Efficacy and Safety of Abelmoschus Manihot for IgA Nephropathy
1 other identifier
interventional
1,600
1 country
88
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Sep 2014
Typical duration for phase_4
88 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 30, 2014
CompletedStudy Start
First participant enrolled
September 1, 2014
CompletedFirst Posted
Study publicly available on registry
September 4, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2017
CompletedJuly 6, 2016
July 1, 2016
1.8 years
August 30, 2014
July 4, 2016
Conditions
Keywords
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)
EXPERIMENTALAbelmoschus 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.
Losartan
EXPERIMENTALLosartan potassium (Hangzhou MSD Pharmaceutical Co., Ltd.), 100 mg Ă— 7 capsules/box.
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.
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.
Eligibility Criteria
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
- Chen Xiangmeilead
- Jiangsu Suzhong Pharmaceutical Group Co., Ltd.collaborator
Study Sites (88)
The First Hospital of Anhui Medical University
Hefei, Anhui, 230000, China
The Second Hospital of Anhui Medical University
Hefei, Anhui, 230000, China
Beijing Chao-yang Hospital
Beijing, Beijing Municipality, 100000, China
China-Japan Friendship Hospital
Beijing, Beijing Municipality, 100000, China
Chinese PLA General Hospital
Beijing, Beijing Municipality, 100000, China
Dong Zhi Men Hospital of Beijing University of Chinese Medicine
Beijing, Beijing Municipality, 100000, China
Guang An Men Hospital China Academy of Chinese Medical Sciences
Beijing, Beijing Municipality, 100000, China
PLA Navy General Hospital
Beijing, Beijing Municipality, 100000, China
The Second Artillery General Hospital Of Chinese People's Liberation Army
Beijing, Beijing Municipality, 100000, China
Da Ping Hospital Of Third Military Medical University
Chongqing, Chongqing Municipality, 400000, China
Yongchuan Hospital Of Chongqing Medical University
Chongqing, Chongqing Municipality, 400000, China
Chinese People's Liberation Army No.180 Hospital
Quanzhou, Fujian, 362000, China
Chinese People's Liberation Army No.174 Hospital
Xiamen, Fujian, 361000, China
The First Hospital of Lanzhou University
Lanzhou, Gansu, 730000, China
The Second Hospital of Lanzhou University
Lanzhou, Gansu, 730000, China
421 Hospital of PLA
Guangzhou, Guangdong, 510000, China
Guangdong Province Hospital of Traditional Chinese Medicine(TCM)
Guangzhou, Guangdong, 510000, China
Affiliated Hospital of Guilin Medical University
Guilin, Guangxi, 541000, China
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, 530000, China
The First Affiliated Hospital of Guangxi University of Chinese Medicine
Nanning, Guangxi, 530000, China
Affiliated Hospital of Guiyang Medical College
Guiyang, Guizhou, 550000, China
The Affiliated Baiyun Hospital of Guizhou Medical University
Guiyang, Guizhou, 550000, China
Affiliated Hospital Of Zun Yi Medical College
Zunyi, Guizhou, 563000, China
Hainan Medical College Affiliated Hospital
Haikou, Hainan, 570100, China
Hainan Provincial Nong Ken Hospital
Haikou, Hainan, 570100, China
Affiliated Hospital of Cheng De Medical College
Chengde, Hebei, 067000, China
First Hospital of Qinhuangdao
Qinhuangdao, Hebei, 066000, China
Hebei Province Hospital of Traditional Chinese Medicine
Shijiazhuang, Hebei, 050000, China
TCM Hospital of Shi Jia Zhuang City
Shijiazhuang, Hebei, 050000, China
The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050000, China
Heilongjiang Provincial Academy of Traditional Chinese Medicine
Haerbin, Heilongjiang, 150000, China
The Second Affiliated Hospital of Harbin Medical University
Haerbin, Heilongjiang, 150000, China
The First Affiliated Hospital of Henan University of Science And Technology
Luoyang, Henan, 471000, China
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, Henan, 453000, China
Henan Provincial People's Hospital
Zhengzhou, Henan, 450000, China
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450000, China
Huang Gang Central Hospital
Huanggang, Hubei, 438000, China
Hubei Provincial Hospital Of TCM
Wuhan, Hubei, 430000, China
Wuhan Integrated TCM & Western Medicine Hospital
Wuhan, Hubei, 430000, China
Zhong Nan Hospital of Wuhan University
Wuhan, Hubei, 430000, China
The Second Xiang Ya Hospital of Central South University
Changsha, Hunan, 410000, China
The Third Xiang Ya Hospital of Central South University
Changsha, Hunan, 410000, China
Xiangya Hospital Central South University
Changsha, Hunan, 410000, China
Jiangsu Province Hospital of Traditional Chinese Medicine
Nanjing, Jiangsu, 210000, China
Jiangsu Provincial People's Hospital
Nanjing, Jiangsu, 210000, China
Affiliated Hospital of Nantong University
Nantong, Jiangsu, 226000, China
Jiangsu Taizhou People's Hospital
Taizhou, Jiangsu, 225300, China
Taizhou Traditional Chinese Medicine Hospital
Taizhou, Jiangsu, 225300, China
Xuzhou Central Hospital
Xuzhou, Jiangsu, 221000, China
Chinese People's Liberation Army No.94 Hospital
Nanchang, Jiangxi, 330000, China
Jiangxi Provincial People's Hospital
Nanchang, Jiangxi, 330000, China
The First Affiliated Hospital Of Nanchang University
Nanchang, Jiangxi, 330000, China
The Second Affiliated Hospital Of Nanchang University
Nanchang, Jiangxi, 330000, China
Jiangxi Pingxiang People's Hospital
Pingxiang, Jiangxi, 337000, China
Jilin Province People's Hospital
Changchun, Jilin, 130000, China
The First Hospital of Jilin University
Changchun, Jilin, 130000, China
The Second Hospital Of Jilin University
Changchun, Jilin, 130000, China
Dalian Municipal Central Hospital Affiliated Of Dalian Medical University
Dalian, Liaoning, 116000, China
The First Affiliated Hospital Of Dalian Medical University
Dalian, Liaoning, 116000, China
First Affiliated Hospital of Liaoning Medical University
Jinzhou, Liaoning, 121000, China
People's Liberation Army No.202 Hospital
Shenyang, Liaoning, 110000, China
Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110000, China
The First Hospital Of China Medical University
Shenyang, Liaoning, 110000, China
The General Hospital Of Shenyang Military Region
Shenyang, Liaoning, 110000, China
Ningxia Hui Autonomous Region's Hospital
Yinchuan, Ningxia, 750000, China
The General Hospital of Ningxia Medical University
Yinchuan, Ningxia, 750000, China
Jinan General Hospital of PLA
Jinan, Shandong, 250000, China
Qi Lu Hospital of Shandong University
Jinan, Shandong, 250000, China
Affiliated Hospital of Jining Medical University
Jining, Shandong, 272000, China
Jining No.1 People's Hospital
Jining, Shandong, 272000, China
Chinese People's Liberation Army No.88 Hospital
Taian, Shandong, 271000, China
Yantai Yu Huang Ding Hospital
Yantai, Shandong, 264000, China
Zaozhuang Municipal Hospital
Zaozhuang, Shandong, 277100, China
Chang Hai Hospital of the Second Military Medical University
Shanghai, Shanghai Municipality, 200000, China
Ren Ji Hospital of Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200000, China
Shanghai Sixth People's Hospital Affiliated Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200000, China
The First Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030000, China
The Second Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030000, China
Shanxi Provincial People's Hospital
Xian, Shanxi, 710000, China
The First Affiliated Hospital of Xi'an Jiao Tong University
Xian, Shanxi, 710000, China
Hua Xi Hospital of Sichuan University
Chengdu, Sichuan, 610000, China
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine
Tianjin, Tianjin Municipality, 300000, China
The Second Hospital of Tianjin Medical University
Tianjin, Tianjin Municipality, 300000, China
Tianjin Hospital of ITCWM, Nankai Hospital
Tianjin, Tianjin Municipality, 300000, China
The First Hospital of Shi He Zi Medical University
Shihezi, Xinjiang, 832000, China
The Second Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, 650000, China
Yan'an Hospital of Kunming City
Kunming, Yunnan, 650000, China
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, 310000, China
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: 24631042BACKGROUNDTunnicliffe 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.
PMID: 38299639DERIVEDLi 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.
PMID: 28395659DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
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
Central Study Contacts
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