Traditional Chinese Medicine or Low-dose Dexamethasone in COVID-19 Pneumonia

NCT ID: NCT05798195

Last Updated: 2023-04-04

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

NA

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-01

Study Completion Date

2024-12-31

Brief Summary

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The goal of this type of clinical trial is to learn about symptomatic patients with post-COVID-19 parenchymal lung abnormalities. The main questions it aims to answer are: the efficacy and safety of low-dose dexamethasone or traditional Chinese medicine in symptomatic patients with post-COVID-19 parenchymal lung abnormalities.

Participants will be divided into three parallel groups:controlled group with conventional western medicine treatment including oxygen therapy, antibiotics, nebulization therapy, etc. dexamethasone group: dexamethasone 1.5mg/day for one week and 0.75mg/day for another week basing on conventional western medicine. Chinese medicine group: Strengthening spleen and tonifying lung decoction for 2 weeks basing on conventional western medicine.

Detailed Description

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Conditions

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COVID-19 Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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controlled group

conventional western medicine treatment including oxygen therapy, antibiotics, nebulization therapy, etc.

Group Type ACTIVE_COMPARATOR

conventional western medicine treatment

Intervention Type OTHER

conventional western medicine treatment only

dexamethasone group

dexamethasone 1.5mg/day for one week and 0.75mg/day for another week basing on conventional western medicine.

Group Type EXPERIMENTAL

conventional western medicine treatment

Intervention Type OTHER

conventional western medicine treatment only

Dexamethasone oral tablet

Intervention Type DRUG

treat with Dexamethasone for 2 weeks

Chinese medicine group

Strengthening spleen and tonifying lung decoction for 2 weeks basing on conventional western medicine.

Group Type EXPERIMENTAL

conventional western medicine treatment

Intervention Type OTHER

conventional western medicine treatment only

Traditional Chinese medicine decoction

Intervention Type OTHER

treat with strengthening spleen and tonifying lung decoction for 2 weeks

Interventions

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conventional western medicine treatment

conventional western medicine treatment only

Intervention Type OTHER

Dexamethasone oral tablet

treat with Dexamethasone for 2 weeks

Intervention Type DRUG

Traditional Chinese medicine decoction

treat with strengthening spleen and tonifying lung decoction for 2 weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of COVID-19 pneumonia;
* 3 to 8 weeks after the onset of the first symptoms of COVID-19 infection;
* Modified Medical Research Council (mMRC) score ⩾2 or hypoxemia;
* Imaging severity assessment of pneumonia: CT severity scores (CTSS):≥5;
* Signed the informed consent.

Exclusion Criteria

* Participants still admitted to intensive care unit at the time of enrollment;
* Known prior structural lung disease, including pulmonary fibrosis, severe COPD, severe bronchiectasis, and lung destruction;
* Taking glucocorticoids or immunosuppressants because of other chronic diseases;
* Contraindications of glucocorticoid;
* Heart failure(NYHA III or IV);
* Participants with renal replacement therapy;
* Psychiatric disorders or cognitive impairments;
* The expected survival time is less than six months due to diseases other than COVID-19 pneumonia.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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China-Japan Friendship Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhenguo Zhai,MD,PhD

Chief physician of PCCM

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhenguo Zhai, Dcotor

Role: PRINCIPAL_INVESTIGATOR

Department of Respiratory and Critical Care Medicine

Locations

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China-Japan Friendship Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wanmu Xie, Doctor

Role: CONTACT

86-10-84206246

Facility Contacts

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Wanmu Xie, Doctor

Role: primary

86-10-84206246

Other Identifiers

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2023-ZF-3

Identifier Type: -

Identifier Source: org_study_id

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