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CompletedNCT00456755Updated Jan 6, 2010Results posted

Herbal Treatment for Perennial Allergic Rhinitis

A Phase 2 interventional study of Shi-Bi-Lin and Placebo in Perennial Allergic Rhinitis, sponsored by Chinese University of Hong Kong. Completed at 2 sites in Hong Kong. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2010-01-06.

Sponsored by Chinese University of Hong Kong · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
126
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Allergic rhinitis(AR) is one of the most common allergic disorders throughout the world.The conventional therapies are effective in alleviating symptoms but the efficacy are limited and not persistent. Furthermonre, the cost and side-effect are known defects. A classical Chinese herbal formula, has been used for AR for centries. Our study purpose is to evaluate the clinical efficacy and safety of this formula verus placebo in perennial allergic rhinitis (PAR).

Hypothesis: the classical herbal formula would improve the symptoms of PAR patients and change some immunological parameters in the peripheral blood when comparing with the placebo.

Read the detailed description

It is a randomized, double-blind, placebo-controlled trial.

02

Conditions studied

  • Perennial Allergic Rhinitis

Keywords

  • Perennial Allergic rhinitis
  • Traditional Chinese Medicine
03

In context

Rhinitis

1,105 studies on the registry are indexed under Rhinitis; 65 are open to participants now.

This study's enrollment of 126 is above the median of 89 across 906 interventional studies indexed under Rhinitis.

Browse Rhinitis studies →

Lead sponsor

Chinese University of Hong Kong is the lead sponsor of 1,419 studies on the registry; 487 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Aged from 18 to 65 years old
  • Have typical symotoms of PAR including rhinirrhea, sneezing, nasal obstruction and itching in nose and eyes for at least 2 previous consecutive years.
  • Postive skin prick test(SPT) to hose dust mite, mold, animal dander and cockcroach with regular AR medications withould for 3 days prior to the test

Exclusion criteria

Exclusion Criteria:

  • Pregnant women and women at risk of conception
  • Received allergen injections in previous 2 years
  • Regular medications for AR or cold and other allergic disorder
  • Seasonal allergic rhinitis, vasomotor rhinitis and rhinitis medicamentosa
  • Nasal structure deformities, nasal polyps and hypertrophic rhinitis
  • Systematic cortisosteroid used within recent 3 months or nasal cortisosteroid with 15 days
  • Other active respiratory disorders
  • Active medical disorders: cancer, infection, hematology, renal, hepatic, cardiovascular, metabolic and gastrointestinal diseases
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
126 participants (actual)

Study arms

  • Active comparator
    Shi-Bi-Lin

    Consist of 6 herbal. 7.5 g Xanthium sibiricum Patrin ex Widder (Asteraceae, Fructus), 20 g Angelica dahurica (Fisch. ex Hoffm.) Benth. (Apiaceae, Radix), 7.5 g Saposhnikovia divaricata (Turcz.) Schischk. (Apiaceae, Radix),15 g Magnolia biondii Pamp., (Magnoliaceae, Flos), 5 g Gentiana scabra Bunge (Gentianaceae, Radix) and 5 g Verbena officinalis L. (Verbenaceae, Herba).

    Drug: Shi-Bi-Lin

  • Placebo comparator
    Placebo

    The placebo contained brown colored starch resembling the SBL powder

    Other: Placebo

Interventions

  • DrugShi-Bi-Lin

    4 weeks of treatment, dose of 1 g (two capsules), twice daily

    Also known as: Modified from the classic formula Cang-Er-Zi-San.

  • OtherPlacebo

    4 weeks of colormatched placebo capsules, dose of 1 g (two capsules), twice daily

06

What researchers measure

Primary outcomes

  1. Allergic Rhinitis Symptom Score Including Rhinorrhea, Nasal Obstruction, Sneezing, Itchy Nose and Itchy Eyes at Week 4

    The severity of PAR was evaluated by means of a daily symptom diary chart. Patients were instructed to grade retrospectively everyday before bedtime, their generalwell-being, nasalsymptoms (nasal blockage, rhinorrhea, nose itching, sneezing) and non-nasal symptoms(itching eyes, tearing eyes, redness of eyes, itching of ears or palate) on the diary chart. A 4-point severity scale from no symptoms (0), mild (1), moderated (2) to severe (3) was used.

    Time frame: 4 week

Secondary outcomes

  1. Quality of Life (Difference Between Baseline and Week 4)

    SF-36 QOL questionnaire administrated before and after treatment. It has eight domains: general health (GH), physical functioning (PF), social functioning (SF), role limitation caused by physical problems (RP), bodily pain (BP), role limitations caused by emotional problem (RE), mental health (MH), and vitality (VT). Each domain was started from 0 (worst health) to 100 (best health).

    Time frame: 4 week

07

Results

Posted Jan 6, 2010

Participant flow

Recruitment started at Jan 2004. Patients were recruited as volunteers from the Prince of Wales hospital, the Yan Chai hospital and the Alice Ho Mui Ling Nethersole Hospital specialist clinics.

Participant flow — Overall Study
MilestoneShi-Bi-LinPlacebo
Started6363
Completed6162
Not completed21
Withdrew: Lost to follow-up21

Outcome measures

PrimaryAllergic Rhinitis Symptom Score Including Rhinorrhea, Nasal Obstruction, Sneezing, Itchy Nose and Itchy Eyes at Week 4

The severity of PAR was evaluated by means of a daily symptom diary chart. Patients were instructed to grade retrospectively everyday before bedtime, their generalwell-being, nasalsymptoms (nasal blockage, rhinorrhea, nose itching, sneezing) and non-nasal symptoms(itching eyes, tearing eyes, redness of eyes, itching of ears or palate) on the diary chart. A 4-point severity scale from no symptoms (0), mild (1), moderated (2) to severe (3) was used.

Time frame:
4 week
Reported as:
Mean · Unit Score
Allergic Rhinitis Symptom Score Including Rhinorrhea, Nasal Obstruction, Sneezing, Itchy Nose and Itchy Eyes at Week 4
Unit ScoreShi-Bi-LinPlacebo
General Health2.82 ± 0.82.8 ± 0.78
Nose Blockage1.19 ± 0.681.21 ± 0.77
Rhinorrhea volume1.26 ± 0.711.24 ± 0.7
Sneeze Frequency1.15 ± 0.641.18 ± 0.70
Nose Itching1.11 ± 0.580.99 ± 0.75
Eyes Itching0.73 ± 0.670.56 ± 0.76
Tears0.52 ± 0.710.43 ± 0.67
Eye Congestion0.37 ± 0.60.26 ± 0.58
Ear itching0.81 ± 0.650.61 ± 0.78
SecondaryQuality of Life (Difference Between Baseline and Week 4)

SF-36 QOL questionnaire administrated before and after treatment. It has eight domains: general health (GH), physical functioning (PF), social functioning (SF), role limitation caused by physical problems (RP), bodily pain (BP), role limitations caused by emotional problem (RE), mental health (MH), and vitality (VT). Each domain was started from 0 (worst health) to 100 (best health).

Time frame:
4 week
Reported as:
Mean · Unit Score
Quality of Life (Difference Between Baseline and Week 4)
Unit ScoreShi-Bi-LinPlacebo
Physical functioning4 ± 140 ± 10
Role limitation by physical problem7 ± 333 ± 30
Bodily pain-3 ± 25-10 ± 21
General Health-7 ± 20-9 ± 23
Vitality8 ± 2213 ± 20
Socail functioning17 ± 1817 ± 19
Role limitation by emotional problem13 ± 293 ± 28
Mental health1 ± 231 ± 18

Adverse events

Collected over During the 4 week Follow up visit, clients may report any Adverse Event they experience.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Shi-Bi-Lin—0/63 (0%)0/63 (0%)
Placebo—0/63 (0%)0/63 (0%)

Baseline characteristics

Age Continuous
Age Continuous(Year)Shi-Bi-LinPlaceboTotal
Age41.19 ± 12.3836.02 ± 11.1438.60 ± 12.01
Sex: Female, Male
Sex: Female, Male(Participants)Shi-Bi-LinPlaceboTotal
Female404383
Male232043
Region of Enrollment
Region of Enrollment(participants)Shi-Bi-LinPlaceboTotal
Hong Kong6363126
08

Study locations

2 sites
  • Department of ENT, Prince of Wales Hospital
    Hong Kong, Hong Kong
  • Department of ENT, Yan Chai Hospital
    Hong Kong, Hong Kong
09

References and documents

Publications

  • Leung R, Ho P. Asthma, allergy, and atopy in three south-east Asian populations. Thorax. 1994 Dec;49(12):1205-10. doi: 10.1136/thx.49.12.1205. PubMed 7878553 ↗
  • Spector SL. Overview of comorbid associations of allergic rhinitis. J Allergy Clin Immunol. 1997 Feb;99(2):S773-80. doi: 10.1016/s0091-6749(97)70126-x. PubMed 9042070 ↗
  • Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Lancet. 1998 Apr 25;351(9111):1225-32. PubMed 9643741 ↗
  • Nash DB, Sullivan SD, Mackowiak J. Optimizing quality of care and cost effectiveness in treating allergic rhinitis in a managed care setting. Am J Manag Care. 2000 Jan;6(1 Suppl):S3-15; quiz S19-20. PubMed 11009751 ↗
  • Bielory L, Lupoli K. Herbal interventions in asthma and allergy. J Asthma. 1999;36(1):1-65. doi: 10.3109/02770909909065150. PubMed 10077136 ↗
  • Ziment I, Tashkin DP. Alternative medicine for allergy and asthma. J Allergy Clin Immunol. 2000 Oct;106(4):603-14. doi: 10.1067/mai.2000.109432. PubMed 11031328 ↗
  • Schmolz M, Ottendorfer D, Marz RW, Sieder C. Enhanced resistance to Sendai virus infection in DBA/2J mice with a botanical drug combination (Sinupret). Int Immunopharmacol. 2001 Sep;1(9-10):1841-8. doi: 10.1016/s1567-5769(01)00108-4. PubMed 11562075 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 6, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00456755
Lead sponsor
Chinese University of Hong Kong
First posted
Apr 5, 2007
Start date
Mar 2004
Primary completion
Apr 2006
Completion
Apr 2006
Results posted
Jan 6, 2010
Last update
Jan 6, 2010

Study contacts

Zhao Yu, PhD
principal investigator · Department of ENT, Prince of Wales Hospital, The Chinese University of Hong Kong

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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