Modified Xiao-Feng Powder for Chronic Urticaria

NCT ID: NCT04967092

Last Updated: 2021-12-03

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-15

Study Completion Date

2023-09-30

Brief Summary

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Urticaria is a common skin disorder and 15-25% of people experience at least one attack of urticaria during their lifetime. Urticaria can be divided into acute urticaria (AU) and chronic urticaria (CU). CU is more common in adults, and affects women more frequently than men. According to Chinese medicine (CM) theory, CU is known as Yin Zhen. Nowadays, CM is widely used for managing CU in Hong Kong and mainland. Among different Chinese herbal formulae for urticaria, Xiao-Feng Powder (XFP), also known as Wind-Dispersing Powder, is one of the most frequently used Chinese herbal formulae for CU.

This study used modified Xiao-Feng Powder (mXFP) to evaluate the effectiveness and safety of mXFP in treating CU. Hence, a double-blind, randomised, placebo-controlled clinical trial design with strong scientific rigor will be employed in this study, and it would be able to provide robust clinical evidence on the efficacy and safety of mXFP for CU.

Detailed Description

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Urticaria is a common skin disorder and 15-25% of people experience at least one attack of urticaria during their lifetime. Urticaria can be divided into acute urticaria (AU) and chronic urticaria (CU) according to the disease duration. CU is classified as either chronic autoimmune urticaria or chronic idiopathic urticaria.

In Chinese medicine theory, Urticaria is usually associated with either internal or external wind pathogen. Wind as a pathogenic factor is characterized by sudden onset and rapid changes in symptoms, and when resulting from an internal deficiency, it often leads to dryness.

Several research groups have conducted clinical studies to evaluate the efficacy of Chinese herbal medicine for the treatment of CU in recent decades. Among different Chinese herbal formulae for urticaria, Xiao-Feng Powder (XFP), also known as Wind-Dispersing Powder, is one of the most frequently used Chinese herbal formulae for CU, also has been widely used in Chinese medicine dermatology to expel wind and eliminate dampness, clear heat, nourish the blood and stop itchiness. Moreover, other researchers have found that XFP is effective in inhibiting inflammation, allergy, and oxidative stress in allergic skin diseases.

Investigators hypothesize that mXFP is effective and safe for the treatment of CU. In this study, eligible subjects will be randomized to receive either mXFP or placebo twice daily for 12 weeks followed by post-treatment visits at week 16. Subjects will take the standard therapy of antihistamines regularly for the first 6 weeks and then on on-demand basis for the next 6 weeks during the treatment period.

Conditions

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Chronic Urticaria

Keywords

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Chronic Urticaria Chinese Medicines

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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Modified Xiao-Feng Powder

Modified Xiao-Feng Powder granules will be taken twice daily for 12 weeks

Group Type ACTIVE_COMPARATOR

Modified Xiao-Feng Powder + Antiallergics

Intervention Type DRUG

Modified Xiao-Feng Powder granules twice daily for 12 weeks plus Bilastine 20mg once daily for the first 6 weeks, and on-demand for the following 6 weeks.

Placebo

Placebo granules will be taken twice daily for 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo + Antiallergics

Intervention Type OTHER

Placebo granules twice daily for 12 weeks plus Bilastine 20mg once daily for the first 6 weeks, and on-demand for the following 6 weeks.

Interventions

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Modified Xiao-Feng Powder + Antiallergics

Modified Xiao-Feng Powder granules twice daily for 12 weeks plus Bilastine 20mg once daily for the first 6 weeks, and on-demand for the following 6 weeks.

Intervention Type DRUG

Placebo + Antiallergics

Placebo granules twice daily for 12 weeks plus Bilastine 20mg once daily for the first 6 weeks, and on-demand for the following 6 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Both male and female;
2. Age from 18 to 65 years;
3. Documented history of CU for at least 6 weeks prior to entry in the study;
4. Meet EAACI/GA2LEN/EDF/WAO 2017 guidelines, i.e. spontaneous appearance of wheals, angioedema or both for \> 6 weeks due to known or unknown causes;
5. Symptom severity must be greater than 10 points (UAS7 score);
6. Able to complete questionnaires and take medications as scheduled; and
7. Agree to participate in the study and sign the informed consent.

Exclusion Criteria

1. Dual deficiency of Qi and blood according to Chinese medicine theory
2. Urticaria is induced by physical factors (e.g., cold urticaria, delayed pressure urticaria, solar urticaria, heat urticaria, vibratory angioedema) only;
3. Known to have dermatological diseases with skin pruritus;
4. Known to have any serious diseases such as cancer, severe kidney and liver impairments, autoimmune disease, thyroid disease, Hodgkin's disease, lymphoma, severe mental disorders, leukemia, and acute infectious disease;
5. Known to use oral/injectable corticosteroids, leukotriene inhibitors, immunosuppressants or other Chinese herbal medicine within one month of enrollment;
6. Known to receive omalizumab, ligelizumab, or other experimental biologic for CU;
7. Documented pregnancy or planning to conceive, breast-feeding women; or
8. Operate heavy machinery or need to drive motor vehicles as an essential part of their profession.
9. Know recent history (within previous 12 months) of drug addiction or alcohol abuse.
10. Involved in other interventional clinical studies at the same time.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Prof. Lin Zhixiu

OTHER

Sponsor Role lead

Responsible Party

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Prof. Lin Zhixiu

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Zhixiu Lin, PhD

Role: PRINCIPAL_INVESTIGATOR

Hong Kong Institute of Integrative Medicine, The Chinese University of Hong Kong

Locations

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The Chinese University of Hong Kong

Shatin, , Hong Kong

Site Status RECRUITING

Countries

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Hong Kong

Central Contacts

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Zhixiu Lin, PhD

Role: CONTACT

Phone: 35053476

Email: [email protected]

Yuet Ling, Jessica Ching, MPH

Role: CONTACT

Phone: 35053524

Email: [email protected]

Facility Contacts

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Zhi-xiu Lin, PhD

Role: primary

References

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Hung HY, Song T, Loo SKF, Chan KL, Ching JYL, Sum CH, Lo LCW, Chia SCP, Ho RTM, Cheong PK, Siu THC, Leung KC, Lin ZX. Efficacy and safety of modified Xiao-Feng Powder in the treatment of chronic urticaria: protocol of a randomized double-blind placebo-controlled study. Chin Med. 2022 Jul 22;17(1):87. doi: 10.1186/s13020-022-00642-3.

Reference Type DERIVED
PMID: 35869554 (View on PubMed)

Other Identifiers

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C.Urticaria Study

Identifier Type: -

Identifier Source: org_study_id