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HIV-1 InfectionQLYQ-INR-pRCTNCT07698574

Qiling Yiqi Tablets Plus Antiretroviral Therapy for HIV Immune Non-responders With Lung-Spleen Qi Deficiency

A study testing Qiling Yiqi Tablets plus ART and Antiretroviral Therapy (ART) in people with HIV-1 Infection and Acquired Immunodeficiency Syndrome, run by Beijing University of Chinese Medicine 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

This pragmatic randomized controlled trial evaluates whether Qiling Yiqi Tablets combined with antiretroviral therapy (ART) improves immune reconstitution in people with HIV who meet criteria for immune reconstitution failure and lung-spleen qi deficiency syndrome. Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
Qiling Yiqi Tablets plus ART and Antiretroviral Therapy (ART)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
240 participants
Where
1 siteChina
Study dates
Aug 2026to Feb 2029
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 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Inclusion Criteria:Aged 18 to 60 years, male or female. CD4+ T lymphocyte count <350 cells/uL. Meets diagnostic criteria for HIV-1 infection according to the Chinese Guidelines for Diagnosis and Treatment of HIV/AIDS (2024 edition).

Meets diagnostic criteria for incomplete immune reconstitution: ART for more than 4 years; peripheral blood viral load below the lower limit of detection (<50 copies/mL) for more than 3 years; persistent CD4+ T-cell count <350 cells/uL; and exclusion of other causes of long-term low CD4+ T-cell count.

Meets the Traditional Chinese Medicine diagnostic criteria for lung-spleen qi deficiency syndrome, supported by the designated four-diagnostic instrument (model SZY-ZM-1) where applicable.

Voluntarily agrees to participate and signs informed consent. -

Exclusion Criteria:Uncontrolled acute or chronic physical or mental illness. Poor adherence to ART. WBC <2 x 10^9/L, neutrophils <1.0 x 10^9/L, hemoglobin <90 g/L, platelets <75 x 10^9/L, or abnormal hepatic/renal function. Hepatic abnormality is defined as AST, ALT, or total bilirubin >=2 times the upper limit of normal; renal abnormality is defined as creatinine clearance below the normal value.

Other serious comorbid disease, such as tumor, cirrhosis, or cardiovascular/cerebrovascular disease.

Pregnancy, lactation, or recent plan for pregnancy/childbearing. Use of immunosuppressants or immunomodulators within 6 months before screening. Any other condition judged by the investigator to make the participant unsuitable for the study.

-

Trial locations and contacts

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

China1 site
  • Beijing University of Traditional Chinese Medicine

    Beijing, Beijing Municipality, 100029

    Mei Han, phD, +86 13401131731, hanmeizoujin@163.com

Other trials in China

About this study

Official title: A Pragmatic Randomized Controlled Trial of Qiling Yiqi Tablets Combined With Antiretroviral Therapy for Immune Reconstitution Failure in People With HIV and Lung-Spleen Qi Deficiency Syndrome

This pragmatic randomized controlled trial evaluates whether Qiling Yiqi Tablets combined with antiretroviral therapy (ART) improves immune reconstitution in people with HIV who meet criteria for immune reconstitution failure and lung-spleen qi deficiency syndrome. Eligible participants are adults aged 18 to 60 years with HIV-1 infection, long-term viral suppression on ART, and persistently low CD4+ T-cell counts. A total of 240 participants will be randomized 1:1 to receive Qiling Yiqi Tablets plus ART or ART alone. Treatment lasts 48 weeks, followed by 48 weeks of follow-up. The primary outcomes are absolute CD4+ T-cell count and immune reconstitution response rate. Secondary outcomes include immune homeostasis markers, T-cell activation and Treg proportion, thymic output and inflammation-related markers, HIV RNA viral load, quality of life, clinical symptom scores, all-cause mortality, and safety.

Read the detailed description

This is a prospective, multicenter, pragmatic, randomized, controlled clinical trial. Participants will be recruited from three HIV treatment-designated hospitals in high-prevalence regions in China. Eligible participants will be randomized by center-stratified block randomization at a 1:1 ratio to the experimental arm or control arm. Randomization codes will be generated using SAS by personnel independent from the clinical trial. The ART regimen is not restricted and follows applicable domestic and international ART guidelines. Clinical data will be collected using a unified CRF/eCRF and managed through an EDC platform with de-identified study codes and access controls.

Being tested
Qiling Yiqi Tablets plus ART, Antiretroviral Therapy (ART)
Keywords
HIV, AIDS, immune non-responder, incomplete immune reconstitution, ART, CD4+ T cell, Traditional Chinese Medicine, Qiling Yiqi Tablets, pragmatic randomized controlled trial, pRCT
Medical subject headings
Acquired Immunodeficiency Syndrome

What participants receive

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

  • Qiling Yiqi Tablets plus ARTDrug

    Qiling Yiqi Tablets: Qiling Yiqi Tablets are a marketed Chinese patent medicine (NMPA approval No. Z20050483; Sichuan Enwei Pharmaceutical Co., Ltd.). The formula includes Astragalus, Codonopsis, Atractylodes macrocephala, Poria, and related components. Dose: 6 tablets orally three times daily after meals with warm water for 48 weeks.Participants receive Qiling Yiqi Tablets orally in addition to their background ART regimen for 48 weeks.

  • Antiretroviral Therapy (ART)Drug

    Background ART regimen according to applicable domestic and international ART guidelines.

Study groups in NCT07698574
Study groupRoleWhat they receive
Qiling Yiqi Tablets plus ARTExperimentalParticipants receive Qiling Yiqi Tablets orally in addition to their background ART regimen for 48 weeks.
Receives: Drug: Qiling Yiqi Tablets plus ART
ART aloneActive comparatorParticipants continue ART according to applicable domestic and international ART guidelines
Receives: Drug: Antiretroviral Therapy (ART)

What is being measured

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

  1. Absolute CD4+ T-cell count

    Change in absolute CD4+ T-cell count, assessed by comparison between the two randomized groups.

    Measured: Week 48

  2. Immune reconstitution response rate

    Response is defined as CD4+ T-cell count >350 cells/uL or a >=30% increase from baseline; non-response is defined as a <30% increase from baseline.

    Measured: Week 48

Secondary outcomes (45)
  1. Absolute CD4+ T-cell count

    Change in absolute CD4+ T-cell count, assessed by comparison between the two randomized groups.

    Measured: Week 96.

  2. Immune reconstitution response rate

    Response is defined as CD4+ T-cell count >350 cells/uL or a >=30% increase from baseline; non-response is defined as a <30% increase from baseline.

    Measured: Week 96.

  3. CD4+ T-cell proportion

    Change in CD4+ T-cell proportion, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  4. CD4+/CD8+ ratio

    Change in CD4+/CD8+ ratio, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  5. CD8+ T-cell proportion

    Change in CD8+ T-cell proportion, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  6. CD45RA+ T-cell proportion

    Change in CD45RA+ T-cell proportion, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  7. CD45RO+ T-cell proportion

    Change in CD45RO+ T-cell proportion, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  8. CD4+CD28+ T-cell proportion

    Change in CD4+CD28+ T-cell proportion, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  9. CD8+CD38+ T-cell proportion

    Change in CD8+CD38+ T-cell proportion, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  10. CD4+CD38+ T-cell proportion

    Change in CD4+CD38+ T-cell proportion, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  11. CD38+/HLA-DR+ T-cell activation marker

    Change in CD38+/HLA-DR+ T-cell activation marker, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  12. Treg proportion

    Change in regulatory T-cell proportion, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  13. TRECs level

    Change in T-cell receptor excision circles level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  14. CD3+ T-cell level

    Change in CD3+ T-cell level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  15. CD31+ T-cell level

    Change in CD31+ T-cell level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  16. IL-2 level

    Change in interleukin-2 level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  17. IL-4 level

    Change in interleukin-4 level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  18. IL-6 level

    Change in interleukin-6 level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  19. IL-10 level

    Change in interleukin-10 level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  20. IL-17A level

    Change in interleukin-17A level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  21. TNF-alpha level

    Change in tumor necrosis factor-alpha level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  22. IFN-gamma level

    Change in interferon-gamma level, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  23. HIV RNA viral load

    Change in HIV RNA viral load, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 48 and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  24. Quality of life score

    Change in quality of life score assessed using the WHOQOL-HIV-BREF questionnaire, compared between the two randomized groups.

    Measured: Baseline; Weeks 48, 60, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  25. TCM syndrome response rate

    Response is defined as a >=30% decrease in TCM syndrome score from baseline; non-response is defined as a <30% decrease from baseline.

    Measured: Baseline; Weeks 12, 24, 36, 48, 60, 78, and 96 were observed. The treatment-period and follow-up assessments were Weeks 48 and 96.

  26. All-cause mortality rate

    Death from any cause during the study period, assessed by comparison between the two randomized groups.

    Measured: From randomization through Week 96.

  27. Red blood cell count

    Change in red blood cell count as a blood routine safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  28. White blood cell count

    Change in white blood cell count as a blood routine safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  29. Hemoglobin level

    Change in hemoglobin level as a blood routine safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  30. Platelet count

    Change in platelet count as a blood routine safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  31. Absolute neutrophil count

    Change in absolute neutrophil count as a blood routine safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  32. Absolute lymphocyte count

    Change in absolute lymphocyte count as a blood routine safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  33. Aspartate aminotransferase level

    Change in aspartate aminotransferase level as a liver function safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  34. Alanine aminotransferase level

    Change in alanine aminotransferase level as a liver function safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  35. Gamma-glutamyl transferase level

    Change in gamma-glutamyl transferase level as a liver function safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  36. Blood urea nitrogen level

    Change in blood urea nitrogen level as a renal function safety laboratory indicator, assessed by comparison between the two randomized groups

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  37. Serum creatinine level

    Change in serum creatinine level as a renal function safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  38. Urinary red blood cell result

    Change in urinary red blood cell result as a urinalysis safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  39. Urinary protein result

    Change in urinary protein result as a urinalysis safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  40. Urinary white blood cell result

    Change in urinary white blood cell result as a urinalysis safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  41. Urinary glucose result

    Change in urinary glucose result as a urinalysis safety laboratory indicator, assessed by comparison between the two randomized groups.

    Measured: Baseline; Weeks 12, 24, and 48 were observed. The safety laboratory assessments were Weeks 12, 24, and 48.

  42. Incidence of adverse events

    Incidence of adverse events during the 48-week treatment period and the post-treatment follow-up period, assessed by comparison between the two randomized groups.

    Measured: Adverse events were monitored from randomization through Week 96.

  43. Incidence of serious adverse events

    Incidence of serious adverse events during the 48-week treatment period and the post-treatment follow-up period, assessed by comparison between the two randomized groups.

    Measured: Serious adverse events were monitored from randomization through Week 96.

  44. Treatment interruption rate

    Proportion of participants with interruption of the assigned study treatment during the 48-week treatment period, assessed by comparison between the two randomized groups.

    Measured: Treatment interruption was monitored from randomization through Week 48.

  45. Concomitant medication use

    Use of concomitant medications during the study period, including medication name, reason for use, dosage form, dose, route, frequency, start date, and end date.

    Measured: Concomitant medication use was recorded from randomization through Week 96.

Timeline

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

  1. First posted13 Jul 2026
  2. Study startAug 2026 (estimated)
  3. Primary completionFeb 2028 (estimated)
  4. Study completionFeb 2029 (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
Model description
Parallel Assignment
Masking
None (open label)
Enrolment
240 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07698574
Sponsor's protocol ID
CTCM-HIV-INR-QLYQ-2026
Acronym
QLYQ-INR-pRCT
Status last verified
Jun 2026
First submitted
7 Jul 2026
Last updated
13 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The study involves HIV-related clinical data. The clinical data will be de-identified, stored in an EDC system, and exported only after written approval by the principal investigator.

Publications

  • 中华中医药学会防治艾滋病分会, 刘颖, 梁碧颜. 艾滋病中医诊疗专家共识[J]. 中国艾滋病性病, 2025, 31(9): 1029-1034. DOI: 10.13419/j.cnki.aids.2025.09.18.

  • 中华医学会感染病学分会艾滋病丙型肝炎学组. 艾滋病免疫功能重建不全者临床诊疗专家共识(2023版)[J]. 中华传染病杂志, 2024, 42(1): 3-13. DOI: 10.3760/cma.j.cn311365-20230927-00098.

  • 中华医学会感染病学分会艾滋病学组, 中国疾病预防控制中心. 中国艾滋病诊疗指南(2024版)[J]. 协和医学杂志, 2024, 15(6): 1261-1288. DOI: 10.12290/xhyxzz.2024-0766.

Questions about this trial

What is this clinical trial studying?

A study testing Qiling Yiqi Tablets plus ART and Antiretroviral Therapy (ART) in people with HIV-1 Infection and Acquired Immunodeficiency Syndrome, run by Beijing University of 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?

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 13 Jul 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. 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 Mei Han, phD (+86 13401131731, hanmeizoujin@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Absolute CD4+ T-cell count (time frame: Week 48). 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?

On the ClinicalTrials.gov record for NCT07698574, which also lists 3 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 13 Jul 2026.

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