- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04189367
Behandling af brændende mund-syndrom med integration af traditionel kinesisk medicin og vestlig medicin
En prospektiv undersøgelse af behandling af brændende mund-syndrom med integration af traditionel kinesisk medicin (TCM) og vestlig medicin baseret på TCM-syndromdifferentiering
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
BMS-patienter vil blive klassificeret i primær type og sekundær type i henhold til patienternes kliniske historie og laboratorieundersøgelser. Den sekundære BMS omfatter kun ernæringsmæssig mangel, såsom vitamin B12, folat, jern, zink. Først behandles de primære BMS-patienter med 0,5~1 mg clonazepam hver dag før søvn i 8 uger. De sekundære BMS-patienter behandles med vitamin B12, folat, jern og zink i henhold til patientens ernæringsmæssige mangelstatus. Patienter med ingen forbedring eller ringe forbedring efter den første fase af vestlig medicinbehandling vil blive arrangeret til at modtage traditionel kinesisk medicin (TCM) terapi. Alle patienter vil modtage TCM-modellen, inklusive TCM-læge, automatisk tungediagnosesystem (ATDS) og kropskonstitutionelle spørgeskema (BCQ), evalueringer.
Resultaterne af denne undersøgelse forventes at forstå, om adjuverende TCM-behandling af BMS kan forbedre behandlingens effektivitet. Efterforskerne vil forstå, om konstitutionsmønsteret kan være en forudsigelig indikator for effektivitet for vestlig BMS. Efterforskerne vil finde en diagnostisk indikator for TCM-modellen og anvende den til vurdering af prognosen for BMS-patienter.
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Taipei, Taiwan, 105
- Chang Gung Memorial Hospital
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inklusionskriterier:
- Deltagere, der underskrev det informerede samtykke
- Den kliniske diagnose var primær eller sekundær type BMS-patient
- ≥ 20-årig
- Kvinde
- Villig til at tage traditionel kinesisk medicin
Ekskluderingskriterier:
- Anamnese med en angiotensin-konverterende enzymhæmmer (ACEI).
- Autoimmun sygdom
- Dårlig nyrefunktion
- Uvillig til at tage traditionel kinesisk medicin
- Han
- Deltagere, der er blevet behandlet med TCM eller Akupunktur inden for en måned
- Deltagere, der er blevet behandlet med medicin mod brændende mund-syndrom
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Vestlig medicin + TCM
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En pose "Qingre Liangkou Ningxin Fang" ad gangen, tre gange om dagen i 12 uger.
Andre navne:
Vestlig medicin inkluderer:
Andre navne:
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Aktiv komparator: Vestlig medicin
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Vestlig medicin inkluderer:
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Global opfattet effekt (GPE)
Tidsramme: efter behandling 1 uge, 3 uger, 6 uger, 9 uger, 12 uger
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GPE er defineret som en ændring af symptomforbedring sammenlignet med baseline, 1=værre; 2=ingen forskel; 3=mild forbedring; 4=meget forbedring; 5 = total forbedring. Responderen er defineret til at være individet, der forekommer mindst én af de definerede effektive hændelser: (1) GPE ≥2 efter behandling for brændende fornemmelse; (2) GPE ≥2 efter behandling for søvn; (3) GPE ≥2 efter behandling for mundtørhed; (4) GPE ≥2 efter behandling for smagsændring. (5) GPE ≥2 efter behandling for hendes andet ubehageligt. |
efter behandling 1 uge, 3 uger, 6 uger, 9 uger, 12 uger
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Numerisk vurderingsskala (NRS)
Tidsramme: baseline, efter behandling 1 uge, 3 uger, 6 uger, 9 uger, 12 uger
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NRS er defineret som 0=ingen smerte, skala fra 1 til 10 (mild til meget alvorlig). Responderen er defineret til at være individet, der forekommer mindst én af de definerede effektive hændelser: (1) NRS ≤ 1 efter behandling; (2) NRS-ændring fra baseline ≥ 50 % efter behandling. |
baseline, efter behandling 1 uge, 3 uger, 6 uger, 9 uger, 12 uger
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Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Meng-Ling Chiang, DDS,MS, Chang Gung Memorial Hospital
Publikationer og nyttige links
Generelle publikationer
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- Hidaka T, Yonezawa R, Saito S. Kami-shoyo-san, Kampo (Japanese traditional medicine), is effective for climacteric syndrome, especially in hormone-replacement-therapy-resistant patients who strongly complain of psychological symptoms. J Obstet Gynaecol Res. 2013 Jan;39(1):223-8. doi: 10.1111/j.1447-0756.2012.01936.x. Epub 2012 Jul 6.
- Hsu PC, Tsai YT, Lai JN, Wu CT, Lin SK, Huang CY. Integrating traditional Chinese medicine healthcare into diabetes care by reducing the risk of developing kidney failure among type 2 diabetic patients: a population-based case control study. J Ethnopharmacol. 2014 Oct 28;156:358-64. doi: 10.1016/j.jep.2014.08.029. Epub 2014 Aug 29.
- Imura H, Shimada M, Yamazaki Y, Sugimoto K. Characteristic changes of saliva and taste in burning mouth syndrome patients. J Oral Pathol Med. 2016 Mar;45(3):231-6. doi: 10.1111/jop.12350. Epub 2015 Aug 21.
- Kuten-Shorrer M, Treister NS, Stock S, Kelley JM, Ji YD, Woo SB, Lerman MA, Palmason S, Sonis ST, Villa A. Safety and tolerability of topical clonazepam solution for management of oral dysesthesia. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Aug;124(2):146-151. doi: 10.1016/j.oooo.2017.05.470. Epub 2017 May 11.
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- Lee AL, Chen BC, Mou CH, Sun MF, Yen HR. Association of Traditional Chinese Medicine Therapy and the Risk of Vascular Complications in Patients With Type II Diabetes Mellitus: A Nationwide, Retrospective, Taiwanese-Registry, Cohort Study. Medicine (Baltimore). 2016 Jan;95(3):e2536. doi: 10.1097/MD.0000000000002536.
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Datoer for undersøgelser
Studer store datoer
Studiestart (Forventet)
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- IRB201802359A3C601
- NMRPG3J6101 (Andet bevillings-/finansieringsnummer: Ministry of Science and Technology, Taiwan)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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