yifei Qinghua granule, twice daily for 24 weeks for lower dosage.
    Primary Outcome Measure Information:
    Title
    The frequency of bronchiectasis exacerbation
    Description
    The bronchiectasis exacerbations often result in reduced quality of life, increased rate of lung function decline, increased hospitalization. It is important to assess the changes of bronchiectasis exacerbations over time.
    Time Frame
    Changes in the frequency of exacerbation at the week 12 and week 24 of the treatment phase, and at the week 24 of the follow-up phase compared with baseline.
    Secondary Outcome Measure Information:
    Title
    The time to the first bronchiectasis exacerbation
    Time Frame
    Week 24 of the treatment phase.
    Title
    Changes in Forced expiratory volume in one second
    Description
    Forced expiratory volume in one second (FEV1)is the amount of air that can be exhaled in one second. A positive change from baseline in FEV1 indicates improvement in lung function.
    Time Frame
    Changes in FEV1 at the week 24 of the treatment phase and the week 24 of the follow-up phase compared with baseline.
    Other Pre-specified Outcome Measures:
    Title
    Changes in St Georges respiratory questionnaire scores
    Description
    Using the St Georges respiratory questionnaire (SGRQ) to asses the impact of Bronchiectasis on a person's life.
    Time Frame
    Changes in the SGRQ scores at the week 12 and week 24 of the treatment phase, and the week 24 of the follow-up phase compared with baseline.
    Title
    Changes in the Leicester Cough questionnaire scores
    Description
    Using the Leicester Cough questionnaire (LCQ) to asses the impact of Bronchiectasis on a person's life.
    Time Frame
    Changes in the LCQ scores at the week 12 and week 24 of the treatment phase, and the week 24 of the follow-up phase compared with baseline.
    Title
    Changes in the Quality of Life-Bronchiectasis scores
    Description
    Using the Quality of Life-Bronchiectasis (Qol-B) to asses the impact of Bronchiectasis on a person's life.
    Time Frame
    Changes in the Qol-B scores at the week 12 and week 24 of the treatment phase, and the week 24 of the follow-up phase compared with baseline.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: A confirmed diagnosis of clinically stable bronchiectasis Age between 18 and 80 years Syndrome differentiation meets criteria of syndrome of Qi deficiency of lung and phlegm-turbidity obstructing the lung, syndrome of Qi and Yin deficiency of the lung and the phlegm-heat obstructing the lung Without participations in other interventional trials in the previous one month With the informed consent signed Exclusion Criteria: Current respiratory disorders other than bronchiectasis (e.g. COPD,bronchial asthma, lung cancer,active tuberculosis, Interstitial lung disease, pulmonary thromboembolic, or Other patients who have an impact on the observation of disease) Patients with severe cardiovascular disease (e.g. Acute myocardial infarction,Acute heart failure) Severe liver disease(e.g.Active phase of hepatitis, Cirrhosis, Severe impairment of liver function by portal hypertension) Severe renal disease(e.g. renal transplant, dialysis) Patients with large hemoptysis in the last month Pregnant and lactating women Insanity, Dementia, and all kinds of Psychosis Smoking patients (Years of smoking10/ package year) Participating in other clinical trials with other interventions; Allergic to the used medicine.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Zhiwan Wang, Doctor
    Phone
    86-0371-66248624
    Email
    zhiwan_w@163.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yang Xie, Doctor
    Phone
    86-0371-66248624
    Email
    xieyanghn@163.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jiansheng Li, Doctor
    Organizational Affiliation
    Henan University of Traditional Chinese Medicine
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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