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EndometriosisPhase 4NCT04942015

Honghuaruyi Wan for Endometriosis Dysmenorrhea

A Phase 4 study testing Honghuaruyi Wan in people with Endometriosis and Dysmenorrhea, run by Beijing University of Chinese Medicine.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Endometriosis is a common gynecological disease. It is a gynecological disease caused by the growth and reproduction of the endometrium beyond the surface of the uterine tissue and organs, which causes recurrent abdominal pain, infertility and other main symptoms. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Endometriosis, Dysmenorrhea
What is being tested?
Honghuaruyi Wan
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
164 participants
Where
No sites listed yet
Study dates
21 Jun 2021to 31 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 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Meet the diagnostic criteria for endometriosis and have dysmenorrhea VAS score ≥4 points;
  • Age 18 to 45;
  • Regular menstrual cycle (28±7 days);
  • Not pregnant at the time of seeing a doctor and no pregnancy plan during the medication, can insist on contraception;
  • No pelvic nodules or adnexal masses, or pelvic nodules or adnexal masses ≤4cm;
  • CA125 is normal or slightly elevated (below 200U/ml).
  • Patients who voluntarily signed the informed consent and had conditional follow-up.

Who cannot join

  • Patients who have known to have malignancies of reproductive organs or other malignancies;
  • Suffering from serious diseases or mental diseases such as cardiovascular, cerebrovascular, liver, kidney or hematopoietic system;
  • Uterine fibroids (≥3cm) and adenomyosis (uterine over 6 weeks of gestation, the reference value of uterine tridiameter at 6 weeks is 12cm, 7.5cm, 4.5cm);
  • Those who received hormone drug therapy within 3 months before enrollment;
  • lactating patients.

Trial locations and contacts

No sites are listed yet.

About this study

Official title: Beijing University of Chinese Medicine

Endometriosis is a common gynecological disease. It is a gynecological disease caused by the growth and reproduction of the endometrium beyond the surface of the uterine tissue and organs, which causes recurrent abdominal pain, infertility and other main symptoms.

The recurrence of endometriosis and the side effects of medication have troubled clinicians and patients for a long time and the search for new drugs is going on all the time. Honghuaruyi Wan is the traditional Tibetan prescription, clinical research has proved that Honghuaruyi Wan can significantly reduce risk mouse dysmenorrhea caused by oxytocin, improve dysmenorrhea model of mice body torsion times and improve the estrogen and progestogen operator Netherlands rat pituitary estradiol and prolactin level, at the same time also can reduce the amount of TNF alpha, thus improving endometriosis dysmenorrhea.

In this study, the therapeutic effects of Honghuaruyi Wan provided by Tibet Qizheng Tibetan Medicine Co.,Ltd on secondary dysmenorrhea in patients with endometriosis was evaluated clinically. A multi-center, randomized, double-blind, placebo-controlled clinical trial was designed to provide evidence-based medical evidence for Honghuaruyi Wan in the treatment of endometriosis dysmenorrhea. In the design of this trial, the therapeutic effects and safety of Honghuaruyi Wan in the treatment of dysmenorrhea secondary to endometriosis were evaluated with Honghuaruyi Wan in the treatment group and placebo in the control group.

Read the detailed description

Endometriosis (EM) is a common gynecological disease at present. It is a gynecological disease caused by the growth and reproduction of the endometrium on the surface of tissues and organs beyond the uterine covering surface, resulting in recurrent abdominal pain and infertility. The pathogenesis of endometriosis may be related to female endocrine dysfunction and abnormal levels of estrogen and progesterone in the body. Its clinical symptoms mainly include dysmenorrhea, chronic pelvic pain and sexual pain.

The recurrence of endometriosis and the side effects of medication have troubled clinicians and patients for a long time. The search for new drugs has been going on.

Honghuaruyi Wan is a traditional Tibetan prescription, which is made by addition and subtraction on the basis of the traditional and classic Tibetan medicine prescription "25 Wei Guijiu Wan". Its main ingredients are: Honghua,Xihonghua,Taoerqi,Kezi,Zangqiancao,Rougui,Baxiaga,Zangmuxiang,Yuansuiguo,Jiangxiang,Xiongdanfen,Zangzicao,Guangmingyan,Ximalayazimoli,Bangga,Hujiao,Huasherou,Aizijin,Yuganzi,Shajigao,Naosha,Zicaorong,Gouqizi,Chenxiang,Huoxiao. It has the effects of dispelling wind-evil and relieving pain, regulating menstrual blood and removing spots. It can be used for vaginitis, cervical erosion, irregular menstruation, dysmenorrhea and other common gynecological diseases. The main medicinal ingredients of Honghuaruyi Wan are Honghua ,Taoerqi and Zanghonghua, which have the effects of relieving pain, regulating menstruation and blood and dispersing knots. Some clinical studies have shown that the basic prescription of Honghuaruyi Wan have a significant effect on the improvement of dysmenorrhea, which can significantly reduce the incidence of dysmenorrhea caused by oxytocin in mice, and improve the number of body twisting in dysmenorrhea model mice. Other clinical studies have shown that Honghuaruyi Wan can improve estradiol and prolactin levels of pituitary gland in rats with estrogen and progesterone, as well as reduce TNF-α levels, thus improving endometriosis dysmenorrhea.

For women of childbearing age who do not have fertility requirements, pain is the most important clinical symptom that needs to be addressed, especially with progressive dysmenorrhea. Therefore, in this study, the therapeutic effects of Honghuaruyi Wan, provided by Tibet Qizheng Tibetan Medicine Co.,Ltd, on the secondary dysmenorrhea of patients with endometriosis was evaluated clinically. A multi-center, randomized, double-blind, placebo-controlled clinical trial was designed to provide evidence-based medical evidence for Honghuaruyi Wan in the treatment of endometriosis dysmenorrhea.

In the design of this trial, the therapeutic effects and safety of Honghuaruyi Wan in the treatment of dysmenorrhea secondary to endometriosis were evaluated with Honghuaruyi Wan in the treatment group and placebo in the control group.

Being tested
Honghuaruyi Wan, Placebo of Honghuaruyi Wan
Medical subject headings
Endometriosis, Dysmenorrhea

What participants receive

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

  • Honghuaruyi WanDrug

    Honghuaruyi Wan is the traditional Tibetan prescription, clinical research has proved that Honghuaruyi Wan can significantly reduce risk mouse dysmenorrhea caused by oxytocin, improve dysmenorrhea model of mice body torsion times and improve the estrogen and progestogen operator Netherlands rat pituitary estradiol and prolactin level, at the same time also can reduce the amount of TNF alpha, thus improving endometriosis dysmenorrhea.(Pill (15 pills/plate ×2 plates/box))

  • Placebo of Honghuaruyi WanDrug

    Honghuaruyi Wan simulation agent. Made of starch,dextrin and edible pigment from Tibet Qizheng Tibetan Medicine Co.,Ltd. ( Pill (15 pills/plate ×2 plates/box))

Study groups in NCT04942015
Study groupRoleWhat they receive
Honghuaruyi WanExperimentalHonghuaruyi Wan will be used in this arm. Patients should start taking medicine with warm water on the first day of menstruation. For patients with VAS score < 7 points, 1g / time, twice a day; for patients with VAS score ≥ 7 points and pain is hard to bear, 2g / time, twice a day. According to the above usage and dosage, take 3 menstrual cycles continuously, and observe 3 menstrual cycles after stopping the drug.
Receives: Drug: Honghuaruyi Wan
PlaceboPlacebo comparatorPlacebo of Honghuaruyi Wan will be used in this arm. Patients should start taking medicine with warm water on the first day of menstruation. For patients with VAS score < 7 points, 1g / time, twice a day; for patients with VAS score ≥ 7 points and pain is hard to bear, 2g / time, twice a day. According to the above usage and dosage, take 3 menstrual cycles continuously, and observe 3 menstrual cycles after stopping the drug.
Receives: Drug: Placebo of Honghuaruyi Wan

What is being measured

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

  1. Visual Analogue Scale/Score (VAS)

    Draw a horizontal line of 10 cm on the paper. One end of the horizontal line is 0, indicating no pain.The other end is 10, which means severe pain; The part between the two ends represents different levels of pain. A higher score means a worse outcome.

    Measured: Baseline through 6th consecutive menstrual cycle. (One cycle = 28±7days)

  2. Endometriosis Health Profle-5(EHP-5)

    The core questionnaire contains 5 questions,every question has 5 answers:Never=0,Very few=1,Sometimes=2,Often=3,Always=4. The minimum and maximum values are between 0 to 20 and a higher value means a worse outcome.

    Measured: Baseline through 6th consecutive menstrual cycle. (One cycle = 28±7days)

  3. The 5-level EQ-5D version(EQ-5D-5L)

    There are 6 questions in the scale,the first 5 questions has 5 answers:No=0, A little bit=1, Moderate=2, Serious=3 Very serious=4. The minimum and maximum values are between 0 to 20 and a higher value means a worse outcome. The 6th question is about the status of the day visited. The minimum and maximum scores are between 0 to 100 and a higher value means a better outcome.

    Measured: Baseline through 6th consecutive menstrual cycle. (One cycle = 28±7days)

Secondary outcomes (5)
  1. Visual Analogue Scale/Score (VAS) of the maximum non-menstrual pelvic pain

    Draw a horizontal line of 10 cm on the paper. One end of the horizontal line is 0, indicating no pain.The other end is 10, which means severe pain; The part between the two ends represents different levels of pain. A higher score means a worse outcome.

    Measured: Baseline through 6th consecutive menstrual cycle. (One cycle = 28±7days)

  2. The number of ibuprofen sustained-release capsules (or other NSAIDs) used

    The number of ibuprofen sustained-release capsules (or other NSAIDs) used

    Measured: Baseline through 6th consecutive menstrual cycle. (One cycle = 28±7days)

  3. Number of days off for staff/students due to dysmenorrhea

    Number of days off for staff/students due to dysmenorrhea

    Measured: Baseline through 6th consecutive menstrual cycle. (One cycle = 28±7days)

  4. The maximum diameter of the uterus

    The diameter of the uterus will be measured by B ultrasonic

    Measured: Baseline, After treatment (3rd menstrual cycle). (One cycle = 28±7days)

  5. The maximum diameter of the cysts

    The diameter of the cysts will be measured by B ultrasonic

    Measured: Baseline, After treatment (3rd menstrual cycle). (One cycle = 28±7days)

Timeline

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

  1. First posted28 Jun 2021
  2. Study start21 Jun 2021 (estimated)
  3. Primary completion31 May 2022 (estimated)
  4. Study completion31 Dec 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
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
164 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04942015
Sponsor's protocol ID
HHRYW2021-05
Status last verified
Jun 2021
First submitted
27 May 2021
Last updated
28 Jun 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The data sharing plans for the current study are limited upon to contract with the company and might be made available upon agreement from the company.

Publications

  • Han M, Liang XF, Gao J, Wang Y, Cao LX, Wang BJ, Wang Y, Zhuoma Z, Liu JP, Du HL. Honghua Ruyi Pill, a compound herbal medicine, improves endometriosis-related dysmenorrhea: A multicenter randomized, double-blind, placebo-controlled trial. J Integr Med. 2026 Mar;24(2):182-191. doi: 10.1016/j.joim.2025.12.011. Epub 2025 Dec 29.

    PubMed 41529972

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Honghuaruyi Wan in people with Endometriosis and Dysmenorrhea, run by Beijing University of Chinese Medicine.

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 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: status not confirmed, as of the sponsor's last update on 28 Jun 2021. 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?

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 Mei Han (+86 10 64287002, hanmeizoujin@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Visual Analogue Scale/Score (VAS) (time frame: Baseline through 6th consecutive menstrual cycle. (One cycle = 28±7days)). The study lists 3 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 NCT04942015, 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 28 Jun 2021.

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