PneumoniaNCT02069665
Effectiveness Study of Integrative Treatment for Pediatric Pneumonia
A study testing Fuxiong San, Xiyanping injection and Ribavirin Injection in people with Pneumonia, run by Liaoning University of Traditional Chinese Medicine at 6 sites in China.
Trial summary
The purpose of this study is to evaluate the effectiveness of traditional Chinese medicine for treatment of pediatric pneumonia. It is a multicenter randomized controlled trial. Read more about this study
- Who is it for?
- Ages 6 to 59 months
- Conditions the study is for
- Pneumonia
- What is being tested?
- Fuxiong San, Xiyanping injection and Ribavirin Injection
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 451 participants
- Where
- 6 sitesChina
- Study dates
- Dec 2011to Aug 2013
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 6 to 59 months
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- children, aged 6 months to 59 months old, diagnosed as pneumonia according to western medicine diagnostic criteria;
- diagnosed as TCM pneumonia with gasp-cough, meeting wind-heat blocking lungs pattern (feng re bi fei zheng), and phlegm-heat blocking lungs pattern (tan re bi fei zheng);
- disease progression within 72 hours;
- those whose guardians understood and assigned the informed consent;
Who cannot join
- emergency pneumonia;
- complicated with other Pulmonary Disorders attack other than pneumonia;
- complicated with primary disease of heart (congenital heart disease, myocarditis, et al), liver (ALT, and AST ≥ 1.5 times of normal value ceiling), kidney (BUN > 8.2mmol/L, or serum CR > 104 µmol/L, et al) and blood system (anemia), and those with psychopathy;
- allergic to interventional medications;
- those who are participating or have participated in other clinical trials in 3 months.
Trial locations and contacts
6 sites in 1 country.
6 sites in 1 country
China6 sites
Affiliated Children's Hospital of Capital University of Medical Sciences
Beijing, Beijing Municipality, 100045
Affiliated Children's Hospital of Dalian Medical University
Dalian, Liaoning, 116044
Guangzhou Children's Hospital
Guangzhou, Guangdong, 510120
Affiliated Hospital of Shandong University of TCM
Ji'nan, Shandong, 250011
Affiliated Longhua Hospital of Shanghai University of TCM
Shanghai, Shanghai Municipality, 200032
Affiliated Hospital of Liaoning University of TCM
Shenyang, Liaoning, 110032
About this study
Official title: Assessing the Effectiveness of Integrative Treatment That Combines Interior and Exterior Treatment Plans in Pediatric Pneumonia: a Program by PRC National Clinical Research Base of Traditional Chinese Medicine for Major Diseases
The purpose of this study is to evaluate the effectiveness of traditional Chinese medicine for treatment of pediatric pneumonia. It is a multicenter randomized controlled trial.
Read the detailed description
The retrospective case study has been finished at the National clinical research base of traditional Chinese medicine for major disease pediatric pneumonia, and the research center organized the field training of prospective-study to coordinated units. Based on the primary statistical outcomes of retrospective case study and the discussion around prospective-study during the training, investigators found it difficult to include simplex viral infection, therefore, investigators revised the inclusion criteria and treatment protocol of the pragmatic randomized controlled trial.
The block randomization is used in this trial. Random numbers are generated by SPSS software. Statistical analysis staff and those who perform the follow-up are blinded. Sample size calculation was performed, which was 369, and considering drop-out or withdrawal, investigators plan to enroll 450 patients (300 in experimental group, 150 in control).
- Conditions
- Pneumonia
- Being tested
- Fuxiong San, Xiyanping injection, Ribavirin Injection, Xiaoer Qingfei Heji (mixture), Zhi Ke San
- Keywords
- pneumonia, pediatrics, viral
- Medical subject headings
- Pneumonia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Fuxiong SanOther
external application; 8-10cm wide, 0.3-0.5cm thick; 10mins for patient aged 1 to 3-year old; 15mins for those aged 3 to 5-year old; once daily
Xiyanping injectionDrug
ivd. 5 to 10 mg/(kg•d), plus 5% Glucose Injection, 80 to 100 ml, ivd. Once a day injection.
Ribavirin InjectionDrug
ivd. 10 to 20 mg/(kg•d), plus 5% Glucose Injection, 80 to 100 ml, ivd. Once a day injection.
Xiaoer Qingfei Heji (mixture)Drug
children aged 6 months to 1 year old: 10 ml, orally taken three times daily; children aged 1 to 3 year old: 15 ml, orally taken three times daily; children aged 3 to 5 year old: 20 ml, orally taken three times daily;
Zhi Ke SanDrug
Also called herbal powder to relieve cough
children aged 6 months to 1 year old: 0.5g, orally taken three times daily; children aged 1 to 3 year old: 1.5g, orally taken three times daily; children aged 3 to 5 year old: 2.0g, orally taken three times daily;
Hua Tan SanDrug
Also called herbal powder to remove phlegm
children aged 6 months to 1 year old: 0.5g, orally taken three times daily; children aged 1 to 3 year old: 1.5g, orally taken three times daily; children aged 3 to 5 year old: 2.0g, orally taken three times daily;
Guaifenesin SyrupDrug
Also called Guaifenesin, Methylephedrine and Chlorphenamine Syrup
children aged 6 months to 1 year old: 3ml, orally taken three times daily; children aged 1 to 3 year old: 5ml, orally taken three times daily; children aged 3 to 5 year old: 8ml, orally taken three times daily;
Ibuprofen SuspensionDrug
Also called Motrin
taken under prescription
salbutamolDrug
Also called β2-agonists
taken under prescription
| Study group | Role | What they receive |
|---|---|---|
| Injection, medications and application | Experimental | Intravenous injection: Xiyanping injection, produced by Jiangxi Qing Feng Pharmaceutical Co., Ltd;
Medications: according to TCM syndrome differentiations;
* Wind-heat blocking lungs pattern (feng re bi fei zheng): Xiaoer Qingfei Heji (mixture), and Zhi Ke San (herbal powder to relieve cough)
* Phlegm-heat blocking lungs pattern (tan re bi fei zheng): Xiaoer Qingfei Heji (mixture), and Hua Tan San (herbal powder to remove phlegm)
External application: Fuxiong San Receives: Other: Fuxiong San; Drug: Xiyanping injection; Drug: Xiaoer Qingfei Heji (mixture); Drug: Zhi Ke San; Drug: Hua Tan San |
| Injection and medications | Active comparator | Intravenous injection: Ribavirin Injection;
Medications: symptomatic therapies
* Guaifenesin Syrup, for removing phlegm, relieving gasp-cough;
* Ibuprofen Suspension, and salbutamol in case of different symptoms Receives: Drug: Ribavirin Injection; Drug: Guaifenesin Syrup; Drug: Ibuprofen Suspension; Drug: salbutamol |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cured rate
Clinical symptoms and signs totally disappear, the period of lab tests return to normal is recorded.
Measured: Every day since receiving treatment, all together 10 days (times)
Effectiveness time window
days range from treatment is received to the effectiveness is observed, and symptoms disappear
Measured: Every day since receiving treatment, all together 10 days (times)
Secondary outcomes (5)
TCM syndrome scores and effective rate
Total effective rate according to TCM syndrome differentiation and treatment, and single syndrome effective rate
Measured: 10 days
Effect in fever, cough, phlegm and gasp
temperature, fever frequency, fever lasting time, Ibuprofen Suspension dosing; cough severity; phlegm amount, color and nature; gasp frequency, severity, all to be measured
Measured: 10 days
Time of lung rales disappear completely
days are counted since receiving treatment, when the chest radiograph returns to normal
Measured: 10 days
Check-out time
days counted when the patient checks out
Measured: 10 days
Pulmonary disease incidence
unresolved pneumonia, chronic cough, cough variant asthma incidence in the follow-up
Measured: 30 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2014 (estimated)
- Study startDec 2011
- Primary completionJul 2013
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for PneumoniaStudies of the same condition, open and under way.
- 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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 451 participants (actual)
Sponsor and investigators
- Lead sponsor
- Liaoning University of Traditional Chinese Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- Beijing University of Chinese Medicine
- Responsible party
- Principal investigator, Xuefeng Wang, Liaoning University of Traditional Chinese Medicine
- Investigators
- Xuefeng Wang, Ph.D., Study director, Affiliated Hospital of Liaoning University of TCMZhenqi Wu, Principal investigator, Affiliated Hospital of Liaoning University of TCM
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02069665
- Sponsor's protocol ID
- AHLN-TCM-01
- Status last verified
- Feb 2014
- First submitted
- 26 Dec 2013
- Last updated
- 24 Feb 2014
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Assessing the Effectiveness of Integrative Treatment That Combines Interior and Exterior Treatment Plans in Pediatric Pneumonia: a Program by PRC National Clinical Research Base of Traditional Chinese Medicine for Major Diseases
- ClinicalTrials.gov ID
- NCT02069665
- Acronym / sponsor ID
- AHLN-TCM-01
- Conditions
- Pneumonia
- Keywords
- pneumonia, pediatrics, viral
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 451 participants (actual)
- Lead sponsor
- Liaoning University of Traditional Chinese MedicineUniversity, hospital or other
- Collaborators
- Beijing University of Chinese Medicine
- Study start
- Dec 2011
- Primary completion
- Jul 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 24 Feb 2014 (estimated)
- Results
- Not posted in the source record
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 evaluate the effectiveness of traditional Chinese medicine for treatment of pediatric pneumonia. It is a multicenter randomized controlled trial.
Detailed description
The retrospective case study has been finished at the National clinical research base of traditional Chinese medicine for major disease pediatric pneumonia, and the research center organized the field training of prospective-study to coordinated units. Based on the primary statistical outcomes of retrospective case study and the discussion around prospective-study during the training, investigators found it difficult to include simplex viral infection, therefore, investigators revised the inclusion criteria and treatment protocol of the pragmatic randomized controlled trial.
The block randomization is used in this trial. Random numbers are generated by SPSS software. Statistical analysis staff and those who perform the follow-up are blinded. Sample size calculation was performed, which was 369, and considering drop-out or withdrawal, investigators plan to enroll 450 patients (300 in experimental group, 150 in control).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Injection, medications and application | Experimental | Other: Fuxiong San, Drug: Xiyanping injection, Drug: Xiaoer Qingfei Heji (mixture), Drug: Zhi Ke San, Drug: Hua Tan SanIntravenous injection: Xiyanping injection, produced by Jiangxi Qing Feng Pharmaceutical Co., Ltd; Medications: according to TCM syndrome differentiations; * Wind-heat blocking lungs pattern (feng re bi fei zheng): Xiaoer Qingfei Heji (mixture), and Zhi Ke San (herbal powder to relieve cough) * Phlegm-heat blocking lungs pattern (tan re bi fei zheng): Xiaoer Qingfei Heji (mixture), and Hua Tan San (herbal powder to remove phlegm) External application: Fuxiong San |
| Injection and medications | Active comparator | Drug: Ribavirin Injection, Drug: Guaifenesin Syrup, Drug: Ibuprofen Suspension, Drug: salbutamolIntravenous injection: Ribavirin Injection; Medications: symptomatic therapies * Guaifenesin Syrup, for removing phlegm, relieving gasp-cough; * Ibuprofen Suspension, and salbutamol in case of different symptoms |
Who may qualify
- Ages
- 6 to 59 months
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- children, aged 6 months to 59 months old, diagnosed as pneumonia according to western medicine diagnostic criteria;
- diagnosed as TCM pneumonia with gasp-cough, meeting wind-heat blocking lungs pattern (feng re bi fei zheng), and phlegm-heat blocking lungs pattern (tan re bi fei zheng);
- disease progression within 72 hours;
- those whose guardians understood and assigned the informed consent;
Key exclusion criteria (5 listed)
- emergency pneumonia;
- complicated with other Pulmonary Disorders attack other than pneumonia;
- complicated with primary disease of heart (congenital heart disease, myocarditis, et al), liver (ALT, and AST ≥ 1.5 times of normal value ceiling), kidney (BUN > 8.2mmol/L, or serum CR > 104 µmol/L, et al) and blood system (anemia), and those with psychopathy;
- allergic to interventional medications;
- those who are participating or have participated in other clinical trials in 3 months.
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 |
|---|---|---|
| Fuxiong Sanexternal application; 8-10cm wide, 0.3-0.5cm thick; 10mins for patient aged 1 to 3-year old; 15mins for those aged 3 to 5-year old; once daily | Other | Injection, medications and application |
| Xiyanping injectionivd. 5 to 10 mg/(kg•d), plus 5% Glucose Injection, 80 to 100 ml, ivd. Once a day injection. | Drug | Injection, medications and application |
| Ribavirin Injectionivd. 10 to 20 mg/(kg•d), plus 5% Glucose Injection, 80 to 100 ml, ivd. Once a day injection. | Drug | Injection and medications |
| Xiaoer Qingfei Heji (mixture)children aged 6 months to 1 year old: 10 ml, orally taken three times daily; children aged 1 to 3 year old: 15 ml, orally taken three times daily; children aged 3 to 5 year old: 20 ml, orally taken three times daily; | Drug | Injection, medications and application |
| Zhi Ke SanAlso: herbal powder to relieve coughchildren aged 6 months to 1 year old: 0.5g, orally taken three times daily; children aged 1 to 3 year old: 1.5g, orally taken three times daily; children aged 3 to 5 year old: 2.0g, orally taken three times daily; | Drug | Injection, medications and application |
| Hua Tan SanAlso: herbal powder to remove phlegmchildren aged 6 months to 1 year old: 0.5g, orally taken three times daily; children aged 1 to 3 year old: 1.5g, orally taken three times daily; children aged 3 to 5 year old: 2.0g, orally taken three times daily; | Drug | Injection, medications and application |
| Guaifenesin SyrupAlso: Guaifenesin, Methylephedrine and Chlorphenamine Syrupchildren aged 6 months to 1 year old: 3ml, orally taken three times daily; children aged 1 to 3 year old: 5ml, orally taken three times daily; children aged 3 to 5 year old: 8ml, orally taken three times daily; | Drug | Injection and medications |
| Ibuprofen SuspensionAlso: Motrintaken under prescription | Drug | Injection and medications |
| salbutamolAlso: β2-agoniststaken under prescription | Drug | Injection and medications |
Primary outcome
Cured rate
Time frame: Every day since receiving treatment, all together 10 days (times)
Clinical symptoms and signs totally disappear, the period of lab tests return to normal is recorded.
Effectiveness time window
Time frame: Every day since receiving treatment, all together 10 days (times)
days range from treatment is received to the effectiveness is observed, and symptoms disappear
5 secondary outcomes
TCM syndrome scores and effective rate
Time frame: 10 days
Effect in fever, cough, phlegm and gasp
Time frame: 10 days
Time of lung rales disappear completely
Time frame: 10 days
Check-out time
Time frame: 10 days
Pulmonary disease incidence
Time frame: 30 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2014.
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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.
Xuefeng Wang, Ph.D. study director
Affiliated Hospital of Liaoning University of TCM
Zhenqi Wu principal investigator
Affiliated Hospital of Liaoning University of TCM
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Fuxiong San, Xiyanping injection and Ribavirin Injection in people with Pneumonia, run by Liaoning University of Traditional Chinese Medicine at 6 sites in China.
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 4 inclusion and 5 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: finished, as of the sponsor's last update on 24 Feb 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in China. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Cured rate (time frame: Every day since receiving treatment, all together 10 days (times)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 24 Feb 2014.