A Randomized Controlled Trial (RCT) of Yiqi Huoxue Jiedu Formula Combined With Bacteriophages in the Treatment of Severe Pneumonia Caused by Drug-resistant Gram-negative Bacilli

NCT ID: NCT07338123

Last Updated: 2026-01-13

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

NOT_YET_RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-02-01

Study Completion Date

2029-08-31

Brief Summary

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Through a prospective randomized controlled trial, we systematically evaluate the effects of Yiqi Huoxue Jiedu Formula combined with bacteriophage therapy on the bacterial clearance rate, disease improvement rate and mortality rate in patients with severe pneumonia caused by drug-resistant bacteria, so as to clarify its clinical transformation value.

Detailed Description

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Conditions

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Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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YHDF Placebo + Bacteriophage Placebo Group

Group Type PLACEBO_COMPARATOR

YHDF Placebo

Intervention Type DRUG

7-day treatment with YHDF placebo

Bacteriophage Placebo

Intervention Type DRUG

7-14-day treatment with phage placebo

YHDF Placebo + Bacteriophage Group

Group Type PLACEBO_COMPARATOR

YHDF Placebo

Intervention Type DRUG

7-day treatment with YHDF placebo

Bacteriophage

Intervention Type DRUG

7-14-day treatment with phage

YHDF Drug + Bacteriophage Placebo Group

Group Type PLACEBO_COMPARATOR

YHDF Drug

Intervention Type DRUG

7-day treatment with YHDF Drug

Bacteriophage Placebo

Intervention Type DRUG

7-14-day treatment with phage placebo

YHDF Drug + Bacteriophage Group

Group Type EXPERIMENTAL

YHDF Drug

Intervention Type DRUG

7-day treatment with YHDF Drug

Bacteriophage

Intervention Type DRUG

7-14-day treatment with phage

Interventions

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YHDF Drug

7-day treatment with YHDF Drug

Intervention Type DRUG

YHDF Placebo

7-day treatment with YHDF placebo

Intervention Type DRUG

Bacteriophage

7-14-day treatment with phage

Intervention Type DRUG

Bacteriophage Placebo

7-14-day treatment with phage placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients who meet the diagnostic criteria for severe pneumonia caused by drug-resistant Gram-negative bacilli and conform to the TCM syndrome differentiation of Qi deficiency, toxin accumulation and blood stasis syndrome; patients confirmed by rapid on-site microbiological evaluation (M-ROSE), clinical microbial culture and drug susceptibility testing (based on the drug susceptibility test results of our hospital or other Grade A tertiary hospitals) to be infected with multidrug-resistant Klebsiella pneumoniae, Acinetobacter baumannii or Pseudomonas aeruginosa; aged 18 to 85 years old; patients or their family members agree to cooperate with the collection of upper and lower respiratory tract specimens, consent to bronchoscopy plus bronchoalveolar lavage, and agree to receive nebulized inhalation of bacteriophage therapy; patients or their family members have fully read, understood and signed the informed consent form.

Exclusion Criteria

* Women who are pregnant or lactating; patients with immunodeficiency; patients receiving immunosuppressive therapy or suffering from immunodeficiency diseases; patients who have received mechanical ventilation for more than 60 days prior to enrollment; patients with active pulmonary tuberculosis, lung abscess, or Grade D chronic obstructive pulmonary disease (COPD); patients with incomplete sampling or clinical data; patients with known allergies to bacteriophage products or the components of Yiqi Huoxue Jiedu Formula; patients judged by the researchers as unsuitable for participation in this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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wang kaifei

Chief Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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2025ZD0549303

Identifier Type: -

Identifier Source: org_study_id

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