AsthmaPhase 1/2NCT00712296
Effectiveness of Chinese Herbal Therapy for Asthma
A Phase 1/2 study testing ASHMI 4 and ASHMI 12 in people with Asthma, run by Icahn School of Medicine at Mount Sinai at 1 site in United States.
Trial summary
The purpose of this study is to determine the efficacy of an anti-asthma herbal medicine intervention (ASHMI) in adult asthmatics Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Asthma
- What is being tested?
- ASHMI 4 and ASHMI 12
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 66 participants
- Where
- 1 siteUnited States
- Study dates
- Aug 2008to 29 Sep 2009
- Phase
- Phase 1/2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Male and female subjects ages 18 through 55 and otherwise in good health as determined by medical history and physical examination
- History of asthma documented by a physician for at least 6 months
- Females of childbearing potential must be sexually inactive or take effective birth control measures, as deemed appropriate by the investigator, for the duration of the study
- The subject agrees to participate in the study
- Subjects must have one of the following:
- one asthma-related unscheduled visit to an Emergency Department or clinic in the past 12 months
Show all 12Show fewer
- One overnight hospitalization in the past 12 months
- Disturbed sleep more than twice in the past month
- Asthma symptoms ≥8 times in the past month
- use of a β2-agonist ≥8 times in the past month
- two short courses (3-7 days) of oral corticosteroids in the last 12 months
- FEV1 <80% predicted AND Use of inhaled corticosteroid (ICS) for at least 1 month prior to enrollment
Who cannot join
- Acute illness (such as cold, flu, etc.) within two weeks before the screening visit
- Any history of systemic disease that in the investigator's opinion would preclude the subject from participating in this study, including hepatitis virus infection
- History of chronic obstructive lung disease, emphysema, or other chronic respiratory condition
- Abnormal hepatic function (ALT/AST and bilirubin >1.25 x upper limit of normal)
- Abnormal bone marrow function (WBC <4 x 103/mm3; platelets <100 x 103/mm3; Hgb <11 g/dl)
- Abnormal renal function (BUN and creatinine >1.25 x upper limit of normal)
Show all 12Show fewer
- Clinically significant abnormal electrocardiogram
- FEV1 <50% predicted
- Participation in another experimental therapy study within 30 days of this study
- History of alcohol or drug abuse
- Pregnant or lactating female subjects. Females of childbearing potential will need a negative serum pregnancy test at screening to be considered for this study
- Subjects receiving treatment with Omalizumab or immunotherapy for asthma
Trial locations and contacts
1 site in 1 country.
United States1 site
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
About this study
Official title: Center for Chinese Herbal Therapy for Asthma. Project #2-Clinical Effect of a Chinese Herbal Therapy in Human Asthma-Phase II
The purpose of this study is to determine the efficacy of an anti-asthma herbal medicine intervention (ASHMI) in adult asthmatics
Read the detailed description
Asthma is a major public health problem worldwide, particularly in westernized societies and has continued to increase in prevalence over the past two decades. Inhaled corticosteroids have become the first-line treatment for persistent asthma even though side effects have been reported. New asthma medications, including leukotriene inhibitors and anti-IgE, have shown limited benefits. Patients have increasingly turned to complementary and alternative medicine (CAM) for treatment of their asthma, despite the uncertainty of its benefits due a lack of well-controlled scientific studies.
We have developed a Chinese herbal formula composed of 3 herbs called ASHMI. It has been previously shown in murine studies that ASHMI (a formula containing Ling Zhi, Ku Shen and Gan Cao) has therapeutic effects on the major pathogenic mechanisms of asthma-airway hyperreactivity, pulmonary inflammation, and airway remodeling, as well as a down-regulating of TH2 response. A subsequent study in 91 asthmatic patients in Weifang, China found ASHMI to be a safe and effective alternative to prednisone for treating asthma and exhibited a beneficial effect on TH1 and TH2 balance. Additionally, a Phase I study conducted in the United States showed good tolerability to ASHMI. Based on these preliminary studies, we hypothesize that ASHMI will be a safe medication in patients with asthma.
- Conditions
- Asthma
- Being tested
- ASHMI 4, ASHMI 12, Placebo
- Keywords
- Asthma, alternative medicine, complementary medicine, herbal therapy
- Medical subject headings
- Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ASHMI 4Drug
4 capsules orally twice a day
ASHMI 12Drug
12 capsules orally twice a day
PlaceboDrug
Placebo 6 capsules twice a day
| Study group | Role | What they receive |
|---|---|---|
| ASHMI 4 | Experimental | ASHMI 4 capsules twice a day Receives: Drug: ASHMI 4 |
| ASHMI 12 | Experimental | ASHMI 12 capsules twice a day Receives: Drug: ASHMI 12 |
| Placebo | Placebo comparator | Placebo 6 capsules twice a day Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Glucose, Urea and Creatinine Phase I
Summary of Laboratory data for Glucose(mg/dL), Urea(mg/dL) and Creatinine(mg/dL) in subjects enrolled in Phase 1
Measured: 1 week after receiving active drug or placebo
Sodium, Potassium, Chloride and CO2 Phase I
Summary of Laboratory data for Sodium(meq/L), Potassium(meq/L), Chloride(meq/L) and CO2 (meq/L) in subjects enrolled in Phase 1
Measured: 1 week after receiving active drug or placebo
Serum Glutamic Pyruvic Transaminase and Serum Glutamic Oxaloacetic Transaminase in Phase I
Summary of Laboratory data for Serum glutamic pyruvic transaminase and Serum glutamic oxaloacetic transaminase in subjects enrolled in Phase 1
Measured: 1 week after receiving active drug and placebo
Laboratory Results for White Blood Cell, Hemoglobin and Platelet in Phase I
Summary of Laboratory data for White Blood Cell(cells*10^3/uL), Hemoglobin(cells*10^3/uL) and Platelet(cells*10^3/uL)in subjects enrolled in Phase 1
Measured: 1 week after receiving active drug and placebo
Hemoglobin Laboratory Results in Phase I
Summary of hemoglobin as Outcome measures included laboratory data for subjects enrolled in Phase 1
Measured: 1 week
Laboratory Results for Glucose, Urea, Creatinine, Bilirubin Total and Bilirubin Direct Phase II Study
Summary of Laboratory data for Glucose(mg/dL), Urea(mg/dL), Creatinine(mg/dL), Bilirubin Total(mg/dL) and Bilirubin Direct(mg/dL)in subjects in Phase II
Limited to Measurements before discontinuation of ASHMI treatment
Measured: 28 weeks
Laboratory Results for Sodium,Potassium, Chloride and Bicarbonate in Phase II Study
Summary of Laboratory data for Sodium(meq/L), Potassium(meq/L), Chloride(meq/L) and Bicarbonate(meq/L)in subjects in Phase II
Limited to Measurements before discontinuation of ASHMI treatment
Measured: 28 weeks
Laboratory Results for Alkaline Phosphatase,Serum Glutamic Pyruvic Transaminase and Serum Glutamic Oxaloacetic Transaminase in Phase II Study
Summary of Laboratory data for Alkaline phosphatase(IU/L),Serum glutamic pyruvic transaminase(IU/L)and Serum glutamic oxaloacetic transaminase(IU/L) in subjects in Phase II study
Limited to Measurements before discontinuation of ASHMI treatment
Measured: 28 weeks
Laboratory Results for White Blood Cell Count and Platelet in Subjects in Phase II Study
Summary of Laboratory data for White Blood Cell Count(cells*10^3/uL) and Platelet (cells*10^3/uL)in Phase II study
Limited to Measurements before discontinuation of ASHMI treatment
Measured: 28 weeks
Laboratory Results for Hemoglobin in Subjects in Phase II Study
Summary of Laboratory data for hemoglobin(g/dL)in subjects in Phase II study.
Limited to Measurements before discontinuation of ASHMI treatment
Measured: 28 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jul 2008 (estimated)
- Study startAug 2008
- Primary completion29 Sep 2009
- Study completion29 Sep 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AsthmaStudies of the same condition, open and under way.
- More trials run by Icahn School of Medicine at Mount SinaiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 66 participants (actual)
Sponsor and investigators
- Lead sponsor
- Icahn School of Medicine at Mount Sinai
- Sponsor type
- University, hospital or other
- Collaborators
- National Center for Complementary and Integrative Health (NCCIH)
- Responsible party
- Principal investigator, Xiu-Min Li, Icahn School of Medicine at Mount Sinai
- Investigators
- Juan P Wisnivesky, MD, DrPH, Principal investigator, Icahn School of Medicine at Mount Sinai
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00712296
- Sponsor's protocol ID
- GCO 04-0206
- Other IDs
- P01AT002647-02
- Status last verified
- Aug 2020
- First submitted
- 7 Jul 2008
- Last updated
- 16 Sep 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Wen MC, Wei CH, Hu ZQ, Srivastava K, Ko J, Xi ST, Mu DZ, Du JB, Li GH, Wallenstein S, Sampson H, Kattan M, Li XM. Efficacy and tolerability of anti-asthma herbal medicine intervention in adult patients with moderate-severe allergic asthma. J Allergy Clin Immunol. 2005 Sep;116(3):517-24. doi: 10.1016/j.jaci.2005.05.029.
PubMed 16159618
Study at a glance
From the registry record, last updated by the sponsor on 16 Sep 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Center for Chinese Herbal Therapy for Asthma. Project #2-Clinical Effect of a Chinese Herbal Therapy in Human Asthma-Phase II
- ClinicalTrials.gov ID
- NCT00712296
- Acronym / sponsor ID
- GCO 04-0206
- Conditions
- Asthma
- Keywords
- Asthma, alternative medicine, complementary medicine, herbal therapy
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 66 participants (actual)
- Lead sponsor
- Icahn School of Medicine at Mount SinaiUniversity, hospital or other
- Collaborators
- National Center for Complementary and Integrative Health (NCCIH)
- Study start
- Aug 2008 (actual)
- Primary completion
- 29 Sep 2009 (actual)
- Study completion
- 29 Sep 2009 (actual)
- First posted
- 9 Jul 2008 (estimated)
- Results
- Posted 25 Aug 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the efficacy of an anti-asthma herbal medicine intervention (ASHMI) in adult asthmatics
Detailed description
Asthma is a major public health problem worldwide, particularly in westernized societies and has continued to increase in prevalence over the past two decades. Inhaled corticosteroids have become the first-line treatment for persistent asthma even though side effects have been reported. New asthma medications, including leukotriene inhibitors and anti-IgE, have shown limited benefits. Patients have increasingly turned to complementary and alternative medicine (CAM) for treatment of their asthma, despite the uncertainty of its benefits due a lack of well-controlled scientific studies.
We have developed a Chinese herbal formula composed of 3 herbs called ASHMI. It has been previously shown in murine studies that ASHMI (a formula containing Ling Zhi, Ku Shen and Gan Cao) has therapeutic effects on the major pathogenic mechanisms of asthma-airway hyperreactivity, pulmonary inflammation, and airway remodeling, as well as a down-regulating of TH2 response. A subsequent study in 91 asthmatic patients in Weifang, China found ASHMI to be a safe and effective alternative to prednisone for treating asthma and exhibited a beneficial effect on TH1 and TH2 balance. Additionally, a Phase I study conducted in the United States showed good tolerability to ASHMI. Based on these preliminary studies, we hypothesize that ASHMI will be a safe medication in patients with asthma.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| ASHMI 4 | Experimental | Drug: ASHMI 4ASHMI 4 capsules twice a day |
| ASHMI 12 | Experimental | Drug: ASHMI 12ASHMI 12 capsules twice a day |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo 6 capsules twice a day |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (12 listed)
- Male and female subjects ages 18 through 55 and otherwise in good health as determined by medical history and physical examination
- History of asthma documented by a physician for at least 6 months
- Females of childbearing potential must be sexually inactive or take effective birth control measures, as deemed appropriate by the investigator, for the duration of the study
- The subject agrees to participate in the study
- Subjects must have one of the following:
Key exclusion criteria (12 listed)
- Acute illness (such as cold, flu, etc.) within two weeks before the screening visit
- Any history of systemic disease that in the investigator's opinion would preclude the subject from participating in this study, including hepatitis virus infection
- History of chronic obstructive lung disease, emphysema, or other chronic respiratory condition
- Abnormal hepatic function (ALT/AST and bilirubin >1.25 x upper limit of normal)
- Abnormal bone marrow function (WBC <4 x 103/mm3; platelets <100 x 103/mm3; Hgb <11 g/dl)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ASHMI 44 capsules orally twice a day | Drug | ASHMI 4 |
| ASHMI 1212 capsules orally twice a day | Drug | ASHMI 12 |
| PlaceboPlacebo 6 capsules twice a day | Drug | Placebo |
Primary outcome
Glucose, Urea and Creatinine Phase I
Time frame: 1 week after receiving active drug or placebo
Summary of Laboratory data for Glucose(mg/dL), Urea(mg/dL) and Creatinine(mg/dL) in subjects enrolled in Phase 1
Sodium, Potassium, Chloride and CO2 Phase I
Time frame: 1 week after receiving active drug or placebo
Summary of Laboratory data for Sodium(meq/L), Potassium(meq/L), Chloride(meq/L) and CO2 (meq/L) in subjects enrolled in Phase 1
Serum Glutamic Pyruvic Transaminase and Serum Glutamic Oxaloacetic Transaminase in Phase I
Time frame: 1 week after receiving active drug and placebo
Summary of Laboratory data for Serum glutamic pyruvic transaminase and Serum glutamic oxaloacetic transaminase in subjects enrolled in Phase 1
Laboratory Results for White Blood Cell, Hemoglobin and Platelet in Phase I
Time frame: 1 week after receiving active drug and placebo
Summary of Laboratory data for White Blood Cell(cells*10^3/uL), Hemoglobin(cells*10^3/uL) and Platelet(cells*10^3/uL)in subjects enrolled in Phase 1
Hemoglobin Laboratory Results in Phase I
Time frame: 1 week
Summary of hemoglobin as Outcome measures included laboratory data for subjects enrolled in Phase 1
Laboratory Results for Glucose, Urea, Creatinine, Bilirubin Total and Bilirubin Direct Phase II Study
Time frame: 28 weeks
Summary of Laboratory data for Glucose(mg/dL), Urea(mg/dL), Creatinine(mg/dL), Bilirubin Total(mg/dL) and Bilirubin Direct(mg/dL)in subjects in Phase II Limited to Measurements before discontinuation of ASHMI treatment
Laboratory Results for Sodium,Potassium, Chloride and Bicarbonate in Phase II Study
Time frame: 28 weeks
Summary of Laboratory data for Sodium(meq/L), Potassium(meq/L), Chloride(meq/L) and Bicarbonate(meq/L)in subjects in Phase II Limited to Measurements before discontinuation of ASHMI treatment
Laboratory Results for Alkaline Phosphatase,Serum Glutamic Pyruvic Transaminase and Serum Glutamic Oxaloacetic Transaminase in Phase II Study
Time frame: 28 weeks
Summary of Laboratory data for Alkaline phosphatase(IU/L),Serum glutamic pyruvic transaminase(IU/L)and Serum glutamic oxaloacetic transaminase(IU/L) in subjects in Phase II study Limited to Measurements before discontinuation of ASHMI treatment
Laboratory Results for White Blood Cell Count and Platelet in Subjects in Phase II Study
Time frame: 28 weeks
Summary of Laboratory data for White Blood Cell Count(cells*10^3/uL) and Platelet (cells*10^3/uL)in Phase II study Limited to Measurements before discontinuation of ASHMI treatment
Laboratory Results for Hemoglobin in Subjects in Phase II Study
Time frame: 28 weeks
Summary of Laboratory data for hemoglobin(g/dL)in subjects in Phase II study. Limited to Measurements before discontinuation of ASHMI treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Sep 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 16159618Wen MC, Wei CH, Hu ZQ, Srivastava K, Ko J, Xi ST, Mu DZ, Du JB, Li GH, Wallenstein S, Sampson H, Kattan M, Li XM. Efficacy and tolerability of anti-asthma herbal medicine intervention in adult patients with moderate-severe allergic asthma. J Allergy Clin Immunol. 2005 Sep;116(3):517-24. doi: 10.1016/j.jaci.2005.05.029.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Juan P Wisnivesky, MD, DrPH principal investigator
Icahn School of Medicine at Mount Sinai
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing ASHMI 4 and ASHMI 12 in people with Asthma, run by Icahn School of Medicine at Mount Sinai at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 16 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Glucose, Urea and Creatinine Phase I (time frame: 1 week after receiving active drug or placebo). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00712296, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Sep 2020.