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甘通颗粒治疗风热证普通感冒的疗效与安全性:一项随机对照试验的研究方案

Efficacy and safety of Gantong Granules in the treatment of common cold with wind-heat syndrome: study protocol for a randomized controlled trial.

作者信息

Min Jie, Li Xiao-qiang, She Bin, Chen Yan, Mao Bing

机构信息

Department of Integrated Traditional and Western Medicine, West China Hospital of Sichuan University, 37 Guoxue Lane, Chengdu, 610041, Sichuan Province, People's Republic of China.

Anesthesia Department, West China Hospital of Sichuan University, 37 Guoxue Lane, Chengdu, 610041, Sichuan Province, People's Republic of China.

出版信息

Trials. 2015 May 19;16:219. doi: 10.1186/s13063-015-0735-9.

Abstract

BACKGROUND

Although the common cold is generally mild and self-limiting, it is a leading cause of consultations with doctors and missed days from school and work. In light of its favorable effects of relieving symptoms and minimal side-effects, Traditional Chinese Medicine (TCM) has been widely used to treat the common cold. However, there is a lack of robust evidence to support the clinical utility of such a treatment. This study is designed to evaluate the efficacy and safety of Gantong Granules compared with placebo in patients with the common cold with wind-heat syndrome (CCWHS).

METHODS/DESIGN: This is a multicenter, phase IIb, double-blind, placebo-controlled and randomized clinical trial. A total of 240 patients will be recruited, from 5 centers across China and randomly assigned to the high-dose group, medium-dose group, low-dose group or placebo control group in a 1:1:1:1 ratio. All subjects will receive the treatment for 3 to 5 days, followed by a 7-day follow-up period. The primary outcome is the duration of all symptoms. Secondary outcomes include the duration of primary symptoms and each symptom, time to fever relief and time to fever clearance, change in TCM symptom score, and change in Symptom and Sign Score.

DISCUSSION

This trial will provide high-quality evidence on the efficacy and safety of Gantong Granules in treating CCWHS, and help to optimize the dose selection for a phase III clinical trial.

TRIAL REGISTRATION

The registration number is ChiCTR-TRC-14004255 , which was assigned by the Chinese Clinical Trial Registry on 12 February 2014.

摘要

背景

尽管普通感冒通常症状较轻且具有自限性,但它却是人们就医以及导致缺课和旷工的主要原因。鉴于中药在缓解症状方面具有良好效果且副作用极小,其已被广泛用于治疗普通感冒。然而,目前缺乏有力证据支持这种疗法的临床实用性。本研究旨在评估感冒清热颗粒对比安慰剂治疗风热证普通感冒(CCWHS)患者的疗效和安全性。

方法/设计:这是一项多中心、IIb期、双盲、安慰剂对照的随机临床试验。总共将从中国5个中心招募240名患者,并按照1:1:1:1的比例随机分配至高剂量组、中剂量组、低剂量组或安慰剂对照组。所有受试者将接受3至5天的治疗,随后进行7天的随访期。主要结局指标为所有症状的持续时间。次要结局指标包括主要症状及各症状的持续时间、退热时间和体温恢复正常时间、中医症状评分的变化以及症状体征评分的变化。

讨论

本试验将为感冒清热颗粒治疗CCWHS的疗效和安全性提供高质量证据,并有助于优化III期临床试验的剂量选择。

试验注册

注册号为ChiCTR-TRC-14004255,由中国临床试验注册中心于2014年2月12日分配。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ba/4488979/442734bbec9b/13063_2015_735_Fig1_HTML.jpg

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