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Primary Biliary CholangitisPhase 4NCT06371196

Clinical Study on the Treatment of Elevated Total Bilirubin in Primary Biliary Cholangitis With Baobao Dan Capsule

A Phase 4 study testing Babaodan Capsule in people with Primary Biliary Cholangitis, run by Mei Han.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

1. Explore the effect of Babaodan Capsule on the serum total bilirubin level of primary biliary cholangitis patients with elevated total serum bilirubin; 2. To observe the positive intervention effect of Babaodan Capsule on the clinical symptoms of primary biliary cholangitis patients with elevated total bilirubin. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Primary Biliary Cholangitis
What is being tested?
Babaodan Capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
No sites listed yet
Study dates
25 Apr 2024to 31 Dec 2025
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. meets the diagnostic criteria for primary biliary cholangitis (PBC) in the Diagnostic and Therapeutic Guidelines for Primary Biliary Cholangitis (2021), i.e., meets at least 2 out of the following 3 criteria: (i) Biochemical evidence of cholestasis, i.e., elevated ALP and GGT, and imaging studies that exclude extrahepatic or intrahepatic biliary obstruction; (ii) Anti-mitochondrial antibody (AMA) or AMA-M2 positivity or, if AMA negative, PBC-specific antibody (anti-GP210 and/or anti-SP100) positivity; (iii) Histologic evidence suggestive of non-purulent destructive cholangitis and interlobular bile duct destruction.
  • 2. Male or female, ≥ 18 years of age and < 75 years of age;
  • 3. ursodeoxycholic acid capsule (Yusuf) 10 ~15 mg/d for ≥6 months prior to screening and after screening enrollment, the therapeutic dose was maintained unchanged for the duration of the trial;
  • 4. ALP ≥ 1.67 x ULN;
  • 5. liver function tests no less than 2 times in the last 3 months, and total bilirubin in liver function tests before enrollment and in the last 3 months are in accordance with the following: 1 × ULN < TBil ≤ 5 × ULN;
  • 6. Understand the content of the study, be willing to comply with the study protocol, and voluntarily sign the written informed consent.

Who cannot join

  • 1. Combination of or history of other liver diseases, including: (1) hepatitis C virus (HCV) infection; (2) hepatitis B virus (HBV) infection; (3) primary sclerosing cholangitis (PSC); (4) alcoholic liver disease; (5) autoimmune hepatitis (AIH) or overlapping autoimmune liver disease; (6) nonalcoholic steatohepatitis (NASH); (7) drug-induced liver injury; (8) extrahepatic biliary obstruction; (9) Gilbert's syndrome; (10) suspected or diagnosed primary liver cancer; (11) suspected or confirmed primary liver cancer; and (12) extrahepatic biliary obstruction; ⑨ Gilbert's syndrome; ⑩ suspected or confirmed primary liver cancer;
  • 2. Presence of clinical complications of PBC, including but not limited to: (i) history of liver transplantation, pending liver transplantation, or current Model for End-Stage Liver Disease (MELD) score ≥ 15; (ii) portal hypertension with complications, including gastric or large esophageal varices, refractory or diuretic-resistant ascites, history of variceal hemorrhage, history of variceal treatment such as use of β-blockers, endoscopic tissue adhesive injections or ligatures, transjugular portacaval shunts, or hepatic encephalopathy; (iii) cirrhosis with Complications, including spontaneous bacterial peritonitis, hepatocellular carcinoma; 4. Hepatorenal syndrome (type I or II) or screening serum creatinine (Cr) ≥ 1.5 x ULN and serum creatinine clearance < 60 mL/min;
  • 3. Hepatic function Child-Pugh classification grade B/C;
  • 4. ALT ≥ 5 × ULN and/or AST ≥ 5 × ULN;
  • 5. ALP > 10 × ULN;
  • 6. patients with pruritus with severe itching or requiring systemic medication (e.g., bile acid sequestrants or rifampicin, etc.) within 2 months prior to enrollment
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  • 7. use of the following medications within 3 months prior to enrollment: azathioprine, colchicine, cyclosporine, methotrexate, mycophenolate mofetil, hexacosanol, dicyclomine, simethicone, ximethicone; fenofibrate or other fibrates; budesonide and other systemic corticosteroids; and hepatotoxic medications (including alpha-methyldopa, valproate, isoniazid, furosemide, etc.);
  • 8. use of the following medications within 12 months prior to enrollment and throughout the trial: antibodies or immunotherapies against interleukins or other cytokines or chemokines;
  • 9. having or having had a previous cardiac arrhythmia requiring clinical intervention that may affect survival during the trial; or pre-treatment QT prolongation or QTc intervals ≥470ms in men and ≥480ms in women
  • 10. pregnant, planning pregnancy, breastfeeding women, women of childbearing potential who do not wish to use effective contraception (≥1 effective method of contraception e.g., condom, hormonal contraceptive pill, intrauterine device), or male subjects who do not wish to use contraception during the trial period and up to 30 days after the last dose of study medication
  • 11. patients with co-infections of infectious diseases such as HIV, syphilis, and neo-coronavirus;
  • 12. the presence of any other disease or condition that interferes with the absorption, distribution, metabolism, or excretion of the drug (e.g., patients with inflammatory bowel disease or those who have undergone gastric bypass surgery);
  • 13. any other disease that is not well controlled or for which the need for the drug is expected to change during the trial;
  • 14. persons with a suspected or confirmed history of alcohol or drug abuse within 1 year prior to screening;
  • 15. incapacitated or restricted persons;
  • 16. subjects who have been enrolled in another study within 30 days prior to Screening
  • 17. mentally unstable or incapacitated persons for whom the validity of informed consent or compliance with the trial is uncertain;
  • 18. has had a malignant tumor in the last 5 years, with or without treatment and with or without evidence of local recurrence or metastasis;
  • 19. the patient has taken Babao Dan capsule within 1 month prior to the trial;
  • 20. who, in the opinion of the investigator, should not participate in the trial.

Trial locations and contacts

No sites are listed yet.

About this study

  1. Explore the effect of Babaodan Capsule on the serum total bilirubin level of primary biliary cholangitis patients with elevated total serum bilirubin;
  2. To observe the positive intervention effect of Babaodan Capsule on the clinical symptoms of primary biliary cholangitis patients with elevated total bilirubin.
Read the detailed description
  1. Primary objective: to investigate the effect of Baobao Dan capsule on serum total bilirubin levels in patients with primary biliary cholangitis with elevated total serum bilirubin.
  2. Secondary objective: to observe the effects of Babaodan Capsule on the following aspects in patients with primary biliary cholangitis with elevated total bilirubin: (1) Other indicators of liver function: ALP, GGT, AST, ALT, TBA, TBil, DBil, IBil; (2) Itching and fatigue symptom scores; (3) Biochemical response rate; (4) Histologic changes; (5) Changes in immunologic indices (serum IgM, IgG, IgA, autoantibodies AMA/AMA-M2 and anti-gp210 antibody, anti-sp100 antibody); (6) Adverse events and safety evaluation.
Being tested
Babaodan Capsule
Medical subject headings
Liver Cirrhosis, Biliary

What participants receive

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

  • Babaodan CapsuleDrug

    Babao Dan Capsule (State Drug License: Z10940006) is produced by Xiamen Traditional Chinese Medicine Factory Co., Ltd; Packing specification: 0.3g/capsule, 6 capsules/board×2 boards/small box; Ingredients are in vitro cultivated cowhide, snake gallbladder, antelope horn, pearl, panax ginseng, artificial musk, and so on. Intervention measures are really the original UDCA treatment program based on the addition of eight treasure Dan capsule, 2 capsules / times, tid, oral. Course of treatment: 3 months (based on 30 days/month).

Study groups in NCT06371196
Study groupRoleWhat they receive
Babaodan CapsuleExperimentalBabaodan Capsule (State Drug License: Z10940006) is manufactured by Xiamen Traditional Chinese Medicine Factory Co., Ltd; Packing specification: 0.3g/capsule, 6 capsules/board×2 boards/carton; Ingredients are in vitro cultivated cowhide, snake gallbladder, antelope horn, pearl, panax ginseng, artificial musk and so on.
Receives: Drug: Babaodan Capsule

What is being measured

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

  1. Total bilirubin (TBil) reversion rate

    Total bilirubin (TBil) reversion rate: cases with normal total bilirubin index after treatment/60 cases × 100%

    Measured: 90 days

  2. Total bilirubin (TBil) efficacy rate

    Total bilirubin (TBil) efficacy rate: total bilirubin index decreased by 1×ULN cases/60 cases×100% after treatment compared with before treatment.

    Measured: 90 days

Secondary outcomes (35)
  1. biological response rate

    Biological response rate of UDCA combined with Baobao Dan capsule in the treatment of PBC: number of cases meeting the biochemical response standard criteria / 60 cases × 100%. Referring to the UDCA treatment of PBC proposed in the "Diagnostic and therapeutic standard of primary biliary cholangitis (2021)", ALP <1.67×ULN was used as the biochemical response standard.

    Measured: 90 days

  2. ALT

    The actual level of ALT was collected in the form of measured information.

    Measured: 90 days

  3. AST

    The actual level of AST was collected in the form of measured information.

    Measured: 90 days

  4. ALP

    The actual level of ALP was collected in the form of measured information.

    Measured: 90 days

  5. TBA

    The actual level of TBA was collected in the form of measured information.

    Measured: 90 days

  6. DBil

    The actual level of DBil was collected in the form of measured information.

    Measured: baseline, 30 days, 60 days, 90 days

  7. IBil

    The actual level of IBil was collected in the form of measured information.

    Measured: 90 days

  8. 5-D Pruritus Scale Score

    Evaluation was performed according to the 5-D Pruritus Scale Score, which includes 5 aspects of site, duration, intensity, tendency, and impairment of life, with a total score of 5 to 25.

    Measured: 90 days

  9. Fatigue section of the PBC-40 questionnaire

    It was carried out using the entries of malaise in the Quality of Life Questionnaire for Patients with Primary Biliary Cholangitis (PBC-40), which consisted of 11 items that were categorized according to the degree of malaise as none, seldom, sometimes, often, and continually, with scores of 1, 2, 3, 4, and 5, respectively, and a total score of 11-55.

    Measured: 90 days

  10. Immunological indicators - serum IgM

    The actual level of serum IgM was collected in the form of measured information.

    Measured: 90 days

  11. Immunological indicators - serum IgG

    The actual level of serum IgG was collected in the form of measured information.

    Measured: 90 days

  12. Immunological indicators - serum IgA

    The actual level of serum IgA was collected in the form of measured information.

    Measured: 90 days

  13. Immunological indicators - anti-gp210 antibody

    The actual level of anti-gp210 antibody was collected in the form of measured information.

    Measured: 90 days

  14. Immunological indicators - anti-sp100 antibody

    The actual level of anti-sp100 antibody was collected in the form of measured information.

    Measured: 90 days

  15. Immunological indicators - autoantibodies AMA/AMA-M2

    The actual level of autoantibodies AMA/AMA-M2 was collected in the form of measured information.

    Measured: 90 days

  16. Histopathology of the liver - grading of inflammatory activity

    Baseline liver puncture biopsy results were valid for 6 months prior to screening, allowing patients to refuse to provide a histologic sample of the liver. The grading of inflammatory activity was observed and changes in the frequency of each corresponding grade were analyzed.

    Measured: Changes of 90 days from the baseline.

  17. Histopathology of the liver - staging of the degree of fibrosis

    Baseline results of hepatic puncture biopsy were valid for 6 months prior to screening, allowing patients to refuse to provide a histologic sample of the liver. The staging of the degree of fibrosis was observed and changes in the frequency of each corresponding grade were analyzed.

    Measured: Changes of 90 days from the baseline.

  18. 12-lead electrocardiogram

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal 12-lead electrocardiogram.

    Measured: baseline, 30 days, 60 days, 90 days

  19. Physical examination

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal physical examination which concludes general examination of the whole body, head examination, neck examination, chest examination, abdominal examination, etc.

    Measured: baseline, 30 days, 60 days, 90 days

  20. Routine blood test

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal routine blood test which concludes RBC, Hb, HCT, MCV, MCHC, RDW, WBC, Neut, Lymph, Mono, Eos, Basso, PLT.

    Measured: baseline, 30 days, 60 days, 90 days

  21. Renal Function Tests-BUN

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal BUN.

    Measured: baseline, 30 days, 60 days, 90 days

  22. Renal Function Tests-UA

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal UA.

    Measured: baseline, 30 days, 60 days, 90 days

  23. Renal Function Tests-Scr

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal Scr.

    Measured: baseline, 30 days, 60 days, 90 days

  24. Urinalysis

    This is a safety outcome.

    Measured: baseline, 30 days, 60 days, 90 days

  25. Coagulation tests-PT

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal PT.

    Measured: baseline, 30 days, 60 days, 90 days

  26. Coagulation tests-APTT

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal APTT.

    Measured: baseline, 30 days, 60 days, 90 days

  27. Coagulation tests-TT

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal TT.

    Measured: baseline, 30 days, 60 days, 90 days

  28. Coagulation tests-FIB

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal FIB.

    Measured: baseline, 30 days, 60 days, 90 days

  29. Urine beta-hCG pregnancy test

    This is a safety outcome.

    Measured: baseline, 30 days, 60 days, 90 days

  30. adverse event

    This is a safety outcome.

    Measured: baseline, 30 days, 60 days, 90 days, 100 days

  31. Body temperature

    This is a safety outcome.

    Measured: baseline, 30 days, 60 days, 90 days

  32. Heart rate

    This is a safety outcome.

    Measured: baseline, 30 days, 60 days, 90 days

  33. Number of breaths in 1 min

    This is a safety outcome.

    Measured: baseline, 30 days, 60 days, 90 days

  34. Blood pressure-Diastolic blood pressure(mmHg)

    This is a safety outcome.

    Measured: baseline, 30 days, 60 days, 90 days

  35. Blood pressure-Systolic blood pressure(mmHg)

    This is a safety outcome.

    Measured: baseline, 30 days, 60 days, 90 days

Timeline

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

  1. First posted17 Apr 2024
  2. Study start25 Apr 2024 (estimated)
  3. Primary completion25 Jul 2025 (estimated)
  4. Study completion31 Dec 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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06371196
Sponsor's protocol ID
BBD-PBC 2024-03
Status last verified
Apr 2024
First submitted
13 Mar 2024
Last updated
17 Apr 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Babaodan Capsule in people with Primary Biliary Cholangitis, run by Mei Han.

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 6 inclusion and 20 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 17 Apr 2024. 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. 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 Lin Shuiping (136660698451, linsp@dinglu.com.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total bilirubin (TBil) reversion rate (time frame: 90 days). The study lists 2 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 17 Apr 2024.

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