Kim Yun Hee, Kim Jun Young, Jung So Young, Kwon O-Jin, Lee Jun-Hwan, Son Chang-Gue
Korean Medicine Convergence Research Division, Korea Institute of Oriental Medicine (KIOM), Daejeon, 34054, South Korea.
Liver and Immunology Research Center, Daejeon Oriental Hospital of Daejeon University, 176-9 Daeheung-ro, Jung-gu, Daejeon, 34929, South Korea.
Trials. 2017 Nov 9;18(1):525. doi: 10.1186/s13063-017-2282-z.
Functional dyspepsia (FD) refers to the presence of one or more gastrointestinal symptoms including postprandial fullness, epigastric pain, burning, and early satiety without an organic explanation for chronic symptoms. FD causes considerable discomfort in patients and affects their everyday activity and productivity. Because most conventional treatments have limited efficacy, numerous patients seek alternatives such as herbal medicines. In this proposed study, we will conduct a clinical trial of an herbal drug, Banha-sasim-tang (BST). Furthermore, participants will be limited to those classified as having an excess pattern by using an instrument of pattern identification for FD to determine the efficacy of BST in a specific subset of patients.
This randomized, blinded, parallel-group clinical trial of BST versus placebo will consist of 4 weeks of oral administration of BST or placebo and a 4-week follow-up period. The Korean version of the symptom-based questionnaire of the Nepean Dyspepsia Index (NDI-K) will be used as the primary outcome measure. Secondary outcome measures will include the quality-of-life (QoL) evaluation from the NDI-K, the FD-related QoL (FD-QoL) scale, assessment of gastric myoelectrical dysrhythmias (GMA), and a Visual Analog Scale (VAS) analysis.
The results of this trial are expected to provide relevant evidence demonstrating that BST can be used as an effective treatment in a specific subset of FD subjects.
KCT 0002013 . Registered at Clinical Research Information Service in the Republic of Korea on 18 August 2016.
功能性消化不良(FD)是指存在一种或多种胃肠道症状,包括餐后饱胀、上腹痛、烧灼感和早饱感,且慢性症状无器质性解释。FD给患者带来相当大的不适,影响他们的日常活动和工作效率。由于大多数传统治疗方法疗效有限,许多患者寻求替代疗法,如草药。在本拟进行的研究中,我们将对一种草药方剂半夏泻心汤(BST)进行临床试验。此外,通过使用FD的辨证工具,将参与者限定为辨证为实证的患者,以确定BST对特定患者亚组的疗效。
这项BST与安慰剂对比的随机、双盲、平行组临床试验将包括4周口服BST或安慰剂以及4周的随访期。以症状为基础的韩国版内皮恩消化不良指数问卷(NDI-K)将作为主要结局指标。次要结局指标将包括NDI-K中的生活质量(QoL)评估、FD相关生活质量(FD-QoL)量表、胃肌电节律紊乱(GMA)评估以及视觉模拟量表(VAS)分析。
预计该试验结果将提供相关证据,证明BST可作为FD特定患者亚组的有效治疗方法。
KCT 0002013。于2016年8月18日在大韩民国临床研究信息服务中心注册。