The efficacy and safety of Sipjeondaebo-tang in Korean patients with cold hypersensitivity in the hands and feet: a protocol for a pilot, randomized, double-blind, placebo-controlled, parallel-group clinical trial

Youme Ko, Seung-Ho Sun, In-Sik Han, Ho-Yeon Go, Tae-Hun Kim, Jin-Moo Lee, Jun-Bok Jang, Kyoung Sun Park, Yun-Kyung Song, Kyou-Young Lee, Chan-Yong Jeon, Seong-Gyu Ko, Youme Ko, Seung-Ho Sun, In-Sik Han, Ho-Yeon Go, Tae-Hun Kim, Jin-Moo Lee, Jun-Bok Jang, Kyoung Sun Park, Yun-Kyung Song, Kyou-Young Lee, Chan-Yong Jeon, Seong-Gyu Ko

Abstract

Background: Cold hypersensitivity in the hands and feet (CHHF) is frequent in Asian countries including Korea. The quality of life can be degraded by the symptoms of CHHF. In particular, gynecological disorders such as menstrual pain, infertility, leucorrhea, and irregular bleeding may be related to CHHF. Sipjeondaebo-tang (SDT) is widely used in the treatment of various diseases including CHHF by balancing Yin and Yang, restoring the deterioration of physiological function, and improving immunity. However, the efficacy of SDT in the treatment of CHHF has not been assessed in clinical trials. Therefore, we aimed to investigate the feasibility of a full randomized clinical trial of SDT for the treatment of CHHF in Korean women through this trial.

Methods: This study will be a pilot, randomized, double-blind, two-arm, placebo-controlled, parallel-group, multicenter clinical trial. Women aged 19-59 years who present with CHHF will be recruited from five university hospitals. A total of 60 subjects will be randomly assigned to a treatment group (SDT) or a placebo group at a 1:1 ratio. The subjects will receive 3 g of either SDT or placebo three times daily for 8 weeks. The primary outcome measures will be the Visual Analogue Scale scores of CHHF. The secondary outcome measures will be changes in body temperature in both the hands and the feet as measured using a thermometer and the Korean version of the World Health Organization Quality of Life Scale Abbreviated Version.

Discussion: This will be the first trial to investigate the efficacy and safety of SDT in the treatment of CHHF. This study will provide basic clinical information regarding Korean herbal medicine treatment of CHHF and a clinical basis for designing a full randomized clinical trial.

Trial registration: ClinicalTrials.gov, NCT03374345 . Registered on 15 February 2018.

Keywords: Cold hypersensitivity; Cold intolerance; Herbal medicine; Sipjeondaebo-tang.

Conflict of interest statement

Ethics approval and consent to participate

This trial has been approved by the IRBs of five hospitals (Gachon University Gil Korean Medical Hospital: 17–105, Kyung Hee University Oriental Medical Center: KOMCIRB-171117-HR-048-03, Kyung Hee University Korean Medicine Hospital at Gangdong: KHNMCOH2017–11-004, Korean Medical Hospital of Sangji University: SJIRB-17-001, and Semyung University Second Affiliated Korean Medical Hospital at Chungju: 1711–18). The study will be performed according to the Helsinki Declaration and the Good Clinical Practice Guidelines of the Korea Food and Drug Administration. Written informed consent will be obtained from all subjects prior to any clinical trial procedures. If any issue which may have impacted to the performance of the trial is occurred, it should be approved by the site IRB prior to implementation. After the site approval, each site staffs must be notified and trained before conducting the trial.

The results of the trial will be disseminated through scientific journals or presentations at scientific conferences. So far, the public access to any trial data set is still unplanned.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Participant timeline for the Sipjeondaebo-tang (SDT) study

References

    1. Hur YM, Chae JH, Chung KW, Kim JJ, Jeong HU, Kim JW, et al. Feeling of cold hands and feet is a highly heritable phenotype. Twin Res Hum Genet. 2012;15:166–169. doi: 10.1375/twin.15.2.166.
    1. Bae GM, Cho HS, Kim KK, Lee IS. The research on the cold hypersensitivity of patients in the gynecology clinic. J Korean Gynecol. 2002;15(2):101–113.
    1. Park YK, Park KI, Park KS, Hwang DS, Lee CH, Jang JB, et al. Study on Heart Rate Variability Characteristics of Cold Hypersensitivity of Hands and Feet Patients. J Korean Obstet Gynecol. 2015;28(1):92–101. doi: 10.15204/jkobgy.2015.28.1.085.
    1. Jang KH, Song HS, Lee DK, Kim SH, Kim SW. A study of association between cold hypersensitivity and orthostatic hypotension. J Orient Med Thermol. 2003;2:29–34.
    1. Bae Kwang-Ho, Lee Ju Ah, Park Ki-Hyun, Yoo Jong-Hyang, Lee Youngseop, Lee Siwoo. Cold Hypersensitivity in the Hands and Feet May Be Associated with Functional Dyspepsia: Results of a Multicenter Survey Study. Evidence-Based Complementary and Alternative Medicine. 2016;2016:1–8.
    1. Choi SY, Lee MJ, Kim EK, Lee JM, Lee CH, Jang JB, et al. A study on the correlation of cold hypersensitivity and common health indexes in young women. Orient Obstet Gynecol. 2011;24:62–70.
    1. Traynor Robyn, MacDermid Joy C. Immersion in Cold-Water Evaluation (ICE) and Self-reported Cold Intolerance are Reliable but Unrelated Measures. HAND. 2008;3(3):212–219. doi: 10.1007/s11552-008-9085-3.
    1. Craigen M, Kleinert JM, Crain GM, McCabe SJ. Patient and injury characteristics in the development of cold sensitivity of the hand: a prospective cohort study. J Hand Surg Am. 1999;24:8–15. doi: 10.1053/jhsu.1999.jhsu24a0008.
    1. Cheon Chunhoo, Kang Sohyeon, Ko Youme, Kim Mia, Jang Bo-Hyoung, Shin Yong-Cheol, Ko Seong-Gyu. Sipjeondaebo-tang in patients with breast cancer with fatigue: a protocol for a pilot, randomised, double-blind, placebo-controlled, cross-over trial. BMJ Open. 2018;8(7):e021242. doi: 10.1136/bmjopen-2017-021242.
    1. Oh S, Cheon C, Park S, Jang BH, Park JS, Jang S, et al. The Analysis of the Recent Research Trend of Sipjeondabo-tang in Korea. J Soc Prev Korean. 2014;18:113–123.
    1. Ministry of Food and Drug Safety. Online medicine library: Ministry of Food and Drug Safety. . Accessed 11 Dec 2017.
    1. Jeon WY, Shin IS, Shin HK, Lee MY. Gastroprotective effect of the traditional herbal medicine, Sipjeondaebo-tang water extract, against ethanol-induced gastric mucosal injury. BMC Complement Altern Med. 2014;14:373. doi: 10.1186/1472-6882-14-373.
    1. Saiki Ikuo, Koizumi Keiichi, Goto Hirozo, Inujima Akiko, Namiki Takao, Raimura Masaki, Kogure Toshiaki, Tatsumi Takeshi, Inoue Hiroki, Sakai Shinya, Oka Hiroshi, Fujimoto Makoto, Hikiami Hiroaki, Sakurai Hiroaki, Shibahara Naotoshi, Shimada Yutaka, Origasa Hideki. The Long-Term Effects of a Kampo Medicine, Juzentaihoto, on Maintenance of Antibody Titer in Elderly People after Influenza Vaccination. Evidence-Based Complementary and Alternative Medicine. 2013;2013:1–8. doi: 10.1155/2013/568074.
    1. Sakamoto S, Kudo H, Kuwa K, Suzuki S, Kato T, Kawasaki T, et al. Anticancer effects of a Chinese herbal medicine, juzen-taiho-to, in combination with or without 5-fluorouracil derivative on DNA-synthesizing enzymes in 1,2-dimethylhydrazine induced colonic cancer in rats. Am J Chin Med. 1991;19:233–241. doi: 10.1142/S0192415X91000314.
    1. Takaoka A, Iacovidou M, Hasson TH, Montenegro D, Li X, Tsuji M, et al. Biomarker-guided screening of Juzen-taiho-to, an oriental herbal formulation for immunostimulation. Planta Med. 2014;80:283–289. doi: 10.1055/s-0033-1360391.
    1. Min SK, Kim KI, Lee CI, Jung YC, Suh SY, Kim DK. Development of the Korean versions of WHO quality of life scale and WHOQOL-BREF. Qual Life Res. 2002;11(6):593–600. doi: 10.1023/A:1016351406336.
    1. Park KS, Park KI, Kim JW, Yun YJ, Kim SH, Lee CH, et al. Efficacy and safety of Korean red ginseng for cold hypersensitivity in the hands and feet: a randomized, double-blind, placebo-controlled trial. J Ethnopharmacol. 2014;158:25–32. doi: 10.1016/j.jep.2014.09.028.
    1. Choi WS, Ock SM, Byeon JH, Jung SH, Park KS, Park JW, et al. The prevalence of diagnosis as Raynaud’s disease among the people complaint of abnormal sensation on hands and feet. J Korean Acad Fam Med. 2003;24:1085–1091.
    1. Kim CM. The diagnosis and treatment of cold hands/feet syndrome. J Korean Acad Fam Med. 2004;Suppl 11:273–277.
    1. Pope J. Raynaud’s phenomenon (primary) Clin Evidence. 2003;9:1339–1348.
    1. Block JA, Sequeira W. Raynaud’s phenomenon. Lancet. 2001;357:2042–2048. doi: 10.1016/S0140-6736(00)05118-7.
    1. Herrick AL. Pathogenesis of Raynaud’s phenomenon. Rheumatology. 2005;44:587–596. doi: 10.1093/rheumatology/keh552.
    1. Wiseman N, Lue WS. Essential Prescriptions of the Golden Cabinet—Translation & Commentaries. Taos: Paradigm Publications; 2013.
    1. Park SG, Kim YK, Oh MS. Korean medicine prescription. Seoul: Younglim Publisher; 2003.
    1. KPIC. Korea Pharmaceutical Information Center. Secondary Korea Pharmaceutical Information Center. 2000. . Accessed 31 Aug 2018.
    1. World Health Organization . Regional Office for the Western Pacific. WHO international standard terminologies on traditional medicine in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific; 2007.
    1. Unschuld PU. Huang Di Nei Jing Su Wen: Nature, Knowledge, Imagery in an Ancient Chinese Medical Text. London: University of California Press; 2003. pp. 155–156.
    1. Ko Y, Go HY, Cho YY, Shin JH, Kim TH, Choi DJ, et al. The efficacy and safety of Danggui-SayukGa-Osuyu-Saenggang-tang on Korean patients with cold hypersensitivity in the hands: study protocol for a pilot, double blind, randomized, placebo-controlled, parallel-group clinical trial. Trials. 2017;18(1):268. doi: 10.1186/s13063-017-2002-8.

Source: PubMed

3
Abonner