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Idiopathic Pulmonary Fibrosis(IPF)NCT06914713

Jin-shui Huan-xian Formula for Retarding the Decline of Pulmonary Function in IPF

A study testing Jin-shui Huan-xian granule in people with Idiopathic Pulmonary Fibrosis(IPF), run by Henan University of Traditional Chinese Medicine at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study is to evaluate the clinical efficacy and safety of Jin-shui Huan-xian Formula in retarding the decline of pulmonary function in IPF, generate high - quality clinical evidence, and establish a treatment plan of Jin-shui Huan-xian Formula for retarding the decline of pulmonary function in Idiopathic Pulmonary… Read more about this study

Who is it for?
Ages 40 to 85 years
Conditions the study is for
Idiopathic Pulmonary Fibrosis(IPF)
What is being tested?
Jin-shui Huan-xian granule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
384 participants
Where
1 siteChina
Study dates
8 Sep 2025to 30 Nov 2028
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 40 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients who meet the diagnostic criteria for IPF.
  • Pulmonary function: The percentage of forced vital capacity (FVC) to the predicted value is ≥ 50%; and the percentage of the diffusing capacity of the lung for carbon monoxide (DLCO) to the predicted value is ≥ 30%.
  • Patients who meet the syndrome - differentiation criteria for lung - qi deficiency syndrome, lung - and - kidney qi deficiency syndrome, etc.
  • Aged between 40 and 85 years old.
  • Patients who voluntarily accept the treatment and sign the informed consent

Who cannot join

  • Patients in the acute exacerbation phase of IPF.
  • Patients complicated with other pulmonary diseases such as chronic obstructive pulmonary disease (COPD), lung cancer, active pulmonary tuberculosis, bronchiectasis, and pulmonary embolism.
  • Patients with severe joint, peripheral nerve, and peripheral vascular diseases that affect limb movement and who are bed - ridden for a long time and cannot complete the six - minute walk test.
  • Patients complicated with severe cardiovascular and cerebrovascular diseases (malignant arrhythmia, unstable angina pectoris, acute myocardial infarction, heart function grade 3 or above, stroke, cerebral hemorrhage, etc.).
  • Patients complicated with liver diseases such as cirrhosis or secondary portal hypertension, bleeding caused by esophageal and gastric varices, patients with kidney diseases requiring dialysis or kidney transplantation, or patients with abnormal liver and kidney functions (ALT, AST, and BUN are 1.5 times higher than the upper limit of the normal range, and blood Cr is higher than the upper limit of the normal range).
  • Patients with unclear consciousness, various mental illnesses, etc., who cannot communicate normally.
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  • Pregnant or lactating women and patients with a recent plan for pregnancy.
  • Patients who have participated in other clinical trials within 1 month before enrollment.
  • Patients known to be allergic to any of the test medications and their components.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Ming-Hang Wang, Ph.D contact

+8618638392188

wmh107hn@163.com

Xue-qing Yu, Ph.D contact

+8613525518843

yxqshi@163.com

China1 site, 1 recruiting
  • the First Affiliated Hospital of Henan University of Chinese Medicine

    Zhengzhou, Henan, 450056

    Ming-Hang Wang, Ph.D, +8618638392188, wmh107hn@163.com

    Recruiting

Other trials in China

About this study

Official title: Efficacy Evaluation of Jin-shui Huan-xian Formula in Retarding the Decline of Pulmonary Function in IPF

This study is to evaluate the clinical efficacy and safety of Jin-shui Huan-xian Formula in retarding the decline of pulmonary function in IPF, generate high - quality clinical evidence, and establish a treatment plan of Jin-shui Huan-xian Formula for retarding the decline of pulmonary function in Idiopathic Pulmonary Fibrosis(IPF)

Read the detailed description

This study will enroll 384 patients with idiopathic pulmonary fibrosis (IPF) and adopts a randomized, quadruple-masked, placebo-controlled trial design. Participants will be randomly assigned to either an experimental group or a control group. On the basis of guideline-directed standard treatment, the experimental group will receive Jin-shui Huan-xian Formula, while the control group will receive a matching placebo. Participants, care providers, investigators, and outcome assessors will remain blinded to treatment allocation. The treatment duration is 52 weeks. Forced vital capacity (FVC) is the primary outcome measure, while acute exacerbations, other pulmonary function parameters (including DLCO and DLCO%), exercise capacity, and quality of life are secondary outcome measures. Safety assessments include routine blood tests, urinalysis, liver function, renal function, and electrocardiography. The study aims to evaluate the efficacy and safety of Jin-shui Huan-xian Formula in slowing the decline in pulmonary function in patients with IPF and to generate high-quality clinical evidence for its use as an adjunctive treatment.

Being tested
Jin-shui Huan-xian granule, Jin-shui Huan-xian granule placebo
Keywords
Idiopathic Pulmonary Fibrosis, traditional Chinese medicine, randomized controlled trial, pulmonary function
Medical subject headings
Idiopathic Pulmonary Fibrosis

What participants receive

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

  • Jin-shui Huan-xian granuleDrug

    Also called Jin-shui Huan-xian Granules

    Jin-shui Huan-xian Granules: on the basis of treatment guided by "Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline ", the experimental group was given Jin-shui Huan-xian Granules for treatment. The granules were taken orally, 1 dose per day, twice a day, and the continuous administration lasted for 52 weeks.

  • Jin-shui Huan-xian granule placeboDrug

    Jin-shui Huan-xian granule placebo: on the basis of treatment guided by "Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline ", the experimental group was given Jin-shui Huan-xian Granules placebo for treatment. The granules were taken orally, 1 dose per day, twice a day, and the continuous administration lasted for 52 weeks.The Jin-shui Huan-xian granules and their placebo are identical in appearance, weight, color and smell.

Study groups in NCT06914713
Study groupRoleWhat they receive
Jin-shui Huan-xian granule in addition to the guideline - directed treatment.ExperimentalThe experimental group was given Jin-shui Huan-xian Formula in addition to the treatment guided by the guideline "Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline ".
Receives: Drug: Jin-shui Huan-xian granule
Jin-shui Huan-xian granule placebo in addition to the guideline - directed treatment.Placebo comparatorParticipants in the control group will receive Jin-shui Huan-xian granule placebo in addition to guideline-directed treatment based on the "Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline.
Receives: Drug: Jin-shui Huan-xian granule placebo

What is being measured

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

  1. Forced vital capacity (FVC)

    FVC will be used to assess pulmonary function.

    Measured: The change in absolute FVC value before treatment and at 52 weeks of treatment

Secondary outcomes (27)
  1. The time of the first acute exacerbation

    The time of the patients' first acute exacerbation will be recorded.

    Measured: Up to week 52.

  2. Frequency of acute exacerbation

    Frequency of acute exacerbation will be recorded.

    Measured: Up to week 52

  3. Frequency of acute exacerbations resulting in hospitalization

    Frequency of acute exacerbation resulting in hospitalization will be recorded.

    Measured: Up to week 52

  4. Frequency of acute exacerbations resulting in ICU admission

    Frequency of acute exacerbation resulting in ICU admission will be recorded.

    Measured: Up to week 52

  5. Annual acute exacerbation rate

    The annual acute exacerbation rate will be calculated in each group at the end of the trial.

    Measured: Up to week 52

  6. Annual hospitalization rate due to acute exacerbation

    The Annual hospitalization rate due to acute exacerbation will be calculated in each group at the end of the trial.

    Measured: Up to week 52

  7. Annual rate of ICU admission due to acute exacerbation

    The Annual ICU admission rate due to acute exacerbation will be calculated in each group at the end of the trial.

    Measured: Up to week 52.

  8. Diffusing Capacity of Carbon Monoxide(DLCO)

    DLCO will be used to assess pulmonary function.

    Measured: Change from baseline DLCO at week 13, 26, 39 and 52.

  9. Percent of Diffusing Capacity of Carbon Monoxide(DLCO%)

    DLCO% will be used to assess pulmonary function.

    Measured: Change from baseline DLCO% at week 13, 26, 39 and 52.

  10. Percent of Forced Vital Capacity(FVC%)

    FVC% will be used to assess pulmonary function.

    Measured: Change from baseline FVC%at week 13, 26, 39 and 52.

  11. Alveolar ventilation(VA)

    VA will be used to assess pulmonary function.

    Measured: Change from baseline VA at week 13, 26, 39 and 52.

  12. .Diffusion capacity for carbon monoxide per liter of alveolar volume(DLCO/VA)

    DLCO/VA will be used to assess pulmonary function.

    Measured: Change from baseline DLCO/VA at week 13, 26, 39 and 52.

  13. All-cause mortality rate

    The all-cause mortality rate will be calculated in each group at the end of the trial.

    Measured: Up to week 52.

  14. Mortality rate due to acute exacerbation

    The mortality rate due to acute exacerbation will be calculated in each group at the end of the trial.

    Measured: Up to week 52.

  15. Progression-Free Survival(PFS)

    According to "Idiopathic Pulmonary Fibrosis in Adults (Update) and Progressive Pulmonary Fibrosis: An Official Clinical Practice Guideline of the ATS/ERS/JRS/ALAT ": The time from enrollment to the first meeting of disease progression (at least two of respiratory symptoms, physiological evidence and radiological evidence).

    Measured: Up to week 13, 26, 39 and 52.

  16. Six Minute Walk Test (6MWT)

    6MWT will be applied to evaluate the exercise capacity. The higher values indicate the better exercise capacity.

    Measured: Change from baseline 6MWT at week 13, 26, 39 and 52.

  17. Imaging findings

    Changes in chest CT imaging will be assessed before and after JSHX treatment to evaluate its impact on pulmonary fibrosis in IPF patients. High-resolution computed tomography (HRCT) will be used to quantify alterations in lung parenchyma, including ground-glass opacities, reticulation, and honeycombing. Quantitative software-based analysis (e.g., histogram-based texture analysis) may be applied to standardize the evaluation. Radiologists blinded to treatment allocation will independently review the images to ensure objectivity.

    Measured: Up to week 26, 52.

  18. A Tool to Assess Quality of life (ATAQ-IPF)

    ATAQ - IPF is currently a specialized scale for evaluating the quality of life of patients, consisting of 13 dimensions and 74 items, with each item being scored from 1 to 5 points. A higher score indicates a worse condition.

    Measured: Change from baseline ATAQ-IPF scores at week 13, 26, 39 and 52.

  19. Idiopathic pulmonary fibrosis patient reported outcomes (IPF-PRO)

    IPF-PRO is a scale used to evaluate the quality of life of patients, where patients recall their condition over the past two weeks based on their subjective experience. The evaluation covers four domains: Physiological, Psychological, Environmental, and Satisfaction, comprising 18 items in total. Higher scores indicate worse conditions.

    Measured: Change from baseline SGRQ scores at week 13, 26, 39 and 52.

  20. Dyspnea

    Dyspnea will be assessed by 22.modified Medical Research Council(mMRC) scores. A score of 0-4 will be given according to the degree of immediate dyspnea. A higher score indicates a worse condition.

    Measured: Change from baseline CAT scores at week 13, 26, 39 and 52.

  21. Cough Visual analog scale(VAS)

    The Cough VAS is a method of quantitatively assessing cough symptoms using the Visual Analogue Scale. The score ranges from 1 to 100, a higher score indicates a worse condition.

    Measured: Change from baseline CAT scores at week 13, 26, 39 and 52.

  22. Clinical symptoms and Signs

    Clinical symptoms and Signs will be evaluated through a scale. The scale includes coughing, expectoration, chest tightness, shortness of breath, wheezin. The Clinical Symptom Rating Scale includes 6 items: cough, expectoration, chest tightness, shortness of breath, wheezing, and cyanosis. Each item has a score of 0-3, totaling 18 points. The higher the score, the worse he patient's condition.

    Measured: Change from baseline clinical symptoms and signs up at week 13, 26, 39 and 52.

  23. Krebs Von den Lungen-6 (KL-6)

    Detect the level of KL-6.

    Measured: Change from baseline KL-6 level at week 13, 26, 39 and 52.

  24. Interleukin-6 (IL-6)

    Detect the level of IL-6.

    Measured: Change from baseline IL-6 level at week 13, 26, 39 and 52.

  25. Ferritin

    Detect the level of Ferritin.

    Measured: Change from baseline Ferritin level at week 13, 26, 39 and 52.

  26. Immunoglobulin

    Detect the level of immunoglobulins

    Measured: Change from baseline immunoglobulins level at week 13, 26, 39 and 52.

  27. T, B and NK lymphocyte subsets

    Detect the level of T, B and NK lymphocyte subsets. The common indicators of TBNK lymphocyte subsets and their respective units of measurement are as follows: the total T cells (CD3+), measured in cells per microliter (cells/µL); the helper T cells (CD3+CD4+), measured in cells/µL; the cytotoxic T cells (CD3+CD8+), measured in cells/µL; the B cells (CD19+), measured in cells/µL; the natural killer cells (NK cells, CD16+CD56+, CD3-), measured in cells/µL; and the CD4/CD8 ratio, which is a unitless ratio. These indicators are detected by flow cytometry and can reflect the immune function status of the body.

    Measured: Change from baseline T, B and NK lymphocyte subsets level at week 13, 26, 39 and 52.

Timeline

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

  1. First posted6 Apr 2025
  2. Study start8 Sep 2025
  3. Primary completion30 Dec 2027 (estimated)
  4. Study completion30 Nov 2028 (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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
384 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06914713
Sponsor's protocol ID
CM for IPF
Status last verified
Oct 2026
First submitted
31 Mar 2025
Last updated
16 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Jin-shui Huan-xian granule in people with Idiopathic Pulmonary Fibrosis(IPF), run by Henan University of Traditional Chinese Medicine at 1 site 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 5 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 16 Oct 2026. 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 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?

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?

Contact Ming-Hang Wang, Ph.D (+8618638392188, wmh107hn@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Forced vital capacity (FVC) (time frame: The change in absolute FVC value before treatment and at 52 weeks of treatment). 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 16 Oct 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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