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IndividualityPhase 1NCT02294448

PopPK Profile of Qishe Pill: Study Protocol for a Phase I Clinical Trial

A Phase 1 study testing Qishe Pill in people with Individuality and Narrative Medicine, run by Shanghai University of Traditional Chinese Medicine at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Qishe Pill (Shanghai Sundise Traditional Chinese Medicine Co., Ltd, China), composed of processed Radix Astragali, Muscone, Szechuan Lovage Rhizome, Radix Stephaniae Tetrandrae, Ovientvine, and Calculus Bovis Artifactus, has been developed and spread in use into clinical settings in 2009. Read more about this study

Who is it for?
Ages 20 to 35 yearsHealthy volunteers can take part
Conditions the study is for
Individuality, Narrative Medicine
What is being tested?
Qishe Pill
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteChina
Study dates
Nov 2014to Jul 2016
Phase
Phase 1
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 20 to 35 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Aged 20-35
  • 18.5 kg/m2 ≤Body mass index (BMI) <23 kg/m2
  • TCM-constitutionally typed as either the 3 major type

Who cannot join

  • History of impaired fasting glucose or diabetes mellitus (past history of diabetes or fasting blood glucose at screening ≥100 mg/dl)
  • History of liver disease (hepatitis, hepatic cirrhosis) or hepatic dysfunction (AST or ALT at screening ≥40 U/L)
  • History of renal dysfunction (creatinine at screening ≥1.2 mg/dl)
  • History of heart disease (heart failure, angina pectoris, myocardial infarction, arrhythmia)
  • History of malignant tumor
  • Having digestive disorders that can interfere with normal absorption of standard diet (gastritis, gastric ulcer, duodenitis, duodenal ulcer, etc.)
Show all 11Show fewer
  • Smoking during the recent 3 months
  • Alcohol consumption 3 or more times a week during the recent 3 months
  • Women who were pregnant, intended to become pregnant, or breast- feeding
  • Medicated during the recent month for therapeutic or prophylactic purposes
  • Participating in another clinical trial

Trial locations and contacts

1 site in 1 country.

Xue-Jun Cui, Dr. contact

13917715524@139.com

Yue-li Sun, Dr contact

edisonlike2008@gmail.com

China1 site, 1 recruiting
  • Longhua Hospital, Shanghai University of TCM

    Shanghai, Shanghai Municipality, 200032

    Yue-li Sun, Dr, edisonlike2008@gmail.com

    Ting Hou, Miss, Houting003@gmail.com

    Recruiting

Other trials in China

About this study

Official title: Population Pharmacokinetic Modeling of Qishe Pill in Three Major TCM-defined Constitutional Types of Healthy Chinese Subjects: Study Protocol for a Phase I Clinical Trial

Qishe Pill (Shanghai Sundise Traditional Chinese Medicine Co., Ltd, China), composed of processed Radix Astragali, Muscone, Szechuan Lovage Rhizome, Radix Stephaniae Tetrandrae, Ovientvine, and Calculus Bovis Artifactus, has been developed and spread in use into clinical settings in 2009. As individualization has become the trend of modern medicine, a personalized medicine of Qishe Pill should be documented and practiced with various patients according to the ancient TCM system, a classification of personalized constitution type, which has been established to determine predisposition and prognosis to diseases as well as therapy and life-style administration. Therefore, we describe the population pharmacokinetic profile of Qishe Pill and compare its extent of metabolism in the 3 major Constitution Type (Qi-Deficiency, Yin-Deficiency and Blood-Stasis) to address major challenges of individualized and standardized Traditional Chinese Medicine into clinical practice.

Read the detailed description

With the greatly increased morbidity of neck pain, it brought a large challenge to some optimal therapies for various situations in population at a given time based on their demographic, physiological and pathological characteristics. Chinese proprietary herbal medicines, as a kind of Complementary and Alternative Medicine (CAM), are usually developed from some well-established and long-standing recipes and formulated as tablets or capsules for commerce, convenience or palatability. Although these advantage mentioned, a good quantification and a strict standardization in detail are still need to be improved for individualized implementation in therapeutic strategies. Based on the YQHY decoction (Yi-Qi Hua-Yu Decoction, tonify Qi and promoting circulation and removing stasis), Qishe Pill (Shanghai Sundise Traditional Chinese Medicine Co., Ltd, China) has been developed and spread in use into clinical settings in 2009. As individualization has become the trend of modern medicine, a personalized medicine of Qishe Pill should be documented and practiced with various patients according to the ancient TCM system, a classification of personalized constitution type, which has been established to determine predisposition and prognosis to diseases as well as therapy and life-style administration. Therefore, we describe the population pharmacokinetic profile of Qishe Pill and compare its extent of metabolism in the 3 major Constitution Type (Qi-Deficiency, Yin-Deficiency and Blood-Stasis) to address major challenges of individualized and standardized Traditional Chinese Medicine into clinical practice.

Being tested
Qishe Pill
Keywords
Cervical radiculopathy, Neck pain, Qishe pill, raditional Chinese medicine, healthy Chinese subject, Population Pharmacokinetics, Personalized Medicine, Individualized Medicine
Medical subject headings
Narrative Medicine, Radiculopathy, Neck Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Qishe PillDrug

    Qishe Pill is a thin 0.15 g film-coated pill, composed of processed Radix Astragali, Muscone, Szechuan Lovage Rhizome, Radix Stephaniae Tetrandrae, Ovientvine, and Calculus Bovis Artifactus, which should be taken orally with water (240mL) after a minimum 10-hour fast

Study groups in NCT02294448
Study groupRoleWhat they receive
cohort 1ExperimentalQishe Pill(Shanghai Sundise Traditional Chinese Medicine Co., Ltd, China) in low dosage(3.75mg)
Receives: Drug: Qishe Pill
cohort 2ExperimentalQishe Pill(Shanghai Sundise Traditional Chinese Medicine Co., Ltd, China) in medial dosage(7.5mg)
Receives: Drug: Qishe Pill
cohort 3ExperimentalQishe Pill(Shanghai Sundise Traditional Chinese Medicine Co., Ltd, China)in high dosage(15mg)
Receives: Drug: Qishe Pill

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: Dosing(0 hour)

  2. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 15 min after dosing

  3. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 30 min after dosing

  4. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 45 min after dosing

  5. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 60 min after dosing

  6. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 90 min after dosing

  7. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 120 min after dosing

  8. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 150 min after dosing

  9. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 180 min after dosing

  10. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 240 min after dosing

  11. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 360 min after dosing

  12. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 480 min after dosing

  13. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 600 min after dosing

  14. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 720 min after dosing

  15. Plasma concentrations of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 1440 min after dosing

  16. Plasma concentration of Qishe Pill

    5 ml blood samples for pharmacokinetic analysis

    Measured: 2160 min after dosing

  17. Plasma sampling of Qishe Pill for pharmacokinetic analysis

    5 ml blood samples for pharmacokinetic analysis

    Measured: 2880 min after dosing

  18. Vital signs

    body temperature, heart rate and blood pressure

    Measured: Dosing(0 hour)

  19. Vital signs

    body temperature, heart rate and blood pressure

    Measured: 180 min after dosing

  20. Vital signs

    body temperature, heart rate and blood pressure

    Measured: 720 min after dosing

  21. Vital signs

    body temperature, heart rate and blood pressure

    Measured: 1440 min after dosing

  22. Vital signs

    body temperature, heart rate and blood pressure

    Measured: 2160 min after dosing

  23. Vital signs

    body temperature, heart rate and blood pressure

    Measured: 2880 min after dosing

  24. ECG monitoring

    Electrocardiograms (ECGs)

    Measured: Dosing(0 hour)

  25. ECG monitoring

    Electrocardiograms (ECGs)

    Measured: 180 min after dosing

  26. ECG monitoring

    Electrocardiograms (ECGs)

    Measured: 720 min after dosing

  27. ECG monitoring

    Electrocardiograms (ECGs)

    Measured: 1440 min after dosing

  28. ECG monitoring

    Electrocardiograms (ECGs)

    Measured: 2160 min after dosing

  29. ECG monitoring

    Electrocardiograms (ECGs)

    Measured: 2880 min after dosing

  30. Number of Participants with Adverse Events

    The investigators will assess all clinical AEs according to the Medical Dictionary for Regular Activities criteria, in terms of intensity (mild, moderate, or severe), duration, outcome and relationship to the study drug.

    Measured: Day 1 of drug administration and blood sampling

  31. Number of Participants with Adverse Events

    The investigators will assess all clinical AEs according to the Medical Dictionary for Regular Activities criteria, in terms of intensity (mild, moderate, or severe), duration, outcome and relationship to the study drug.

    Measured: Day 2 of drug administration and blood sampling

  32. Number of Participants with Adverse Events

    The investigators will assess all clinical AEs according to the Medical Dictionary for Regular Activities criteria, in terms of intensity (mild, moderate, or severe), duration, outcome and relationship to the study drug.

    Measured: Day 3 of drug administration and blood sampling

  33. Number of Participants with Adverse Events

    Subjects will be requested to return to the study unit 4 d after drug administration and blood sampling for a follow-up visit.

    Measured: 4 days after drug administration and blood sampling

  34. Peak Plasma Concentration (Cmax) of Qishe Pill in low dosage

    The maximum plasma concentration

    Measured: 4 days after drug administration and blood sampling

  35. Peak Plasma Concentration (Cmax) of Qishe Pill in medial dosage

    The maximum plasma concentration

    Measured: 4 days after drug administration and blood sampling

  36. Peak Plasma Concentration (Cmax) of Qishe Pill in high dosage

    The maximum plasma concentration

    Measured: 4 days after drug administration and blood sampling

  37. The Time to Peak Plasma Concentration (Tmax) of Qishe Pill in low dosage

    The time to maximum concentration

    Measured: 4 days after drug administration and blood sampling

  38. The Time to Peak Plasma Concentration (Tmax) of Qishe Pill in medial dosage

    The time to maximum concentration

    Measured: 4 days after drug administration and blood sampling

  39. The Time to Peak Plasma Concentration (Tmax) of Qishe Pill in high dosage

    The time to maximum concentration

    Measured: 4 days after drug administration and blood sampling

  40. Area under the Plasma Concentration versus Time Curve (AUC) of Qishe Pill in low dosage

    The area under the plasma concentration-time curve (AUC) will be calculated using the linear trapezoidal rule.

    Measured: 4 days after drug administration and blood sampling

  41. Area under the Plasma Concentration versus Time Curve (AUC) of Qishe Pill in medial dosage

    The area under the plasma concentration-time curve (AUC) will be calculated using the linear trapezoidal rule.

    Measured: 4 days after drug administration and blood sampling

  42. Area under the Plasma Concentration versus Time Curve (AUC) of Qishe Pill in high dosage

    The area under the plasma concentration-time curve (AUC) will be calculated using the linear trapezoidal rule.

    Measured: 4 days after drug administration and blood sampling

  43. The distribution volume (DF) of Qishe Pill in low dosage

    The distribution volume (DF) will be calculated by Dose/AUC/ke. ke is the elimination rate constant.

    Measured: 4 days after drug administration and blood sampling

  44. The distribution volume (DF) of Qishe Pill in medial dosage

    The distribution volume (DF) will be calculated by Dose/AUC/ke. ke is the elimination rate constant.

    Measured: 4 days after drug administration and blood sampling

  45. The distribution volume (DF) of Qishe Pill in high dosage

    The distribution volume (DF) will be calculated by Dose/AUC/ke. ke is the elimination rate constant.

    Measured: 4 days after drug administration and blood sampling

Secondary outcomes (2)
  1. Deep phenotyping with genomics and functional genomics approaches

    3 ml blood samples for genomic variants analysis. The cytochrome P450 gene family, such as CYP1A1, CYP1A2, CYP2D6, CYP2C9, CYP2C19, CYP2E1, CYP3A4 and CYP3A5 , etc, will be chosen as the target objective.

    Measured: Dosing(0 hour)

  2. Deep phenotyping with genomics and functional genomics approaches

    3 ml blood samples for genomic variants analysis. The cytochrome P450 gene family, such as CYP1A1, CYP1A2, CYP2D6, CYP2C9, CYP2C19, CYP2E1, CYP3A4 and CYP3A5 , etc, will be chosen as the target objective.

    Measured: 2880 min after dosing

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Nov 2014 (estimated)
  2. Study startNov 2014
  3. Primary completionDec 2015 (estimated)
  4. Study completionJul 2016 (estimated)

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02294448
Sponsor's protocol ID
PopPK profile of Qishe Pill
Status last verified
Nov 2014
First submitted
11 Sep 2014
Last updated
19 Nov 2014
Results posted
No
Data monitoring committee
Yes

Publications

  • Aker PD, Gross AR, Goldsmith CH, Peloso P. Conservative management of mechanical neck pain: systematic overview and meta-analysis. BMJ. 1996 Nov 23;313(7068):1291-6.

    PubMed 8942688
  • Cui X, Trinh K, Wang YJ. Chinese herbal medicine for chronic neck pain due to cervical degenerative disc disease. Cochrane Database Syst Rev. 2010 Jan 20;2010(1):CD006556. doi: 10.1002/14651858.CD006556.pub2.

    PubMed 20091597
  • Wang Q. Classification of the nine basic TCM constitutional type and based expression and diagnosis. Journal of Beijing University of Traditional Chinese medicine. 2005.1-8

  • Liu Mei, Zhang N, Wang YJ, Shi Q. Purification process research of major compound in Qishe Pill as Astragalus. Acta Chinese Medicine and Pharmacology. 2006(34):14-16.

  • Zhang YQ, Liu XH, Zhang N, Liu M. Quality standard research of Qishe Pill. Lishizhen Med Mater Med Res. 2008(19): 977-979.

  • Liu M, Zhang N, Wang YJ, Zhang YQ, Zhou CJ. Technology research of Qishe Pill, a new medicine for cervical spondylosis. Lishizhen Med Mater Med Res. 2010(21):176-179.

  • Ge JR, Wang HM, Meng CX, Tong PJ. Effects of Qishe Pill, a compound traditional Chinese herbal medicine, on cervical radiculopathy: a randomized controlled trial for Phase III. Chinese Journal of New Drugs and Clinical. 2014(7):56-58.

  • Johnson CL, Fulwood R, Abraham S, Bryner JD. Basic data on anthropometric measurements and angular measurements of the hip and knee joints for selected age groups 1-74 years of age. Vital Health Stat 11. 1981 Apr;(219):1-68. No abstract available.

    PubMed 15806754
  • Makela M, Heliovaara M, Sievers K, Impivaara O, Knekt P, Aromaa A. Prevalence, determinants, and consequences of chronic neck pain in Finland. Am J Epidemiol. 1991 Dec 1;134(11):1356-67. doi: 10.1093/oxfordjournals.aje.a116038.

    PubMed 1755449
  • Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine (Phila Pa 1976). 1994 Jun 15;19(12):1307-9. doi: 10.1097/00007632-199406000-00001.

    PubMed 8066508
  • van der Donk J, Schouten JS, Passchier J, van Romunde LK, Valkenburg HA. The associations of neck pain with radiological abnormalities of the cervical spine and personality traits in a general population. J Rheumatol. 1991 Dec;18(12):1884-9.

    PubMed 1795327
  • Hsu H-Y: 1986 Oriental MateriaMedica. Long Beach, CA: Oriental Healing Arts Institute; 1986.

  • Zhu YB, Wang Q, Xue HS, Origasa H. Preliminary assessment on performance of constitution in Chinese medicine questionnaire. ZhongGuo Lin Chuang Kang Fu 2006; 10 (3): 15-17.

  • FDA/CDER. Guidance for industry estimating the maximum safe starting dose in initial clinical trials for therapeutics in adult healthy volunteers; 2005, http://www.fda.gov/downloads/drugs/guidance-complianceregulatoryinformation/guidances/ucm078932.pdf.

  • EMEA. Strategies to identify and mitigate risks for first-in-human clinical trialswith investigational medicinal products; 2009, http:// www.ema.europa.eu/docs/en_GB/document_library/Scientific_ guideline/2009/09/WC500002988.pdf.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Qishe Pill in people with Individuality and Narrative Medicine, run by Shanghai University of Traditional Chinese Medicine at 1 site 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 3 inclusion and 11 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: status not confirmed, as of the sponsor's last update on 19 Nov 2014. 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 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.

What does this 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.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Xue-Jun Cui, Dr. (13917715524@139.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Plasma concentration of Qishe Pill (time frame: Dosing(0 hour)). The study lists 45 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 NCT02294448, which also lists 22 linked publications.

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 19 Nov 2014.

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