- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04448197
Insomnia Treated by Traditional Chinese Medicine and Its Circadian Rhythm
August 22, 2021 updated by: Xiuqin Wang, The First Affiliated Hospital with Nanjing Medical University
The Real World Study on of Insomnia Treated by Traditional Chinese Medicine and Observation of Its Correlation With Circadian Rhythm
Insomnia and sleep disorders are prominent health problems in modern society.
High working pressure, fast pace of life, the use of electronic products and other reasons lead to the high incidence of insomnia and sleep disorders, which affect people's physical and mental health seriously, long-term insomnia will increase the risk of various health problems, and may even lead to malignant accidents.
There are few effective methods to treat insomnia or sleep disorders, only part of the problem can be solved by sleeping pills and psychotherapy.
However, drug therapy has side effects such as drowsiness on the next day, ataxia, anterograde amnesia and so on, and long-term application is addictive.
Traditional Chinese medicine (TCM) has certain characteristics and advantages in the treatment of insomnia, but there is lack of evidence in clinical research that meets the requirements of modern evidence-based medicine, to prove the exact efficacy and safety of TCM in the treatment of insomnia.
In addition, the research shows that the internal biological clock cycle of normal human body is 24-hour, insomnia may be related to biological clock gene.
In this study, the outpatients with insomnia were taken as the research object.
To observe the efficacy and safety of TCM in the treatment of insomnia by recording the participants' baseline demographic data, questionnaire survey, and conducting hematology examination.
At the same time, to know the TCM constitution type of insomnia patients, through questionnaire survey with "Classification and Determination of TCM constitution table" that published by China Association of Chinese Medicine.And to explore the correlation between insomnia and circadian rhythm of biological clock .
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
To record the demographic information and clinical characteristics of participants, including age, gender, education background, and drug use.
Venous blood samples were collected and sent to laboratory test for blood routine, blood biochemistry, and blood homocysteine before and after 1 months of treatment.
The remaining blood samples were kept in the sample bank for preservation.
The Pittsburgh sleep quality index (PSQI) was used to evaluate the patients' sleep quality, and the depressive symptoms were assessed by Hamilton Depression Scale (HAMD-17) before and after treatment.
Conduct the "Classification and Determination of TCM constitution table" before the treatment and 1-2 weeks before the end of the treatment, and according to the TCM constitution type to give constitution conditioning treatment.The participants will have a follow-up visit every two weeks, and the TCM will be adjusted according to the condition of illness.
The treatment will last for 1 months.
Study Type
Observational
Enrollment (Actual)
50
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Jiangsu
-
Nanjing, Jiangsu, China, 224000
- The First Affiliated Hospital of Nanjing Medical University
-
-
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 75 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Outpatients or inpatients of The First Affiliated Hospital of Nanjing Medical University (Jiangsu Province Hospital) ,age 18-75 years old, male and female unlimited,in line with the Chinese adult insomnia diagnosis and treatment guidelines (2017 version) insomnia diagnosis standards, informed consent, voluntary participation in this study.
Description
Inclusion Criteria:
- Outpatients or inpatients.
- It conforms to the insomnia diagnosis standard of Chinese adult insomnia diagnosis and treatment guide (2017 Edition).
- Informed consent, voluntary participation in the study.
Exclusion Criteria:
- Sleep apnea syndrome leads to insomnia.
- Severe depression, suicidal tendency or having committed suicide.
- Pregnant and lactating women.
- It has serious primary heart, liver, lung, kidney, blood or serious diseases affecting its survival, such as: tumor or AIDS, SCR > 1.5n (n is the upper limit of normal value), ALT > 2n (n is the upper limit of normal value), WBC < 3.0 × 109 / L;
- Those who cannot give full informed consent due to mental disorders.
- According to the researcher's judgment, other situations that are not suitable for the group, such as the change of working environment and other vulnerable interviewers.
- Patients who are participating in other clinical studies.
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
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from Baseline in the total score of the Pittsburgh sleep quality index (PSQI) at Month 1
Time Frame: Baseline and month 1
|
The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval.
Possible scores range from 0(the best sleep quality) to 21(the worst possible sleep quality).The higher the score of PSQI, the worse the sleep quality.
Change=(Month 1 Score-Baseline Score)
|
Baseline and month 1
|
Change from Baseline in the total score of the 17-item Hamilton Depression Scale (HAMD-17) at Month 1
Time Frame: Baseline and month 1
|
The 17-item Hamilton Depression Rating Scale(HAMD-17) assesses severity ranges of depression: no depression (0-7); mild depression (8-16); moderate depression (17-23); and severe depression (≥24).
Possible scores range from 0(no depression) to 54(the worst possible depression).
The higher the score of HAMD-17, the heavier the depression.
Change=(Month 1 Score-Baseline Score)
|
Baseline and month 1
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in of the ALT,to evaluate the safety of TCM treatment
Time Frame: Baseline and month 1
|
Alanine aminotransferase, ALT in U/L.
|
Baseline and month 1
|
Change in of the AST,to evaluate the safety of TCM treatment
Time Frame: Baseline and month 1
|
Aspartate aminotransferase, AST in U/L
|
Baseline and month 1
|
Change in of the BUN,to evaluate the safety of TCM treatment
Time Frame: Baseline and month 1
|
Blood urea nitrogen, BUN in mmol/L
|
Baseline and month 1
|
Change in of the Scr,to evaluate the safety of TCM treatment
Time Frame: Baseline and month 1
|
Serum creatinine, Scr in μmol/L
|
Baseline and month 1
|
Change in of the Hcy,to evaluate the safety of TCM treatment
Time Frame: Baseline and month 1
|
Homocysteine, Hcy in μmol/L
|
Baseline and month 1
|
Genome-wide association study,in bp,to explore the correlation between insomnia and circadian rhythm of biological clock
Time Frame: 1 year
|
Illumina HumanHap550-Duo BeadChips was used to perform the whole genome genotyping in deCODE genetics (Reykjavı'k, Iceland)
|
1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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 (ACTUAL)
March 4, 2020
Primary Completion (ACTUAL)
October 16, 2020
Study Completion (ACTUAL)
January 30, 2021
Study Registration Dates
First Submitted
February 11, 2020
First Submitted That Met QC Criteria
June 24, 2020
First Posted (ACTUAL)
June 25, 2020
Study Record Updates
Last Update Posted (ACTUAL)
August 24, 2021
Last Update Submitted That Met QC Criteria
August 22, 2021
Last Verified
August 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2019-SR-484
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
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.
Clinical Trials on Insomnia
-
Leiden UniversityBioClock Consortium; Caring UniveristiesCompleted
-
National Science Council, TaiwanCompleted
-
Sunshine Lake Pharma Co., Ltd.Unknown
-
Pfizer's Upjohn has merged with Mylan to form Viatris...Completed
-
Massachusetts General HospitalNational Institutes of Health (NIH)Completed
-
IpsenCompletedThe Effectiveness of Circadin in Improving Quality of Sleep in Patients Aged 55 or Over (QUALISLEEP)InsomniaRussian Federation
-
Charite University, Berlin, GermanyCompleted
-
Roxane LaboratoriesCompleted
-
Butler HospitalSunovionCompleted
Clinical Trials on Chinese Medicine
-
Guangzhou University of Traditional Chinese MedicineThe George InstituteNot yet recruitingIntracerebral HemorrhageChina
-
Henan University of Traditional Chinese MedicineUnknownCommunity-acquired PneumoniaChina
-
Xiyuan Hospital of China Academy of Chinese Medical...Beijing Municipal Science & Technology CommissionUnknownAdvanced Colorectal Cancer | Traditional Chinese MedicineChina
-
Taipei Veterans General Hospital, TaiwanWithdrawnRheumatoid Arthritis | Systemic Lupus Erythematosus | Systemic Sclerosis | Dry Eye Syndrome | Sjögren's Syndrome | Ankylosing SpondylitisTaiwan
-
Guang'anmen Hospital of China Academy of Chinese...RecruitingRheumatoid ArthritisChina
-
National Center for Complementary and Integrative...CompletedTemporomandibular Joint DisordersUnited States
-
Qianfoshan HospitalNot yet recruitingHepatic Encephalopathy | Cirrhosis, Liver | Portosystemic ShuntChina
-
Shengjing HospitalRecruitingPlasma Cell MastitisChina
-
Tianjin University of Traditional Chinese MedicineRecruitingCardiovascular DiseasesChina
-
Changhua Christian HospitalRecruitingAtaxia, Spinocerebellar | Insulin-Like Growth Factor I | Medicine, Chinese TraditionalTaiwan