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Active, not recruitingNCT03201848ITPUpdated Jun 4, 2024

The Efficacy and Safety of Huaiqihuang Granule in Children With Chronic Primary Immune Thrombocytopenia

A Phase 4 interventional study of Placebo and Huaiqihuang Granule in Immune Thrombocytopenia, sponsored by Qidong Gaitianli Medicines Co., Ltd. Active, not recruiting at 14 sites in China. Open to participants aged 1 Year to 14 Years. Per ClinicalTrials.gov, last updated 2024-06-04.

Sponsored by Qidong Gaitianli Medicines Co., Ltd · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
216
Allocation
Randomized
Ages
1 Year to 14 Years
Sex
All
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Study summary

This is a multisite, double-blind, randomized, placebo-controlled, and parallel study designed to evaluate the clinical efficacy and safety of Huaiqihuang granule for treatment to children with chronic primary immune thrombocytopenia (Qi Yin deficiency).

Read the detailed description

The randomized clinical trial included subjects (n =216) will be randomly divided into experimental (n = 162) and control groups (n =54) according to a random number table. Patients in the experimental group will receive Huaiqihuang Granule . Patients in the control group will receive placebo a placebo-controlled designed is used for this study. To minimize the risks, treatment stopping rules and subsequent measures are established for subjects whose disease under study become worsening during the study. Subjects receiving placebo treatment will switch to investigational drug after Week 24 to reduce the risk of lack of efficacy by placebo.

The primary outcome measures is proportion of patients whose hemorrhage has improved (clinical effective rate).

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Conditions studied

  • Immune Thrombocytopenia

Keywords

  • Huaiqihuang granule
  • immune thrombocytopenia
  • randomized
  • double-blind
  • placebo-controlled,
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In context

Thrombocytopenia

697 studies on the registry are indexed under Thrombocytopenia; 153 are open to participants now.

This study's planned enrollment of 216 is above the median of 55 across 472 interventional studies indexed under Thrombocytopenia.

Browse Thrombocytopenia studies →

Lead sponsor

Qidong Gaitianli Medicines Co., Ltd is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
1 Year to 14 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or female, aged between 1 and 14 years (inclusive) ;
  2. Is diagnosed as immune thrombocytopenia according to the criteria of ICD-10, i.e., platelet \< 100×109/L for at least two hematology tests with normal blood cell morphology; skin petechia, ecchymosis and (or) the clinical manifestations of mucosa and visceral hemorrhage; no splenomegaly; exclusion of other secondary thrombocytopenia, such as aplastic leukemia, aplastic anemia characterized by thrombocytopenia as the first hematologic abnormality, hereditary thrombocytopenia, thrombocytopenia secondary to other autoimmune diseases, infections or drugs etc...
  3. Meet the diagnosis criteria for Qi Yin deficiency in traditional Chinese medicine;
  4. Time since initial diagnosis of ITP until randomization is at least 12 month, i.e., course of disease ≥1 year;
  5. Values of prothrombin time (PT/INR) and activated partial thromboplastin time (aPTT) are within 1.2 times of normal reference range;
  6. Values of biochemistry parameters including creatinine, ALT, AST, glucose, total bilirubin are less than 1.2 time of the corresponding upper limit of normal range;
  7. Has signed and dated the informed consent in volunteer by the subject and the subject's legal guardian(s) (for subject who is less than 8 years old, the informed consent will be signed and dated by the subject's legal guardian(s) in volunteer).

Exclusion criteria

Exclusion Criteria:

  1. Is diagnosed as congenital thrombocytopenia;
  2. Is diagnosed as secondary thrombocytopenia;
  3. Is diagnosed as non-immune thrombocytopenia;
  4. Has medical history of diabetes;
  5. In the judgement of Investigator, the subject is not appropriate to participate in this study.
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
216 participants (estimated)

Study arms

  • Experimental
    Huaiqihuang Granule

    Huaiqihuang Granule given to subject will be adjusted by body weight with treatment duration for 48 weeks

    Drug: Huaiqihuang Granule

  • Placebo comparator
    Placebo

    Placebo given to subject will be adjusted by body weight After 24 weeks of placebo, change to Huaiqihuang Granule for another 24 weeks.

    Drug: Placebo · Drug: Huaiqihuang Granule

Interventions

  • DrugPlacebo

    Placebo given to subject will be adjusted by body weight (\<10kg, Placebo given to subject will be adjusted by body weight(\<10kg, half a bag, 2 times a day; 10-20kg; 1 bag, 2 times a day; 20-30kg, 1.5 bag, 2 times a day; 30-50kg, 2 bags, 2 times a day; ≥50kg, 3 bags, 2 times a day;) .

  • DrugHuaiqihuang Granule

    Huaiqihuang Granule given to subject will be adjusted by body weight (\<10kg, half a bag, 2 times a day; 10-20kg; 1 bag, 2 times a day; 20-30kg, 1.5 bag, 2 times a day; 30-50kg, 2 bags, 2 times a day; ≥50kg, 3 bags, 2 times a day)

    Also known as: Huaiqihuang

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What researchers measure

Primary outcomes

  1. the proportion of subjects whose hemorrhage has improved (clinical effective rate)

    The improvement of hemorrhage is defined if at least one of the following criteria is met: 1. Severity of hemorrhage decreases one or more grade, the severity of hemorrhage is defined as following: none: there is any hemorrhage manifestation; mild: simple (often related with an unnoticeable minor collision without obvious ecchymosis) or obvious ecchymosis by collision; moderate: mucous membrane hemorrhage (nose hemorrhage, gum, oral mucosa) and menorrhagia; and severe: organ hemorrhage (digestive tract, respiratory tract, intracranial, etc.). 2. Significant increase in platelet count defined as platelet count is over 30×109/L and increases more than twice compared with the baseline. The results must be tested at least twice with at least 7 days apart). 3. The score of quality of life improves one or more points.

    Time frame: 24、48 and 60 Weeks after treatment

Secondary outcomes

  1. the recovery rate of immune function

    The recovery rate of immune function is the proportion of subjects who have normalized immune function after treatment. The parameters of immune function include cytokines, lymphocyte subsets and auto immunity. One of the three tests has been restored to normal is defined as the immune function has returned to normal.

    Time frame: 24、48 and 60 Weeks after treatment

  2. the recovery rate of thyroid function

    The recovery rate of thyroid function is the proportion of subjects who have normalized immune function after treatment.

    Time frame: 12、24、36、48、60 and 72 Weeks after treatment

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Study locations

14 sites
  • Guangzhou Women and Children's Medical Center
    Guangzhou, Guangdong, China
  • The First Affiliated Hospital, Sun Yat-sen University
    Guangzhou, Guangdong, China
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan, China
  • Union Hospital of Tongji Medical College, Huazhong University of Science & Technology
    Wuhan, Hubei 430022, China
  • Wuhan Children's Hospital
    Wuhan, Hubei, China
  • Children's Hospital of Nanjing Medical University
    Nanjing, Jiangsu, China
  • Children's Hospital of Soochow University
    Suzhou, Jiangsu, China
  • Jiangxi Provincial Children's Hospital
    Nanchang, Jiangxi, China
  • The Affiliated Hospital of Qingdao University
    Qingdao, Shandong, China
  • The Affiliated Hospital of Southwest Medical University
    Luzhou, Sichuan, China
  • First Affiliated Hospital of Xinjiang Medical University
    Ürümqi, Xinjiang, China
  • Beijing Children's Hospital. Capital Medical University
    Beijing, China
  • Children's Hospital Capital Institute of Pediatrics
    Beijing, China
  • Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine
    Shanghai, China
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03201848
Lead sponsor
Qidong Gaitianli Medicines Co., Ltd
Collaborators
Huazhong University of Science and Technology
Responsible party
Sponsor
First posted
Jun 28, 2017
Start date
Nov 16, 2017
Primary completion
Oct 14, 2023
Completion
Jun 30, 2024 (estimated)
Last update
Jun 4, 2024

Study contacts

Runming Jin, Professor
principal investigator · Wuhan Union Hospital, China

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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