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Atopic DermatitisPhase 3NCT05455060

Effects of a Mixed Chinese Herbal Formula on Atopic Dermatitis

A Phase 3 study testing Chinese herbal formula (CHF) in people with Atopic Dermatitis, run by Chang Gung Memorial Hospital.

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 The sponsor has not verified this record for over two years, so it may be out of date.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 aim of this study is to investigate the clinical therapeutic effects of a mixed Chinese herbal formula (CHF) in treating atopic dermatitis (AD) based on its effects on cytokine levels and immune cell counts. Read more about this study

Who is it for?
Ages 6 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Atopic Dermatitis
What is being tested?
Chinese herbal formula (CHF)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
No sites listed yet
Study dates
15 Dec 2022to 31 Jul 2025
Phase
Phase 3
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 6 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • All volunteers must sign an informed consent form.
  • Male and female patients aged 6 to 60 years.
  • Patients who are diagnosed with AD by expert clinicians at Taoyuan, Linkou or Taipei Chang Gung Memorial Hospital and Taipei Veterans General Hospital in Taiwan and met the criteria of Hanifin and Rajka diagnostic criteria will be considered for enrollment in this study.
  • SCORing Atopic Dermatitis (SCORAD) score ≧ 25

Who cannot join

  • Other skin diseases that are not AD, such as contact dermatitis, seborrheic dermatitis, or drug-induced dermatitis, which will be diagnosed by expert clinicians
  • Patients with other itching skin diseases at the same time, diagnosed by expert clinicians
  • Patients who have secondary bacterial infections or receiving oral or intravenous steroid treatment, antibiotics, leukotriene modifiers, phototherapy or other immunosuppressive therapies in the previous 1 month
  • Patients who cannot take the medicine regularly, or who can not cooperate in writing the questionnaires or taking blood tests
  • Allergy to Chinese medicine or use of other Chinese medicine treatments
  • Severe organ dysfunction, such as impaired renal and hepatic function at initial diagnosis (including chronic kidney disease stages III, IV, and V and AST, ALT ≥3 × the upper normal limit), liver cirrhosis, or heart failure
  • Uncontrolled psychiatric problems or other severe systemic diseases
  • Current pregnant or breast-feeding women, and all women of childbearing age must agree to take appropriate contraceptive precautions

About this study

Official title: Evaluation of Clinical Efficacy and Pharmacological Mechanism of a Mixed Chinese Herbal Formula in Atopic Dermatitis Patients by Integrating Metabolomics and Pharmacokinetic Analysis

The aim of this study is to investigate the clinical therapeutic effects of a mixed Chinese herbal formula (CHF) in treating atopic dermatitis (AD) based on its effects on cytokine levels and immune cell counts. Th1/Th2/Th17/Th22-related cytokines will be assayed to determine the mechanisms of the anti-inflammatory and immunomodulatory effects of the mixed CHF in AD patients. The nature of the microbiome dysfunction underlying this disease will be explored. Investigators will also apply a metabolomics approach to reveal the plasma metabolites in AD patients of different TCM patterns as well as to monitor changes of plasma metabolome in AD patients under mixed CHF treatment, aiming to develop metabolic biosignatures for efficacy of mixed CHF in AD patients exhibiting specific TCM pattern. PK study will be conducted to exam blood concentration of the prescription in healthy volunteers and AD patients with good or poor drug response. The results will provide evidence for the precision treatment based on different TCM pattens of AD patients. Completion of this integrated project will provide innovative information for future clinical applications.

Read the detailed description

In this study, a randomized, double-blinded, placebo control trial is designed and total 120 AD patients will be enrolled. All participants will be divided into Chinese herbal formula (CHF) and placebo control groups, in 2:1 allocation ratio. CHF group will receive capsules of mixture CHF; while control group will receive placebo capsules with similar look, smell, and taste with same scheme. Total 12-week treatment course will be done.

Aim 1: The effects and immunomodulatory mechanisms of a mixed CHF in AD patients with different TCM patterns

1A: Measurement of AD severity by Scoring of AD (SCORAD) scale and assessment of health-related quality of life using the Dermatology Life Quality Index (DLQI) or Children's Dermatology Life Quality Index (CDLQI)

1B: Reduction rate of exposure to western medicine after a mixed CHF treatment

1C: The effects of CHF treatment on CRP, ESR, eosinophil count, IgE, CD4+/CD8+ and related cytokines / signaling pathway involved in AD regulation

  1. D: Safety evaluation by measuring side effects, hemogram, electrolytes, kidney and liver function Aim 2: Effects of a mixed CHF on gut microbiota in AD patients
  2. A: Fecal DNA purification and 16S rRNA gene sequencing before and after CHF treatment

2B: Bioinformatics analysis to explore microbial dysfunction underlying AD and changes of gut microbiome after CHF treatment 2C: Determination of short-chain fatty acid (SCFA) levels in fecal samples before and after CHF treatment Aim 3: Effects of a mixed CHF on plasma metabolomes of AD patients 3A: Plasma metabolomics analysis in AD patients with different TCM patterns 3B: Plasma metabolomics analysis in AD patients under a mixed CHF treatment 3C: Determination of the previously known immunomodulatory metabolites in AD patients under a mixed CHF treatment Aim 4: PK study between healthy volunteers, valid patients, and patients with poor response to the mixed CHF 4A: Preparation and quality control of target prescription 4B: PK study of the mixed CHF

Being tested
Chinese herbal formula (CHF), Placebo
Keywords
Atopic dermatitis, Chinese herbal formula, Clinical trial, Microbiota, Metabolomics analysis, Pharmacokinetic study
Medical subject headings
Dermatitis, Atopic

What participants receive

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

  • Chinese herbal formula (CHF)Drug

    Each CHF capsule, weighing 500mg, is composed of Xiao-Feng-San 200mg, Zhen-Ren-Huo-Ming-Yin 200mg, Dictamnus dasycarpus 50mg and Houttuynia cordata 50mg. Patients will take the medicine 2 times a day (6gm BID for BW≥40kg), for 12 weeks, and the dosage will be modified according to patients' body weight. (3gm BID for 20kg≦BW<40kg; 1.5gm BID for BW<20kg)

  • PlaceboDrug

    The patients in control group will take the placebo capsules, which has the similar look, smell, and taste. The dosage, frequency, and duration are the same as CHF group.

Study groups in NCT05455060
Study groupRoleWhat they receive
Chinese herbal formula (CHF)ExperimentalThe patients in CHF group will take CHF capsules, 12 capsules (6 gm) twice a day, total 12 gm a day for 12 weeks, and the dosage will be modified according to patients' body weight. (3gm BID for 20kg≦BW<40kg; 1.5gm BID for BW<20kg)
Receives: Drug: Chinese herbal formula (CHF)
ControlPlacebo comparatorThe patients in control group will take the placebo capsules, which has the similar look, smell, and taste. The dosage, frequency, and duration are the same as CHF group, in which 12 capsules (6 gm) twice a day, total 12 gm a day for 12 weeks, and the dosage will be modified according to patients' body weight. (3gm BID for 20kg≦BW<40kg; 1.5gm BID for BW<20kg)
Receives: Drug: Placebo

What is being measured

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

  1. Changes of SCORing Atopic Dermatitis (SCORAD) score after treatment with a mixed CHF (composed of Xiao-Feng-San + Zhen-Ren-Huo-Ming-Yin + Dictamnus dasycarpus + Houttuynia cordata)

    Measurement of symptoms related to AD including the severity of eczema, pruritis, and insomnia. The score ranges from 0 to 103 and higher scores mean a worse outcome.

    Measured: Assess at the beginning of the study and after 6 and 12 weeks' treatment, total 3 times

  2. Changes of Dermatology Life Quality Index (DLQI) score (use Children's Dermatology Life Quality Index, CDLQI, for patients at the ages of 6 to 16 years) after treatment with a mixed CHF

    Measurement of quality of life.The score ranges from 0 to 30 and higher scores mean a worse outcome.

    Measured: Assess at the beginning of the study and after 6 and 12 weeks' treatment, total 3 times

  3. Changes of exposure to western medicine by recording the name and dosage of western medicine used for AD treatment

    To explore whether the use of western medicine could be reduced after treatment with a mixed CHF

    Measured: Assess at the beginning of the study, then weekly, up to 12 weeks

Secondary outcomes (12)
  1. Changes of ESR level after a mixed CHF treatment

    Evaluation of serologic markers related to AD

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  2. Changes of CRP level after a mixed CHF treatment

    Evaluation of serologic markers related to AD

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  3. Changes of eosinophil count after a mixed CHF treatment

    Evaluation of serologic markers related to AD

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  4. Changes of IgE level after a mixed CHF treatment

    Evaluation of serologic markers related to AD

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  5. Changes of CD4/CD8 ratio after a mixed CHF treatment

    Evaluation of serologic markers related to AD

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  6. Changes of IL-4, IL-5, IL-10, IL-12, IL-13, IL-17, IL-22, IL-23, and INF-γ level after a mixed CHF treatment

    Evaluation of serologic markers related to AD

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  7. Changes of JAK1, JAK2, JAK3, tyrosine kinase-2 (TYK2), STAT1, STAT2, STAT3, STAT4, and STAT5 level after a mixed CHF treatment

    Evaluation of JAK-STAT signaling pathway

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  8. Changes of gut microbiota

    Differences of gut microbiota in AD patients with different TCM patterns before and after treatment and the effects of altered gut microbial colonization on the severity of AD

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  9. Differences in the AD-associated metabolites (phosphatidylcholine, acylcarnitine) between AD patients with different TCM patterns after a mixed CHF treatment

    To investigate whether plasma concentrations of these known metabolites are associated with the efficacy of a mixed CHF treatment in AD patients

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  10. Differences in the anti-inflammatory metabolites (itaconate and its derivative, 4-octyl itaconate) between AD patients with different TCM patterns after a mixed CHF treatment

    To investigate whether plasma concentrations of these known metabolites are associated with the efficacy of a mixed CHF treatment in AD patients

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  11. Compare blood concentration of mixed CHF between AD patients with different TCM patterns after a mixed CHF treatment by PK study

    The maximal measured plasma concentration (Cmax) will be taken

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

  12. Concentration-time profile of mixed CHF between AD patients with different TCM patterns after a mixed CHF treatment by PK study

    The time at which the maximal plasma concentration observed (Tmax) will be taken from the observed plasma concentration-time profile

    Measured: Assess at the beginning of the study and after 12 weeks' treatment, total 2 times

Timeline

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

  1. First posted13 Jul 2022
  2. Study start15 Dec 2022 (estimated)
  3. Primary completion31 Jul 2025 (estimated)
  4. Study completion31 Jul 2025 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05455060
Sponsor's protocol ID
202200262A3C602
Status last verified
Dec 2022
First submitted
22 Jun 2022
Last updated
6 Dec 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Chinese herbal formula (CHF) in people with Atopic Dermatitis, run by Chang Gung Memorial Hospital.

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 4 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 6 Dec 2022. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes of SCORing Atopic Dermatitis (SCORAD) score after treatment with a mixed CHF (composed of Xiao-Feng-San + Zhen-Ren-Huo-Ming-Yin + Dictamnus dasycarpus + Houttuynia cordata) (time frame: Assess at the beginning of the study and after 6 and 12 weeks' treatment, total 3 times). 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?
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 6 Dec 2022.

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