NCT06455670

Brief Summary

The purpose of this study was to evaluate the effects of Chinese Medicine on patients with severe AECOPD, and to provide a basis for the establishment of integrated CM and Western medicine diagnosis and treatment scheme for patients with severe AECOPD.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
468

participants targeted

Target at P75+ for not_applicable

Timeline
18mo left

Started Oct 2024

Typical duration for not_applicable

Status
not yet recruiting

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

Study Progress51%
Oct 2024Oct 2027

First Submitted

Initial submission to the registry

May 28, 2024

Completed
15 days until next milestone

First Posted

Study publicly available on registry

June 12, 2024

Completed
4 months until next milestone

Study Start

First participant enrolled

October 20, 2024

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2027

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2027

Last Updated

October 22, 2024

Status Verified

October 1, 2024

Enrollment Period

2.5 years

First QC Date

May 28, 2024

Last Update Submit

October 18, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Treatment failure rate

    The number of treatment failures in both groups during the study period was measured. Treatment failure was defined as the following: (1) the need for or receipt of tracheal intubation or invasive mechanical ventilation during hospitalization, or (2) the need for or transfer to an intensive care unit during hospitalization, or (3) the duration of hospitalization for the current acute exacerbation of COPD for more than 14 days, or (4) death during hospitalization or within 30 days after discharge, or (5) readmission for an acute exacerbation of COPD within 30 days after discharge.

    During the 10 days treatment period and the 3 months follow-up period.

Secondary Outcomes (10)

  • The COPD Assessment Test(CAT)

    Changes in baseline CAT scores at day 10 of the treatment period and at 1 and 3 months of follow-up.

  • The number and severity of acute exacerbations

    Within 3 months of follow-up period.

  • Readmission rate of acute exacerbations

    Within 3 months of follow-up period.

  • The time to the first exacerbation of COPD

    Within 3 months of follow-up period.

  • Dyspnea score

    Changes in baseline mMRC scores at days 4, 7, and 10 of the treatment period and at 1 and 3 months of follow-up.

  • +5 more secondary outcomes

Study Arms (2)

Chinese medicine granules plus western medicine treatment

EXPERIMENTAL

On the basis of conventional western medicine treatment, the experimental group will be given Sanhan Huayin granule , Qingre Huatan granule or Zaoshi Huatan granule based on CM syndrome differentiation.Take 1 dose daily for 10 days.

Drug: Sanhan Huayin recipe, Qingre Huatan recipe or Zaoshi Huatan recipe

Chinese medicine granules placebo plus western medicine treatment

PLACEBO COMPARATOR

On the basis of conventional treatment of western medicine, in the experimental group 5% of the placebo drug, color, smell, taste, appearance, weight, similar to the experimental drug, drug packaging and test group. One dose was given daily for 10 days.

Drug: Sanhan Huayin recipe placebo, Qingre Huatan recipe placebo or Zaoshi Huatan recipe placebo

Interventions

On the basis of conventional treatment of western medicine,the experimental group will be given Sanhan Huayin granule , Qingre Huatan granule or Zaoshi Huatan granule based on CM syndrome differentiation.Take 1 dose daily for 10 days.

Chinese medicine granules plus western medicine treatment

On the basis of conventional treatment of western medicine, in the experimental group 5% of the placebo drug, color, smell, taste, appearance, weight, similar to the experimental drug, drug packaging and test group. One dose was given daily for 10 days.

Chinese medicine granules placebo plus western medicine treatment

Eligibility Criteria

Age40 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with severe AECOPD.;
  • Age 40-80 years old;
  • Chinese medicine diagnosis consistent with external cold and internal drink syndrome, or phlegm-heat congestion of the lungs syndrome, or phlegm turbidity obstruction of the lungs syndrome;
  • Voluntarily accept the treatment and sign the informed consent form;

You may not qualify if:

  • Pregnant and lactating women.
  • delirious, dementia, various mental patients and other people who cannot communicate normally.
  • Patients with severe cardiac insufficiency (NYHA grade IV), malignant arrhythmia and hemodynamic instability.
  • Patients with acute respiratory failure who require tracheal intubation or invasive mechanical ventilation.
  • Complicated with bronchiectasis, active tuberculosis, severe liver and kidney disease (severe liver disease refers to cirrhosis, portal hypertension and varicose vein bleeding, etc., serious kidney disease including dialysis, kidney transplantation, etc.), pneumonia, HIV infection or immunosuppressive state, advanced malignant tumor, etc.
  • long-term bedridden patients for various reasons.
  • Out-of-hospital treatment for more than 3 days.
  • Participate in other drug clinical investigators within 1 month before enrollment.
  • Allergic to therapeutic drugs.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Central Study Contacts

Hailong Zhang, doctor

CONTACT

Hailong Zhang, doctor

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 28, 2024

First Posted

June 12, 2024

Study Start

October 20, 2024

Primary Completion (Estimated)

April 30, 2027

Study Completion (Estimated)

October 31, 2027

Last Updated

October 22, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will not share