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Functional DyspepsiaPhase 4NCT03825692

International Clinical Study of Zhizhu Kuanzhong Capsule

A Phase 4 study testing Zhizhu Kuanzhong Capsule in people with Functional Dyspepsia and Postprandial Distress Syndrome, run by Xiyuan Hospital of China Academy of Chinese Medical Sciences at 16 sites in 2 countries.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

This trial aims to evaluate the clinical efficacy and safety of Zhizhu Kuanzhong Capsule in the treating patients with functional dyspepsia postprandial distress syndrome(FD PDS). Half of participants will receive Zhizhu Kuanzhong Capsule,while the other will receive a placebo. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Zhizhu Kuanzhong Capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
480 participants
Where
16 sitesin 2 countries
Study dates
24 Oct 2019to Dec 2023
Phase
Phase 4
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Meeting the Rome IV diagnostic criteria for functional dyspepsia-postprandial distress syndrome;
  • * At least 3 days during the one-week run-in period with VAS score ≥ 4 for major symptoms (at least one of postprandial fullness discomfort and early satiety) .
  • Age between 18 and 65 years old (including 18 and 65 years old), male or female, outpatients;
  • **Be able to discontinue prohibited medications that may affect the evaluation of the effectiveness, such as acid inhibition/antacids, prokinetic agents, non-steroidal anti-inflammatory drugs, anticholinergic agents, glucocorticoids, and therapeutic medication for H. pylori eradication.
  • Each subject is informed and voluntarily signed the informed consent form(ICF).
  • Subjects who entered the one-week run-in period are self-rated on the Visual Analogue Score (VAS) for the degree of discomfort with both symptoms of postprandial fullness and early fullness, with subjects indicating the degree of discomfort on a 10 cm ruler marked 0- "Asymptomatic or No Discomfort"and 10- "Extreme Severe or Extreme Discomfort"at its head and tail, respectively. The rating was made once a day and 7 days a week with scores of 0 to 10.
  • A 2-week wash-out period is required for patients taking prohibited medications prior to screening.

Who cannot join

  • Gastroscopic findings of gastric cancer, peptic ulcer, erosive gastritis (grade 2 or higher), moderate to severe atrophic gastritis, dysplasia, or other organ gastrointestinal disease.
  • Patients with a history of abdominal surgery (except for appendectomy and cesarean section).
  • Patients with immune system defects (such as leukaemia or cancer), or those who have been administered immunosuppressive agents or glucocorticoids within the past 3 months.
  • Patients who combined severe cardiac and pulmonary insufficiency, insufficiency of liver (ALT/AST > 1.5 times the upper limit of the normal value) and kidney insufficiency (BUN/Serum Creatinine > the upper limit of the normal value), abnormal of endocrine system( such as diabetes and thyroid dysfunction), abnormal hematopoietic system, and iron deficiency anemia as indicated on hematological examination.
  • Patients with severe anxiety and depression.
  • Patients with psychosis and mental retardation as well as language disorder precluding the ability of filling scales or recording symptoms.
Show all 11Show fewer
  • Pregnant (a female of childbearing potential with a positive pregnancy test) or lactating females; or patients of childbearing potential without effective contraception.
  • Patients who are known to be allergic to the ingredients of this drug.
  • Patients who are suspected to have or indeed have a history of alcohol or drug abuse.
  • Patients who have participated in a clinical trial in the past 3 months.
  • Patients who are deemed by the investigator as being not suitable for participation in the clinical trial.

Trial locations and contacts

16 sites in 2 countries.

Fang Lu, MD,Phd contact

+861062835652

deerfang@126.com

Yingpan Zhao, MD,Phd contact

86015810964983

zypzyp1984@163.com

16 sites in 2 countries

China15 sites, 14 recruiting
  • Xiyuan Hospital of China Academy of Chinese Medical Sciences

    Beijing, Beijing Municipality, 100091

    Fang Lu, Phd, +861062835652, deerfang@163.com

    Recruiting
  • Beijing Jishuitan Hospital

    Beijing, Beijing Municipality

    Yu Lan

    Recruiting
  • Peking Union Medical College Hospital of Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality

    Xiaohong Sun

    Recruiting
  • Fujian Provincial Hospital

    Fuzhou, Fujian

    Lin

    Recruiting
  • Peking Union Medical College Hospital of Chinese Academy of Medical Sciences

    Guangzhou, Guangdong

    Yinglian Xiao

    Recruiting
  • The First Affiliated Hospital of Guangzhou University of Chinese Medicine

    Guangzhou, Guangdong

    Fengbin Liu

    Recruiting
  • Hong Kong Baptist University

    Hong Kong, Hongokng

    Linda Zhong

    Recruiting
  • Jiangsu Province Hospital

    Nanjing, Jiangsu

    Guoxin Zhang

    Recruiting
  • Ruijin Hospital

    Shanghai, Shanghai Municipality

    Duowu Zou

    Recruiting
  • Shengjing Hospital Affiliated to China Medical University

    Shenyang, Liaoning

    Yan Li

    Recruiting
  • Kulun Qimeng Hospital

    Tongliao, Neimenggu

    Completed
  • Wuhan Union Hospital

    Wuhan, Hubei

    Xiaohua Hou

    Recruiting
  • Affiliated Hospital of Shaanxi University of traditional Chinese medicine

    Xi’an, Shanxi

    Jiehong Wang

    Recruiting
  • Shaanxi Academy of Traditional Chinese Medicine

    Xi’an, Shanxi

    Tao Yu

    Recruiting
  • The Second Affiliated Hospital of Xi'an Jiaotong University

    Xi’an, Shanxi

    Jinghai Wang

    Recruiting

Other trials in China

Australia1 site, 1 recruiting
  • Princess Alexandra Hospital

    Brisbane, Queensland

    Gerald Holtmann

    Not yet recruiting

Other trials in Australia

About this study

Official title: A Multi-center, Randomized, Double-Blind, Placebo-Controlled Parallel Group Clinical Trial of Zhizhu Kuanzhong Capsule in Treating Patients With Postprandial Distress Syndrome of Functional Dyspepsia

This trial aims to evaluate the clinical efficacy and safety of Zhizhu Kuanzhong Capsule in the treating patients with functional dyspepsia postprandial distress syndrome(FD PDS). Half of participants will receive Zhizhu Kuanzhong Capsule,while the other will receive a placebo.

Read the detailed description

Functional dyspepsia (FD) is one of the most common functional gastrointestinal disorders. Current data from clinical studies have shown that traditional Chinese medicine can obviously relieve clinical symptoms of patients with FD, and has special advantages and good clinical application prospects in the treatment of FD. Zhizhu Kuanzhong Capsule is mainly composed of the following 4 kinds of Chinese herbs: Rhizoma Atractylodis Macrocephala, Fructus Aurantii Immaturus, Radix Bupleuri and Fructus Crataegi. This trial aims to evaluate the clinical efficacy and safety of Zhizhu Kuanzhong Capsule in the treating patients with functional dyspepsia postprandial distress syndrome(FD PDS). This is a multi-center, stratified-block randomized, double-blind and placebo parallel-controlled trial. The comparison between the investigational drug and the placebo will be conducted with superiority design. About 480 subjects matched Rome IV diagnostic criteria for FD PDS will be enrolled. For each subject, this study includes a 0-2 week screening period, a 1-week run-in period, an 8-week double-blind treatment period, and a 4-week follow-up period. The drugs used in the clinical study (including investigational drug and placebo) will be supplied by Shuangren Pharmaceutical Co., Ltd. of Lonch Group.The quality standards and test methods for the placebo are consistent with those for the investigational drug, and the quality test meets the proposed quality standards. The selection and evaluation bias are controlled by means of strictly implementing randomized control blinded method etc, and the investigator will be trained on the consistency of scale evaluation.The electronic case report form (hereinafter referred to as eCRF) of this trial is created using the Medical Clinical Trial Data Management System (eCDMS3.0) for online data acquisition and management via the Internet. The data in the eCRF are from the original documents such as the original medical records and the physicochemical examination report sheets and should be consistent with the original documents. The response rate for functional dyspepsia VAS score will be compared between the test group and control group at 8 weeks after randomization.

Being tested
Zhizhu Kuanzhong Capsule, Zhizhu Kuanzhong Placebo Capsule
Keywords
Functional Dyspepsia, Postprandial Distress Syndrome, Traditional Chinese Medicine, efficacy, safety, clinical evaluation

What participants receive

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

  • Zhizhu Kuanzhong CapsuleDrug

    Also called ZZKZ capsule

    Zhizhu Kuanzhong Capsule, 3 capsules at a time, 3 times a day, taken orally 10-15 min before meals. an 8-week intervention period

  • Zhizhu Kuanzhong Placebo CapsuleDrug

    Also called placebo

    Placebo, 3 capsules at a time, 3 times a day, taken orally 10-15 min before meals. an 8-week intervention period

Study groups in NCT03825692
Study groupRoleWhat they receive
Zhizhu Kuanzhong CapsuleExperimentalZhizhu Kuanzhong Capsule Arm is Zhizhu Kuanzhong Capsule, Specification: 0.43 g/granule; Manufacturer: Lonch Group, Shuangren Pharmaceutical Co., Ltd. ; Approval number: NMPA approval number: GUOYAOZHUNZI Z20020003; Dosage and administration: 3 capsules at a time, 3 times a day, taken orally 10-15 min before meals
Receives: Drug: Zhizhu Kuanzhong Capsule
Zhizhu Kuanzhong Placebo CapsulePlacebo comparatorZhizhu Kuanzhong Placebo Capsule Arm is Zhizhu Kuanzhong Capsule Mimics composed of microcrystalline cellulose, mannitol and magnesium stearate, which used for filling agent and lubricant respectively; Specification: 0.43 g/granule; Manufacturer: Lonch Group, Shuangren Pharmaceutical Co., Ltd.; Dosage and administration: Be identical with the investigational drug.
Receives: Drug: Zhizhu Kuanzhong Placebo Capsule

What is being measured

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

  1. The proportion of the response at 8 weeks after randomization

    Subjects with the functional dyspepsia-postprandial distress syndrome are self-rated on the Visual Analogue Score (VAS) which is a scale of 0-10, with subjects indicating the degree of discomfort on a 10 cm ruler marked 0- "Asymptomatic or No Discomfort "to 10- "Extreme Severe or Extreme Discomfort "at its head and tail, respectively. The record is made once a day and 7 days a week via a diary card. For VAS scores for postprandial fullness discomfort and early satiety, the integral average for both symptoms over the past week is evaluated, and a 50% decrease from baseline in the integral average at 8 Weeks is recorded as a response.

    Measured: up to 8 weeks

Secondary outcomes (4)
  1. The change of VAS score of each symptom of functional dyspepsia

    On the diary cards, subjects recorded the Visual Analogue Score (VAS) of each symptom of the functional dyspepsia daily. VAS is scored on a scale of 0-10 which the higher the score, the severer the symptom is. The record is made once a day and 7 days. The investigators use the average of the weekly VAS scores as the symptom intensity score for this week, with one VAS score per week. The change in the score of each symptom at 8 weeks after randomization relative to the baseline is evaluated.

    Measured: Up to 8 weeks

  2. Overall treatment response rate

    The overall treatment efficacy is evaluated using a 7-point Likert Overall Evaluation Scale (OTE). The clinical investigators asked the subjects the following questions weekly: "In the last week, how much have your dyspeptic symptoms been alleviated as compared to pre-treatment? " There are 7 options: ① the symptoms improved significantly, ② the symptoms improved, ③ the symptoms improved slightly, ④ the symptoms did not change, ⑤ the symptoms aggravated slightly, ⑥ the symptoms aggravated, ⑦ the symptoms aggravated significantly. At the last visit time point of the treatment cycle, patients who selected ① and ② were defined as treatment responders, and those who selected ③-⑦ were defined as non-responders. The response rate at 8 weeks after randomization between the groups are compared for differences.

    Measured: Up to 8 weeks

  3. Short Form Nepean Dyspepsia Index (SFNDI)

    Short Form-Nepean Dyspepsia Index (SFNDI) is a reliable and valid measure of quality of life in functional dyspepsia with 10 items which questions are about how subjects stomach pain, discomfort, or other epigastric symptoms over the last 14 days affect their lives. Add up the ten items for each of the five sub-scale scores (range of each sub-scale 2-10). The changes of SFNDI score at 4 weeks and 8 weeks after randomization relative to the baseline are calculated.

    Measured: Up to 8 weeks

  4. Hospital Anxiety and Depression Scale score

    The Hospital Anxiety and Depression Scale (HAD) is mainly used in patients in general hospitals which provides two sets of tests to assess the state of anxiety and depression, respectively. Among them, A stands for anxiety items, D stands for depression items, and each item is scored at four levels. Each of the two sets of items are superimposed to obtain their respective total score. A total score of 0 to 7 indicates normal, 8 to 10 indicates borderline abnormal, and 11 to 21 indicates abnormal. The changes of HAD score at 4 weeks and 8 weeks after randomization relative to the baseline are calculated.

    Measured: Up to 8 weeks

Timeline

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

  1. First posted31 Jan 2019
  2. Study start24 Oct 2019
  3. Primary completionDec 2023 (estimated)
  4. Study completionDec 2023 (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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized, double-blind, placebo-controlled, multi-center
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
480 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03825692
Sponsor's protocol ID
2017YFC1703703
Status last verified
Jan 2023
First submitted
28 Jan 2019
Last updated
4 Aug 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Xiao M, Zhong LLD, Lam WC, Zhao Y, Gwee KA, Holtmann G, Tack J, Suzuki H, Chen MH, Xiao Y, Hou X, Liu J, Li Y, Tang XD, Lu F. Zhizhu Kuanzhong Capsule in treating patients with functional dyspepsia postprandial distress syndrome: study protocol for a multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trial. Trials. 2022 Jun 2;23(1):454. doi: 10.1186/s13063-022-06396-5.

    PubMed 35655286

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Zhizhu Kuanzhong Capsule in people with Functional Dyspepsia and Postprandial Distress Syndrome, run by Xiyuan Hospital of China Academy of Chinese Medical Sciences at 16 sites in 2 countries.

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 7 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 4 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in China, Australia. 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 phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 Fang Lu, MD,Phd (+861062835652, deerfang@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The proportion of the response at 8 weeks after randomization (time frame: up to 8 weeks). 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 NCT03825692, 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 4 Aug 2023.

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