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The Safety and Efficacy of Zishenqing in Subjects With Active Systemic Lupus Erythematosus

Primary Purpose

Systemic Lupus Erythematosus

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Zishenqing
Placebo
Sponsored by
Shanghai University of Traditional Chinese Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring Safety, Efficacy, Systemic Lupus Erythematosus

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients who qualify for the diagnosis of systemic lupus erythematosus according to the American college of rheumatology's 1997 revised classification criteria for systemic lupus erythematosus;
  2. For inpatient or out-patient with good compliance, sign the informed consent before the test;
  3. Sledai score during screening period≤10;
  4. Maintain a stable standard treatment regimen for at least 30 days before the first day (that is, the date of administration of the intervention drug). Standard treatment regimens refer to the stable use of any of the following (alone or in combination): corticosteroids, hydroxychloroquine, non-steroidal anti-inflammatory drugs, other immunosuppressants or immunomodulators (including azathioprine, mycophenolate ester, cyclophosphamide, methotrexate, leflunomide, tacrolimus, cyclosporine);

Exclusion Criteria:

  1. Severe lupus nephritis requiring hemodialysis or high-dose glucocorticoid treatment in the last 2 months;
  2. Central nervous system diseases (including epilepsy, psychosis, organic encephalopathy syndrome, cerebrovascular accident, encephalitis, central nervous system vasculitis) caused by SLE or non-SLE in the last 2 months;
  3. Patients with severe heart, liver and kidney diseases and disease history of important organs, blood and endocrine system;

    Evaluation criteria of severity:

    1. Alanine aminotransferase(ALT) and Aspartate aminotransferase(AST)≥3 times the upper limit of normal;
    2. Glomerular filtration rate(GFR)<30ml/min;
    3. White Blood Cell(WBC)<2.0×10^9/l;
    4. Platelet(PLT)<50×10^9/l;
  4. Immunodeficiency, uncontrolled infection and active or recurrent peptic ulcer;
  5. Pregnant and lactating women;
  6. Anaphylaxis: allergic to traditional Chinese medicine;
  7. The investigator considered it inappropriate to participate in this study;
  8. Participate in other clinical trials during the screening period.

Sites / Locations

  • Longhua Hospital Affiliated to Shanghai University of Traditional Chinese MedicineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Zishenqing

Placebo

Arm Description

The original treatment and Zishenqing 1Co by mouth,twice a day for 12 weeks

The original treatment and Zishenqing simulator 1Co by mouth,twice a day for 12 weeks

Outcomes

Primary Outcome Measures

Lupus Quality of Life (LupusQoL)
Self reported the quality of life in patients with systemic lupus erythematosus.LupusQoL is made up of five parts((physical health, pain, planning, emotional health, and fatigue) and has a total of 34 questions.Each question is scored0-4,yielding a total between 0 and 136.

Secondary Outcome Measures

The 36-item shot form health survey(SF-36)
As a concise health questionnaire, SF-36 comprehensively summarizes the quality of life of the subjects from eight aspects: physiological function, physiological function, physical pain, general health status, energy, social function, emotional function and mental health.
Systemic lupus erythematosus disease activity index(SLEDAI)
SLEDAI scores are used to determine the activity of SLE.SLEDAI consists of 24 clinical and laboratory projects with different weights(0:no activity;1-5:mild activity;6-10:moderate activity;11-19:severe activity;≥20:extremely severe activity).

Full Information

First Posted
February 12, 2020
Last Updated
April 26, 2020
Sponsor
Shanghai University of Traditional Chinese Medicine
Collaborators
RenJi Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04275193
Brief Title
The Safety and Efficacy of Zishenqing in Subjects With Active Systemic Lupus Erythematosus
Official Title
The Safety and Efficacy of the Traditional Chinese Medicine Zishenqing in Subjects With Active Systemic Lupus Erythematosus
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Unknown status
Study Start Date
October 22, 2019 (Actual)
Primary Completion Date
March 1, 2022 (Anticipated)
Study Completion Date
September 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shanghai University of Traditional Chinese Medicine
Collaborators
RenJi Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study evaluates the safety and efficacy of the traditional chinese medicine Zishenqing in the treatment of active systemic lupus erythematosus.
Detailed Description
This study will be a multicenter, randomized, double-blind, placebo parallel controlled clinical trial with a course of 12 weeks. Multicenter: During the study period, it will be decided whether to increase the improvement progress of the research unit according to whether it will be difficult to join the group and the overall progress, so as to complete the clinical study on time in accordance with the research plan. Random scheme: In this study, a dynamic random variance minimization random scheme will be adopted. Considering the two influencing factors of SLEDAI score and complement level, the DAS for Interactive Web Response System(IWRS) will be used to calculate and distribute random numbers and dispensing drugs. Control drug: Placebo will be used as control in this trial. Blind method: The Zishenqing simulator will be prepared by double-blind design, the dosage form, appearance, size, color and smell will be consistent with the experimental drug, and the test process will be in a double-blind state.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus
Keywords
Safety, Efficacy, Systemic Lupus Erythematosus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
118 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Zishenqing
Arm Type
Experimental
Arm Description
The original treatment and Zishenqing 1Co by mouth,twice a day for 12 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
The original treatment and Zishenqing simulator 1Co by mouth,twice a day for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Zishenqing
Other Intervention Name(s)
Zishenqingqi
Intervention Description
Zishenqing Granule
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo(for Zishenqing)
Intervention Description
Granule manufactured to mimic Zishenqing(containing 10% composition)
Primary Outcome Measure Information:
Title
Lupus Quality of Life (LupusQoL)
Description
Self reported the quality of life in patients with systemic lupus erythematosus.LupusQoL is made up of five parts((physical health, pain, planning, emotional health, and fatigue) and has a total of 34 questions.Each question is scored0-4,yielding a total between 0 and 136.
Time Frame
12weeks
Secondary Outcome Measure Information:
Title
The 36-item shot form health survey(SF-36)
Description
As a concise health questionnaire, SF-36 comprehensively summarizes the quality of life of the subjects from eight aspects: physiological function, physiological function, physical pain, general health status, energy, social function, emotional function and mental health.
Time Frame
12weeks
Title
Systemic lupus erythematosus disease activity index(SLEDAI)
Description
SLEDAI scores are used to determine the activity of SLE.SLEDAI consists of 24 clinical and laboratory projects with different weights(0:no activity;1-5:mild activity;6-10:moderate activity;11-19:severe activity;≥20:extremely severe activity).
Time Frame
12weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients who qualify for the diagnosis of systemic lupus erythematosus according to the American college of rheumatology's 1997 revised classification criteria for systemic lupus erythematosus; For inpatient or out-patient with good compliance, sign the informed consent before the test; Sledai score during screening period≤10; Maintain a stable standard treatment regimen for at least 30 days before the first day (that is, the date of administration of the intervention drug). Standard treatment regimens refer to the stable use of any of the following (alone or in combination): corticosteroids, hydroxychloroquine, non-steroidal anti-inflammatory drugs, other immunosuppressants or immunomodulators (including azathioprine, mycophenolate ester, cyclophosphamide, methotrexate, leflunomide, tacrolimus, cyclosporine); Exclusion Criteria: Severe lupus nephritis requiring hemodialysis or high-dose glucocorticoid treatment in the last 2 months; Central nervous system diseases (including epilepsy, psychosis, organic encephalopathy syndrome, cerebrovascular accident, encephalitis, central nervous system vasculitis) caused by SLE or non-SLE in the last 2 months; Patients with severe heart, liver and kidney diseases and disease history of important organs, blood and endocrine system; Evaluation criteria of severity: Alanine aminotransferase(ALT) and Aspartate aminotransferase(AST)≥3 times the upper limit of normal; Glomerular filtration rate(GFR)<30ml/min; White Blood Cell(WBC)<2.0×10^9/l; Platelet(PLT)<50×10^9/l; Immunodeficiency, uncontrolled infection and active or recurrent peptic ulcer; Pregnant and lactating women; Anaphylaxis: allergic to traditional Chinese medicine; The investigator considered it inappropriate to participate in this study; Participate in other clinical trials during the screening period.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jianchun Mao, Master
Phone
+8618917763231
Email
mjczyczx@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Zhujing Zhu, Ph.D
Phone
+8613816914874
Email
zzj01@hotmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Liangjing Lv, Ph.D
Organizational Affiliation
RenJi Hospital
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Huanru Qu, Ph.D
Organizational Affiliation
Longhua Hospital
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Zhujing Zhu, Ph.D
Organizational Affiliation
Longhua Hospital
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Ruru Guo, Ph.D
Organizational Affiliation
RenJi Hospital
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Zhongping Xu, Master
Organizational Affiliation
Longhua Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200030
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jianchun Mao, master
Phone
86-18917763231
Email
mjcct2018@163.com

12. IPD Sharing Statement

Plan to Share IPD
No

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The Safety and Efficacy of Zishenqing in Subjects With Active Systemic Lupus Erythematosus

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