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Efficacy and Safety of Jinhua Qinggan Granules (JHQG) for the Use of Acute Upper Respiratory Infection ((JHQG-AURI))

16. juli 2026 opdateret af: Dr. Muhammad Raza Shah, University of Karachi

Multi-center, Randomized, Double Blind and Placebo Controlled Clinical Trial on the Efficacy and Safety of Jinhua Qinggan (JHQG) Granules for the Treatment of Acute Upper Respiratory Infection (Wind-Heat Pattern)

The goal of this clinical trial is to learn if drug Jinhua Qinggan Granules (JHQG) works to treat acute upper respiratory tract infection in adults. It will also learn about the safety of drug JHQG. The main questions it aims to answer is:

• Following three days of treatment, the overall grade of fever, sore throat, nasal congestion, rhinorrhea, headache, sneezing, cough, and malaise dropped to zero for a whole day.

Researchers will compare drug JHQG to a placebo (a look-alike substance that contains no drug) to see if drug JHQG works to treat acute upper respiratory tract infection.

Participants will:

  • Take drug JHQG or a placebo 3 times daily for 3 days
  • All subjects are followed up before the trial, and on the same day or day after completing 3 days of medication.

Studieoversigt

Detaljeret beskrivelse

JHQG is a Chinese patent medicine that is extensively used for the treatment of H1N1. This prescription has demonstrated significant curative effects in combating H1N1 influenza A. JHQG is listed in the COVID-19 Diagnosis and Treatment Guidelines (5th-10thEdition) jointly issued by the National Health Commission and State Administration of Traditional Chinese Medicine.

JHQG is created from the two classical traditional Chinese medicine (TCM) formulae Ma Xing Shi Gan Decoction and Yin Qiao San Decoction, which have a long history of clinical application within the treatment of influenza. According to past reports, JHQG has a great clinical impact on influenza with the symptoms of high fever, headache, aversion to cold, pharyngalgia, sneezing, cough, muscle ache, etc. According to modern pharmacological studies, JHQG also has the anti-inflammatory, antiviral and antibacterial activities.

The objective of this clinical trial is to evaluate the efficacy and safety of Jinhua Qinggan Granules (JHQG) in treating Acute Upper Respiratory Tract Infection (AURI).

Possible potential benefits include soothing wind and dispersing the lung, clearing heat and detoxification, relieving fever, headache, body aches, sore throat and other related symptoms caused by wind-heat invading the lung.

The subjects in accordance with enrollment and non-exclusion criterion will be assigned to Treatment group and Placebo control group according to the ratio of 2:1 using blocked randomization, stratified by country, in which the Placebo control group shall receive JHQG Granules simulation (placebo) agent, while the treatment group will take Jinhua Qinggan Granules.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

273

Fase

  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Karachi
      • Karachi, Karachi, Pakistan, 75270
        • Center for Bioequivalence Studies and Clinical Research (CBSCR), ICCBS, university of Karachi

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  1. Diagnosed with AURI;
  2. Wind-heat of TCM pattern differentiation;
  3. 18 ≤Age ≤ 65;
  4. At screening, axillary temperature ≥37.3 ºC and ≤39.0 ºC;
  5. At randomization and group assignment, disease course within 48 hours;
  6. The subject has signed the informed consent form.

Exclusion Criteria:

  1. Patients with influenza, COVID-19, suppurative otitis media, suppurative tonsillitis, acute attack of asthma and chronic obstructive pulmonary disease, pulmonary tuberculosis, primary ciliary dyskinesia syndrome, pleural effusion, interstitial lesions, acute and chronic tracheobronchitis, lower respiratory infections such as pneumonia;
  2. WBC > 11.0×109 or NEU% > 80% or with symptoms of thick sputum and suspected bacterial infection;
  3. ALT, AST > 2 ULN or CRE>ULN;
  4. Nasal surgery, nasopharyngeal radiotherapy, acute and chronic nasal diseases or abnormal nasal mucosal function (e.g. rhinitis, sinusitis);
  5. Patients with diseases diagnosed by specific pathogens (e.g. mumps, measles, hemorrhagic fever, typhoid, chicken pox, allergic rhinitis);
  6. Fever caused by other clearly diagnosed organic diseases outside the respiratory system;
  7. Accompanied by cardiovascular diseases (e.g. coronary heart disease, myocarditis, etc., excluding hypertension with stable blood pressure control and asymptomatic old lacunar infarction), major kidney, liver, hematological diseases, major nervous and neuromuscular diseases, major metabolic and endocrine diseases and immunosuppression (including immunosuppressant or HIV infection, etc.), and malignant tumor;
  8. Subjects, who were treated with antivirals, antibiotics, western or traditional medicines for alleviating symptoms of upper respiratory infection within 12 hours before enrollment;
  9. Allergic individuals and those who are known to be allergic to investigational drugs, including the ingredients of this product, acetaminophen or drug excipients;
  10. Women who are pregnant or plan to become pregnant within the next 1 months, lactating women; from signature of informed consent form, until 30 days after the last study medication, patients of childbearing age who are unable or unwilling to use adequate contraception or their spouses are unwilling to use contraception;
  11. Suspected or do have a history of alcohol or drug abuse;
  12. Participated in other clinical trials or are participating in other clinical trials in the past 3 months;
  13. Subjects not suitable for enrollment based on investigators' judgment.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Firedobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Jinhua Qinggan Granules
Participants receive Jinhua Qinggan Granules according to the study protocol.
Jinhua Qinggan Granules administered orally according to the study protocol.
Placebo komparator: Placebo
Participants receive placebo matched in appearance to JHQG.
Placebo granules matched in appearance and administration to Jinhua Qinggan Granules.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Clinically Curative Rate after 3 days of medication
Tidsramme: After 3 Days

Proportion of participants whose Total Symptom Severity Score decreases to 0 and remains 0 for at least 24 consecutive hours after 3 days of medication.

The Total Symptom Severity Score is calculated by summing the severity of:

Fever, Headache, Sore throat, Nasal congestion, Rhinorrhea, Sneezing, Cough, Malaise

Each symptom is graded on a 4-point scale:

0 = none

  1. = mild
  2. = moderate
  3. = severe Total score range: 0 to 24. Higher scores indicate more severe symptoms (worse condition).
After 3 Days

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Curative effect
Tidsramme: After 3 days of medication
Number of participants classified as clinically cured, remarkably effective, effective, or ineffective according to the predefined curative index criteria specified in the study protocol. Unit of Measure: Number of participants
After 3 days of medication
Change from Baseline in Total Symptom Severity Score
Tidsramme: Baseline to after 3 days of medication
Change from baseline to after 3 days of medication in the Total Symptom Severity Score (range: 0-24), calculated as the sum of the severity scores for the predefined symptoms. Higher scores indicate greater symptom severity. Unit of Measure: Points
Baseline to after 3 days of medication
Time to Defervescence
Tidsramme: From first dose up to Day 3
Time from the first dose of study medication to normalization of body temperature (<37.3°C) that is maintained continuously for at least 24 consecutive hours without recurrence of fever. Unit of Measure: Hours
From first dose up to Day 3
Time to Recovery of Individual
Tidsramme: From first dose up to Day 3

Time from the first dose of study medication to complete resolution (symptom severity score = 0) of each predefined symptom. Results will be reported separately for each symptom (e.g., sore throat, cough, nasal congestion, rhinorrhea, headache, sneezing, malaise).

Unit of Measure: Hours

From first dose up to Day 3
Improvement in Individual Symptoms
Tidsramme: Baseline to after 3 days of medication
Improvement in Individual Symptoms (decrease from baseline in symptom severity score) for each predefined symptom among participants who had that symptom at baseline. Symptom severity is assessed using the 0-3 symptom severity scale. Results will be reported separately for each symptom. Unit of Measure: Percentage of participants (%)
Baseline to after 3 days of medication
Proportion of Participants Using Acetaminophen
Tidsramme: After 3 days of medication

Percentage of participants who received acetaminophen as rescue medication for fever during the treatment period.

Unit of Measure: Percentage of participants (%)

After 3 days of medication

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

24. januar 2026

Primær færdiggørelse (Faktiske)

24. april 2026

Studieafslutning (Faktiske)

27. april 2026

Datoer for studieregistrering

Først indsendt

23. december 2025

Først indsendt, der opfyldte QC-kriterier

16. juli 2026

Først opslået (Faktiske)

22. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

16. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • CRO-010-TCM-JHQG-2023

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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