Lingzhi and Sen Miao San for the Treatment of Rheumatoid Arthritis

NCT ID: NCT00432484

Last Updated: 2008-05-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-05-31

Study Completion Date

2006-12-31

Brief Summary

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To study the efficacy of TCM as an effective supplement in addition to the traditional treatment in RA.

Detailed Description

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It is a prospective, double-blind, randomized, placebo-controlled study in patients with RA. It consists of a 24 - weeks period of randomized double-blind treatment of either TCM(Lingzhi and Sen Miao San)or placebo.

Primary outcome is assessed by showing a clinical response of at least 20% and 50% as defined by the American College of Rheumatology (ACR) criteria.Secondary outcome is defined as the changes in the number of swollen and tender joint counts, and the levels of ESR, CRP, the inflammatory markers, cytokine levels and oxidative stress.

Conditions

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Rheumatoid Arthritis

Keywords

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Lingzhi Sen Miao San Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Placebo with Lingzhi(Granoderma Lucidum) and Sen Miao San

Group Type PLACEBO_COMPARATOR

Lingzhi and Sen Miao San

Intervention Type DRUG

G lucidum and SMS were supplied as capsules, containing 4.0 gm of G lucidum extract, 2.4 gm of Rhizoma atractylodis (Cangzhu), 2.4 gm of Cotex phellodendri(Huangbai), and 2.4 gm of Radix achyranthes Bidentatae(Niuxi). Each patient took either 3 capsules twice daily as recommended by the TCM experts or identical-looking placebo.

Interventions

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Lingzhi and Sen Miao San

G lucidum and SMS were supplied as capsules, containing 4.0 gm of G lucidum extract, 2.4 gm of Rhizoma atractylodis (Cangzhu), 2.4 gm of Cotex phellodendri(Huangbai), and 2.4 gm of Radix achyranthes Bidentatae(Niuxi). Each patient took either 3 capsules twice daily as recommended by the TCM experts or identical-looking placebo.

Intervention Type DRUG

Other Intervention Names

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Pingyin English name Lingzhi Ganoderma lucidum seu Japonicum Cangzhu Atractylodes lancea Huangbo Phellodendron amurense Niuxi Achyranthes bidentata B1

Eligibility Criteria

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Inclusion Criteria

* Fulfilled the 1987 American College of Rheumatology (ACR) criteria for RA.
* The presence of 2 or more swollen or tender joints, based on 28-joint count.
* Morning stiffness lasting for 30 minutes.
* Erythrocyte sedimentation rate (ESR) of 28 mm/hour, despite treatment with disease modifying agent including MTX, sulphasalazine, hydroxychloroquine, auranofin or azathioprine were recruited into the study.
* Patients taking glucocorticoids (prednisone \< 7.5 mg/day) and/or nonsteroidal antiinflammatory drugs must have been taking a stable dosage for at least 4 weeks before entering the trial and were required to take the same dosage throughout the trial.
* Patients had radiographic erosive diseases.

Exclusion Criteria

* Patients who are pregnant or nursing mothers.
* Severe liver disease (e.g cirrhosis, chronic active hepatitis)
* Renal impairment (serum creatinine level \> 150mmol/L)
* Known hypersensitivity to herbal medicine
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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The Chinese University of Hong Kong

Principal Investigators

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Edmund K Li, MD

Role: PRINCIPAL_INVESTIGATOR

Chinese University of Hong Kong

Locations

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The Institute of Chinese Medicine

Hong Kong, , China

Site Status

Countries

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China

References

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Li EK, Tam LS, Wong CK, Li WC, Lam CW, Wachtel-Galor S, Benzie IF, Bao YX, Leung PC, Tomlinson B. Safety and efficacy of Ganoderma lucidum (lingzhi) and San Miao San supplementation in patients with rheumatoid arthritis: a double-blind, randomized, placebo-controlled pilot trial. Arthritis Rheum. 2007 Oct 15;57(7):1143-50. doi: 10.1002/art.22994.

Reference Type DERIVED
PMID: 17907228 (View on PubMed)

Other Identifiers

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RA-2005-001

Identifier Type: -

Identifier Source: org_study_id