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Effect and Mechanism of Jiajian Guishen Optimized Formula on Premature Ovarian Insufficiency: Insights Into m6A Modification and Oxidative Stress (JJGS ; POI)

21 september 2026 uppdaterad av: Shi Yun

The goal of this clinical study is to evaluate the effectiveness of JiaJian GuiShen Optimized Formula (JJGS) and explore its mechanisms involving m6A modification and oxidative stress in women with premature ovarian insufficiency (POI). The main question it aims to answer is:

Does JJGS improve ovarian function in women with POI after three menstrual cycles of treatment? Twenty-five women with POI will receive JJGS, and 20 healthy women will serve as controls. Changes in FSH, E2, LH, AMH, oxidative stress markers, plasma FTO levels, whole-blood RNA m6A levels, and symptom scores will be analyzed before and after treatment.

Studieöversikt

Status

Har inte rekryterat ännu

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

45

Fas

  • Tidig fas 1

Kontakter och platser

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Studiekontakt

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Studieorter

      • Beijing, Kina
        • Dongzhimen Hospital, Beijing University of Chinese Medicine
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 39 år (Vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Kvinna

Beskrivning

Inclusion Criteria:

Inclusion Criteria for Participants with POI: 1. Meeting the Western medicine diagnostic criteria for premature ovarian insufficiency (POI); 2. Meeting the traditional Chinese medicine diagnostic criteria for the kidney deficiency and liver stagnation syndrome; 3. Aged 18-39 years; 4. Willing and able to provide written informed consent. Participants must meet all four criteria to be included.

Inclusion Criteria for Healthy Participants: 1. Aged 18-39 years; 2. Regular menstrual cycles; 3. Normal sex hormone and anti-Müllerian hormone (AMH) levels; 4. Willing to participate in the study and provide written informed consent.

Exclusion Criteria:

Exclusion Criteria for Participants with POI: 1. Congenital gonadal dysgenesis or a family history of premature menopause; 2. POI caused by acquired organic disease or ovarian surgery; 3. Treatment with artificial menstrual cycle therapy or other hormonal therapy within the previous three months; 4. Severe cardiovascular, cerebrovascular, hepatic, renal, hematopoietic, or psychiatric disorders; 5. Known allergy to any component of the study medication. Participants meeting any of the above criteria will be excluded.

Exclusion Criteria for Healthy Participants: The same as criteria 1, 3, 4, and 5 above.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: JJGS treatment group

JJGS is a traditional Chinese medicine formula administered to patients with POI for three menstrual cycles. Blood samples will be collected before and after treatment.

JJGS is a traditional Chinese medicine formulation. Patients with POI will receive the formula for three menstrual cycles, and blood samples will be collected before and after treatment. Participants in the healthy control group will receive no intervention, and their blood samples will be collected at enrollment.

Inget ingripande: Healthy control group

healthy people

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Serum Follicle-Stimulating Hormone (FSH)
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Serum Anti-Müllerian Hormone (AMH) Level
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
Serum Luteinizing Hormone (LH)
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
FSH/LH Ratio
Tidsram: From baseline to 3 months after treatment initiation

Change in FSH/LH ratio before and after treatment.

From baseline to 3 months after treatment initiation
Serum Estradiol (E2)
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
Traditional Chinese Medicine Syndrome Score
Tidsram: before and 1 month after the treatment

This syndrome score evaluates three primary symptoms and twelve secondary symptoms related to traditional Chinese medicine syndrome differentiation. Total scores range from 0 to 48, with higher scores indicating more severe syndrome manifestations and a worse clinical outcome.

before and 1 month after the treatment
Modified Kupperman Menopausal Index (KMI)
Tidsram: before and 1 month after the treatment

The modified KMI consists of 13 menopausal symptoms, each rated on a 0-3 severity scale and weighted by symptom-specific coefficients. Total scores range from 0 to 63, with higher scores indicating more severe menopausal symptoms and a worse clinical outcome.

before and 1 month after the treatment
Incidence of Treatment-Emergent Adverse Events
Tidsram: From baseline to 3 months after treatment initiation

The incidence of treatment-emergent adverse events during the treatment period will be assessed, including gastrointestinal symptoms and abnormalities in liver and renal function.

From baseline to 3 months after treatment initiation
HO-1
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
NQO1
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
CAT
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
SOD
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
MDA
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
FTO
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation
m6a
Tidsram: From baseline to 3 months after treatment initiation

Blood samples are collected before and after treatment.

From baseline to 3 months after treatment initiation

Andra resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Pregnancy Rate
Tidsram: From baseline to 3 months after treatment initiation

The proportion of participants with fertility needs who achieved pregnancy during the 3-month treatment period will be recorded as an exploratory outcome.

From baseline to 3 months after treatment initiation

Samarbetspartners och utredare

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Sponsor

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

30 september 2026

Primärt slutförande (Beräknad)

30 december 2026

Avslutad studie (Beräknad)

30 mars 2027

Studieregistreringsdatum

Först inskickad

21 september 2026

Först inskickad som uppfyllde QC-kriterierna

21 september 2026

Första postat (Faktisk)

25 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

25 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

21 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • 2025DZMEC-450-03
  • 2025DZMEC-450-03 (Annan identifierare: Ethics Committee of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine)

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