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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.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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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

Other trials in United States

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 groups in NCT00712296
Study groupRoleWhat they receive
ASHMI 4ExperimentalASHMI 4 capsules twice a day
Receives: Drug: ASHMI 4
ASHMI 12ExperimentalASHMI 12 capsules twice a day
Receives: Drug: ASHMI 12
PlaceboPlacebo comparatorPlacebo 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.

  1. 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

  2. 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

  3. 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

  4. 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

  5. Hemoglobin Laboratory Results in Phase I

    Summary of hemoglobin as Outcome measures included laboratory data for subjects enrolled in Phase 1

    Measured: 1 week

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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.

  1. First posted9 Jul 2008 (estimated)
  2. Study startAug 2008
  3. Primary completion29 Sep 2009
  4. Study completion29 Sep 2009

Resources

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)
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
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

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.

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