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Diabete MellitusNCT06358118

Buyuan-zhixiao Formula in the Treatment of Elderly Patients With Diabetes and Multiple Metabolic Disorders

A study testing Buyuan Zhixiao Formula in people with Diabete Mellitus and Aging, run by Qing Ni at 6 sites 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 The sponsor has not verified this record for over two years, so it may be out of date.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 primary objective of this clinical trial is to assess the clinical efficacy and safety of the Buyuan Zhixiao Formula in treating elderly patients with diabetes and multiple metabolic disorders exhibiting symptoms of renal deficiency and blood stasis. Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
Diabete Mellitus, Aging, Metabolic Disorders
What is being tested?
Buyuan Zhixiao Formula
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
240 participants
Where
6 sitesChina
Study dates
6 Jul 2024to 1 Jul 2025
Phase
Interventional
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 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • 1.Age ≥65 years, irrespective of sex;
  • 2.Individuals who meet the Western medical diagnostic criteria for type 2 diabetes mellitus (T2DM) in the elderly, with a hemoglobin A1c level of ≥7.0% in the past three months;
  • 3.Compliance with the diagnostic criteria for abdominal obesity (waist circumference ≥90 cm for males and ≥85 cm for females);
  • 4.Conformity to the diagnostic standards for hypertension (systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg);
  • 5.A history of dyslipidemia, where lipid levels have not reached the general control standards for elderly individuals with T2DM following oral lipid-lowering therapy (statins/bile acid sequestrants): LDL cholesterol <2.6 mmol/L and/or triglycerides <2.5 mmol/L;
  • 6.Diagnosis of kidney deficiency and blood stasis according to traditional Chinese medicine, with the pattern type referring to the《Guidelines for Clinical Research of New Chinese Medicines》;
  • 7.Willingness to sign an informed consent document.

Who cannot join

  • 1.Exclusion of individuals who, within the past week, have experienced severe infections, acute cardiovascular or cerebrovascular events (such as acute cerebral infarction or myocardial infarction), significant trauma, acute pancreatitis, or other conditions that could precipitate stress-induced hyperglycemia. This also extends to those with concurrent endocrinopathies that may induce insulin resistance, such as Cushing's syndrome, hyperthyroidism, or pituitary growth hormone adenomas, as well as those currently receiving treatment with glucocorticoids or undergoing chemotherapy for malignancies.
  • 2.Exclusion of individuals with a history of neurological disorders or psychiatric conditions that could impair cognitive function, as well as those with a history of medication use for these conditions.
  • 3.Exclusion of individuals with severe complications of diabetes such as diabetic nephropathy in the uremic stage, or those with significant primary diseases of the cardiovascular, cerebrovascular, hepatic, renal, or hematopoietic systems, as well as individuals diagnosed with cancer.
  • 4.Exclusion of individuals with communication barriers that could affect the assessment of cognitive function, including severe impairments in speech, vision, and hearing.
  • 5.Individuals who have participated in other pharmacological clinical trials within the past month.
  • 6.Individuals who have insufficient understanding of this study, are unwilling to participate, or, based on the researchers' judgment, present a reduced likelihood of enrollment or poor compliance due to unstable work and living locations or other factors that could lead to loss to follow-up.

Trial locations and contacts

6 sites in 1 country.

Qing Ni, postgraduate contact

13701253942

1831479145@qq.com

zhige Wen, postgraduate contact

15890643963

1831479145@qq.com

6 sites in 1 country

China6 sites
  • China Academy of Chinese Medical Sciences Guang'anmen Hospital

    Beijin, Beijing Municipality, 100053

    Qing Ni, postgraduate, 010-88001245, 1831479145@qq.com

    zhige Wen, postgraduate, 15890643963, 1831479145@qq.com

  • Cangzhou integrative medicine hospital

    Hebei

    zhongyong zhang, postgraduate, 18031783396, zzyhappy666@126.com

  • Hohhot Mongolian Traditional Chinese Medicine Hospital

    Neimeng

  • Binzhou Traditional Chinese Medicine Hospital

    Shandong

    lijuan Du, postgraduate, 18800102622, 137425497@qq.com

  • Yantai Baishi Traditional Chinese Medicine Hospital

    Shandong

  • The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

    Tianjin

    bin Wang, postgraduate, 13051395068

Other trials in China

About this study

Official title: Clinical Research on Evidence Based Traditional Chinese Medicine for Elderly Diabetes Based on State Target Theory-Buyuan Zhixiao Fang in the Treatment of Elderly Patients With Diabetes and Multiple Metabolic Disorders: Study Protocol for a Multicenter, Randomized, Double-blind, Placebo-controlled Trial

The primary objective of this clinical trial is to assess the clinical efficacy and safety of the Buyuan Zhixiao Formula in treating elderly patients with diabetes and multiple metabolic disorders exhibiting symptoms of renal deficiency and blood stasis. Furthermore, this study aims to intervene in high-risk factors to prevent arteriosclerosis and to investigate the clinical efficacy of the Buyuan Zhixiao Formula in the prevention and treatment of cognitive impairments.

The main questions it aims to answer are:

Read more
  1. What are the clinical effects of Buyuan Zhixiao Formula, including lowering blood sugar, lowering blood pressure, lowering lipids, and treating obesity?
  2. Can Buyuan Zhixiao Formula improve cognitive impairment in diabetes? Researchers compared Buyuan Zhixiao Formula with a placebo (a drug that looks similar but contains only 10% of the active ingredients) to see if the drug Buyuan Zhixiao Formula can treat elderly people with diabetes and multiple metabolic disorders.

Participants will:

  1. Take the drug Bu Yuan Zhi XiaoFormula or placebo every day for 6 months;Follow-up for 6 months;
  2. Check fasting blood sugar and 2-hour postprandial blood sugar every month; check HbA1c, blood lipids, vascular function, and cognitive impairment serum markers every 3 months;
  3. Conduct scores on TCM symptoms, cognitive ability, nutritional status and other scales and adverse events;
  4. Urine and serum samples were collected before and after treatment;
Being tested
Buyuan Zhixiao Formula, Placebo
Medical subject headings
Diabetes Mellitus, Metabolic Diseases

What participants receive

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

  • Buyuan Zhixiao FormulaDrug

    Buyuan Zhixiao Formula

  • PlaceboDrug

    The placebo contains 10% of the active ingredients of the Chinese medicine group

Study groups in NCT06358118
Study groupRoleWhat they receive
experimental groupExperimentalTake Buyuan Zhixiao Formula granules
Receives: Drug: Buyuan Zhixiao Formula
control groupPlacebo comparatorTake a placebos
Receives: Drug: Placebo

What is being measured

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

  1. HbA1c

    unit:%

    Measured: Measured at 0, 3, 6, and 12 months respectively.

Secondary outcomes (38)
  1. Fasting blood glucose

    unit:mmol/l

    Measured: Measured at 0, 1, 2, 3, 4, 5, 6, 9, and 12 months respectively

  2. 2-hour postprandial blood glucose

    unit:mmol/l

    Measured: Measured at 0, 1, 2, 3, 4, 5, 6, 9, and 12 months respectively

  3. blood pressure

    unit:mmHg

    Measured: Measured at 0, 1, 2, 3, 4, 5, 6, 9, and 12 months respectively

  4. weight

    unit:KG

    Measured: Measured at 0, 1, 2, 3, 4, 5, 6, 9, and 12 months respectively

  5. waist circumference

    unit:cm

    Measured: Measured at 0, 1, 2, 3, 4, 5, 6, 9, and 12 months respectively

  6. BMI

    unit:kg/m2

    Measured: Measured at 0, 1, 2, 3, 4, 5, 6, 9, and 12 months respectively

  7. Total Cholesterol

    unit:mmol/l

    Measured: Measured at 0, 3, 6, and 12 months

  8. Triglycerides

    unit:mmol/l

    Measured: Measured at 0, 3, 6, and 12 months

  9. High density lipoprotein cholesterol

    unit:mmol/l

    Measured: Measured at 0, 3, 6, and 12 months

  10. Low density lipoprotein cholesterol

    unit:mmol/l

    Measured: Measured at 0, 3, 6, and 12 months

  11. Ankle-Brachial Index(ABI)

    The normal range for the ABI is generally considered to be from 0.9 to 1.3.

    Measured: Measured at 0, 3, 6, and 12 months

  12. Fasting insulin

    unit:pmol/L

    Measured: Measured at 0, 3, 6, and 12 months

  13. C-peptide

    unit:pmol/L

    Measured: Measured at 0, 3, 6, and 12 months

  14. insulin resistance index

    Measured: Measured at 0, 3, 6, and 12 months

  15. islet β-cell function index

    Measured: Measured at 0, 3, 6, and 12 months

  16. lipid Lipid accumulation product

    Measured: Measured at 0, 3, 6, and 12 months

  17. visceral adiposity index

    Measured: Measured at 0, 3, 6, and 12 months

  18. Measurement Results of Tumor Necrosis Factor-alpha Levels at Different Time Points

    Measured: Measured at 0, 3, 6, and 12 months

  19. Concentration Variation of Interleukin-10

    Measured: Measured at 0, 3, 6, and 12 months

  20. Change in Homocysteine Levels

    Measured: Measured at 0, 3, 6, and 12 months

  21. Average Concentration of Interleukin-6

    Measured: Measured at 0, 3, 6, and 12 months

  22. Change in Endothelin-1 Levels

    Measured: Measured at 0, 3, 6, and 12 months

  23. Average Concentration of Nitric Oxide

    Measured: Measured at 0, 3, 6, and 12 months

  24. Concentration Variation of Von Willebrand Factor

    Measured: Measured at 0, 3, 6, and 12 months

  25. Measurement Results of Vascular Endothelial Growth Factor Levels at Different Time Points

    Measured: Measured at 0, 3, 6, and 12 months

  26. Change in Matrix Metalloproteinase-9 Levels" or "Participants' Matrix Metalloproteinase-9 Concentration

    Measured: Measured at 0, 3, 6, and 12 months

  27. Average Concentration of Soluble Intercellular Adhesion Molecule-1

    Measured: Measured at 0, 3, 6, and 12 months

  28. Change in Serum Tau Protein Levels

    Measured: Measured at 0, 3, 6, and 12 months

  29. Average Concentration of Aβ40

    Measured: Measured at 0, 3, 6, and 12 months

  30. Average Concentration of Aβ42

    Measured: Measured at 0, 3, 6, and 12 months

  31. Change in Neurofilament Light Chain Protein Levels

    Measured: Measured at 0, 3, 6, and 12 months

  32. Carotid Ultrasound; Carotid Intima-Media Thickness.

    Measured: Measured at 0, 6, and 12 months

  33. Activities of Daily Living Scale score; Fried Frailty Phenotype Scale; Mini Nutritional Rating Scale; MoCA scale score; Traditional Chinese Medicine Kidney Deficiency and Blood Stasis Syndrome Scale score.

    Measured: Measured at 0, 3, 6, and 12 months

  34. Montreal Cognitive Assessment Score

    The maximum score is 30 points, and the higher the score, the better the cognitive function.

    Measured: Measured at 0, 3, 6, and 12 months

  35. Fried Frailty Phenotype Scale

    Those who have 5 or more of the items in the table can be diagnosed as frailty syndrome; those with less than 3 items are in the early stage of frailty; 0 items are healthy elderly people without frailty.

    Measured: Measured at 0, 3, 6, and 12 months

  36. Activities of Daily Living Scale score

    The scale consists of 10 items, with a total score of 100 points. The Cronbach's alpha of the scale is 0.813. A score of 100 points is considered normal, while scores below 100 indicate a decline.A score of 100 points indicates full independence in daily living, without any dependency; 61-99 points suggest mild dependency; 41-60 points indicate moderate dependency;

    ≤40 points denote severe dependency.

    Measured: Measured at 0, 3, 6, and 12 months

  37. Mini Nutritional Rating Scale

    The total score is 14 points, with the Cronbach's alpha of the scale being 0.906. A score of ≤7 points is considered malnourished, 8-11 points indicate a risk of malnutrition, and 12-14 points are indicative of normal nutrition.

    The total score is 14 points, with the Cronbach's alpha of the scale being 0.906. A score of ≤7 points is considered malnourished, 8-11 points indicate a risk of malnutrition, and 12-14 points are indicative of normal nutrition.

    Measured: Measured at 0, 3, 6, and 12 months

  38. Serum and urine metabolomics

    Inferring the potential biological mechanisms of the effect of Buyuan Zhixiao Formula based on the differences in metabolic products in the blood and urine between the experimental and control groups.

    Measured: Measured at 0 and 6 months respectively

Timeline

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

  1. First posted10 Apr 2024
  2. Study start6 Jul 2024 (estimated)
  3. Primary completion1 Jul 2025 (estimated)
  4. Study completion1 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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
240 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06358118
Sponsor's protocol ID
2024-003-KY
Status last verified
Jun 2024
First submitted
2 Apr 2024
Last updated
4 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Nunes BP, Flores TR, Mielke GI, Thume E, Facchini LA. Multimorbidity and mortality in older adults: A systematic review and meta-analysis. Arch Gerontol Geriatr. 2016 Nov-Dec;67:130-8. doi: 10.1016/j.archger.2016.07.008. Epub 2016 Aug 2.

    PubMed 27500661
  • Quinones AR, Markwardt S, Botoseneanu A. Diabetes-Multimorbidity Combinations and Disability Among Middle-aged and Older Adults. J Gen Intern Med. 2019 Jun;34(6):944-951. doi: 10.1007/s11606-019-04896-w. Epub 2019 Feb 27.

    PubMed 30815788
  • Ji L, Hu D, Pan C, Weng J, Huo Y, Ma C, Mu Y, Hao C, Ji Q, Ran X, Su B, Zhuo H, Fox KA, Weber M, Zhang D; CCMR Advisory Board; CCMR-3B STUDY Investigators. Primacy of the 3B approach to control risk factors for cardiovascular disease in type 2 diabetes patients. Am J Med. 2013 Oct;126(10):925.e11-22. doi: 10.1016/j.amjmed.2013.02.035. Epub 2013 Jun 27.

    PubMed 23810406
  • Carnethon MR, Biggs ML, Barzilay J, Kuller LH, Mozaffarian D, Mukamal K, Smith NL, Siscovick D. Diabetes and coronary heart disease as risk factors for mortality in older adults. Am J Med. 2010 Jun;123(6):556.e1-9. doi: 10.1016/j.amjmed.2009.11.023.

    PubMed 20569763
  • Al Slail FY, Abid O, Assiri AM, Memish ZA, Ali MK. Cardiovascular risk profiles of adults with type-2 diabetes treated at urban hospitals in Riyadh, Saudi Arabia. J Epidemiol Glob Health. 2016 Mar;6(1):29-36. doi: 10.1016/j.jegh.2015.07.004. Epub 2015 Aug 6.

    PubMed 26257035
  • Sinclair A, Saeedi P, Kaundal A, Karuranga S, Malanda B, Williams R. Diabetes and global ageing among 65-99-year-old adults: Findings from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2020 Apr;162:108078. doi: 10.1016/j.diabres.2020.108078. Epub 2020 Feb 14.

    PubMed 32068097
  • Al-Maskari F, El-Sadig M, Nagelkerke N. Assessment of the direct medical costs of diabetes mellitus and its complications in the United Arab Emirates. BMC Public Health. 2010 Nov 8;10:679. doi: 10.1186/1471-2458-10-679.

    PubMed 21059202
  • Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Al Kaabi J. Epidemiology of Type 2 Diabetes - Global Burden of Disease and Forecasted Trends. J Epidemiol Glob Health. 2020 Mar;10(1):107-111. doi: 10.2991/jegh.k.191028.001.

    PubMed 32175717
  • Ramtahal R, Khan C, Maharaj-Khan K, Nallamothu S, Hinds A, Dhanoo A, Yeh HC, Hill-Briggs F, Lazo M. Prevalence of self-reported sleep duration and sleep habits in type 2 diabetes patients in South Trinidad. J Epidemiol Glob Health. 2015 Dec;5(4 Suppl 1):S35-43. doi: 10.1016/j.jegh.2015.05.003. Epub 2015 Jun 11.

    PubMed 26073574

Questions about this trial

What is this clinical trial studying?

A study testing Buyuan Zhixiao Formula in people with Diabete Mellitus and Aging, run by Qing Ni at 6 sites 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 7 inclusion and 6 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 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites 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.

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 Qing Ni, postgraduate (13701253942, 1831479145@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

HbA1c (time frame: Measured at 0, 3, 6, and 12 months respectively.). 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 NCT06358118, which also lists 9 linked publications.

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 Jun 2024; AzTrials last refreshed its copy on 8 Nov 2026.

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