Effectiveness and Safety of Shaoyao Gancao Decoction With Addition on the Sleep-related Leg Cramps

NCT ID: NCT05980637

Last Updated: 2023-08-08

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: PHASE2/PHASE3
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-01
• Study Completion Date: 2025-08-31

Brief Summary

A randomized, double-blinded, placebo-controlled clinical trial using a Chinese Medicine formula in treating Sleep-related Leg Cramps. Subjects will be randomized into a treatment group or placebo group for 4 weeks, and then post-treatment visit at week 6 and week 8.

Detailed Description

The sleep-related leg cramps (SRLC), also called nocturnal leg cramps (NLC), is a sleep-related limb movement disorder in which painful contractions of the calf or foot muscles occur during sleep, thereby interrupting the patient's rest. It can happen at any ages, but is particularly prevalent among the elderly.

In Chinese medicine, leg cramps, first mentioned in the book of "Huangdi Neijing" (The Yellow Emperor's Cannon of Internal Classic), is characterized by muscular spasm and contracture of a limb resulting in difficulty in relaxation and movement. SRLC is an impediment disease caused by the invasion of wind-cold damp pathogens in the muscles and sinews, together with the dual deficiency of qi and blood that fails to nourish the muscles and sinews, leading to painful contraction of muscles.

Currently, no treatments have been proven both safe and effective for SRLC. Passive stretching and deep tissue massage, which are patient-controlled maneuvers on relieving muscle tension, are usually recommended despite limited proof of effectiveness.

Shaoyao Gancao Decoction was first introduced in the book of "Shang Han Lun" (Treatise on Cold Attack) written by the venerated Physician Zhang Zhongjing in the Eastern Han dynasty. It consists of two herbs, i.e., Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma Praeparata Cum Melle, and has the therapeutic functions of moderating painful spasms and alleviating pain. It is commonly used in Chinese medicine practice for treating abdominal pain, lack of strength in walking, spasms of the calf muscles, and restless leg syndrome. Modern pharmacological studies showed that Shaoyao Gancao Decoction possesses anti-inflammatory, analgesic and antispasmodic effects. It has been shown that the use of Shaoyao Gancao Decoction could inhibit mechanical and thermal hyperalgesia in rats with chronic compressive injury.

In 2009, a prospective observational pilot study was conducted to evaluate the effectiveness and safety of modified Shaoyao Gancao Decoction on 30 eligible subjects with SRLC in a cohort study and the result is positive.

Based on the positive results of the pilot study, it shows that SGDA is a promising herbal treatment method for SRLC, and propose a randomized, double-blinded and placebo-controlled trial to scientifically determine the effectiveness and safety of this formula for the treatment of Shaoyao Gancao Decoction with Addition (SGDA) of SRLC. Subjects will be randomized into a treatment group or placebo group for 4 weeks, and then post-treatment visits at week 6 and week 8.

Conditions

Sleep-related Leg Cramps

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

Shaoyao Gancao Decoction with Addition

11g of Shaoyao Gancao Decoction with Addition granules twice daily for 4 weeks

Group Type: ACTIVE_COMPARATOR

Shaoyao Gancao Decoction with Addition

Intervention Type: DRUG

11g twice daily for 4 weeks

Placebo

11g of placebo granules twice daily for 4 weeks

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: OTHER

11g twice daily for 4 weeks

Interventions

Shaoyao Gancao Decoction with Addition

11g twice daily for 4 weeks

Intervention Type: DRUG

Placebo

11g twice daily for 4 weeks

Intervention Type: OTHER

Other Intervention Names

SGDA

Eligibility Criteria

Inclusion Criteria

• Aged 60 or above of both genders;
• Complain of muscular spasm and contracture of the lower limb with difficulty in relaxation and movement at night;
• Meet the diagnostic criteria of The International Classification of Sleep Disorders (3rd Edition) for SRLC [2];
• Meet the syndrome differentiation of the blood stasis or blood deficiency in Traditional Chinese Medicine.
• Regular SRLC occurs at least once per week on average within past month;
• Numeric Pain Rating Scale (NPRS) ≥ 5; and
• Willing to provide written informed consent.

Exclusion Criteria

• Known mental disorder or neurologic disorder;
• Known serious organic disease including severe cardiovascular disease, post-stroke depression, cancer and dementia,;
• Currently on anticoagulants, antiplatelet medications, hypnotics, anxiolytics, positive inotropic drugs, corticosteroids and estrogenic and testosterone which may interfere with the study medications.
• Impaired hematological profile and liver / renal function exceeds the upper limit of the reference value by 2 times;
• Known allergic to Chinese medicines; and
• Any contraindications for taking Chinese medicines in the opinion of the investigators;
• Known history of lower limb surgery;
• Known pregnant or breast-feeding.

• Minimum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Chinese University of Hong Kong

OTHER

Sponsor Role: lead

Responsible Party

Prof. Lin Zhixiu

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Zhixiu Lin, PhD

Role: PRINCIPAL_INVESTIGATOR

Hong Kong Institute of Integrative Medicine

Locations

Hong Kong Institute of Integrative Medicine

Hong Kong, , Hong Kong

Countries

Hong Kong

Central Contacts

Zhixiu Lin, PhD

Role: CONTACT

linzx@cuhk.edu.hk

35053476

Tin Muk Ho, Master

Role: CONTACT

raytmho@cuhk.edu.hk

39433505

Other Identifiers

Sleep-related Leg Cramps study

Identifier Type: -

Identifier Source: org_study_id