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津气降糖片治疗糖尿病前期随机、双盲、安慰剂对照临床试验

JinqiJiangtang tablets for pre-diabetes: A randomized, double-blind and placebo-controlled clinical trial.

机构信息

Evidence-based Medicine Center, Institute of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine, 312 Anshan Western Road, Nankai District, Tianjin, 300193, China.

Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China.

出版信息

Sci Rep. 2017 Sep 11;7(1):11190. doi: 10.1038/s41598-017-11583-5.

Abstract

This study observed the efficacy and safety of JinqiJiangtang tablets (JQJT tablets, a traditional Chinese patent medicine) for pre-diabetes. Four hundred patients with pre-diabetes at five centres were treated for 12months and followed for an additional 12months to investigate the preventative effects of JQJT tablets (Registration ID: ChiCTR-PRC-09000401). The incidence rate of diabetes mellitus was the primary endpoint. The risk of converting from pre-diabetes to diabetes was 0.58-fold less in the JQJT tablets group than in the placebo group [HR (95% CI): 0.58 (0.384, 0.876), P = 0.010]. Furthermore, the probability of achieving normalized blood glucose was 1.41-fold greater in the JQJT tablets group than in the placebo group [HR (95% CI): 1.41 (1.002, 1.996), P = 0.0049]. ITT analysis revealed that the incidence of diabetes upon treatment completion was 16.5% in the JQJT tablets group compared with 28.9% in the control group. The percentage of patients with normalized blood glucose upon 12-month intervention was 41.8% in the JQJT tablets group compared with 27.8% in the control group. JQJT tablets could be an effective intervention for preventative treatment of Type 2 diabetes mellitus.

摘要

本研究观察了金芪降糖片(一种中药专利药)治疗糖尿病前期的疗效和安全性。五家中心共纳入 400 例糖尿病前期患者,治疗 12 个月并随访 12 个月,以研究金芪降糖片的预防作用(注册号:ChiCTR-PRC-09000401)。糖尿病的发病率为主要终点。与安慰剂组相比,金芪降糖片组糖尿病前期向糖尿病的转化率降低了 0.58 倍[HR(95%CI):0.58(0.384,0.876),P=0.010]。此外,金芪降糖片组血糖正常化的概率比安慰剂组高 1.41 倍[HR(95%CI):1.41(1.002,1.996),P=0.0049]。意向性分析显示,治疗完成时金芪降糖片组的糖尿病发病率为 16.5%,对照组为 28.9%。金芪降糖片组干预 12 个月后血糖正常化的患者比例为 41.8%,对照组为 27.8%。金芪降糖片可能是预防 2 型糖尿病的有效干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e119/5593818/70b870064a9c/41598_2017_11583_Fig1_HTML.jpg

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