A Study to Assess Jia Wei Yang He Formula as a Plus Therapy in the Treatment of Persistent Asthma
Clinical Assessment of Jia Wei Yang He Formula as a Plus Therapy in the Treatment of Persistent Asthma and Airway Microbiome Exploration Research
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Asthma is a common chronic inflammatory respiratory disease, patients showed high airway reactivity, and the clinical manifestations of recurrent wheezing, shortness of breath, chest tightness or cough with wheezing dyspnea mainly for a breath. Although many studies have shown that viral infections may be an important cause of asthma seasonal attacks. However, more and more studies have shown that bacterial infection is an important risk factor for asthma. Haemophilus influenzae, Moraxella Mora bacteria infection may increase the risk of asthma by a research report.
Chinese medicine decoction, as a common treatment for asthma, can significantly alleviate seasonal attacks and reduce the number of acute attacks. Research shows that Chinese medicine has widely immunomodulatory effects and imbalance of immune system in patients with asthma control, improve the cellular immunity of patients with airway and defense function, significantly reduced asthma attacks of which induced by upper airway infection or chronic persist asthma.
This study will be conducted for 4 weeks of standard anti-asthma treatment plus Jia Wei Yang He Formula for patients.Some patients are not willing to use standard treatment such as inhaled corticosteroids and long-acting β-adrenoceptor agonists because of side effects. We will provide these patients free JWYH formula after the efficacy of the JWYH is validated and the subsequent results are considered exploratory.
Participants will undergo a physical examination, lung function, blood and sputum collection and all induced sputum samples will be detected by 16S ribosomal RNA (16S rRNA) sequencing and analyzed for microbial bioinformatics. To study whether there is association between the efficacy of Jia Wei Yang He Formula and the changes in microbiota composition.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Zifeng Ma, Master
- Phone Number: 1307 +8621-64385700
- Email: mzf05@126.com
Study Contact Backup
- Name: Zhenhui Lu, Doctor
- Phone Number: 1307 +8621-64385700
- Email: tcmdoctorlu@163.com
Study Locations
-
-
-
Shanghai, China
- Not yet recruiting
- Fengxian District traditional Chinese medicine hospital
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Contact:
- Donghua Zhou
-
Shanghai, China
- Not yet recruiting
- Jingan district center hospital
-
Contact:
- Huifang Cao
-
Shanghai, China
- Not yet recruiting
- Pudong Hospital
-
Contact:
- Hong Bao
-
Shanghai, China
- Not yet recruiting
- Shanghai Eighth People's Hospital
-
Contact:
- Dejie Chu
-
Shanghai, China
- Not yet recruiting
- Shanghai TCM-Integrated Hospital
-
Contact:
- Wei Jia
-
Shanghai, China
- Not yet recruiting
- Xuhui district center hospita
-
Contact:
- Ronghuan Yu
-
Shanghai, China
- Not yet recruiting
- Zhongshan Hospital affiliated fudan university
-
Contact:
- Changzhou Shao
-
-
Shanghai
-
Shanghai, Shanghai, China, 200032
- Recruiting
- Longhua Hospital Affiliated Shanghai University of TCM
-
Contact:
- Jiyou Fu, master
- Phone Number: +8618917763366
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient diagnosed with chronic persistent asthma
- Annual uncontrollable time ≥ 3 months
- Patients who have given written informed consent
Exclusion Criteria:
- History of upper upper/lower respiratory infection in the previous 1 months
- History of long-term controller medication use for asthma (oral corticosteroid or intravenous corticosteroids therapy) within the preceding 1 months
- History of antibiotic use in the previous 1 months
- History of life-threatening asthma
- History of chronic lung diseases other than asthma, including but not limited to chronic obstructive pulmonary disease, bronchiectasis, emphysema, tuberculosis, sarcoidosis, pulmonary fibrosis, lung cancer, etc
- History of serious disease of the heart and cerebrovascular disease
- History of severe liver or renal dysfunction or disease
- History of severe disease in the hematopoietic system
- History of immunodeficiency (including, but not limited to, HIV positive detection, or other acquired or congenital immunodeficiency disease, or organ transplant history)
- History of any other condition (such as known drug or alcohol abuse or psychiatric disorder) which, in the opinion of the investigator, may preclude the patient from following and completing the protocol
- Are currently enrolled in, or discontinued within the last 30 days from, a clinical trial involving an investigational product or non-approved use of a drug or device (other than the investigational product used in this study), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study
- History of allergies to the component of the investigated drugs
- Smoking within the past year
- Contraindication to induced sputum collection method on history or examination
- Any serious medical condition which, in the opinion of the Investigator, would pose a significant risk to the patient or interfere with the interpretation of safety, efficacy, or pharmacodynamic data
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Control Group
80 participants will take oral therapy of 9.25 g Jia Wei Yang He granule Placebo twice a day for 28 consecutive days and also standard therapy of inhaled corticosteroid or beta2-agonist.
|
Made from 1/20 doses which has certain taste, but no therapeutic effect
Other Names:
|
|
Experimental: High dose Treatment Group
Participants in high Jia Wei Yang He formula group will receive Jia Wei Yang He granule 18.5g twice a day for 28 consecutive days and also standard therapy of inhaled corticosteroid or beta2-agonist.
|
This is an empirical traditional Chinese medicine compound used in the treatment of asthma for a long time
Other Names:
|
|
Experimental: Low dose Treatment Group
Participants in high Jia Wei Yang He formula group will receive Jia Wei Yang He granule 9.25g twice a day for 28 consecutive days and also standard therapy of inhaled corticosteroid or beta2-agonist.
|
This is an empirical traditional Chinese medicine compound used in the treatment of asthma for a long time
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Asthma Control Test Score variation
Time Frame: Baseline and 4 weeks
|
Measured the change from Baseline to the end of treatment
|
Baseline and 4 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Airway microbial diversity
Time Frame: Baseline, 2 weeks and 4weeks
|
Measured by 16S rRNA sequencing of induces sputum
|
Baseline, 2 weeks and 4weeks
|
|
Pulmonary function tests
Time Frame: Baseline and 4 weeks
|
Measured the change from Baseline to the end of treatment
|
Baseline and 4 weeks
|
|
Fractional exhaled nitric oxide (FeNO)
Time Frame: Baseline and 4 weeks
|
Measured the change from Baseline to the end of treatment of exhaled nitric oxide
|
Baseline and 4 weeks
|
|
Morning and evening Peak Expiratory Flow (PEF)
Time Frame: Measured during the 4 weeks treatment period
|
Measured the change from Baseline to the end of treatment
|
Measured during the 4 weeks treatment period
|
|
Cytokine levels of serum
Time Frame: Baseline and 4 weeks
|
Measured the change from Baseline to the end of treatment
|
Baseline and 4 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Huiyong Zhang, Master, Longhua Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2016LCSY098
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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