Clinical Evaluation and Generalized Application of "Qing-Hua-Bu" Three Dynamic Sequential Therapy of Diabetic Ulcer

This project is based on investigator team's ten year experience on diabetic ulcer and goes on further developing basic research and concluding clinical experience. The investigator team has recently developed "Remove stasis to generate granulation tissue" into "Remove slough to generate granulation tissue". Investigators have applied the principle of "Remove stasis" in the medium and later stage of treatment to make "Remove slough-Eliminate stasis-Generate granulation tissue" become the basic principle of three-stage sequential treatment. Investigators will further conclude Chinese medicine therapy in the stage of "Qing-Hua-Bu" and evaluate safety, applicability and availability of it. Therefore, the research can help improve clinical diagnosis and treatment technique and transfer the study result of Chinese medicine experience on diabetic ulcer.

Study Overview

Detailed Description

Aim: Under guidance of "Clear pus-Remove stasis-Supplement muscles" theory, to observe clinical effectiveness of dynamic Chinese external therapy of "Qing-Hua-Bu" in treating diabetic ulcer and partially explain potential wound healing mechanism.

Method: Clinical observation: To adopt the design method of open and parallel control test and include 150 diabetic ulcer patients. The treatment group was supplied with external clearing heat, removing stasis and supplementing deficiency Chinese medicine, while the control group was supplied with sulfadiazine silver cream, furacilin solution and bovine basic fibroblast growth factors (b-FGF) spray. To perform the dressing change for wound every day and persist in dressing change for two months. To record dynamic wound healing progress by digital camera. After finishing course, to compare wound healing, pus, exudate, granulation tissues and epithelial tissues and analyze these data by SPSS22.0.

Study Type

Interventional

Enrollment (Anticipated)

150

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. accord with standard of syndrome differentiation of traditional Chinese medicine and western medicine diagnostic criteria;
  2. age between 18-65 years old, gender, ethnic unlimited;
  3. agreed to participate in clinical trials can observe and cooperate with the visitor on schedule;
  4. sign the informed consent form and mark the date;
  5. If the patients are in the child-bearing period, they should accept the test of HCG and the result should be negative;

Exclusion Criteria:

  1. systematic application of steroids or immunosuppressor within 2 weeks;
  2. be allergic to any contents of known studied medicine;
  3. experiment results that may influence patients' safety;
  4. women within gestation period,suckling period or planning to gestation period;
  5. patients with severe heart, liver or kidney diseases;
  6. have received other studying medicine or taken part in other clinical experiments;
  7. cannot cooperate with the study for any reasons,such as language understanding and not able to see the doctors;
  8. other situations or diseases that researchers think may bring obvious risks to patients or interfere with the study results.
  9. cancer ulcer; tuberculotic ulcer;radioactive ulcer

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: External Chinese medicine

External Chinese medicine include 3 kinds of formula,including:

Qin, Hua and Bu will be applied to cover the participants' lesions in wet dressing form. Dosage form:5g/ml; frequency:qd; duration:2months.

External Chinese medicine:

For patients in the treatment group, they will accept one of three specific External Chinese medicine according to their lesions and corresponding syndromes:

  1. Chinese herb of "Clear heat-Remove dampness-Detoxicate" for patients belong to heat syndrome;
  2. Chinese herb of "Activating blood-Removing stasis" for patients belong to stasis syndrome;
  3. Chinese herb of "Supplement deficiency-Generate muscles" for patients belong to deficiency syndrome.
Other Names:
  • "Qing-Hua-Bu" Three Dynamic Sequential Therapy

For patients in the control group, they will accept one of three specific external Western medicine according to their lesions:

1.Ethacridine Lactate Solution(lesions with much effusion); 2.1% Sulfadiazine Silver Cream(lesions with infection); 3.rb-bFGF(lesions with no slough and look clear).

Other Names:
  • No.
Active Comparator: External Western medicine
Ethacridine Lactate Solution, 1% Sulfadiazine Silver Cream and rb-bFGF will be applied to cover the participants' lesions. Dosage form:3g/ml; frequency:qd; duration: 2months.

External Chinese medicine:

For patients in the treatment group, they will accept one of three specific External Chinese medicine according to their lesions and corresponding syndromes:

  1. Chinese herb of "Clear heat-Remove dampness-Detoxicate" for patients belong to heat syndrome;
  2. Chinese herb of "Activating blood-Removing stasis" for patients belong to stasis syndrome;
  3. Chinese herb of "Supplement deficiency-Generate muscles" for patients belong to deficiency syndrome.
Other Names:
  • "Qing-Hua-Bu" Three Dynamic Sequential Therapy

For patients in the control group, they will accept one of three specific external Western medicine according to their lesions:

1.Ethacridine Lactate Solution(lesions with much effusion); 2.1% Sulfadiazine Silver Cream(lesions with infection); 3.rb-bFGF(lesions with no slough and look clear).

Other Names:
  • No.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Wound healing rate
Time Frame: up to 56 days after treatment
To perform the dressing change for wound every day and persist in dressing change for two months. To record dynamic wound healing progress by digital camera. After finishing course, to compare wound healing, pus, exudate, granulation tissues and epithelial tissues and analyze these data by SPSS22.0.
up to 56 days after treatment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Chair: Jia Zhou, Department of dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

July 1, 2018

Primary Completion (Anticipated)

September 30, 2019

Study Completion (Anticipated)

October 30, 2019

Study Registration Dates

First Submitted

June 9, 2018

First Submitted That Met QC Criteria

June 29, 2018

First Posted (Actual)

July 2, 2018

Study Record Updates

Last Update Posted (Actual)

July 2, 2018

Last Update Submitted That Met QC Criteria

June 29, 2018

Last Verified

June 1, 2018

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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