- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05312463
Assessment on Effects of Tongjiang Granule in Treating Nonerosive Reflux Disease Overlapping Epigastric Pain Syndrome
April 1, 2022 updated by: Xiyuan Hospital of China Academy of Chinese Medical Sciences
Randomized Double-Blind Clinical Trial of Tongjiang Granule in the Treatment of Patients With Overlapping Gastrointestinal Symptoms of Nonerosive Reflux Disease(NERD) and Epigastric Pain Syndrome(EPS)
Overlapping gastrointestinal symptoms of functional gastrointestinal diseases (FGIDs) is an internationally recognized problem in modern medical diagnosis and treatment.
Such patients show more physical symptoms and worse quality of life, resulting in a huge economic burden.
At present, FGIDs gastrointestinal symptoms overlap, lack of effective and systematic treatment, and the treatment goal is to improve symptoms.The study plans to carry out a multi center and large sample RCT clinical study of Tongjiang granule in the treatment of overlapping gastrointestinal symptoms of non erosive reflux disease(NERD)and epigastric pain syndrome(EPS, so as to provide high-level evidence-based evidence for the treatment of overlapping symptoms of FGIDs and form a diagnosis and treatment scheme that can be popularized.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Overlapping gastrointestinal symptoms of functional gastrointestinal diseases (FGIDs) is an internationally recognized modern medical treatment problem.
More than 40.7% of people worldwide suffer from more than one FGIDs.Gastroesophageal reflux disease (GERD) and functional dyspepsia (FD) are common FGIDs.
Clinically, the symptom overlap between GERD and FD is very common.
Some studies show that 31.32% of FD and 41.15% of FD overlap GERD overlaps with FD, and the presence of FD reduces the response of GERD patients to proton pump inhibitors (PPIs).At present, the pathogenesis of gastrointestinal symptoms overlap in FGIDs is not clear, and there is a lack of effective and systematic treatment.
Non erosive reflux disease (NERD) and epigastric pain syndrome (EPS) are common subtypes of GERD and FD.
Nerd accounts for about 70% of GERD patients and EPS accounts for more than 50% of FD patients.
Long-term use of PPI can lead to many side effects, even dependency.
The treatment of traditional Chinese medicine compound has the characteristics of individualized syndrome differentiation and the advantage of "treating different diseases at the same time".
It has a significant effect on the overlap of gastrointestinal symptoms in clinic.
Study Type
Interventional
Enrollment (Anticipated)
228
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Fengyun Wang, professor
- Phone Number: 010-62835610
- Email: wfy811@163.com
Study Locations
-
-
Beijing
-
Beijing, Beijing, China, 100091
- Recruiting
- Xiyuan Hospital of China Academy of Chinese Medical Sciences
-
Contact:
- Fengyun Wang, professor
- Phone Number: +86(010)62835610
- Email: wfy811@163.com
-
-
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 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- It meets the diagnostic criteria of nonerosive reflex disease(NERD)and epigastric pain syndrome(EPS)
- It meets the diagnostic criteria of liver-stomach depression-heat syndrome of traditional Chinese medicine
- Age between 18 and 70 years old
- Patients have informed consent and are willing to receive corresponding treatment
Exclusion Criteria:
- Patients with active peptic ulcer, gastrointestinal hemorrhage, severe dysplasia of gastric mucosa or suspected malignant change, achalasia or postoperative achalasia
- There are other organic diseases of the digestive system (such as acute and chronic pancreatitis, cirrhosis, etc.), or systemic diseases that affect the gastrointestinal motility, such as hyperthyroidism, diabetes mellitus over 10 years, chronic renal insufficiency, spirit (the score of SAS and SDS shows severe anxiety or depression), nervous system diseases, etc
- Patients with severe organ diseases such as heart, liver and kidney (such as ALT, AST more than 2 times of normal value), hematopoietic system diseases and tumors
- HP infection was positive (bacterial culture, histological examination, urea breath test, rapid urease test and fecal antigen test were positive);
- People with a history of gastric / abdominal surgery (excluding appendectomy);
- Pregnant and lactating women;
- People with a history of allergies to all the test drugs
- Subjects who are participating in other clinical trials or have participated in other clinical trials within 4 weeks
- Other situations that reduce the possibility of enrollment or complicate enrollment according to the judgment of the researcher, such as frequent changes in working environment and other situations that are easy to cause loss of follow-up.
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: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Tongjiang granule group
Experiment group: oral administration of Tongjiang granule with warm water after meal for 1 bag each time for three times a day.
The medication period was 4 weeks.
|
Tongjiang granules, 1 bag / time, 3 times / day.
|
Placebo Comparator: Tongjiang granule simulant group
Control group:oral administration of Tongjiang granule simulant with warm water after meal for 1 bag each time for three times a day.
The medication period was 4 weeks.
|
Tongjiang granule simulant,1 bag / time, 3 times / day.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual Analogue Scale(VAS)scores of main symptoms (heartburn, reflux, epigastric pain, epigastric burning sensation)
Time Frame: 10 weeks
|
Observe the changes of VAS scores of main symptoms(heartburn, reflux, epigastric pain, epigastric burning sensation) at baseline and after 2, 4 weeks of medication and 2, 4 and 6 weeks of withdrawal,If the score descends, it indicates that the patient's condition has improved.
|
10 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual Analogue Scale(VAS)scores of Atypical symptoms and other symptom scores (chest pain, pharyngeal foreign body sensation, cough, etc)
Time Frame: 10 weeks
|
Observe the changes of VAS scores of Atypical symptoms and other symptom scores(chest pain, pharyngeal foreign body sensation, cough, etc) at baseline and after 2, 4 weeks of medication and 2, 4 and 6 weeks of withdrawal,If the score descends, it indicates that the patient's condition has improved.
|
10 weeks
|
the MOS item short from health survey (SF-36 scale)
Time Frame: 10 weeks
|
Observe the changes of SF-36 scale at baseline and after 2, 4 weeks of medication and 2, 4 and 6 weeks of withdrawal,if the score descends, it indicates that the patient's condition has improved.
|
10 weeks
|
Patient-Reported Outcome (Pro scale)
Time Frame: 10 weeks
|
Observe the changes of Pro scale at baseline and after 2, 4 weeks of medication and 2, 4 and 6 weeks of withdrawal,if the score descends, it indicates that the patient's condition has improved.
|
10 weeks
|
Hospital Anxiety and Depression Scale (HAD)
Time Frame: 10 weeks
|
Observe the changes of Hospital Anxiety and Depression Scale (had) at baseline and after 2, 4 weeks of medication and 2, 4 and 6 weeks of withdrawal,if the score descends, it indicates that the patient's condition has improved.
|
10 weeks
|
Visceral Sensitivity Scale (VSI)
Time Frame: 10 weeks
|
Observe the changes of Visceral Sensitivity Scale (VSI) at baseline and after 2, 4 weeks of medication and 2, 4 and 6 weeks of withdrawal,if the score descends, it indicates that the patient's condition has improved.
|
10 weeks
|
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 26, 2022
Primary Completion (Anticipated)
October 1, 2023
Study Completion (Anticipated)
October 1, 2024
Study Registration Dates
First Submitted
March 3, 2022
First Submitted That Met QC Criteria
April 1, 2022
First Posted (Actual)
April 5, 2022
Study Record Updates
Last Update Posted (Actual)
April 5, 2022
Last Update Submitted That Met QC Criteria
April 1, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2021XLA117-3
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
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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