The Efficacy of Patients With Moderate to Severe Atopic Dermatitis Treated With Chinese Herbal Medicine
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This examination will be posted at Taipei Veterans General Hospital to recruit 24 participants who meet the inclusion criteria of atopic dermatitis to do the study. After participants agreeing to the clinical study and signing the consent form, the investigators are going to separate them into the A group (12 participants) and the B group (12 participants). The tests are going to take a total of 14 weeks.
Participants need to pass the international diagnostic criteria Hannifin and Rajka to be determined as patients with atopic dermatitis. After, participants need test by scoring Atopic Dermatitis Index (SCORAD) to be determined as mild to moderate atopic dermatitis and accept the Wang Qi Traditional Chinese Medical Constitutional Scale (TCMCS), dermatological quality of life index (DLQI) score or children's skin disease quality of life index (CDLQI) score, routine blood tests, liver and kidney function tests, immunological markers associated with atopic dermatitis Diagnosis of (eosinophils count, ECP, and IgE), tongue diagnosis, and pulse diagnosis. After the collection of data is completed, the investigators will be analyzing the data by SPSS version 21 as a two-paired t-test, ANOVA statistical method, and P <0.05 as a significant result.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Fang-Pey Chen, MD
- Phone Number: 886-2-28757453
- Email: fpchen@vghtpe.gov.tw
Study Locations
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-
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Taipei, Taiwan
- Taipei Veterans General Hospital
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Taipei, Taiwan, 11217
- Center for Traditional Medicine, Taipei VGH
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 6 years old to 30 years old.
- Diagnosis as an atopic dermatitis patient.
- The score of the SCORAD is over 25. (moderate to severe atopic dermatitis)
Exclusion Criteria:
- Secondary bacterial infections
- Received oral or intravenous steroid treatment, anti-biotics, phototherapy, or other immunosuppressive therapies in the previous 2 months.
- Received Chinese herbal medicine treatment or acupuncture.
- Pregnant woman or current breastfeeding.
- Who had catastrophes illness now or in the past must be avoided.
- Can not sign informed consent or can not communicate with the researcher.
- Abnormal liver enzymes.
- Abnormal kidney function tests (1.5 times higher than the upper normal limit)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group A
Group A will receive Xiao-Xian-Gui-Fu-Tang(VGH4) for 6 weeks, then entry 2 weeks wash-out period.
Then switch to receive the placebo for another 6 weeks.
|
The Xiao-Xian-Gui-Fu-Tang (VGH4) includes Xiao-Feng-San 2.0g, Dang-Gui-Yin-Zi 1.2g, Bai-Xian-Pi (Cortex Dictamni Radicis) 0.4g, and Di-Fu-Zi (Fructus Kochiae) 0.5g.
The Xiao-Xian-Gui-Fu-Tang (VGH4) will be manufactured, packaged, and labeled by the KO DA Pharmaceutical Company (Taoyuan, Taiwan), under good manufacturing practice (GMP) standards.
Matching placebo composed of inert excipients with similar color, taste, and odor, administered orally daily.
|
|
Placebo Comparator: Group B
Group B will receive placebo for 6 weeks, then entry 2 weeks wash-out period.
Then switch to receive the Xiao-Xian-Gui-Fu-Tang (VGH4)for another 6 weeks.
|
The Xiao-Xian-Gui-Fu-Tang (VGH4) includes Xiao-Feng-San 2.0g, Dang-Gui-Yin-Zi 1.2g, Bai-Xian-Pi (Cortex Dictamni Radicis) 0.4g, and Di-Fu-Zi (Fructus Kochiae) 0.5g.
The Xiao-Xian-Gui-Fu-Tang (VGH4) will be manufactured, packaged, and labeled by the KO DA Pharmaceutical Company (Taoyuan, Taiwan), under good manufacturing practice (GMP) standards.
Matching placebo composed of inert excipients with similar color, taste, and odor, administered orally daily.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes of SCORing Atopic Dermatitis(SCORAD) Index
Time Frame: week 0, 3, 6, 8, 11, 14
|
SCORAD is a clinical tool used to assess the extent and severity of eczema (SCORing Atopic Dermatitis).
Dermatologists may use this tool before and after treatment to determine whether the treatment has been effective.
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week 0, 3, 6, 8, 11, 14
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Changes of Dermatology Life Quality Index(DLQI)
Time Frame: week 0, 3, 6, 8, 11, 14
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The DLQI is designed to measure the health-related quality of life of adult patients suffering from a skin disease.
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week 0, 3, 6, 8, 11, 14
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Changes of Children's Dermatology Life Quality Index(CDLQI)
Time Frame: week 0, 3, 6, 8, 11, 14
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The Children's Dermatology Life Quality Index (CDLQI) is designed to measure the impact of any skin disease on the lives of children.
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week 0, 3, 6, 8, 11, 14
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Blood test (AST)
Time Frame: week 0, 6, 14
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blood test at baseline, week 6, and follow-up (14 weeks)
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week 0, 6, 14
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Blood test (ALT)
Time Frame: week 0, 6, 14
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blood test at baseline, week 6, and follow-up (14 weeks)
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week 0, 6, 14
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Blood test (Serum Creatinine)
Time Frame: week 0, 6, 14
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blood test at baseline, week 6, and follow-up (14 weeks)
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week 0, 6, 14
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Changes of Constitution in Chinese Medicine Questionnaire
Time Frame: week 0, 6, 14
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The Constitution in Chinese Medicine Questionnaire (CCMQ) consists of 60 items to classify a person into one or more of nine Body constitution(BC) types: gentleness (8 Items), Qi-deficiency (8 Items), Yang-deficiency (7 Items), Yin-deficiency (8 Items), phlegm-wetness (8 Items), wetness-heat (6 Items), blood-stasis (7 Items), Qi-depression (7 Items), and special diathesis (7 Items).
Coexistence of multiple imbalanced BC types was possible which is consistent with the TCM theories.
The scoring algorithm proposed in the original CCMQ was adopted in this study.
A higher score in the CCMQ BC scale indicates a higher likelihood of the specific BC type, and a score of 30 is set as threshold for case definition.
The CCMQ will be conducted at baseline, 12 weeks, and follow-up (16 weeks).
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week 0, 6, 14
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Fang-Pey Chen, MD, Center for Traditional Medicine, Taipei Veterans General Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2019-02-017A
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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