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龙牧汤颗粒治疗特应性皮炎的疗效和安全性:一项单中心、双盲、随机、安慰剂对照试验的研究方案。

The efficacy and safety of Longmu Tang granule for the treatment of atopic dermatitis: study protocol for a single-centred, double-blinded, randomised, placebo-controlled trial.

机构信息

Department of Dermatology, Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing, 100091, China.

出版信息

Trials. 2022 May 9;23(1):379. doi: 10.1186/s13063-022-06313-w.

Abstract

BACKGROUND

Atopic dermatitis (AD) is a chronic relapsing skin disease that has long-term physical and mental health impacts on children with this condition. Current treatments mainly include anti-inflammatory, antibacterial, and anti-allergic interventions, systemic therapy, and recently emerging target-focused agents. However, these treatments have limited effectiveness and unwanted side effects. The use of traditional Chinese medicine (TCM) in the treatment of AD has a long history, with promising efficacies, low toxicity, and improvements in the quality of life of patients with AD. Longmu Tang granule, a TCM, has been used to effectively treat AD since 2008 through doctors' prescriptions. To scientifically evaluate the clinical efficacy and safety of Longmu Tang granule, we proposed to launch a single-centred, double-blinded, randomised, placebo-controlled trial.

METHODS

In this single-centred, double-blinded, randomised, placebo-controlled clinical trial conducted at Xiyuan Hospital of China Academy of Chinese Medical Sciences, a total of 60 participants will be randomly assigned (1:1) to receive the Longmu Tang granule or placebo granule for 8 weeks. The primary outcome will be evaluated using the index of Scoring Atopic Dermatitis. The secondary outcomes will be evaluated using the Children's Dermatology Life Quality Index and the number cancellation test. The mechanistic evidence will be the serum levels of inflammatory cytokines, including immunoglobulin E, tumour necrosis factor-α, interleukin-1, and interleukin-6.

DISCUSSION

The results of this trial will provide evidence of the efficacy and safety of the Longmu Tang granule and prove its anti-inflammatory action in patients with AD.

TRIAL REGISTRATION

Chinese Clinical Trial Registry Chictr.org ID: ChiCTR2100041591 . Registered on 1 January 2021.

摘要

背景

特应性皮炎(AD)是一种慢性复发性皮肤病,长期以来对患有该病的儿童的身心健康造成影响。目前的治疗方法主要包括抗炎、抗菌和抗过敏干预、系统治疗以及最近出现的靶向药物。然而,这些治疗方法的效果有限,且存在不良反应。中药(TCM)在 AD 的治疗中已有悠久的历史,疗效确切,毒性低,可提高 AD 患者的生活质量。龙牧汤颗粒作为一种 TCM,自 2008 年以来通过医生处方被用于有效治疗 AD。为了科学评估龙牧汤颗粒的临床疗效和安全性,我们拟开展一项单中心、双盲、随机、安慰剂对照试验。

方法

在中国中医科学院西苑医院开展的这项单中心、双盲、随机、安慰剂对照临床试验中,将有 60 名参与者被随机分配(1:1)接受龙牧汤颗粒或安慰剂颗粒治疗,疗程为 8 周。主要结局指标将采用特应性皮炎评分指数进行评估。次要结局指标将采用儿童皮肤病生活质量指数和数字消去测试进行评估。机制证据将是炎症细胞因子(包括免疫球蛋白 E、肿瘤坏死因子-α、白细胞介素-1 和白细胞介素-6)的血清水平。

讨论

该试验的结果将为龙牧汤颗粒的疗效和安全性提供证据,并证明其在 AD 患者中的抗炎作用。

试验注册

中国临床试验注册中心 ChiCTR2100041591. 注册于 2021 年 1 月 1 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fac/9082842/3d7777bb5c60/13063_2022_6313_Fig1_HTML.jpg

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