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InsomniaPhase 2NCT07504536

Ning Shen Dan Xiang Gao Fang for Heart-Kidney Disharmony Insomnia

A Phase 2 study testing Ningshen Danxiang Donkey-hide Gelatin Medicated Paste and Ningshen Danxiang Agar Medicated Paste (agar as excipient) in people with Insomnia, run by Shanghai 7th People's Hospital at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if Ning Shen Dan Xiang paste combined with Ejiao (donkey-hide gelatin) works better than Ning Shen Dan Xiang paste combined with agar (placebo substitute) to treat chronic insomnia of the heart-kidney disharmony type in adults. It will also assess safety. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Insomnia
What is being tested?
Ningshen Danxiang Donkey-hide Gelatin Medicated Paste and Ningshen Danxiang Agar Medicated Paste (agar as excipient)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteChina
Study dates
15 Mar 2026to 31 Dec 2028
Phase
Phase 2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Meets the diagnostic criteria for chronic insomnia and simultaneously meets the diagnostic criteria for heart-kidney disharmony syndrome.
  • Pittsburgh Sleep Quality Index (PSQI) total score > 7 points.
  • No insomnia treatment medication received within 2 weeks prior to the trial.
  • Age > 18 years, gender unrestricted.
  • Voluntarily participates in this study, signs the informed consent form, and is willing to take medication on time and undergo follow-up visits.

Who cannot join

  • Pregnant or lactating women.
  • Patients with an allergic constitution or hypersensitivity to multiple drugs.
  • Patients with primary diseases of the heart, liver, kidney, respiratory system, nervous system, hematopoietic system, or other systems, who are assessed by the investigator as unsuitable for participation in this study.
  • Patients with schizophrenia, bipolar affective disorder, major depressive disorder (Hamilton Depression Rating Scale HAMD17 > 24 points), anxiety disorder (Hamilton Anxiety Rating Scale score ≥ 21 points), or other psychiatric disorders, as well as patients with senile dementia.
  • Patients with insomnia induced by drugs, strong coffee/tea, or other substances, or those who have taken Chinese or Western medicines for the treatment of insomnia within 2 weeks prior to enrollment.
  • History of alcohol or drug abuse.
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  • Laboratory abnormalities: alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 2 times the upper limit of the normal range, or creatinine (Cr) > the upper limit of the normal range.
  • Patients who have participated in any other clinical trial within the past 3 months.
  • Patients whom the investigator considers unsuitable for participation in this clinical trial.

Trial locations and contacts

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

Chunyan Zhang, M.D. contact

021-58670561 ext. 6659

zhcy205@163.com

China1 site
  • Shanghai Seventh People's Hospital

    Shanghai, Pudong New Area

    Yunduan Song, Ph.D, 021-58670561 ext. 6730, qiyuankyc@163.com

Other trials in China

About this study

Official title: A Randomized, Double-Blind, Dual-Control (Internal and External) Clinical Study of Ning Shen Dan Xiang Gao Fang in the Treatment of Insomnia (Heart-Kidney Disharmony Type)

The goal of this clinical trial is to learn if Ning Shen Dan Xiang paste combined with Ejiao (donkey-hide gelatin) works better than Ning Shen Dan Xiang paste combined with agar (placebo substitute) to treat chronic insomnia of the heart-kidney disharmony type in adults. It will also assess safety. The main question is:

  • Does Ning Shen Dan Xiang + Ejiao improve sleep quality more than the placebo version, as shown by the change in Pittsburgh Sleep Quality Index (PSQI) score after 8 weeks?
Read more

Researchers will compare the two pastes (identical in appearance and taste except for Ejiao) and use published literature data as an additional external control.

Participants will:

Take 20 g of the assigned paste twice daily (morning and evening) for 8 weeks. Attend clinic visits at baseline, week 4, week 8, and 1 week after stopping (week 9 follow-up).

Complete PSQI and ISI questionnaires, keep a daily electronic sleep diary, provide blood/stool samples, and undergo safety monitoring (blood/urine tests, ECG, vital signs, and side effect checks).

Read the detailed description

This is a randomized, double-blind, parallel-group clinical trial with internal and external controls to evaluate the efficacy and safety of Ningshen Danxiang Gelatin Formula (Ningshen Danxiang combined with donkey-hide gelatin) compared to Ningshen Danxiang Agar Formula (Ningshen Danxiang combined with agar placebo) in treating insomnia of the heart-kidney disharmony type according to Traditional Chinese Medicine (TCM). The study aims to assess changes in Pittsburgh Sleep Quality Index (PSQI) scores from baseline after 8 weeks of treatment. Sixty adult participants (>18 years) with chronic insomnia, PSQI >7, and meeting TCM criteria for heart-kidney disharmony will be randomized 1:1 to receive either the experimental formula (20g twice daily) or control (20g twice daily) for 8 weeks. External controls will be synthesized from literature data on placebo and standard treatments for insomnia. Key secondary outcomes include Insomnia Severity Index (ISI), TCM syndrome scores, sleep logs via electronic patient-reported outcomes (ePRO)and rebound rates. Safety will be monitored through adverse events, laboratory tests, and vital signs.

Conditions
Insomnia
Being tested
Ningshen Danxiang Donkey-hide Gelatin Medicated Paste, Ningshen Danxiang Agar Medicated Paste (agar as excipient)
Medical subject headings
Sleep Initiation and Maintenance Disorders

What participants receive

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

  • Ningshen Danxiang Donkey-hide Gelatin Medicated PasteDrug

    Take 1 bag each time (each bag contains 20 g of crude herbal drug). Dissolve in warm boiled water and take orally, once in the morning and once in the evening. It is optimal to take on an empty stomach. Continue for 8 consecutive weeks. If gastrointestinal discomfort occurs when taken on an empty stomach, it may also be taken after meals.

  • Ningshen Danxiang Agar Medicated Paste (agar as excipient)Drug

    Take 1 bag each time (each bag contains 20 g of crude herbal drug). Dissolve in warm boiled water and take orally, once in the morning and once in the evening. It is optimal to take on an empty stomach. Continue for 8 consecutive weeks. If gastrointestinal discomfort occurs when taken on an empty stomach, it may also be taken after meals.

Study groups in NCT07504536
Study groupRoleWhat they receive
Ningshen Danxiang Donkey-hide Gelatin Medicated PasteExperimentalFormula Composition: Mori Fructus (Sang Shen / Mulberry fruit) 300 g Ligustri Lucidi Fructus (Nü Zhen Zi / Glossy privet fruit) 300 g Polygoni Multiflori Caulis (Shou Wu Teng / Fleeceflower stem) 300 g Sedum aizoon Herba (Jing Tian San Qi / Aizoon stonecrop) 300 g Salviae Miltiorrhizae Radix et Rhizoma (Dan Shen / Red sage root) 300 g Citri Medica Fructus (Xiang Yuan / Fragrant citron fruit) 100 g Cyperi Rhizoma (Xiang Fu / Nutgrass rhizome) 100 g Asini Corii Colla (E Jiao / Donkey-hide gelatin) 500 g
Receives: Drug: Ningshen Danxiang Donkey-hide Gelatin Medicated Paste
Ningshen Danxiang Agar Medicated Paste (agar as excipient)Placebo comparatorFormula Composition: Mori Fructus (Sang Shen / Mulberry fruit) 300 g Ligustri Lucidi Fructus (Nü Zhen Zi / Glossy privet fruit) 300 g Polygoni Multiflori Caulis (Shou Wu Teng / Fleeceflower stem) 300 g Sedum aizoon Herba (Jing Tian San Qi / Aizoon stonecrop) 300 g Salviae Miltiorrhizae Radix et Rhizoma (Dan Shen / Red sage root) 300 g Citri Medica Fructus (Xiang Yuan / Fragrant citron fruit) 100 g Cyperi Rhizoma (Xiang Fu / Nutgrass rhizome) 100 g Agar 500 g
Receives: Drug: Ningshen Danxiang Agar Medicated Paste (agar as excipient)

What is being measured

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

  1. Pittsburgh Sleep Quality Index (PSQI)

    Use the PSQI scale to assess the subjects' sleep quality . The PSQI consists of 7 dimensions: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. Each dimension is scored from 0 to 3 points, with higher scores indicating greater severity of sleep disturbance.

    The total PSQI score ranges from 0 to 21. A PSQI score >7 indicates poor sleep quality, while a PSQI score ≤7 indicates good sleep quality.

    Measured: Baseline, Week 4, Week 8, Follow-up (Week 9)

Secondary outcomes (7)
  1. Insomnia Severity Index (ISI)

    Use the ISI scale to assess the severity of insomnia in the subjects. This scale consists of 7 questions, each scored from 0 to 4 points (5 grading levels in total). No clinically significant insomnia (i.e., cured): 0 ≤ ISI ≤ 7; mild insomnia: 8 ≤ ISI ≤ 14; moderate insomnia: 15 ≤ ISI ≤ 21; severe insomnia: 22 ≤ ISI ≤ 28.

    Measured: Baseline, Week 4, Week 8

  2. Change in Daily Total Sleep Time(TST)

    Assessed via an Electronic Patient-Reported Outcome (ePRO) daily sleep diary. This measure reports the change in the patient's daily total sleep time.

    Unit of Measure: Minutes ( or Hours)

    Measured: Baseline, Week 4, Week 8

  3. Change in Sleep Onset Latency (SOL)

    SOL is defined as the time interval from the point the patient attempts to fall asleep until the onset of sleep. Data is recorded daily by patients via an electronic Patient-Reported Outcome (ePRO) sleep diary. Unit of Measure: Minutes

    Measured: Baseline, Week 4, Week 8

  4. Change in Wake After Sleep Onset (WASO)

    Assessed via an electronic Patient-Reported Outcome(ePRO) daily sleep diary. WASO refers to the total amount of time the patient spent awake after initially falling asleep and before fully waking up for the day.Unit of Measure: Minutes

    Measured: Baseline, Week 4, Week 8

  5. Change in Number of Awakenings

    Assessed via an Assessed via an electronic Patient-Reported Outcome(ePRO) daily sleep diary. This measure records the total frequency of nighttime awakenings experienced by the patient after initial sleep onset.

    Unit of Measure: Count (or Number of awakenings)

    Measured: Baseline, Week 4, Week 8

  6. Traditional Chinese Medicine(TCM) Syndrome Score - Efficacy Evaluation

    The TCM symptom grading and quantification criteria include three main symptoms-difficulty falling asleep, vexation and insomnia, and excessive dreaming-which are scored on a 0, 2, 4, or 6 scale according to severity and frequency; the nine secondary symptoms-palpitations, tinnitus, soreness and weakness of the waist and knees, tidal fever with night sweats, vexing heat in the five centers, dry throat, dry mouth, seminal emission in men, and irregular menstruation in women-are scored on a 0-3 scale according to severity and frequency. Tongue and pulse: red tongue tip with scant coating and a thready rapid pulse.The Nimodipine method is used to assess the therapeutic efficacy of TCM syndromes. The syndrome score calculation formula is:

    ((pre-treatment score - post-treatment score)/pre-treatment score)*100% Effective: All symptoms and signs show improvement; syndrome score reduction ≥50%; Ineffective: Symptoms and signs show no obvious improvement; syndrome score reduction <50%.

    Measured: Baseline, Week 4, Week 8, Follow-up (Week 9)

  7. Rebound Insomnia Rate

    Rebound insomnia is defined as Pittsburgh Sleep Quality Index (PSQI) total score > baseline score at 1 week following drug discontinuation

    Measured: 1 week after treatment discontinuation

Timeline

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

  1. First posted1 Apr 2026
  2. Study start15 Mar 2026 (estimated)
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion31 Dec 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07504536
Sponsor's protocol ID
QY-NSDXGF-001
Status last verified
Mar 2026
First submitted
12 Mar 2026
Last updated
1 Apr 2026
Results posted
No
Data monitoring committee
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 2 study testing Ningshen Danxiang Donkey-hide Gelatin Medicated Paste and Ningshen Danxiang Agar Medicated Paste (agar as excipient) in people with Insomnia, run by Shanghai 7th People's Hospital 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: opening soon, as of the sponsor's last update on 1 Apr 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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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 Chunyan Zhang, M.D. (021-58670561 ext. 6659, zhcy205@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pittsburgh Sleep Quality Index (PSQI) (time frame: Baseline, Week 4, Week 8, Follow-up (Week 9)). 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 1 Apr 2026.

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