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Inflammatory MarkerNCT06522412

The Effects of Jing-Si Herbal Tea Liquid Packets and Jing-Si Herbal Tang Heng Power Drink

A study testing JING SI HERBAL TEA LIQUID PACKETS and JING SI HERBAL TANG HENG POWDER DRINK in people with Inflammatory Marker and Gut Microbiome, run by Buddhist Tzu Chi General Hospital at 1 site in Taiwan.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Through empirical research evaluating the effects of "JING SI HERBAL TEA LIQUID PACKETS" and "JING SI HERBAL TANG HENG POWDER DRINK" as adjunctive treatments for various cardiovascular diseases, we aim to provide sufficient evidence to address the following questions: 1. Read more about this study

Who is it for?
Ages 20 to 75 years
What is being tested?
JING SI HERBAL TEA LIQUID PACKETS and JING SI HERBAL TANG HENG POWDER DRINK
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteTaiwan
Study dates
1 May 2024to Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 20 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 20-75 years.
  • Diagnosed with any of the following diseases:
  • Hypertension (2) Hyperlipidemia (3) Diabetes (4) Ischemic heart disease"

Who cannot join

  • History of cancer.
  • Subjects with severe or poorly controlled chronic diseases as determined by the principal investigator.
  • Poor renal function (eGFR <40 ml/min/1.73m²).
  • Pregnant or breastfeeding at the time of screening.

Trial locations and contacts

1 site in 1 country.

Taiwan1 site
  • Hualien Tzu Chi Hospital

    Hualien City

Other trials in Taiwan

About this study

Official title: The Effects of Jing-Si Herbal Tea Liquid Packets and Jing-Si Herbal Tang Heng Power Drink on Metabolism and Inflammation in Patients With Cardiovascular Diseases

Through empirical research evaluating the effects of "JING SI HERBAL TEA LIQUID PACKETS" and "JING SI HERBAL TANG HENG POWDER DRINK" as adjunctive treatments for various cardiovascular diseases, we aim to provide sufficient evidence to address the following questions:

  1. Can "JING SI HERBAL TEA LIQUID PACKETS" and "JING SI HERBAL TANG HENG POWDER DRINK" significantly improve various inflammatory responses involved in the process of atherosclerosis, thereby enhancing the prognosis of patients with acute coronary syndrome and chronic ischemic heart disease?
  2. Can "JING SI HERBAL TEA LIQUID PACKETS" and "JING SI HERBAL TANG HENG POWDER DRINK" provide a healthy and effective adjunctive therapy for patients with hypertension, diabetes, and hyperlipidemia by lowering blood pressure (potentially related to known ACE2 receptors), blood glucose levels (including the improvement of pancreatic β-cell insulin secretion capacity and cellular insulin utilization efficiency), and cholesterol levels?
  3. Can "JING SI HERBAL TEA LIQUID PACKETS" and "JING SI HERBAL TANG HENG POWDER DRINK" influence the prognosis of various diseases, including the most critical cardiovascular conditions such as acute coronary syndrome and chronic ischemic heart disease, by altering the human gut microbiota?
  4. Can "JING SI HERBAL TEA LIQUID PACKETS" and "JING SI HERBAL TANG HENG POWDER DRINK" improve renal indicators such as BUN, creatinine, UACR, and eGFR, thereby protecting the kidneys and reducing complications like microalbuminuria?
Read the detailed description

The Jing-Si Herbal Drink is composed of eight native Taiwanese herbal ingredients: mugwort, fishwort, houttuynia, dwarf lilyturf, balloon flower, perilla leaf, chrysanthemum, and licorice. These ingredients are known for their properties to clear heat, dispel cold, ventilate the lungs, transform phlegm, and eliminate dampness. Preliminary cell and animal studies have demonstrated that this drink can block the binding of the novel coronavirus (SARS-CoV-2) to cells and reduce cellular penetration, thereby preventing the virus from entering the cells. Recently, the Jing-Si Herbal Drink in powder form, known as "Jing-Si Herbal Drink Concentrate Powder," received an export-specific license from the Ministry of Health and Welfare. A research team from Taipei Tzu Chi Hospital has confirmed that combining standard treatment with Jing-Si Herbal Drink provides good clinical protective effects and safety for patients with mild to moderate COVID-19.

Angiotensin-converting enzyme 2 (ACE2), encoded by the ACE2 gene located on the X chromosome, regulates blood pressure and endocrine functions by clearing the vasopressor angiotensin II (Ang II), thereby allowing blood vessels to relax. Studies have shown that the human ACE2 receptor is the gateway for the novel coronavirus (SARS-CoV-2) to enter cells. Both the novel coronavirus and the SARS coronavirus must bind to the ACE2 receptor via their spike proteins to enter cells and replicate extensively, leading to pathogenicity. It is therefore reasonable to hypothesize that the Jing-Si Herbal Drink may block the binding of the novel coronavirus (SARS-CoV-2) to cells by regulating the ACE2 receptor.

Recently, the basic medical research team on herbal drinks at Hualien Tzu Chi Hospital has demonstrated through animal experiments that the Jing-Si Herbal Drink has significant anti-aging protective effects on cardiovascular and metabolic functions in aged rats (24-month-old WKY rats). Additionally, a preliminary analysis conducted by Professor Hong-Chih Han's laboratory at the Hualien Tzu Chi Hospital's Innovation and Research Center revealed that various aspects of immune function were positively affected by the Jing-Si Herbal Drink. It was observed that IFN-γ levels in the blood of subjects significantly increased 48-96 hours after consumption of the Jing-Si Herbal Drink, suggesting that it plays an important role in immune regulation.

The Jing-Si Abode Herbal Research and Development Team has built upon the original Jing-Si Herbal Drink formula to create a new generation of herbal beverage: Jing-Si Herbal Sugar-Balance Beverage. This new formula incorporates pumpkin powder and bitter melon extract powder (containing bitter melon peptides) in addition to the eight original herbal ingredients of the concentrated herbal drink. It is expected to provide enhanced protection for blood sugar and lipid metabolism as well as immune function. Recently, the basic medical research team on herbal drinks at Hualien Tzu Chi Hospital conducted animal experiments that preliminarily confirmed the superior blood sugar-lowering effects of the Jing-Si Herbal Sugar-Balance Beverage formula in diabetic rats compared to the original Jing-Si Herbal Drink formula and the drug Metformin.

The investigators will leverage the professional care provided by clinical physicians and the analytical research capabilities of our basic laboratory to collaboratively evaluate the effects of "Jing-Si Herbal Drink Concentrate" and "Jing-Si Herbal Drink Sugar-Balance Beverage" as adjunctive treatments for patients with various cardiovascular diseases. The investigators aim to not only improve the quality of life for these patients but also achieve beneficial outcomes in treating some clinically challenging diseases and symptoms.

Being tested
JING SI HERBAL TEA LIQUID PACKETS, JING SI HERBAL TANG HENG POWDER DRINK
Keywords
trimethylamine N-oxide, gut microbiome, cardiovascular disease, atherosclerosis
Medical subject headings
Atherosclerosis, Cardiovascular Diseases

What participants receive

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

  • JING SI HERBAL TEA LIQUID PACKETSDietary supplement

    JING SI HERBAL TEA LIQUID PACKETS contains: eight herbal ingredients, primarily including dwarf lilyturf, houttuynia, balloon flower, siegesbeckia, licorice, mugwort, perilla leaf, and chrysanthemum. These eight Taiwanese native herbs are known for their abilities to moisturize, disperse cold, relieve lung congestion, dissolve phlegm, remove dampness, and clear heat.

  • JING SI HERBAL TANG HENG POWDER DRINKDietary supplement

    JING SI HERBAL TANG HENG POWDER DRINK contains: Based on the eight herbal ingredients of Jingsi Herbal Drink Concentrate, this drink additionally includes pumpkin powder and bitter melon extract powder. (Ingredients: siegesbeckia, Jingsi complex herbal powder (dextrin fiber, herbal extracts (mugwort, siegesbeckia, dwarf lilyturf, houttuynia, balloon flower, licorice, perilla leaf, chrysanthemum)), pumpkin powder, bitter melon extract powder (bitter melon extract (containing bitter melon peptides), maltodextrin), black pepper, chromium nicotinate complex (chromium nicotinate, sodium chloride)).

Study groups in NCT06522412
Study groupRoleWhat they receive
TL_THExperimentalThe participants takeJING SI HERBAL TEA LIQUID PACKETS first for 12 weeks and then wash-out for 12 weeks, and then take JING SI HERBAL TANG HENG POWDER DRINK for 12 weeks.
Receives: Dietary Supplement: JING SI HERBAL TEA LIQUID PACKETS; Dietary Supplement: JING SI HERBAL TANG HENG POWDER DRINK
TH_TLActive comparatorThe participants take JING SI HERBAL TANG HENG POWDER DRINK first for 12 weeks and then wash-out for 12 weeks, and then take JING SI HERBAL TEA LIQUID PACKETS for 12 weeks.
Receives: Dietary Supplement: JING SI HERBAL TEA LIQUID PACKETS; Dietary Supplement: JING SI HERBAL TANG HENG POWDER DRINK

What is being measured

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

  1. Effect of intervention on lipid profile

    TCH、TG、HDL-C、LDL-C

    Measured: Baseline, 4 and 12 weeks after intervention is given.

  2. Effect of blood uric acid on Cardiovascular Disease and body inflammation status

    Uric acid

    Measured: Baseline, 4 and 12 weeks after intervention is given.

  3. Effect of intervention on fasting sugar

    Glu-AC

    Measured: Baseline, 4 and 12 weeks after intervention is given.

  4. To evaluate the metabolic health

    Uric acid

    Measured: Baseline, 4 and 12 weeks after intervention is given.

  5. Long term blood sugar status

    HbA1C

    Measured: Baseline, 4 and 12 weeks after intervention is given.

  6. Homeostatic model assessment (HOMA) of insulin resistance

    HOMA-IR is calculated by insulin level and Glu-AC

    Measured: Baseline, 4 and 12 weeks after intervention is given.

  7. Inflammation biomarkers

    hs-C-reactive protein

    Measured: Baseline, 4 and 12 weeks after each intervention is given.

  8. The hematological parameter for systemic inflammation and stress

    neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio

    Measured: Baseline, 4 and 12 weeks after each intervention is given.

  9. proinflammtory marker

    Glyc-A

    Measured: Baseline, 4 and 12 weeks after each intervention is given.

  10. Liver function

    GOT、GPT

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  11. Kidney function

    BUN、Cre、eGFR(Calculated by age and Cre)

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  12. Evaluation of activity of gut microbiome

    TMA、TMAO

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  13. The concentration of the product of gut microbiome

    SCFA (short-chain fatty acid)

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  14. Analysis of Gut Microbiota in Stool Samples Using 16S rRNA Sequencing

    This study aims to analyze the gut microbiota in stool samples to assess changes in microbial composition and abundance following the intervention. The primary objective is to determine if the intervention lead to significant shifts in the diversity and relative proportions of gut bacteria

    Measured: Stool samples will be collected at baseline (prior to intervention) and at 12 months post-intervention to assess changes in gut microbiota composition and abundance.

  15. Body fat composition

    BMI(calculated y weight and height)

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  16. To evaluate the distribution of body fat

    Waist-to-Hip Ratio

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  17. Effect of intervention on blood pressure control

    blood pressure

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  18. Measurement of overall immune function and response to infection or inflammation

    WBC

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  19. Evaluate the immune system function

    CD3、CD4、CD8、CD56

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  20. Assessment of leukocyte activation

    CD11b

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  21. To evaluates the body's ability to fight tumors and infections.

    NK cells

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  22. To assess immune activation and the ability to present antigens to T cells

    HLA-DR

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  23. Assessment of immune response

    IFN-gamma、IL-6

    Measured: Baseline, 4 and 12 weeks after each intervention is given

  24. Marker of inflammation

    TNF-alpha

    Measured: Baseline, 4 and 12 weeks after each intervention is given

Timeline

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

  1. First posted26 Jul 2024
  2. Study start1 May 2024
  3. Primary completionFeb 2025 (estimated)
  4. Study completionDec 2026 (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
Supportive care
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06522412
Sponsor's protocol ID
IRB 113-012-A
Status last verified
Jul 2024
First submitted
20 Jun 2024
Last updated
26 Jul 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing JING SI HERBAL TEA LIQUID PACKETS and JING SI HERBAL TANG HENG POWDER DRINK in people with Inflammatory Marker and Gut Microbiome, run by Buddhist Tzu Chi General Hospital at 1 site in Taiwan.

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 3 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 26 Jul 2024. 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 Taiwan. 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. 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?

This study is still under way. Results are not available in the source record yet.

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?

Effect of intervention on lipid profile (time frame: Baseline, 4 and 12 weeks after intervention is given.). The study lists 24 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 26 Jul 2024.

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