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Stroke, IschemicPhase 2BOSSNCT04408261

BuqitongluO Granule for Qi Deficiency and Blood Stasis Syndrome

A Phase 2 study testing Buqitongluo Granule in people with Stroke, Ischemic and Coronary Artery Disease, run by Dongzhimen Hospital, Beijing 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 The sponsor has not verified this record for over two years, so it may be out of date.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

The main purpose of this trial is to evaluate the efficacy and safety of Buqitongluo Granule in treating qi deficiency and blood stasis syndrome, and explore the effect of the improvement of qi deficiency and blood stasis syndrome on the prognosis of diseases. Read more about this study

Who is it for?
Ages 35 to 80 years
What is being tested?
Buqitongluo Granule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
432 participants
Where
1 siteChina
Study dates
22 Jul 2020to Dec 2022
Phase
Phase 2
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 35 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of qi deficiency and blood stasis syndrome
  • Diagnosis of ischemic stroke
  • Age ≥ 35 and ≤ 80 years
  • The interval from the onset to recruitment was 14-30 days
  • NIHSS score ≥ 4 and ≤ 22
  • Patient or legally authorized representative has signed informed consent.
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  • Diagnosis of qi deficiency and blood stasis syndrome
  • Diagnosis of stable angina pectoris of coronary artery disease
  • Age ≥ 35 and ≤ 80 years
  • Canadian Cardiovascular Society (CCS) Classification of Angina Pectoris classⅠ-Ⅲ
  • Patient or legally authorized representative has signed informed consent.
  • Diagnosis of qi deficiency and blood stasis syndrome
  • Diagnosis of diabetic peripheral neuropathies
  • Age ≥ 35 and ≤ 80 years
  • Patient or legally authorized representative has signed informed consent.

Who cannot join

  • Confirmed secondary stroke caused by tumor, brain trauma, or hematological diseases by clinical examination;
  • Other conditions that lead to motor dysfunction (e.g. lameness, osteoarthrosis, rheumatoid arthritis, gouty arthritis), which render the neurological function examination unlikely to be assessed;
  • Uncontrolled hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg), or renal or hepatic insufficiency (hepatic insufficiency is defined as an alanine aminotransferase (ALT) or aspartate aminotransferase (AST) value that is 1.5 times the upper limit of normal, renal insufficiency is defined as a serum creatinine concentration value that is over the upper limit of normal);
  • Other conditions or mental disorders which according to the judgement of researchers that restrict evaluation of mental function or render outcomes or follow-up unlikely to be assessed;
  • Woman with pregnancy, lactation, or woman who wants to be pregnant in recent;
  • Patient who is allergic to the study drug or has severe allergic constitution;
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  • Patient with yellow thick slimy tongue coating;
  • Patient who has been participated in other drug or device clinical trials in recent 3 months.
  • Stable angina pectoris of coronary artery disease
  • Acute coronary syndrome or unstable angina pectoris in the prior 3 months, or other heart diseases (e.g. cardiomyopathy, pericardial disease);
  • Severe cardiopulmonary insufficiency (congestive heart failure NYHA class IV, severe abnormal pulmonary function), or severe arrhythmias (e.g. rapid atrial fibrillation, atrial flutter, paroxysmal ventricular tachycardia);
  • Uncontrolled hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg), or renal or hepatic insufficiency (hepatic insufficiency is defined as an alanine aminotransferase (ALT) or aspartate aminotransferase (AST) value that is 1.5 times the upper limit of normal, renal insufficiency is defined as a serum creatinine concentration value that is over the upper limit of normal);
  • Other conditions or mental disorders which according to the judgement of researchers that restrict evaluation of mental function or render outcomes or follow-up unlikely to be assessed;
  • Woman with pregnancy, lactation, or woman who wants to be pregnant in recent;
  • Patient who is allergic to the study drug or has severe allergic constitution;
  • Patient with yellow thick slimy tongue coating;
  • Patient who has been participated in other drug or device clinical trials in recent 3 months.
  • Diabetic peripheral neuropathy
  • HbA1c >10% in the screening period;
  • Acute critical disease of diabetes mellitus in the prior 3 months (e.g. hyperglycemia and hypertonic syndrome, diabetic lactic acidosis, diabetic ketoacidosis);
  • Severe heart disease, brain disease, or kidney disease;
  • Uncontrolled hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg), or renal or hepatic insufficiency (hepatic insufficiency is defined as an alanine aminotransferase (ALT) or aspartate aminotransferase (AST) value that is 1.5 times the upper limit of normal, renal insufficiency is defined as a serum creatinine concentration value that is over the upper limit of normal);
  • Patient with spinal cord injury, cervical or lumbar vertebra disease (nerve root compression, spinal stenosis, cervical or lumbar vertebra degenerative disease), or sequelae of cerebrovascular disease, neuromuscular junction or muscular disease;
  • Neuropathies caused by other diseases (e.g. Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy (CIDP), VitB deficiency, hypothyroidism, alcoholism, severe arteriovenous vasculopathy such as venous embolism, lymphangitis);
  • Other conditions or mental disorders which according to the judgement of researchers that restrict evaluation of mental function or render outcomes or follow-up unlikely to be assessed;
  • Woman with pregnancy, lactation, or woman who wants to be pregnant in recent;
  • Patient who is allergic to the study drug or has severe allergic constitution;
  • Patient with yellow thick slimy tongue coating;
  • Patient with red tongue and scanty tongue coating;
  • Patient who has been participated in other drug or device clinical trials in recent 3 months.

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • Dongzhimen Hospital

    Beijing, Beijing Municipality, 100700

    Ying Gao, MD, 0086-010-84013209, gaoying973@126.com

    Weidi Liu, 0086-15301025939, L305613099@163.com

    Recruiting

Other trials in China

About this study

Official title: Buqitongluo Granule for Qi Deficiency and Blood Stasis Syndrome: A Multicenter, Randomized, Double-blind, Placebo-Controlled Trial

The main purpose of this trial is to evaluate the efficacy and safety of Buqitongluo Granule in treating qi deficiency and blood stasis syndrome, and explore the effect of the improvement of qi deficiency and blood stasis syndrome on the prognosis of diseases.

Read the detailed description

The BOSS study is a multicenter, randomized, double-blind, placebo-controlled clinical trial. The primary hypothesis of this trial is that Buqitongluo Granule will improve the syndrome score of Qi Deficiency and Blood Stasis in convalescence of ischemic stroke, stable angina pectoris of coronary artery disease and diabetic peripheral neuropathy with qi deficiency and blood stasis syndrome. Buqitongluo Granule will be compared to placebo, combined with guidelines-based standard care in patients. During the trial, it is forbidden to use acupuncture, Traditional Chinese Medicine decoction (compound granule), Traditional Chinese Medicine injection, Chinese patent medicine (including external use), external washing of Traditional Chinese Medicine and health product (composition or efficacy similar to the study drug).

Being tested
Buqitongluo Granule, Buqitongluo Granule Placebo, Standard care
Keywords
Qi Deficiency and Blood Stasis Syndrome, Buqitongluo Granule, Traditional Chinese Medicine, Double-Blind, Randomized Controlled Trial
Medical subject headings
Ischemic Stroke, Coronary Artery Disease, Angina, Stable

What participants receive

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

  • Buqitongluo GranuleDrug

    Buqitongluo Granules were dissolved with boiled water, administered orally, each bag of 10 grams, one bag each time, three times a day for 42 days.

  • Buqitongluo Granule PlaceboDrug

    Buqitongluo Granule placeboes were dissolved with boiled water, administered orally, each bag of 10 grams, one bag each time, three times a day for 42 days.

  • Standard careOther

    Guidelines-based standard care for convalescence of ischemic stroke, stable angina pectoris of coronary artery disease or diabetic peripheral neuropathy.

Study groups in NCT04408261
Study groupRoleWhat they receive
Buqitongluo GranuleExperimentalSubjects will receive orally administered Buqitongluo Granules, combined with guidelines-based standard care.
Receives: Drug: Buqitongluo Granule; Other: Standard care
PlaceboPlacebo comparatorSubjects will receive orally administered Buqitongluo Granule placeboes, combined with guidelines-based standard care.
Receives: Drug: Buqitongluo Granule Placebo; Other: Standard care

What is being measured

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

  1. Change in the syndrome score of Qi Deficiency and Blood Stasis

    The dynamic evaluation will be defined by Evaluation Scale of Qi Deficiency and Blood Stasis Syndrome. The Evaluation Scale of Qi Deficiency and Blood Stasis Syndrome score ranges from 0 (best score) to 51 (worst score).

    Measured: Baseline, at day 14, day 28, day 42 during treatment, and at day 14 after treatment

Secondary outcomes (10)
  1. Neurological impairment will be evaluated by National Institute of Health Stroke Scale (NIHSS) for convalescence of ischemic stroke

    The NIHSS score ranges from 0 (best score) to 42 (worst score).

    Measured: Baseline, at day 14, day 28, day 42 during treatment

  2. Self-rating symptoms will be evaluated by Visual Analog Scale (VAS) for convalescence of ischemic stroke

    Including limb numbness, swelling of hands or feet, spontaneous sweating (hemilateral sweating). Participants rated their symptoms on the 100 millimeter (mm) Visual Analog Scale (VAS) ranging from 0 mm (no symptom) to 100 mm (worst symptom).

    Measured: Baseline, at day 14, day 28, day 42 during treatment, and at day 14 after treatment

  3. Continuous changes of Modified Rankin Scale for convalescence of ischemic stroke

    The Modified Rankin Scale score ranges from 0 (best score) to 6 (worst score).

    Measured: Baseline, at day 42 during treatment, and at 90 days after onset

  4. Activities of daily living will be measured by Barthel Index (BI) score for convalescence of ischemic stroke

    The Barthel Index score ranges from 0 (worst score) to 100 (best score).

    Measured: Baseline, at day 42 during treatment, and at 90 days after onset

  5. Quality of life will be measured by Short Form 36 (SF-36) Quality of Life Scale for convalescence of ischemic stroke

    The SF-36 quality of life scale is used to monitor change in subject reported functionality, well-being, and overall health status. The score of each part ranges from 0 (worst score) to 100 (best score).

    Measured: Baseline, at day 42 during treatment, and at 90 days after onset

  6. Change of the Seattle Angina Questionnaire (SAQ) Score for stable angina pectoris of coronary artery disease

    The maximum score is 100, and the higher the score, the better the quality of life and the state of body function of patient.

    Measured: Baseline, at day 28 during treatment, at day 14 after treatment, and at 90 days after recruitment

  7. Self-rating symptoms will be evaluated by Visual Analog Scale (VAS) for stable angina pectoris of coronary artery disease

    Including chest tightness, chest pain, palpitation, fatigue, spontaneous sweating. Participants rated their symptoms on the 100 millimeter (mm) Visual Analog Scale (VAS) ranging from 0 mm (no symptom) to 100 mm (worst symptom).

    Measured: Baseline, at day 14, day 28, day 42 during treatment, and at day 14 after treatment

  8. Change of the Clinical Scoring System of Toronto (TCSS) for diabetic peripheral neuropathy

    TCSS includes a score of neural symptoms, nerve reflex scores and sensory examination. The TCSS score ranges from 0 (best score) to 19 (worst score).

    Measured: Baseline, at day 14, day 28, day 42 during treatment, at day 14 after treatment, and at 90 days after recruitment

  9. Self-rating symptoms will be evaluated by Visual Analog Scale (VAS) for diabetic peripheral neuropathy

    Including local pain, limb numbness, paresthesia (e.g. burning sensation, formication, electrical sensation). Participants rated their symptoms on the 100 millimeter (mm) Visual Analog Scale (VAS) ranging from 0 mm (no symptom) to 100 mm (worst symptom).

    Measured: Baseline, at day 14, day 28, day 42 during treatment, and at day 14 after treatment

  10. Quality of life will be measured by Short Form 36 (SF-36) Quality of Life Scale for stable angina pectoris of coronary artery disease and diabetic peripheral neuropathy

    The SF-36 quality of life scale is used to monitor change in subject reported functionality, well-being, and overall health status. The score of each part ranges from 0 (worst score) to 100 (best score).

    Measured: Baseline, at day 42 during treatment, and at 90 days after recruitment

Timeline

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

  1. First posted29 May 2020
  2. Study start22 Jul 2020
  3. Primary completionDec 2022 (estimated)
  4. Study completionDec 2022 (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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
432 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04408261
Sponsor's protocol ID
2017L04609
Acronym
BOSS
Status last verified
May 2020
First submitted
26 May 2020
Last updated
1 Apr 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Liu W, Zhou L, Feng L, Zhang D, Zhang C, Gao Y; behalf of the BOSS Group. BuqiTongluo Granule for Ischemic Stroke, Stable Angina Pectoris, Diabetic Peripheral Neuropathy with Qi Deficiency and Blood Stasis Syndrome: Rationale and Novel Basket Design. Front Pharmacol. 2021 Oct 18;12:764669. doi: 10.3389/fphar.2021.764669. eCollection 2021.

    PubMed 34733163

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Buqitongluo Granule in people with Stroke, Ischemic and Coronary Artery Disease, run by Dongzhimen Hospital, Beijing 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 15 inclusion and 30 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 1 Apr 2021. 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. 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 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?

Results are not available in the source record.

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

Contact Ying Gao, MD (0086-010-84013209, gaoying973@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in the syndrome score of Qi Deficiency and Blood Stasis (time frame: Baseline, at day 14, day 28, day 42 during treatment, and at day 14 after treatment). 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 NCT04408261, 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 1 Apr 2021.

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