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Primary OsteoporosisNCT05370898

The Study of Chinese Medicine for the Treatment of Primary Osteoporosis

A study testing Caltrate D and Chinese medicine prescription in people with Primary Osteoporosis, run by Wangjing Hospital, China Academy of Chinese Medical Sciences at 1 site in China.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

The purpose of this study is to evaluate the efficacy and possible mechanism of traditional Chinese medicine in the treatment of primary osteoporosis (Kidney Yang Deficiency Syndrome).It is a randomized, placebo-controlled trial. Read more about this study

Who is it for?
Ages 45 to 80 years
Conditions the study is for
Primary Osteoporosis
What is being tested?
Caltrate D and Chinese medicine prescription
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
1 siteChina
Study dates
1 Jul 2022to 1 May 2023
Phase
Interventional
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 45 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • It meets the diagnostic criteria of Western medicine for primary osteoporosis. the diagnostic criteria of osteoporosis based on the bone mineral density of central axis (lumbar spine 1-4, femoral neck or total hip) or 1/3 bone mineral density of distal radius measured by DXA is t-value ≤ - 2.5;
  • It meets the syndrome differentiation standard of primary osteoporosis with Kidney Yang Deficiency Syndrome;
  • Female menopause > 2 years and 45 years ≤ age < 80 years, or 50 years ≤ male < 80 years;
  • Visual Analogue Score (VAS) was used to evaluate pain ≥ 4 points;
  • Voluntarily participate in this clinical study and sign the informed consent form.

Who cannot join

  • Osteoporotic fracture has occurred, or t-value > - 2.5;
  • Female premenopausal or menopausal years ≤ 2 years, female age < 45 years or ≥ 80 years, male age < 50 years or ≥ 80 years;
  • VAS pain score < 4;
  • Lumbar fusion or severe degenerative changes hinder the measurement of normal bone mineral density, and there are less than 2 consecutive intact lumbar vertebrae for DXA measurement and evaluation;
  • Patients with malignant tumor, cardiovascular, cerebrovascular, liver disease, kidney disease, hematopoietic system and other serious primary diseases;
  • secondary osteoporosis: diabetes, thyroid disease, Cushing syndrome and other metabolic diseases, rheumatoid arthritis, multiple myeloma, gout, absorption syndrome, systemic lupus erythematosus and other systemic diseases.
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  • Use drugs affecting bone metabolism, such as bisphosphonates, glucocorticoids, calcitonin, anticonvulsant drugs, heparin and other drugs within 3 months before signing the informed consent;
  • History of serious mental illness or poor compliance;
  • Allergic constitution, allergy to known components of the drug, allergy to calcium or vitamin D;
  • Those who participated in other clinical trials within 3 months.
  • Rejection Criteria:
  • False diagnosis and false inclusion;
  • Not receiving one treatment;
  • During the study, in addition to the study medication, drugs known or likely to affect bone metabolism were used.
  • Shedding Standard:
  • The subjects withdrew from the test by themselves;
  • Loss of follow-up;
  • The subject received treatment at least once, and there were serious complications or complications and serious adverse events;
  • Although the test was completed, the dosage of the subject was not within the range of 80%-120% of the dosage that should be taken.

Trial locations and contacts

1 site in 1 country.

Xu Wei, Ph.D contact

13488716557

weixu.007@163.com

Ning Liu, Ph.D contact

15650071932

goat0707@163.com

China1 site
  • Wangjing Hospital of China Academy of Chinese Medical Sciences

    Beijing

Other trials in China

About this study

Official title: Clinical Study of Bugu Shengsui Decoction for the Treatment of Primary Osteoporosis (Kidney Yang Deficiency Syndrome)

The purpose of this study is to evaluate the efficacy and possible mechanism of traditional Chinese medicine in the treatment of primary osteoporosis (Kidney Yang Deficiency Syndrome).It is a randomized, placebo-controlled trial.

Read the detailed description

The subjects are selected according to the inclusion criteria and exclusion criteria. Using the network random system, 120 subjects who meet the research criteria are randomly divided into control group and experimental group, with 60 cases in each group. Patients in treatment group take the granule of traditional Chinese medicine prescription, while the control group take simulate granule of the prescription. Both two groups are under symptomatic treatment. Twice a day, in the morning and evening, 30 minutes after meals.The experimental drugs were provided by the pharmacy department of Wangjing hospital, Chinese Academy of traditional Chinese medicine, and the course of treatment was 3 months.The observation time points were before treatment, 2 weeks after treatment, 1 month after treatment and 3 months after treatment. Visual Analogue Score (VAS), Traditional Chinese Medicine(TCM)syndrome score, SF-12 scale and bone metabolism index were used as observation indexes.At the same time, it is planned to determine EphrinB2, EphB4, Runx2 and VEGF in serum by ELISA.

Tele-medicine and information management system is established to help achieve follow-up interviews.Random numbers are generated by SAS 9.4 software. The subjects, caregivers, investigators and outcomes assessors in this study are all blinded.

Being tested
Caltrate D, Chinese medicine prescription, Placebo
Keywords
Traditional Chinese medicine intervention, Completely randomized controlled trial, Double blind method clinical trial, Efficacy evaluation, Mechanism research

What participants receive

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

  • Caltrate DDrug

    Caltrate D is allowed for basic treatment when the patient is diagnosed with primary osteoporosis (Kidney Yang Deficiency Syndrome).Take it continuously for 3 months.

  • Chinese medicine prescriptionDrug

    The Chinese medicine application prescription is composed of Rhizoma Drynariae 12g, psoralen 10g, dog ridge 10g, medlar 10g, raw oyster 10g, ginseng 6g, Panax notoginseng 3g, Amomum villosum 6g.Patients take 200ml each time, twice a day. Treatment duration are 3 months.

  • PlaceboDrug

    The placebo is simulate granule of Chinese medicine application prescription. Patients take 200ml each time, twice a day. Treatment duration are 3 months.

Study groups in NCT05370898
Study groupRoleWhat they receive
Traditional Chinese medicineExperimentalOn the basis of general symptomatic treatment of caltrate D,patients in experimental group use the traditional Chinese medicine application prescription.
Receives: Drug: Caltrate D; Drug: Chinese medicine prescription
Comparator: placeboPlacebo comparatorOn the basis of general symptomatic treatment of caltrate D,patients in placebo group use the simulate granule of traditional Chinese medicine application prescription.
Receives: Drug: Caltrate D; Drug: Placebo

What is being measured

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

  1. Change of VAS pain score of low back

    Draw a straight line with a length of 10 cm on the white paper and mark "painless" and "severe pain" on both ends respectively to form VAS. The patient makes a mark on the straight line according to the degree of pain he feels. The distance from the starting point to the mark is the quantified degree of pain. Painless is represented by 0; 1-3 points represent mild pain; 4-6 points represent moderate pain, which is strong but tolerable; 7-10 points represent severe pain, gradually reaching intolerable level, which is severe pain.

    Measured: Change from baseline VAS score at 2 weeks.

  2. Change of VAS pain score of low back

    Draw a straight line with a length of 10 cm on the white paper and mark "painless" and "severe pain" on both ends respectively to form VAS. The patient makes a mark on the straight line according to the degree of pain he feels. The distance from the starting point to the mark is the quantified degree of pain. Painless is represented by 0; 1-3 points represent mild pain; 4-6 points represent moderate pain, which is strong but tolerable; 7-10 points represent severe pain, gradually reaching intolerable level, which is severe pain.

    Measured: Change from baseline VAS score at 1 month.

  3. Change of VAS pain score of low back

    Draw a straight line with a length of 10 cm on the white paper and mark "painless" and "severe pain" on both ends respectively to form VAS. The patient makes a mark on the straight line according to the degree of pain he feels. The distance from the starting point to the mark is the quantified degree of pain. Painless is represented by 0; 1-3 points represent mild pain; 4-6 points represent moderate pain, which is strong but tolerable; 7-10 points represent severe pain, gradually reaching intolerable level, which is severe pain.

    Measured: Change from baseline VAS score at 3 months.

  4. Change of Traditional Chinese medicine (TCM) syndrome score

    According to the《expert consensus on the prevention and treatment of primary osteoporosis with reference to traditional Chinese medicine (2020)》, the quantitative evaluation table of TCM syndrome differentiation for osteoporosis with Kidney Yang Deficiency syndrome was formulated to evaluate the symptoms. Symptoms include primary and secondary symptoms, the primary symptoms were low back pain and soreness and weakness, the secondary symptoms include restricted movement of the lumbar spine,fear of cold and like to be warm,degree of frequency of urination. The primary symptom score was 0 (absent), 2 (mild), 4 (moderate), or 6 (marked),the secondary symptom score was 0 (absent), 1 (mild), 2 (moderate), or 3 (marked).The obtained scores were summed to calculate the total score.

    Measured: Change from baseline TCM syndrome score at 2 weeks.

  5. Change of Traditional Chinese medicine (TCM) syndrome score

    According to the《expert consensus on the prevention and treatment of primary osteoporosis with reference to traditional Chinese medicine (2020)》, the quantitative evaluation table of TCM syndrome differentiation for osteoporosis with Kidney Yang Deficiency syndrome was formulated to evaluate the symptoms. Symptoms include primary and secondary symptoms, the primary symptoms were low back pain and soreness and weakness, the secondary symptoms include restricted movement of the lumbar spine,fear of cold and like to be warm,degree of frequency of urination. The primary symptom score was 0 (absent), 2 (mild), 4 (moderate), or 6 (marked),the secondary symptom score was 0 (absent), 1 (mild), 2 (moderate), or 3 (marked).The obtained scores were summed to calculate the total score.

    Measured: Change from baseline TCM syndrome score at 1 month.

  6. Change of Traditional Chinese medicine (TCM) syndrome score

    According to the《expert consensus on the prevention and treatment of primary osteoporosis with reference to traditional Chinese medicine (2020)》, the quantitative evaluation table of TCM syndrome differentiation for osteoporosis with Kidney Yang Deficiency syndrome was formulated to evaluate the symptoms. Symptoms include primary and secondary symptoms, the primary symptoms were low back pain and soreness and weakness, the secondary symptoms include restricted movement of the lumbar spine,fear of cold and like to be warm,degree of frequency of urination. The primary symptom score was 0 (absent), 2 (mild), 4 (moderate), or 6 (marked),the secondary symptom score was 0 (absent), 1 (mild), 2 (moderate), or 3 (marked).The obtained scores were summed to calculate the total score.

    Measured: Change from baseline TCM syndrome score at 3 months.

  7. Change of 12-Item Short Form Survey (SF-12) score

    The 12-Item Short Form Survey have 12 items and 8 dimensions, which are overall health, Physical Functioning, Role-Physical, Bodily Pain, Vitality, Social Functioning, Role-Emotional and Mental Health. The first four dimensions belong to the level of Physical Component Summary, and the last four dimensions belong to the level of Mental Component Summary. Each item was scored according to the corresponding options to evaluate the impact of health on an individual's everyday life. The highest score of item 2 and 3 is 3, and the lowest score is 1. The highest score of the other ten items is 5, and the lowest score is 1. The obtained scores were summed to calculate the total score to evaluate the changes of patients' quality of life.The higher the score, the better the quality of life.

    Measured: Change from baseline SF-12 score at 1 month.

  8. Change of 12-Item Short Form Survey (SF-12) score

    The 12-Item Short Form Survey have 12 items and 8 dimensions, which are overall health, Physical Functioning, Role-Physical, Bodily Pain, Vitality, Social Functioning, Role-Emotional and Mental Health. The first four dimensions belong to the level of Physical Component Summary, and the last four dimensions belong to the level of Mental Component Summary. Each item was scored according to the corresponding options to evaluate the impact of health on an individual's everyday life. The highest score of item 2 and 3 is 3, and the lowest score is 1. The highest score of the other ten items is 5, and the lowest score is 1. The obtained scores were summed to calculate the total score to evaluate the changes of patients' quality of life.The higher the score, the better the quality of life.

    Measured: Change from baseline SF-12 score at 3 months.

  9. Changes of serum bone metabolic indexes

    Serum level of Beta-CrossLaps (β-CTX) in ng/mL, N-terminal propeptide of type I procollagen (P1NP) in ng/mL,which are determined by Electrochemiluminescence Method.The normal reference ranges of serum P1NP and β-CTX are 16.3~78.2 ng/mL and 0.114~0.628ng/mL, respectively.In case of abnormal conditions,the higher the β-CTX, the more serious the bone resorption.The lower the P1NP, the less bone formation and the worse the bone condition.

    Measured: Change from baseline bone metabolism index at 3 months.

  10. Changes of serum ALP

    Serum level of Alkaline phosphatase (ALP) in U/L, which is determined by automatic biochemical analysis.The normal value is 40-150 U/L.When it is lower than the normal value, it indicates that bone formation is reduced.

    Measured: Change from baseline ALP at 3 months.

  11. Changes of serum BGP

    Serum level of bone glaprotein (BGP) in μg/L, which is determined by automatic biochemical analysis.The normal value is 4.8~10.2 μg/L.When it is lower than the normal value, it indicates that bone formation is reduced.

    Measured: Change from baseline BGP at 3 months.

  12. Changes of serum 25OHD

    Serum level of 25-hydroxy vitamin D (25OHD) in nmol/ml,which is determined by Electrochemiluminescence Method. Its value ≥ 30 nmol/L is normal,it may appear osteoporosis if below this value.

    Measured: Change from baseline 25OHD at 3 months.

Secondary outcomes (1)
  1. Therapeutic mechanism

    Serum level of EphrinB2, EphB4, Runx2 and VEGF in μg/mL,which is determined by enzyme linked immunosorbent assay(ELISA).The higher the value, the better the bone condition. So as to verify the mechanism of Bugu Shengsui decoction.

    Measured: Change from baseline at 3 months.

Timeline

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

  1. First posted12 May 2022
  2. Study start1 Jul 2022 (estimated)
  3. Primary completion1 Dec 2022 (estimated)
  4. Study completion1 May 2023 (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
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05370898
Sponsor's protocol ID
ZZ13-YQ-039
Status last verified
May 2022
First submitted
13 Apr 2022
Last updated
19 May 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Caltrate D and Chinese medicine prescription in people with Primary Osteoporosis, run by Wangjing Hospital, China Academy of Chinese Medical Sciences 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 19 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 19 May 2022. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Xu Wei, Ph.D (13488716557, weixu.007@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change of VAS pain score of low back (time frame: Change from baseline VAS score at 2 weeks.). The study lists 12 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 19 May 2022.

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