Kunxian for the Treatment of Rheumatoid Arthritis

NCT ID: NCT02764515

Last Updated: 2017-03-09

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

428 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2017-11-30

Brief Summary

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This is a multicenter, randomized, double blind, double-dummy and controlled clinical trial aimed to compare the clinical efficacy and safety of Kunxian Capsule, a compound of Chinese traditional medicine, and the active comparator,Methotrexate for the treatment of rheumatoid arthritis. The primary end-point is that Kunxian Capsule is not inferior to Methotrexate both in efficacy and safety.

Detailed Description

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This is a prospective, multicenter, randomized, double blind, double-dummy and controlled clinical trial.The goal is to compare the clinical efficacy and safety of Kunxian Capsule, a compound of 4 ingredients of Chinese herb-derived medication, and the active comparator, Methotrexate for the treatment of mild to moderate active rheumatoid arthritis.This study is basically non-inferiority in design, so 428 subjects will be enrolled. All subjects need to fulfill the inclusion criteria and without exclusion criteria. Subjects are randomized into the Kunxian Capsule treatment group and Methotrexate treatment group.The dosage of Kunxian Capsule used in this study is 0.6g twice daily and the methotrexate dosage is 10mg per week. All subjects will take the medication for 24 weeks. Diclofenic is used as the salvage therapy in case patients experience joint pain. The primary end-point is the proportion of patients who could achieve disease remission or low disease activity treated with Kunxian Capsule and Methotrexate. All patients will be followed at week 2,4,12 and 24 after screening. Baseline information for disease activity measures such as DAS28 score,CDAI score, SDAI score, ACR20, ACR50, ACR70 improvement, HAQ score, patient's VAS score for pain, and lab tests such as CRP, ESR, RF, CCP, blood and urine routine tests, liver as well as renal function tests were collected and recorded. All these measures are performed at each follow-up visit except RF and CCP. In addition, any adverse events or withdrawal happened during each visit will be recorded for data analysis.

Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Kunxian capsule group

Intervention:

Drug: Kunxian 2 capsules BID taken by mouth for 24 weeks. Kunxian capsule is composed of 4 ingredients: Tripterygium wilfordii Hook F 300mg, extracts from Gouqizi,Tusizi and yinyanghuo.

Group Type EXPERIMENTAL

Kunxian Capsule

Intervention Type DRUG

Patients in the Kunxian Capsule group will take Kunxian Capsule 0.6gm orally twice daily for 24weeks

Methotrexate group

Intervention:

Drug: Methotrexate tablet 10mg taken by mouth every week for 24 weeks.

Group Type ACTIVE_COMPARATOR

Methotrexate

Intervention Type DRUG

the Methotrexate group will take Methotrexate 10mg orally every week for 24 weeks

Interventions

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Kunxian Capsule

Patients in the Kunxian Capsule group will take Kunxian Capsule 0.6gm orally twice daily for 24weeks

Intervention Type DRUG

Methotrexate

the Methotrexate group will take Methotrexate 10mg orally every week for 24 weeks

Intervention Type DRUG

Other Intervention Names

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Tripterygium wilfordii Hook F. jiaandieling

Eligibility Criteria

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Inclusion Criteria

1. Patients who understand the study protocol and sign the informed consent;
2. Fulfill the 1987 or 2010 ACR classification criteria for RA;
3. Male or female patients, age ranged from 40-70;
4. Male or female who do not plan to have more child,or per-menopausal or menopausal women;
5. Patients with mild or moderate disease activity, ie, whose DAS28 ranged from 3.2-5.1(ie, ESR\>28mm/h,or patients who have 1-5 swollen joints as well as 1-5 tender joints);
6. Without severe systemic disorders,such as severe pericardial effusion,pulmonary interstitial fibrosis,renal tubual acidosis,atrophic gastritis,autoimmune liver disease etc.
7. Not included in any drug trial 1 month before enrollment

Exclusion Criteria

1. Pregnant woman or women who are preparing to pregnant or breast feeding;
2. Patients with active liver diseases or elevated liver enzymes eg, the ALT and/or AST is higher than 1.5 of the upper limit of normal range;
3. Patients with renal function abnormality,eg,serum creatinin higher than the upper limit of normal range;
4. White blood cell count less than 3.0×109/L,or with anemia(hemoglobin level lower than 80g/L),or platelet count less than 80×109/L,or with other hematological diseases;
5. Patients with chronic gastrointestinal diseases;
6. Patients with un-controlled hypertension,metabolic diseases such as diabetes;
7. History of malignant tumor or has malignant tumor at present;
8. With acute and/or chronic contagious diseases;
9. Severe arrhythmia on ECG test;
10. History of adverse reaction with Kunxian capsule,or Tripterygium wilfordii Hook F.,methotrexate or medications contain kunminshanhaitang ingredient;
11. History of psychiatric diseases or alcoholism or drug abuse;
12. Having been diagnosed to have systemic rheumatic diseases;
13. Ever taken immunosuppressive agents or biological agents or Tripterygium wilfordii Hook F or medications contain kunminshanhaitang ingredient in recent 3 months;
14. Had ever taken methotrexate or Kunxian capsule for more than 12 weeks but could not control the arthritis under remission;
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CHENLIJI Pharmaceutical Company,Guangzhou Pharmaceutical Group

UNKNOWN

Sponsor Role collaborator

CHINESE RHEUMATISM DATA CENTER

UNKNOWN

Sponsor Role collaborator

Chinese SLE Treatment And Research Group

OTHER

Sponsor Role lead

Responsible Party

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Xinping Tian

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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XIAOFENG ZENG, MD

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

XINPING TIAN, MD

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

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the Affiliated Hospital to Bangbu Medical University

Bengbu, Anhui, China

Site Status RECRUITING

The First Affiliated Hospital of Bengbu Medical College

Bengbu, Anhui, China

Site Status RECRUITING

AnHui provincial hospital

Hefei, Anhui, China

Site Status RECRUITING

Nanfang Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

The Third Affiliated Hospital to SUN YAT-SEN University

Guangzhou, Guangdong, China

Site Status RECRUITING

The First Affiliated Hospital of Harbin Medcial University

Haerbin, Heilongjiang, China

Site Status RECRUITING

The first affiliated hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Minda Hospital of Hubei Province

Enshi, Hubei, China

Site Status RECRUITING

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Affiliated Hospital of Nantong University

Nantong, Jiangsu, China

Site Status RECRUITING

Xijing Hospital

Xian, Shanxi, China

Site Status RECRUITING

the Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

Site Status RECRUITING

Guang'anmen Hospital,China Academy of Chinese Medical Sciences

Beijing, , China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, , China

Site Status RECRUITING

Guang Hua hospital

Shanghai, , China

Site Status RECRUITING

Zhongshan Hospital Fudan University

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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XINPING TIAN, MD

Role: CONTACT

86-10-69158707

HAIJUN FU, PHD

Role: CONTACT

13601912507

Facility Contacts

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Zhijun Li, MD

Role: primary

13955289810

Changhao Xie, MD

Role: backup

15255227208

Xin Wang, MD

Role: primary

86-13515529256

Zhijun Li, MD

Role: backup

86-13956955150

Li Wang, MD

Role: primary

86-15055148790

Xiangpei Li, MD

Role: backup

86-13515605909

Jinjun Zhao, MD

Role: primary

86-13710596450

Min Yang, MD

Role: backup

86-13802911770

Linkai Fang, MD

Role: primary

86-13751889563

Jieruo Gu, MD

Role: backup

13922280820

Juan Gao, MD

Role: primary

86-15304803480

Zhiyi Zhang, MD

Role: backup

86-13303608999

Jiameng Lu, MD

Role: primary

86-18637184930

Shengyun Liu, MD

Role: backup

86-13837192659

Linchong Su, MD

Role: primary

86-15571781515

Yang Xiang, MD

Role: backup

86-13607249969

Chengyin Li, MD

Role: primary

86-13914751367

Miaojia Zhang, MD

Role: backup

86-13611505999

Yunfei Xia, MD

Role: primary

15896275028

Zhanyun Da, MD

Role: backup

86-18962940001

Zhenbiao Wu, MD

Role: primary

13700235112

Weitong Chen, MD

Role: backup

15771943030

Jian Xu, MD

Role: primary

13888566797

Shu Li, MD

Role: backup

15198785584

Hailong Wang, MD

Role: primary

86-13810112190

Quan Jiang, MD

Role: backup

86-13901081632

Xinping Tian, MD

Role: primary

86-13691165939

Shi Rong, MD

Role: backup

86-13601248311

Xiaolin Yang, MD

Role: primary

86-13701816768

Dongyi He, MD

Role: backup

021-62805833

Huiyong Chen, MD

Role: primary

86-13817629793

Lindi Jiang, MD

Role: backup

86-13701973875

Other Identifiers

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Chenliji001

Identifier Type: -

Identifier Source: org_study_id

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