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Type 2 Diabetes MellitusEarly Phase 1NCT03010241

The Multi-Centric Clinical Study of Chinese Medicine Intervention on Diabetes Distal Symmetric Polyneuropathy.

A Early Phase 1 study testing Tangbi (prescription) in people with Type 2 Diabetes Mellitus, run by Guang'anmen Hospital of China Academy of Chinese Medical Sciences.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Background: Distal symmetric polyneuropathy (DSPN) is the most common complication of type 2 diabetes mellitus (T2DM) and the most common form of peripheral neuropathy. DSPN increases the risk of foot ulceration up to seven-fold, and is a significant risk factor in more than 60% of the amputations of the lower limbs… Read more about this study

Who is it for?
Ages 30 to 70 years
Conditions the study is for
Type 2 Diabetes Mellitus
What is being tested?
Tangbi (prescription)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
188 participants
Where
No sites listed yet
Study dates
Jan 2017to May 2020
Phase
Early 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 30 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Meet the diagnostic criteria of diabetic distal symmetric polyneuropathy;
  • The patient's age is between 30-70 years;
  • Sign informed consent

Who cannot join

  • Recent use of antioxidants such as vitamin E or vitamin C, acute infection, liver and kidney dysfunction, acute complications of diabetes, severe cardiovascular and cerebrovascular diseases, neuropathy caused by long-term alcohol consumption and other factors.
  • Combined with cardiovascular, liver, kidney and hematopoietic system and other serious primary disease, serum transaminase beyond the normal value more than 2 times, serum creatinine greater than the upper limit of normal, psychiatric patients.
  • Pregnancy, prepared to pregnant or lactating women, or having a history of drug allergy.
  • Participate in other drug clinical within one month.
  • Systolic blood pressure> 160mmHg or diastolic blood pressure> 100mmHg.
  • Having the diabetic ketoacidosis, ketoacidosis and severe infection within one month.
  • Drinking alcohol excessive and/or taking psychoactive substances, drug abusers and dependents over the past five years.
  • Having other diseases or conditions may reduce the possibility of entry or complicate the entry according to the researchers' judgement, such as the working environment changes frequently, unstable living environment etc., what is easy to cause loss of contact.

Trial locations and contacts

No sites are listed yet.

De JIN, Master contact

13681514368

826901274@qq.com

Fengmei Lian, PHD contact

0086-010-88001402

lfm565@sohu.com

About this study

Official title: A Randomized, Multi-center, Double-blind, Placebo-controlled Trial of Traditional Chinese Medicine in the Treatment of Diabetes Distal Symmetric Polyneuropathy

Background: Distal symmetric polyneuropathy (DSPN) is the most common complication of type 2 diabetes mellitus (T2DM) and the most common form of peripheral neuropathy. DSPN increases the risk of foot ulceration up to seven-fold, and is a significant risk factor in more than 60% of the amputations of the lower limbs in patients with T2DM. Reportedly, TCM may have some advantages in relieving symptoms and reducing the incidence of DSPN exacerbations.We postulate that patients with DSPN will benefit from therapy with TCM treatment according to syndrome differentiation.

Methods and design: A randomized, double-blind, placebo-controlled and multi-centric clinical trial design was used on the basis of a co-regimen of mecobalamin. Subjects who met the inclusion criteria were randomly divided into two groups. The patients in the study group were treated with Tangbi prescription, and the patients in the control group were treated with placebo. Treatment was scheduled for 24 weeks. The sample size was 188 cases.Major evaluation indicators: Changes in Clinical Symptoms and Signs in Distal Symmetrical Polyneuropathy patients.The clinical symptoms and signs of patients were recorded by Michigan Diabetic Neuropathy Score(MDNS), and the changes of Michigan Diabetic Neuropathy Score(MDNS) were compared between the two groups before and after medication. Secondary Evaluation Indicators:① nerve conduction velocity changes, The changes in nerve conduction velocity of each nerve were compared before and after taking medicine.② Clinical symptoms and signs change, The clinical symptoms and signs of the patients were compared before and after taking the medicine.

Discussion: We postulate that patients with DSPN will benefit from therapy with TCM treatment.

Read the detailed description
  1. Purpose of the study Major objective: To evaluate the efficacy of traditional Chinese medicine (Tangbi prescription) in improving the clinical symptoms of patients with diabetic distal symmetric polyneuropathy. Secondary objective: To evaluate the effect of traditional Chinese medicine (Tangbi prescription) on nerve conduction velocity of patients with diabetic distal symmetric polyneuropathy.
  2. Experimental Measures and contrast A randomized, double-blind, placebo-controlled and multi-centric clinical trial design was used on the basis of a co-regimen of mecobalamin. The patients in the study group were treated with Tangbi prescription (1 dose / day, twice), and patients were treated with placebo (1 dose / day, twice) in the control group. Treatment was scheduled for 24 weeks. The sample size was determined to 188 cases through statistics calculation. Sample size calculation basis: According to the preliminary study of Antang-tongbi prescription data, placebo group scale (Toronto TCSS scale) score difference is 3.45, while Tangbi prescription scale score was 4.14, and the public standard deviation s = 1.33. The sample size is estimated by hypothesis test formula of measurement data: N = 2 * [(Zα + Zβ) * δ / d] ^ 2 (pp. 112-113 of the third edition of Epidemiology) (n is the sample size and σ is the estimated standard deviation, d is two groups' continuous variable mean difference; Zα and Zβ are the corresponding standard normal differences; for Zα and Zβ values, see the Human Health Edition, Epidemiology, Third Edition, page 73, Table 6.2). Supposing= 0.05, β = 0.10, according to one-sided check table, the quantile Zα = 1.64485, Zβ = 0.84162, and put them into the formula, and result was n = 78.10. Therefore, each group needs 78 patients. Considering no more than 20% withdrawal rate, the total number of cases is 188, of 94 cases in each group.
  3. Bias analysis The evaluation index of this study is clinical symptoms, affected by many factors. Although there are many ways in the treatment of oral drugs, but the exact evidence of evidence-based medicine is not proved. Therefore, there is little factor impacting of the biases of the evaluation results, concluding the following aspects: (1) blood glucose levels. (2) existing treatment measures, (3) the conditions of EMG determination. These influencing factors are addressed as follows: (1) As for blood glucose levels factor, a randomized, double-blind study design approach was used to ensure consistency of the factor in the two groups. (2) subjects taking Methycobal can reduce the psychological effect of patients on the efficacy of curative effect and increase patient compliance. (3) Train EMG doctors consistently, and the EMG determination is fixed, which forms the SOP of this study.
  4. Research design 4.1 The design scheme A randomized, double-blind, placebo-controlled and multi-centric clinical trial design was used on the basis of a co-regimen of mecobalamin. Subjects who met the inclusion criteria were randomly divided into two groups. The patients in the study group were treated with Antang-tongbi prescription, and the patients in the control group were treated with placebo. Treatment was scheduled for 24 weeks. The sample size was 188 cases. 4.2 Research Period Medication cycle is 24 weeks. 4.3 curative effect evaluation criteria 4.3.1 Major evaluation indicators Changes in Clinical Symptoms and Signs in Distal Symmetrical Polyneuropathy patients. The clinical symptoms and signs of patients were recorded by Michigan Diabetic Neuropathy Score(MDNS), and the changes of Michigan Diabetic Neuropathy Score(MDNS) were compared between the two groups before and after medication. 4.3.2 Secondary Evaluation Indicators ① nerve conduction velocity changes The changes in nerve conduction velocity of each nerve were compared before and after taking medicine. ② Clinical symptoms and signs change The clinical symptoms and signs of the patients were compared before and after taking the medicine. 4.4 Curative effect observation indicators ① Nerve conduction velocity (every 6 months).
  • MDNS scale (every 3 months). 4.5 Observational Indicators ① Background observation (0 weeks)
  1. Demographic data: gender, age, height, weight and so on.
  2. General clinical data: medical history, course of the disease, treatment history, combined disease and medication.
  • Diagnostic and monitoring indicators
  1. Blood pressure, fasting blood glucose test (every 1 month).
  2. Glycated hemoglobin, blood lipids (every 3 months). 4.6 Analysis of relevant measures are based on bias analysis 4.7 Basic treatment ① Diabetes education;
  • Diabetic diet;
  • Rational control of blood glucose: use oral hypoglycemic agents or insulin injections to keep all patients blood glucose stable in the study. In principle, the type and dose of hypoglycemic agents should maintain unchanged. If fasting blood glucose fluctuates more than 20%, diabetes experts were needed to find and remove the predisposing factors as soon as possible, and adjust the dose and monitor blood glucose changes, so the blood glucose can be smooth in 4 weeks. Adjusted dose of the drug needs to be detailed records in the combined medication table. ④ Taking Mecobalamin tablets (1 / time, 3 times / day). (Eisai (China) Pharmaceutical Co., Ltd.) 4.8 Provisions for combined treatment
  1. All Chinese herbal medicines with the same efficacy as the study drug (including Chinese herbal medicines with similar therapeutic indications and Chinese herbal medicines with similar efficacy) were banned during the study period.
  2. All combination therapy and treatment (treatment measure or treatment medicine of other diseases) should be documented in the combined medication table.
  • Besides Methycobal, drugs for the treatment of diabetic peripheral neuropathy are prohibited, including α-lipoic acid, epalrestat, VitB12 and so on.
Being tested
Tangbi (prescription), Placebo
Keywords
Diabetes Distal Symmetric Polyneuropathy, Chinese medicine
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

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

  • Tangbi (prescription)Drug

    Also called Tang bi fang

    A kind of Granule(Tang bi fang) was made from five kind of Chinese herbs. Other: Standard medical care Standard medical care is in accordance with China Guideline for type 2 diabetes (2013).

  • PlaceboDrug

    Also called Placebos

    Granule(Placebo) is in accordance with Tangbi prescription in appearance, colour, taste.

    Other: Standard medical care. Standard medical care is in accordance with China Guideline for type 2 diabetes (2013).

Study groups in NCT03010241
Study groupRoleWhat they receive
Tangbi PrescriptionExperimentalBased on the standard medical care, experimental group were treated with Tangbi Prescription 4.87g granules, 2 times/d, which The prescripton was composed by five Chinese herbal medicines.
Receives: Drug: Tangbi (prescription)
PlaceboPlacebo comparatorBased on the standard medical care, placebo-controlled group were treated with Placebo 4.87g granules, 2 times/d
Receives: Drug: Placebo

What is being measured

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

  1. The clinical symptoms and signs of patients were recorded by Michigan Diabetic Neuropathy Score(MDNS), and the changes of Michigan Diabetic Neuropathy Score(MDNS) were compared between the two groups before and after medication

    Measured: Month 0, Month 3, Month 6

Secondary outcomes (2)
  1. nerve conduction velocity changes The changes in nerve conduction velocity of each nerve were compared before and after taking medicine.

    Measured: Month 0, Month 6

  2. Clinical symptoms and signs change The clinical symptoms and signs of the patients were compared before and after taking the medicine.

    Measured: Month 0, Month 1, Month 2, Month 3, Month 4, Month 5, Month 6

Timeline

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

  1. First posted5 Jan 2017 (estimated)
  2. Study startJan 2017
  3. Primary completionNov 2019 (estimated)
  4. Study completionMay 2020 (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
Early Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
188 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03010241
Sponsor's protocol ID
2016Tangbi Prescription
Status last verified
Jan 2017
First submitted
2 Jan 2017
Last updated
5 Jan 2017
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Jin D, Huang WJ, Meng X, Yang F, Zheng YJ, Bao Q, Zhang MZ, Yang YN, Ni Q, Lian FM, Tong XL. Chinese herbal medicine TangBi Formula treatment of patients with type 2 diabetic distal symmetric polyneuropathy disease: study protocol for a randomized controlled trial. Trials. 2017 Dec 29;18(1):631. doi: 10.1186/s13063-017-2345-1.

    PubMed 29284520

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Tangbi (prescription) in people with Type 2 Diabetes Mellitus, run by Guang'anmen Hospital of China Academy of Chinese Medical Sciences.

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 8 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 5 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

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 phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

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 De JIN, Master (13681514368, 826901274@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The clinical symptoms and signs of patients were recorded by Michigan Diabetic Neuropathy Score(MDNS), and the changes of Michigan Diabetic Neuropathy Score(MDNS) were compared between the two groups before and after medication (time frame: Month 0, Month 3, Month 6). 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 NCT03010241, 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 5 Jan 2017.

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