Treatment of Pulmonary Fibrosis Due to COVID-19 With Fuzheng Huayu

NCT ID: NCT04279197

Last Updated: 2022-01-03

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

142 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-23

Study Completion Date

2021-03-24

Brief Summary

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According to previous studies, viral pneumonia can develop into pulmonary fibrosis, which can affect patients'lung function and even life health.This study aims to observe the efficacy and safety of Fuzheng Huayu Tablets in the treatment of pulmonary fibrosis after COVID-19.

Detailed Description

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The patients with COVID-19 could suffered from the pulmonary dysfunction and/or fibrosis the recovery period, but there are no certain drugs or treatment to cope with this situation. Our previous studies indicated that Fuzheng Huayu tablets (FZHY) could regress the lung fibrosis induced by bleomycin in animals, and improve the pulmonary function in the patients with chronic obstructive pulmonary disease. Now we design this trial to carry out the clinical study in order to evaluate the effects of Fuzheng Huayu tablets on pulmonary fibrosis and/or pulmonary function injury in the recovery period of COVID-19 and expect to improve the prognosis.

This is a randomized, double-blind, multicenter, placebo-controlled clinical trial.It enrolls 142 patients who had been diagnosed with COVID-19, but currently they are negative for viral testing and have developed pulmonary fibrosis or pulmonary dysfunction. They are randomly assigned into Placebo group and FZHY group. All patients are given usual treatment such as respiratory function rehabilitation training and vitamin C. The FZHY group is given Fuzheng Huayu tablets, and the control group is given placebo. Each patient will be observed for 24 weeks and followed up for 8 weeks. The primary outcomes for the trial are the improvement proportion of pulmonary fibrosis judged by HRCT score and the improvement of lung function(FVC,FEV1,FVC/FEV1). Secondary outcomes include six-minute walk distance, improvement proportion of pulmonary inflammation, improvement proportion of clinical symptoms , quality of Life-BREF (QOL-BREF) Score, patient health questionnaire-9 (PHQ-9) Score, general anxiety disorder-7 (GAD-7) score. The safety also be observed.

Conditions

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Pulmonary Fibrosis Due to COVID-19

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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FZHY Group

usual treatment (respiratory function rehabilitation training + Vitamin C tablets)

* Fuzheng Huayu tablets

Group Type EXPERIMENTAL

Fuzheng Huayu Tablet

Intervention Type DRUG

FZHY, administration: 0.4g/tablet, 1.6g/time, 3 times/day, oral; administered half an hour after the meal.

Vitamin C tablets

Intervention Type DRUG

Vitamin C tablets, administration: 0.2g/time, 3 times/ day, oral;

respiratory function rehabilitation training

Intervention Type OTHER

Health exercise, once a day

Placebo Group

usual treatment (respiratory function rehabilitation training + Vitamin C tablets)

* placebo

Group Type PLACEBO_COMPARATOR

Vitamin C tablets

Intervention Type DRUG

Vitamin C tablets, administration: 0.2g/time, 3 times/ day, oral;

Placebo

Intervention Type DRUG

Placebo , administration: 0.4g/tablet, 1.6g/time, 3 times/day, oral; administered half an hour after the meal.

respiratory function rehabilitation training

Intervention Type OTHER

Health exercise, once a day

Interventions

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Fuzheng Huayu Tablet

FZHY, administration: 0.4g/tablet, 1.6g/time, 3 times/day, oral; administered half an hour after the meal.

Intervention Type DRUG

Vitamin C tablets

Vitamin C tablets, administration: 0.2g/time, 3 times/ day, oral;

Intervention Type DRUG

Placebo

Placebo , administration: 0.4g/tablet, 1.6g/time, 3 times/day, oral; administered half an hour after the meal.

Intervention Type DRUG

respiratory function rehabilitation training

Health exercise, once a day

Intervention Type OTHER

Other Intervention Names

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FZHY VC

Eligibility Criteria

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Exclusion Criteria

* Patients who have undergone lung surgery that affects pulmonary function, such as pulmonary transplantation, pulmonary resection, pulmonary volume reduction, etc;
* Relying on mechanical ventilation to maintain pulmonary function, such as ventilators;
* Combined with chronic pulmonary diseases affecting pulmonary function, such as chronic obstructive pulmonary disease, other known causes of interstitial pulmonary disease;
* Patients with diseases affecting cardiac function, such as pulmonary circulation hypertension, heart failure, peripheral vascular disease, fibromyalgia, and pacemaker installation;
* Patients with severe underlying diseases affecting survival, including uncontroled cardiac, renal, digestive, hematological, neuropsychiatric, immune, metabolic diseases, malignant diseases and severe malnutrition;
* Resting heart rate \>120 times/min;
* Systolic blood pressure \> 180 mmHg, diastolic blood pressure \> 100 mmHg;
* Unstable angina pectoris or myocardial infarction occurring within the last month;
* Severe obesity (BMI \> 30 kg/m2);
* Allergic constitution, allergic to the drug components involved in the treatment program;
* Pregnant or breastfeeding women;
* Patients with disabilities who are unable to complete the efficacy evaluation questionnaires;
* Difficult collaborators with poor mental health status, suffering from mental illness, patients without self-control, unable to express clearly;
* Those who are participating in other clinical trials;
* According to the investigator's judgment, patients whose enrollment complications or poor compliance will affect the efficacy and safety evaluation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hubei Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Jingmen No.1 People's Hospital

OTHER

Sponsor Role collaborator

Wuhan No.1 Hospital

OTHER

Sponsor Role collaborator

Wuhan Third Hospital

OTHER

Sponsor Role collaborator

Huangshi Hospital of Traditional Chinese Medicine

UNKNOWN

Sponsor Role collaborator

ShuGuang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Liu Chenghai

Institute Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chenghai Liu

Role: STUDY_DIRECTOR

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Locations

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Shuguang Hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Jing F, Wang W, Ke J, Huang T, Jiang B, Qiu Q, Huang J, Zhan S, Zhang W, Wu H, Su W, Feng J, Peng Y, Zhao Z, Xing F, Liu C. Fuzheng Huayu tablets for treating pulmonary fibrosis in post-COVID-19 patients: a multicenter, randomized, double-blind, placebo-controlled trial. Front Pharmacol. 2025 Mar 11;16:1508276. doi: 10.3389/fphar.2025.1508276. eCollection 2025.

Reference Type DERIVED
PMID: 40135237 (View on PubMed)

Other Identifiers

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Fzhy-ncp-2

Identifier Type: -

Identifier Source: org_study_id

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