- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05631782
Effects of Shenkang Decoction on Creatinine and Blood Urea Nitrogen in Chronic Renal Failure Hemodialysis Patients
November 21, 2022 updated by: Wenfu Cao, The First People's Hospital of Zunyi
Effects of Shenkang Decoction on Creatinine and Blood Urea Nitrogen in Chronic Renal Failure Hemodialysis Patients: A Randomized Controlled Trial
To explore the clinical effect of Shenkang Decoction in chronic renal failure (CRF) patients with hemodialysis (HD).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
160
Phase
- Early 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 Locations
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Zunyi, China
- The First People's Hospital of Zunyi
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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
52 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- The diagnosis of western medicine meets the diagnostic criteria of chronic kidney failure in Internal Medicine
- the diagnosis of TCM meets the diagnostic criteria of the disease in the Guiding Principles for Clinical Research of New Chinese Medicine.
- The patient is over 18 years old,
- can think independently and have civil conduct,
- strictly follow the doctor's advice,
- maintain stable condition and regular HD treatment.
Exclusion Criteria:
- Patients with HD time of no more than three months, severe uncontrolled infection, other malignant diseases, heart, liver, brain, and digestive system dysfunction, mental diseases such as dementia or depression;
- contraindications to HD or contraindications to the study (Shock or systolic blood pressure below 80mm/Hg, severe bleeding or a tendency to bleed, serious infection such as sepsis, or a blood-borne infection, advanced tumor, extremely debilitating or not cooperating with doctor)
- drug allergy, chronic use of glucocorticoids, and immunosuppressants.
- women during pregnancy or lactation.
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 |
---|---|
Active Comparator: Control group
losartan tablets were taken orally (J20180054; Hangzhou Merck Pharmaceutical Co., Ltd.; specification 50 mg) at a dose of 50 mg per day.
Furosemide was injected intravenously (TCM approved by H41021056; Suicheng Pharmaceutical Co., Ltd.; specification 20 mg: 2mL) at a dose of 100 mg per day.
Uremic clearance granule was mixed with water and taken (Z20073256; Kangchen Pharmaceutical (Khorgos) Co., Ltd.; Specification 5 g) at a dose of 5 g at 6:00,12:00 and 10 g at 22:00 every day.
Treatment lasted for 10 - 14 days.
|
Given Shenkang decoction on the basis of the above treatment.
Shenkang decoction prescription: 15 g of semen cuscutae, herba epimedii and pericarpium arecae.
20 g of Eucommia ulmoides Oliv., radix astragali, codonopsis pilosula, salvia miltiorrhiza, tuckahoe, atractylodes macrocephala, Chinese yam, honeysuckle, polyporus umbellatus and dandelion.
15 g of safflower.
12 g of processed Fuzi. 10 g of Radix phytolaccae and sage.
Golden cherry son 20 g and puzzle kernel 15 g were added to patients with frequent proteinuria and nocturia took.
Yellow cypress 15 g was added to patients with damp-heat in lower-Jiao.
The decoction pieces were purchased from the Traditional Chinese Medicine and Pharmacy Department of the First People's Hospital of Zunyi City.
They were decocted by computer automatic decocting machine (model) and divided into 150 mL / bag, taken orally, once in the morning, noon and evening, 3 times / day, 1 bag / time, one pair a day.
Treatment lasted for 10 - 14 days.
|
Experimental: Treatment group
Shenkang decoction prescription: 15 g of semen cuscutae, herba epimedii and pericarpium arecae.
20 g of Eucommia ulmoides Oliv., radix astragali, codonopsis pilosula, salvia miltiorrhiza, tuckahoe, atractylodes macrocephala, Chinese yam, honeysuckle, polyporus umbellatus and dandelion.
15 g of safflower.
12 g of processed Fuzi. 10 g of Radix phytolaccae and sage.
Golden cherry son 20 g and puzzle kernel 15 g were added to patients with frequent proteinuria and nocturia took.
Yellow cypress 15 g was added to patients with damp-heat in lower-Jiao.
The decoction pieces were purchased from the Traditional Chinese Medicine and Pharmacy Department of the First People's Hospital of Zunyi City.
They were decocted by computer automatic decocting machine (model) and divided into 150 mL / bag, taken orally, once in the morning, noon and evening, 3 times / day, 1 bag / time, one pair a day.
Treatment lasted for 10 - 14 days.
|
Given Shenkang decoction on the basis of the above treatment.
Shenkang decoction prescription: 15 g of semen cuscutae, herba epimedii and pericarpium arecae.
20 g of Eucommia ulmoides Oliv., radix astragali, codonopsis pilosula, salvia miltiorrhiza, tuckahoe, atractylodes macrocephala, Chinese yam, honeysuckle, polyporus umbellatus and dandelion.
15 g of safflower.
12 g of processed Fuzi. 10 g of Radix phytolaccae and sage.
Golden cherry son 20 g and puzzle kernel 15 g were added to patients with frequent proteinuria and nocturia took.
Yellow cypress 15 g was added to patients with damp-heat in lower-Jiao.
The decoction pieces were purchased from the Traditional Chinese Medicine and Pharmacy Department of the First People's Hospital of Zunyi City.
They were decocted by computer automatic decocting machine (model) and divided into 150 mL / bag, taken orally, once in the morning, noon and evening, 3 times / day, 1 bag / time, one pair a day.
Treatment lasted for 10 - 14 days.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Renal function index
Time Frame: 8 min
|
The AU5800 fully automatic biochemical analyzer produced by Beckman Coulter Co., Ltd. was selected for renal function index determination.
peripheral venous blood (3-5 mL) was extracted before and after treatment, and Cre and urea nitrogen were measured after centrifugation
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8 min
|
TCM syndrome points
Time Frame: 14 days
|
According to the relevant contents of the Clinical Guiding Principles of New Chinese Medicine13, clinical symptoms of shortness of breath, fatigue, anorexia, chills, abdominal fullness and distension, unsolid stool, and weak waist were evaluated.
|
14 days
|
Nutritional status index
Time Frame: 14days
|
In patients, 3 mL of fasting venous blood was collected and given anticoagulant treatment.
The total serum protein, serum albumin, hemoglobin, and total red blood cells were measured by Mindray automatic biochemical analyzer (model BS-280, Shenzhen Mindray Bio-Medical Electronics Co., LTD.).
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14days
|
Dialysis adequacy judgment index
Time Frame: 14 days
|
The urea dynamic model was used to evaluate the overall urea clearance judgment of a single dialysis effect, and Kt / V was calculated according to the Daugirdas formula.
Kt / V= -ln (BUN before dialysis / BUN after dialysis-0.008
t) + (4-3.5 BUN before dialysis /BUN after dialysis) ultrafiltration volume / dialysis body weight.
Long-term dialysis components are protein catabolism rate (calculated by Gotch formula) and time-average urea concentration (calculated by Lowrie formula).
Protein catabolism rate = 9.35G×0.29Vt.
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14 days
|
Treatment efficiency
Time Frame: 14 days
|
The efficacy of the two groups was compared with the TCM syndrome points and the biochemical examination indexes.
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14 days
|
General physical examination
Time Frame: 14 days
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Including heart rate, blood pressure, breathing, pulse, and urine volume.
Urine routine, blood routine, stool routine, liver and kidney function testing, and electrocardiogram monitoring.
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14 days
|
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)
November 10, 2020
Primary Completion (Actual)
December 25, 2021
Study Completion (Actual)
December 26, 2021
Study Registration Dates
First Submitted
November 10, 2022
First Submitted That Met QC Criteria
November 21, 2022
First Posted (Actual)
November 30, 2022
Study Record Updates
Last Update Posted (Actual)
November 30, 2022
Last Update Submitted That Met QC Criteria
November 21, 2022
Last Verified
November 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Caowenfu590
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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