Efficacy and Safety of Jinhua Qinggan Granules (JHQG) for the Use of Acute Upper Respiratory Infection ((JHQG-AURI))
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.
調査の概要
詳細な説明
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.
研究の種類
入学 (実際)
段階
- フェーズ 3
連絡先と場所
研究場所
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Karachi
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Karachi、Karachi、パキスタン、75270
- Center for Bioequivalence Studies and Clinical Research (CBSCR), ICCBS, university of Karachi
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Diagnosed with AURI;
- Wind-heat of TCM pattern differentiation;
- 18 ≤Age ≤ 65;
- At screening, axillary temperature ≥37.3 ºC and ≤39.0 ºC;
- At randomization and group assignment, disease course within 48 hours;
- The subject has signed the informed consent form.
Exclusion Criteria:
- 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;
- WBC > 11.0×109 or NEU% > 80% or with symptoms of thick sputum and suspected bacterial infection;
- ALT, AST > 2 ULN or CRE>ULN;
- Nasal surgery, nasopharyngeal radiotherapy, acute and chronic nasal diseases or abnormal nasal mucosal function (e.g. rhinitis, sinusitis);
- Patients with diseases diagnosed by specific pathogens (e.g. mumps, measles, hemorrhagic fever, typhoid, chicken pox, allergic rhinitis);
- Fever caused by other clearly diagnosed organic diseases outside the respiratory system;
- 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;
- Subjects, who were treated with antivirals, antibiotics, western or traditional medicines for alleviating symptoms of upper respiratory infection within 12 hours before enrollment;
- Allergic individuals and those who are known to be allergic to investigational drugs, including the ingredients of this product, acetaminophen or drug excipients;
- 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;
- Suspected or do have a history of alcohol or drug abuse;
- Participated in other clinical trials or are participating in other clinical trials in the past 3 months;
- Subjects not suitable for enrollment based on investigators' judgment.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:4倍
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的:Jinhua Qinggan Granules
Participants receive Jinhua Qinggan Granules according to the study protocol.
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Jinhua Qinggan Granules administered orally according to the study protocol.
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プラセボコンパレーター:Placebo
Participants receive placebo matched in appearance to JHQG.
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Placebo granules matched in appearance and administration to Jinhua Qinggan Granules.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Clinically Curative Rate after 3 days of medication
時間枠:After 3 Days
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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
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After 3 Days
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Curative effect
時間枠:After 3 days of medication
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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
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After 3 days of medication
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Change from Baseline in Total Symptom Severity Score
時間枠:Baseline to after 3 days of medication
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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
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Baseline to after 3 days of medication
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Time to Defervescence
時間枠:From first dose up to Day 3
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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
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From first dose up to Day 3
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Time to Recovery of Individual
時間枠:From first dose up to Day 3
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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
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Improvement in Individual Symptoms
時間枠:Baseline to after 3 days of medication
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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 (%)
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Baseline to after 3 days of medication
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Proportion of Participants Using Acetaminophen
時間枠:After 3 days of medication
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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
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協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- CRO-010-TCM-JHQG-2023
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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Jinhua Qinggan Granulesの臨床試験
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Cuiling FengLinfen Central Hospital; Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine と他の協力者まだ募集していません慢性閉塞性肺疾患(COPD)