NCT02231125

Brief Summary

-IgA nephropathy is the most common primary glomerular disease in China, Huangkui Capsule is a single medicament of traditional Chinese medicine consists of Abelmoschus manihot and has been widely used to treat kidney disease. The purpose of this study is to evaluate the safety and efficacy of Abelmoschus manihot for treating IgA nephropathy in large scale samples with long time take.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
1,600

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Sep 2014

Typical duration for phase_4

Geographic Reach
1 country

88 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 30, 2014

Completed
2 days until next milestone

Study Start

First participant enrolled

September 1, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 4, 2014

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2016

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2017

Completed
Last Updated

July 6, 2016

Status Verified

July 1, 2016

Enrollment Period

1.8 years

First QC Date

August 30, 2014

Last Update Submit

July 4, 2016

Conditions

Keywords

Abelmoschus manihotIgA Nephropathyproteinuriaefficacysafety

Outcome Measures

Primary Outcomes (1)

  • Change in 24-h proteinuria from baseline after treatment

    Baseline(week 0), week 4, week 12, week 24, week 36, week 48

Secondary Outcomes (2)

  • Change in serum creatinine from baseline after treatment

    Baseline(week 0), week 4, week 12, week 24, week 36, week 48

  • Change in estimated glomerular filtration rate (eGFR) from baseline after treatment

    Baseline(week 0), week 4, week 12, week 24, week 36, week 48

Study Arms (2)

Abelmoschus manihot (AM)

EXPERIMENTAL

Abelmoschus manihot (AM): Huangkui capsule (Jiangsu Suzhong Pharmaceutical Group Co., Ltd.), 0.5 g Ă— 30 capsules/box. A huangkui capsule is a single plant drug extract of Flos Abelmoschus manihot.

Drug: Abelmoschus manihot

Losartan

EXPERIMENTAL

Losartan potassium (Hangzhou MSD Pharmaceutical Co., Ltd.), 100 mg Ă— 7 capsules/box.

Drug: Losartan

Interventions

Losartan potassium tablet 100mg/time, once /day plus Huangkui Capsule dummy 2.5g/time, thrice /day, all drug and dummy are taken orally every day for 48 weeks during the whole study process.

Also known as: Cozaar
Losartan

Huangkui Capsule 2.5g/time, thrice /day plus Losartan potassium tablet dummy 100mg/time, once /day, all drug and dummy are taken orally every day for 48 weeks during the whole study process.

Also known as: Huangkui Capsule
Abelmoschus manihot (AM)

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Clinical diagnosed as chronic nephritic syndrome
  • IgA nephropathy diagnosed by kidney biopsy
  • Aged from 18 to 65 years,male or female
  • Blood pressure of ≤140/90mmHg
  • Estimated Glomerular Filtration Rate (eGFR)≥45ml/min/1.73 m2
  • hour proteinuria ranged between 0.5g-3.0g
  • Obtaining the signed informed consent from patients

You may not qualify if:

  • Secondary IgA nephropathy
  • Be allergic to Huangkui Capsule or Losartan potassium tablet
  • Taken Huangkui Capsule or ACEI or ARB in last 6 weeks
  • Taken the glucocorticoids, immunosuppressants or common threewingnut root and such as drugs with immunosuppressive actions in the last 12 months
  • Blood pressure \<90/60mmHg
  • Serum potassium level \> 5.5mmol / L
  • Serum albumin level \<30g / L
  • Lactation, pregnancy or plans pregnancy during the study period
  • Unilateral or bilateral renal artery stenosis
  • Combined with severe primary diseases of heart, brain, liver and hematopoietic system and so on, or other serious diseases which can affect the patient's life
  • Participating in another clinical study in the same period

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (88)

The First Hospital of Anhui Medical University

Hefei, Anhui, 230000, China

COMPLETED

The Second Hospital of Anhui Medical University

Hefei, Anhui, 230000, China

COMPLETED

Beijing Chao-yang Hospital

Beijing, Beijing Municipality, 100000, China

COMPLETED

China-Japan Friendship Hospital

Beijing, Beijing Municipality, 100000, China

RECRUITING

Chinese PLA General Hospital

Beijing, Beijing Municipality, 100000, China

COMPLETED

Dong Zhi Men Hospital of Beijing University of Chinese Medicine

Beijing, Beijing Municipality, 100000, China

COMPLETED

Guang An Men Hospital China Academy of Chinese Medical Sciences

Beijing, Beijing Municipality, 100000, China

COMPLETED

PLA Navy General Hospital

Beijing, Beijing Municipality, 100000, China

COMPLETED

The Second Artillery General Hospital Of Chinese People's Liberation Army

Beijing, Beijing Municipality, 100000, China

RECRUITING

Da Ping Hospital Of Third Military Medical University

Chongqing, Chongqing Municipality, 400000, China

COMPLETED

Yongchuan Hospital Of Chongqing Medical University

Chongqing, Chongqing Municipality, 400000, China

COMPLETED

Chinese People's Liberation Army No.180 Hospital

Quanzhou, Fujian, 362000, China

RECRUITING

Chinese People's Liberation Army No.174 Hospital

Xiamen, Fujian, 361000, China

COMPLETED

The First Hospital of Lanzhou University

Lanzhou, Gansu, 730000, China

RECRUITING

The Second Hospital of Lanzhou University

Lanzhou, Gansu, 730000, China

RECRUITING

421 Hospital of PLA

Guangzhou, Guangdong, 510000, China

RECRUITING

Guangdong Province Hospital of Traditional Chinese Medicine(TCM)

Guangzhou, Guangdong, 510000, China

RECRUITING

Affiliated Hospital of Guilin Medical University

Guilin, Guangxi, 541000, China

COMPLETED

The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, 530000, China

COMPLETED

The First Affiliated Hospital of Guangxi University of Chinese Medicine

Nanning, Guangxi, 530000, China

COMPLETED

Affiliated Hospital of Guiyang Medical College

Guiyang, Guizhou, 550000, China

COMPLETED

The Affiliated Baiyun Hospital of Guizhou Medical University

Guiyang, Guizhou, 550000, China

COMPLETED

Affiliated Hospital Of Zun Yi Medical College

Zunyi, Guizhou, 563000, China

RECRUITING

Hainan Medical College Affiliated Hospital

Haikou, Hainan, 570100, China

COMPLETED

Hainan Provincial Nong Ken Hospital

Haikou, Hainan, 570100, China

COMPLETED

Affiliated Hospital of Cheng De Medical College

Chengde, Hebei, 067000, China

COMPLETED

First Hospital of Qinhuangdao

Qinhuangdao, Hebei, 066000, China

COMPLETED

Hebei Province Hospital of Traditional Chinese Medicine

Shijiazhuang, Hebei, 050000, China

COMPLETED

TCM Hospital of Shi Jia Zhuang City

Shijiazhuang, Hebei, 050000, China

COMPLETED

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, 050000, China

RECRUITING

Heilongjiang Provincial Academy of Traditional Chinese Medicine

Haerbin, Heilongjiang, 150000, China

COMPLETED

The Second Affiliated Hospital of Harbin Medical University

Haerbin, Heilongjiang, 150000, China

COMPLETED

The First Affiliated Hospital of Henan University of Science And Technology

Luoyang, Henan, 471000, China

COMPLETED

The First Affiliated Hospital of Xinxiang Medical University

Xinxiang, Henan, 453000, China

RECRUITING

Henan Provincial People's Hospital

Zhengzhou, Henan, 450000, China

RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, 450000, China

COMPLETED

Huang Gang Central Hospital

Huanggang, Hubei, 438000, China

COMPLETED

Hubei Provincial Hospital Of TCM

Wuhan, Hubei, 430000, China

COMPLETED

Wuhan Integrated TCM & Western Medicine Hospital

Wuhan, Hubei, 430000, China

COMPLETED

Zhong Nan Hospital of Wuhan University

Wuhan, Hubei, 430000, China

COMPLETED

The Second Xiang Ya Hospital of Central South University

Changsha, Hunan, 410000, China

COMPLETED

The Third Xiang Ya Hospital of Central South University

Changsha, Hunan, 410000, China

COMPLETED

Xiangya Hospital Central South University

Changsha, Hunan, 410000, China

COMPLETED

Jiangsu Province Hospital of Traditional Chinese Medicine

Nanjing, Jiangsu, 210000, China

RECRUITING

Jiangsu Provincial People's Hospital

Nanjing, Jiangsu, 210000, China

COMPLETED

Affiliated Hospital of Nantong University

Nantong, Jiangsu, 226000, China

RECRUITING

Jiangsu Taizhou People's Hospital

Taizhou, Jiangsu, 225300, China

COMPLETED

Taizhou Traditional Chinese Medicine Hospital

Taizhou, Jiangsu, 225300, China

COMPLETED

Xuzhou Central Hospital

Xuzhou, Jiangsu, 221000, China

COMPLETED

Chinese People's Liberation Army No.94 Hospital

Nanchang, Jiangxi, 330000, China

COMPLETED

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, 330000, China

COMPLETED

The First Affiliated Hospital Of Nanchang University

Nanchang, Jiangxi, 330000, China

COMPLETED

The Second Affiliated Hospital Of Nanchang University

Nanchang, Jiangxi, 330000, China

COMPLETED

Jiangxi Pingxiang People's Hospital

Pingxiang, Jiangxi, 337000, China

COMPLETED

Jilin Province People's Hospital

Changchun, Jilin, 130000, China

COMPLETED

The First Hospital of Jilin University

Changchun, Jilin, 130000, China

COMPLETED

The Second Hospital Of Jilin University

Changchun, Jilin, 130000, China

COMPLETED

Dalian Municipal Central Hospital Affiliated Of Dalian Medical University

Dalian, Liaoning, 116000, China

COMPLETED

The First Affiliated Hospital Of Dalian Medical University

Dalian, Liaoning, 116000, China

COMPLETED

First Affiliated Hospital of Liaoning Medical University

Jinzhou, Liaoning, 121000, China

COMPLETED

People's Liberation Army No.202 Hospital

Shenyang, Liaoning, 110000, China

COMPLETED

Shengjing Hospital of China Medical University

Shenyang, Liaoning, 110000, China

COMPLETED

The First Hospital Of China Medical University

Shenyang, Liaoning, 110000, China

COMPLETED

The General Hospital Of Shenyang Military Region

Shenyang, Liaoning, 110000, China

COMPLETED

Ningxia Hui Autonomous Region's Hospital

Yinchuan, Ningxia, 750000, China

RECRUITING

The General Hospital of Ningxia Medical University

Yinchuan, Ningxia, 750000, China

COMPLETED

Jinan General Hospital of PLA

Jinan, Shandong, 250000, China

COMPLETED

Qi Lu Hospital of Shandong University

Jinan, Shandong, 250000, China

WITHDRAWN

Affiliated Hospital of Jining Medical University

Jining, Shandong, 272000, China

COMPLETED

Jining No.1 People's Hospital

Jining, Shandong, 272000, China

COMPLETED

Chinese People's Liberation Army No.88 Hospital

Taian, Shandong, 271000, China

COMPLETED

Yantai Yu Huang Ding Hospital

Yantai, Shandong, 264000, China

COMPLETED

Zaozhuang Municipal Hospital

Zaozhuang, Shandong, 277100, China

COMPLETED

Chang Hai Hospital of the Second Military Medical University

Shanghai, Shanghai Municipality, 200000, China

COMPLETED

Ren Ji Hospital of Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, 200000, China

COMPLETED

Shanghai Sixth People's Hospital Affiliated Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, 200000, China

COMPLETED

The First Hospital of Shanxi Medical University

Taiyuan, Shanxi, 030000, China

COMPLETED

The Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, 030000, China

COMPLETED

Shanxi Provincial People's Hospital

Xian, Shanxi, 710000, China

COMPLETED

The First Affiliated Hospital of Xi'an Jiao Tong University

Xian, Shanxi, 710000, China

COMPLETED

Hua Xi Hospital of Sichuan University

Chengdu, Sichuan, 610000, China

COMPLETED

First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

Tianjin, Tianjin Municipality, 300000, China

COMPLETED

The Second Hospital of Tianjin Medical University

Tianjin, Tianjin Municipality, 300000, China

COMPLETED

Tianjin Hospital of ITCWM, Nankai Hospital

Tianjin, Tianjin Municipality, 300000, China

COMPLETED

The First Hospital of Shi He Zi Medical University

Shihezi, Xinjiang, 832000, China

RECRUITING

The Second Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, 650000, China

COMPLETED

Yan'an Hospital of Kunming City

Kunming, Yunnan, 650000, China

RECRUITING

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, 310000, China

COMPLETED

Related Publications (3)

  • Zhang L, Li P, Xing CY, Zhao JY, He YN, Wang JQ, Wu XF, Liu ZS, Zhang AP, Lin HL, Ding XQ, Yin AP, Yuan FH, Fu P, Hao L, Miao LN, Xie RJ, Wang R, Zhou CH, Guan GJ, Hu Z, Lin S, Chang M, Zhang M, He LQ, Mei CL, Wang L, Chen X. Efficacy and safety of Abelmoschus manihot for primary glomerular disease: a prospective, multicenter randomized controlled clinical trial. Am J Kidney Dis. 2014 Jul;64(1):57-65. doi: 10.1053/j.ajkd.2014.01.431. Epub 2014 Mar 14.

    PMID: 24631042BACKGROUND
  • Tunnicliffe DJ, Reid S, Craig JC, Samuels JA, Molony DA, Strippoli GF. Non-immunosuppressive treatment for IgA nephropathy. Cochrane Database Syst Rev. 2024 Feb 1;2(2):CD003962. doi: 10.1002/14651858.CD003962.pub3.

  • Li P, Chen YZ, Lin HL, Ni ZH, Zhan YL, Wang R, Yang HT, Fang JA, Wang NS, Li WG, Sun XF, Chen XM. Abelmoschus manihot - a traditional Chinese medicine versus losartan potassium for treating IgA nephropathy: study protocol for a randomized controlled trial. Trials. 2017 Apr 11;18(1):170. doi: 10.1186/s13063-016-1774-6.

MeSH Terms

Conditions

Glomerulonephritis, IGAProteinuria

Interventions

LosartanHuangkui

Condition Hierarchy (Ancestors)

GlomerulonephritisNephritisKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesAutoimmune DiseasesImmune System DiseasesUrination DisordersUrological ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Biphenyl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsImidazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsTetrazoles

Study Officials

  • Xiangmei Chen, MD.& Ph.D

    Department of Nephrology,State Key Laboratory of Kidney Disease,National Clinical Research Center for Kidney Disease, Chinese PLA General Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Xiangmei Chen, MD.&Ph.D

CONTACT

Xuefeng Sun, MD.&Ph.D

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
professor

Study Record Dates

First Submitted

August 30, 2014

First Posted

September 4, 2014

Study Start

September 1, 2014

Primary Completion

July 1, 2016

Study Completion

December 1, 2017

Last Updated

July 6, 2016

Record last verified: 2016-07

Data Sharing

IPD Sharing
Will not share

Locations