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SIKD1977联合标准治疗方案用于带状疱疹后神经痛的疗效和安全性:一项双盲、安慰剂对照、随机、多中心、2期临床试验的研究方案

Efficacy and Safety of SIKD1977 in Combination with Standard Treatment for Postherpetic Neuralgia: Study Protocol for a Double Blind, Placebo-Controlled, Randomized, Multicenter, Phase 2 Clinical Trial.

作者信息

Jo Hyo-Rim, Kim Yong-Gyun, Sung Won-Suk, Park Kyoung Sun, Lee Yoon Jae, Cho Sun Young, Seo Byung-Kwan, Kwon Young-Ee, Kim Eun-Jung

机构信息

Department of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.

Central Research Institute, Samik Pharmaceutical Company LTD., Incheon, Republic of Korea.

出版信息

J Pain Res. 2023 May 29;16:1755-1765. doi: 10.2147/JPR.S400682. eCollection 2023.

Abstract

PURPOSE

Postherpetic neuralgia (PHN) is the most common chronic complication of herpes zoster, associated with poor quality of life and increased patient and healthcare resource expenditure. This randomized controlled trial aims to evaluate the efficacy and safety of SIKD1977 (Sogeonjungtang) in combination with standard treatment and estimate an effective dose for treating PHN.

PATIENTS AND METHODS

This is a protocol for a randomized, placebo-controlled, double-blind, multicenter trial. A total of 90 eligible participants with PHN will be recruited from three hospitals and randomly allocated to high-dose group, low-dose group, or placebo group in a 1:1:1 ratio. The trial will involve a 6-week oral administration of SIKD1977/placebo, and a 1-week follow-up period. The primary outcome will be the weekly average change in average daily pain score (ADPS) from baseline to the end of treatment. The secondary outcomes will include the weekly average changes in ADPS from baseline to week 2, 4, and 7, differences in Short-Form McGill Pain Questionnaire, Visual analogue scale, 5-level EuroQol-5 dimensions, Patient Global Impression of Change, and consumption of rescue drugs. All adverse events will be assessed during the trial.

CONCLUSION

This study will provide evidence for the efficacy and safety of SIKD1977, and an effective dose for PHN.

TRIAL REGISTRATION

This protocol has been registered in the Clinical Research Information Service with the identification code KCT0007939.

摘要

目的

带状疱疹后神经痛(PHN)是带状疱疹最常见的慢性并发症,与生活质量差以及患者和医疗资源支出增加相关。这项随机对照试验旨在评估四君子汤(SIKD1977)联合标准治疗的疗效和安全性,并估算治疗PHN的有效剂量。

患者与方法

这是一项随机、安慰剂对照、双盲、多中心试验方案。将从三家医院招募总共90名符合条件的PHN患者,并以1:1:1的比例随机分配至高剂量组、低剂量组或安慰剂组。试验将包括为期6周的SIKD1977/安慰剂口服给药以及1周的随访期。主要结局将是从基线到治疗结束时平均每日疼痛评分(ADPS)的每周平均变化。次要结局将包括从基线到第2、4和7周时ADPS的每周平均变化、简短麦吉尔疼痛问卷、视觉模拟量表、5维度欧洲五维健康量表、患者总体印象变化以及急救药物的使用差异。试验期间将评估所有不良事件。

结论

本研究将为SIKD1977的疗效和安全性以及PHN的有效剂量提供证据。

试验注册

本方案已在韩国临床研究信息服务中心注册,识别码为KCT0007939。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14e6/10237193/3b29d223f96b/JPR-16-1755-g0001.jpg

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