- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04846010
Recovering Damaged Cells for Sequelae Caused by COVID-19, SARS-CoV-2 (sequelae)
Treating Sequalae Caused by Post-acute Sequelae of SARS (Severe Acute Respiratory Syndrome)-CoV-2 Infection
Study Overview
Status
Conditions
- Depression
- Anxiety Disorders
- Hepatitis
- Insomnia
- Gastro Esophageal Reflux
- GERD
- Glomerulonephritis
- Depression, Anxiety
- Depression, Bipolar
- Sequelae of; Infection
- Post Infection Glomerulonephritis
- Post-Infectious Peripheral Neuralgia
- Post-Infectious Disorder (Disorder)
- Post-Infectious Arthritis
- Post-Infectious Polyneuritis
- Post-Infectious Parkinsonism
- Post-Infectious Hypothyroidism
- Post Infectious Osteoarthritis
Detailed Description
SARS-CoV-2 caused sequela is a pathological condition, and specific cells are damaged from a prior disease, injury, or attack. Post-Acute Sequelae of SARS-CoV-2 Infection (PASC) is caused by an infection of SARS-CoV-2 and COVID-19 virus. The virus or virus-triggered disorder immunity attacks target tissue(s) and organ(s). No matter name of the virus and the cells, tissue(s), or organ(s), they all belong to the category of antigen and cause an immune response; this can induce inflammation or not depending on the immune system tolerance . While older patients may have an increased risk of developing severe disease or sequelae, young survivors have also reported symptoms months after acute infection of SARS-CoV-2, reported by the British Lung Foundation. Some infected people, referred to as long-haulers, experience a long period of symptoms. Characterization of the etiology and pathophysiology of late sequelae is underway and may reflect organ damage from the acute infection phase; manifestations of a persistent hyperinflammatory state even perform as autoimmune diseases. Rheumatic disease can also occur during the infection of COVID. Ongoing viral activity indicates an inadequate antibody response. Factors in addition to acute illness that may further complicate the picture include physical deconditioning at baseline or after a long disease course, pre-COVID-19 comorbidities, and psychological sequelae following a long or difficult disease course relating to lifestyle changes due to the pandemic. Likely, the persistent sequelae of COVID-19 represent multiple syndromes resulting from distinct pathophysiological processes along the spectrum of disease. So far, no specific medicine has been identified for treating the COVID-19 virus and post-acute sequelae of SARS-CoV-2. Due to the difficulty treating either SARS-CoV-2 or its caused sequelae, there is a very pessimistic suggestion: People must live with COVID-19 forever. Most people who contract coronavirus disease 2019 (COVID-19) infection recover entirely within a few weeks. However, the long-haulers continue to experience symptoms after their initial recovery. This condition has been called post-COVID-19 syndrome or "long COVID-19." Older people and people with many severe medical conditions are the most likely to experience lingering COVID-19 symptoms, but even young, otherwise healthy people can feel unwell for weeks to months after infection. The most common signs and symptoms that linger over time include fatigue, shortness of breath, cough, joint pain, and chest pain. Other long-term signs and symptoms may include muscle pain or headache, fast or pounding heartbeat, loss of smell or taste, memory and concentration or sleep problems, and rash or hair loss, the Mayo Clinic reported.
Virus infections have been long associated with autoimmune diseases, whether multiple sclerosis, diabetes, or myocarditis. Three potential mechanisms for virus-induced autoimmune disease or virus-induced immunopathology are molecular mimicry, bystander activation, and persistent virus infection.
Those prolonged symptoms are consistent with the internal physical pathological process. That can be the virus infection continuing, or the infection triggered an immune reaction in one or more physical locations when a person became infected with the COVID-19 virus.
Here is the critical point: when the structure of cells is destroyed, the result is the affected cell's function will be lost. Does the etiology directly destroy the antigen, or the virus trigger the disorder immunity to destroy the antigen? The results are the same: the antigen is under inflammation. Returning the damaged cells (antigen) to normal or close to normal states is the key to saving lives.
This raises questions concerning how can we protect those cells from becoming damaged and how can we return injured cells to their normal function? Regardless of whether the cell has been damaged directly by the virus infection, or another reason like disordered immunity, my clinical research will show how to solve those medical problems.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Wanzhu Hou, CMD
- Phone Number: (301)770-4480
- Email: info@anmedicine.com
Study Locations
-
-
Maryland
-
Rockville, Maryland, United States, 20852-2235
- Recruiting
- All Natural Medicine Clinic, LLC
-
Contact:
- Adaobi Mgbodille
- Phone Number: 301-770-4480
- Email: info@anmedicine.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The participants must receive medical herbs as a treatment method;
- Participants are not limited by age, sex, race, or location;
- Participants are including infants;
- Participants are including pregnant woman;
- The participants had an infection history of SARS-CoV-2 in past one month;
- The participants provide SARS-CoV-s diagnoses (Molecular or Antigen). Test was *positive, now hold negative reports
- Participants hold reports of immune system medics, like immunoglobulin M (IgM), immunoglobulin G (IgG);
- Reports that is evidence of specific organ damaged, including assay reports or image reports
- Participants must agree to take medical herbs for at least 3 months as one course continually;
- Participants must agree to repeat the assay and image test to monitor the treatment results;
- Participants must report their Manifestations clearly to investigators;
- Participants must agree to continue the next course of the treatment after the evaluation if it is necessary;
- The treatment goal is to become symptom-free, and experiment assays went to normal
Exclusion Criteria:
- Participants don't want to take medical herbs;
- Participants have symptoms of sequelae but is not caused by SARS-CoV-2 (COVID-19);
- Participants have not symptoms after COVID-19 infection, no assays abnormal either;
- Participants don't want to repeat the experiment assays;
- Participants are in E.R. or ICU during the application or enrollment;
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: antigen
The antigen is the cell that is destroyed by inflammation, which can perform as swollen, fatty, apoptosis, necrosis, and lethal pathological states.
Some pathological cells can be saved and returned to customary conditions, like swollen, fatty, early apoptosis, but necrosis, lethal.
|
(1) cang zhu (Atractylodis Rhizoma), bai (zhu Atractylodis macrocephalae Rhizoma), dang shen (Codonopsis Radix), huang qi (Astragali Radix), Fu ling (Poria), Zhu ling (polyporus), Ze xie (Alismatis Rhizoma), Yi yi ren (Coicis Semen), gan cao (Glycyrrhizae Radix),
(2).shan zha (Crataegi Fructus), Jue Ming Zi (Cassiae Semen), He ye (Nelumbinis Folium), Da huang (Rhei Radix et Rhizoma), Ze xie (Alismatis Rhizoma), dan shen ( Salviae miltiorrhizae Radix).
(3)Sheng Di Huang (Rehmanniae Radix), Xuan Shen (Scrophulariae Radix), mai men dong (Ophiopogonis Radix), shan zhu yu (Corni Fructus), shan yao (Dioscoreae Rhizoma), sha yuan zi (Astragali complanati Semen), ci ji li (Tribuli Fructus), nu zhen zi (Ligustri lucidi Fructus)
(4) chen pi (Citri reticulatae Pericarpium), hua ju hong (Citri grandis Exocartium rubrum), zhi shi (Aurantii Fructus immaturu), zhi ban xia (Pinelliae Rhizoma preparatum), zhi tian nan xing (Arisaematis Rhizoma preparatum),sha ren (Amoni Fructus), Gua lou (Trichosanthis Fructus), Chuan bei mu ( Fritillatiae cirrhosae Bulbu), Fu ling ( Poria), Da huang ( Rhei Radix et Rhizoma).
|
|
Active Comparator: Internal environment
The internal environment is critical to the damaged cells recovering.
Mainly it is covered by two major parts: metabolites and thrombus.
|
(2) Dan shen (Salviae miltiorrhizae Radix), Yu jin (Curcumae Radix), chi shao (Paeoniae Radix rubra), tao ren (Persicae Semen), hong hua (Carthami Flos)
|
|
Active Comparator: Communication between cells
The communication between organs, cells, helps the damaged cells recover and reduce symptoms.
|
(1) lei gong teng (Tripterygii wilfordii Radix), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bai (Phellodendri Cortex), Zhi Zi (Gardeniae Fructus).
(2).
Vagus never communicates with LES: yu jin (Curcumae Radix), Chai Hu (Bupleuri Radix), chi shao (Paeoniae Radix rubra), Mu Dan Pi (Moutan Cortex), chuan lian zi (Toosendan Fructus), long gu (Fossilia Ossis Mastodi), mu li (Ostreae Concha)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Monitoring symptoms
Time Frame: 3 months as a course
|
Measuring the symptoms of chest pain, cough, loss of smell, loss of taste by Visual Analog Score (VAS)
|
3 months as a course
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Monitoring emotion changing
Time Frame: 3 months as a course.
|
measuring anxiety, depression, bipolar feeling by Visual Analog Score (VAS)
|
3 months as a course.
|
|
Checking heart burn symptom
Time Frame: 3 months as a course.
|
Measuring stomach reflux symptom by Visual Analog Score (VAS)
|
3 months as a course.
|
|
Monitoring thyroid function
Time Frame: 3 months as a course
|
Measuring thyroid hormone3, 4 (T3,T4), thyroid-stimulating hormone (TSH) level
|
3 months as a course
|
|
Monitoring liver function
Time Frame: 3 months as a course
|
Measuring alanine transaminase (ALT), Aspartate transaminase (AST), alkaline phosphatase (ALP) recovering
|
3 months as a course
|
|
Monitoring kidney function
Time Frame: 3 months as a course
|
Measuring estimated glomerular filtration rate (eGFR), creatinine (Cr.) level
|
3 months as a course
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Wanzhu Hou, CMD, All Natural Medicine Clinic, LLC
Publications and helpful links
General Publications
- Wanzhu Hou, et al. Treating Autoimmune disease with Chinses Medicine, Elsevier, 2011
- Wannzhu Hou Cellular Structure and its Function is the key for keeling Diseases, Certification and Registration number: TXu 1-938-144 July 30, 2014
- Zigmond E, Varol C, Farache J, Elmaliah E, Satpathy AT, Friedlander G, Mack M, Shpigel N, Boneca IG, Murphy KM, Shakhar G, Halpern Z, Jung S. Ly6C hi monocytes in the inflamed colon give rise to proinflammatory effector cells and migratory antigen-presenting cells. Immunity. 2012 Dec 14;37(6):1076-90. doi: 10.1016/j.immuni.2012.08.026. Epub 2012 Dec 6.
- Jurewicz MM, Stern LJ. Class II MHC antigen processing in immune tolerance and inflammation. Immunogenetics. 2019 Mar;71(3):171-187. doi: 10.1007/s00251-018-1095-x. Epub 2018 Nov 12.
- Wang F, Kream RM, Stefano GB. Long-Term Respiratory and Neurological Sequelae of COVID-19. Med Sci Monit. 2020 Nov 1;26:e928996. doi: 10.12659/MSM.928996.
- Pollard CA, Morran MP, Nestor-Kalinoski AL. The COVID-19 pandemic: a global health crisis. Physiol Genomics. 2020 Nov 1;52(11):549-557. doi: 10.1152/physiolgenomics.00089.2020. Epub 2020 Sep 29.
- Schvartz A, Belot A, Kone-Paut I. Pediatric Inflammatory Multisystem Syndrome and Rheumatic Diseases During SARS-CoV-2 Pandemic. Front Pediatr. 2020 Dec 4;8:605807. doi: 10.3389/fped.2020.605807. eCollection 2020.
- Smatti MK, Cyprian FS, Nasrallah GK, Al Thani AA, Almishal RO, Yassine HM. Viruses and Autoimmunity: A Review on the Potential Interaction and Molecular Mechanisms. Viruses. 2019 Aug 19;11(8):762. doi: 10.3390/v11080762.
- Ploumpidis D. Living with covid-19. Psychiatriki. 2020 Jul-Sep;31(3):197-200. doi: 10.22365/jpsych.2020.313.197. English, Greek, Modern.
- Fujinami RS, von Herrath MG, Christen U, Whitton JL. Molecular mimicry, bystander activation, or viral persistence: infections and autoimmune disease. Clin Microbiol Rev. 2006 Jan;19(1):80-94. doi: 10.1128/CMR.19.1.80-94.2006.
- Honda T, Egen JG, Lammermann T, Kastenmuller W, Torabi-Parizi P, Germain RN. Tuning of antigen sensitivity by T cell receptor-dependent negative feedback controls T cell effector function in inflamed tissues. Immunity. 2014 Feb 20;40(2):235-247. doi: 10.1016/j.immuni.2013.11.017. Epub 2014 Jan 16.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Mental Disorders
- Digestive System Diseases
- Pathologic Processes
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Mood Disorders
- Kidney Diseases
- Urologic Diseases
- Pain
- Neurologic Manifestations
- Endocrine System Diseases
- Disease Attributes
- Gastrointestinal Diseases
- Joint Diseases
- Musculoskeletal Diseases
- Arthritis
- Thyroid Diseases
- Neuromuscular Diseases
- Basal Ganglia Diseases
- Movement Disorders
- Peripheral Nervous System Diseases
- Spinal Diseases
- Bone Diseases
- Esophageal Motility Disorders
- Deglutition Disorders
- Esophageal Diseases
- Bipolar and Related Disorders
- Spondylarthropathies
- Spondylarthritis
- Spondylitis
- Nephritis
- Depression
- Depressive Disorder
- Hypothyroidism
- Disease
- Infections
- Communicable Diseases
- Anxiety Disorders
- Neuralgia
- Gastroesophageal Reflux
- Neuritis
- Bipolar Disorder
- Arthritis, Infectious
- Glomerulonephritis
- Parkinsonian Disorders
- Arthritis, Reactive
Other Study ID Numbers
- CHM2282395-2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
If you are a conventional medical practitioner, you can open it, and you will experience the different practice in clinic.
If you are a helictical medical practitioner, you can learn how integrative medicine practice in clinic.
IPD Sharing Supporting Information Type
- Clinical Study Report (CSR)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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