The Effect of Chinese Herbal Medicine for Reducing the Application of Antibiotics in the Treatment of Acute Mastitis

NCT ID: NCT03756324

Last Updated: 2020-07-07

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

PHASE2/PHASE3

Total Enrollment

306 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-20

Study Completion Date

2021-03-31

Brief Summary

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The object of the study is to evaluate the effect of Pugongying (Herba Taraxaci) Granules to reduce the application of antibiotics for women with acute mastitis.

Detailed Description

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Acute mastitis affects the health and quality of life of the infants and mothers during the lactation. Increasing studies indicate that bacterial infections and/or dysbacteriosis are essential to the mechanisms of the disease. Thus, antibiotics is widely used in clinical practice, especially cephalosporin in China. However, mistaking antibiotic will affect the physical function, even mothers' breastfeeding. The previous clinical trial that the investigators had conducted in the Third affiliated hospital of Beijing University of Chinese Medicine, has demonstrated that Chinese herbal medicine can act better than Cefdinir in the fever-relief time and breast pain scores. Some studies the investigators searched in the databases have showed that Pugongying (Herba Taraxaci) has a broad spectrum of antimicrobial activity, and it can regulate dysbacteriosis. At the same time, Pugongying (Herba Taraxaci) can also promote the secretion of milk and maintain the patency of milk well. The main ingredient of Pugongying (Herba Taraxaci) Granules is Pugongying herbs (Herba Taraxaci). Pugongying (Herba Taraxaci) Granules is approved by China Food and Drug Administration (CFDA) to treat acute mastitis. Although Pugongying (Herba Taraxaci) Granules is widely used in clinical practice, there is no trial to test the efficacy of Pugongying (Herba Taraxaci) for women with acute mastitis. Therefore, the investigators set three groups with Pugongying (Herba Taraxaci) Granules alone, Cefdinir alone and combination of Pugongying (Herba Taraxaci) Granules and Cefdinir.

Conditions

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Mastitis Acute Female

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Based on previous studies, considering the 20% expulsion rate, the investigators plan to recruit 306 participants with sample-size calculation formula. The sequence of randomization (1:1:1) will be generated by the statisticians with a computer program.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Due to the different numbers of interventions, the investigators can not blind the participants and the doctors. Thus, the CRF recorders, outcomes assessors and the statisticians will be blinded in the study.

Study Groups

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CHPM (Chinese Herbal Patent Medicine )

CHPM (Chinese Herbal Patent Medicine ): Pugongying (Herba Taraxaci) Granules, 15g/tid for 3 days, follow-up for 7 days.

Education, basic medical order.

Group Type EXPERIMENTAL

CHPM (Chinese Herbal Patent Medicine )

Intervention Type DRUG

Pugongying (Herba Taraxaci) granules is named as Pugongying Granules in China and produced by Kunming pharmaceutical factory co. LTD. The form is granules, and the participants will take the medicine after dissolved as 15g/tid for 3 days, and the investigators will follow them up for 7 days when the participants are stopped administrating.

Education

Intervention Type BEHAVIORAL

Doctors will give suggestions and the medical orders to all participants, including dietary, emotional regulation and the knowledge of breast-feeding.

CHPM & Antibiotics Cefdinir Capsules

CHPM (Chinese Herbal Patent Medicine): Pugongying (Herba Taraxaci) granules, 15g/tid for 3 days, follow-up for 7 days.

Antibiotics: Cefdinir Capsules, 0.1g/tid for 2 days, follow-up for 7 days.

Education, basic medical order.

Group Type EXPERIMENTAL

CHPM (Chinese Herbal Patent Medicine )

Intervention Type DRUG

Pugongying (Herba Taraxaci) granules is named as Pugongying Granules in China and produced by Kunming pharmaceutical factory co. LTD. The form is granules, and the participants will take the medicine after dissolved as 15g/tid for 3 days, and the investigators will follow them up for 7 days when the participants are stopped administrating.

Education

Intervention Type BEHAVIORAL

Doctors will give suggestions and the medical orders to all participants, including dietary, emotional regulation and the knowledge of breast-feeding.

Antibiotics Cefdinir Capsules

Intervention Type DRUG

Cefdinir Capsules is also named as Cefdinir and produced by Astellas Pharma Inc. The form is capsule, and participants will take orally the capsules with water as 0.1g/tid for 2 days, and the investigators will follow them up for 7 days when the participants are stopped administrating.

Antibiotics Cefdinir Capsules

Antibiotics: Cefdinir Capsules, 0.1g/tid for 3 days, follow-up for 7 days.

Education, basic medical order.

Group Type ACTIVE_COMPARATOR

Antibiotics Cefdinir Capsules

Intervention Type DRUG

Cefdinir Capsules is also named as Cefdinir and produced by Astellas Pharma Inc. The form is capsule, and participants will take orally the capsules with water as 0.1g/tid for 3 days, and the investigators will follow them up for 7 days when the participants are stopped administrating.

Education

Intervention Type BEHAVIORAL

Doctors will give suggestions and the medical orders to all participants, including dietary, emotional regulation and the knowledge of breast-feeding.

Interventions

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CHPM (Chinese Herbal Patent Medicine )

Pugongying (Herba Taraxaci) granules is named as Pugongying Granules in China and produced by Kunming pharmaceutical factory co. LTD. The form is granules, and the participants will take the medicine after dissolved as 15g/tid for 3 days, and the investigators will follow them up for 7 days when the participants are stopped administrating.

Intervention Type DRUG

Antibiotics Cefdinir Capsules

Cefdinir Capsules is also named as Cefdinir and produced by Astellas Pharma Inc. The form is capsule, and participants will take orally the capsules with water as 0.1g/tid for 3 days, and the investigators will follow them up for 7 days when the participants are stopped administrating.

Intervention Type DRUG

Education

Doctors will give suggestions and the medical orders to all participants, including dietary, emotional regulation and the knowledge of breast-feeding.

Intervention Type BEHAVIORAL

Antibiotics Cefdinir Capsules

Cefdinir Capsules is also named as Cefdinir and produced by Astellas Pharma Inc. The form is capsule, and participants will take orally the capsules with water as 0.1g/tid for 2 days, and the investigators will follow them up for 7 days when the participants are stopped administrating.

Intervention Type DRUG

Other Intervention Names

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Pugongying (Herba Taraxaci) Granules Cefdinir Capsules of "normal course group" Basic medical order Medical order Cefdinir Capsules of "short course group"

Eligibility Criteria

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Inclusion Criteria

1. Women in lactation who have strong willing to breastfeeding;
2. The course of acute mastitis should be within 3 days, and the ultrasound examination indicates there is no abscess cavity formed;
3. The body temperature is higher than 37.2°C but lower than 41°C;
4. The VAS scores of participants≥4;
5. Patients with acute mastitis have not received other medical therapies;
6. Those who have signed informed consent.

Exclusion Criteria

1. Participants who suffered nipple ulceration, painful fissuring or developmental defects fail to breastfeed;
2. Participants with other breast diseases are not appropriate to breastfeed;
3. Participants with severe cognitive or metabolic diseases will affect breastfeeding;
4. Participants who have been allergic to penicillin and cephalosporin.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Beijing Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Beijing University of Chinese Medicine

OTHER

Sponsor Role lead

Responsible Party

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Xiaohua Pei

Principal Investigator, Clinical Professor, Academic Leader of Breast Disease in Traditional Chinese Medicine.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xiaohua Pei, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing University of Chinese Medicine

Locations

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Beijing Hospital of Traditional Chinese Medicine

Beijing, , China

Site Status RECRUITING

Beijing University of Chinese Medicine Third Affiliated Hospital

Beijing, , China

Site Status RECRUITING

Tongzhou Maternal & Child Health Hospital of Beijing

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiaohua Pei, MD

Role: CONTACT

0086-10-52075224

Xinyan Jin

Role: CONTACT

0086-10-52075224 ext. 8613001144056

Facility Contacts

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Dongxiao Zhang

Role: primary

Xiaohua Pei

Role: primary

0086-10-52075224

Xinyan Jin

Role: backup

0086-10-52075224

Lihui Shi

Role: primary

0086-10-81580191

References

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Jin X, Xiao J, Lu C, Ma W, Fan Y, Xue X, Xia Y, Chen N, Liu J, Pei X. Breastmilk microbiome changes associated with lactational mastitis and treatment with dandelion extract. Front Microbiol. 2023 Nov 13;14:1247868. doi: 10.3389/fmicb.2023.1247868. eCollection 2023.

Reference Type DERIVED
PMID: 38029215 (View on PubMed)

Other Identifiers

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CFH2018-7032

Identifier Type: -

Identifier Source: org_study_id

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