ClinicalTrials.gg
CompletedNCT03403569Updated Apr 8, 2022

Safety and Efficacy of Triptolide Wilfordii in New Onset HIV-1 Infection

A Phase 3 interventional study of Triptolide Wilfordii and Placebo Oral Tablet in HIV-infection/AIDS, sponsored by Peking Union Medical College Hospital. Completed at 7 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-04-08.

Sponsored by Peking Union Medical College Hospital · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
353
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 87 studies in Acquired Immunodeficiency Syndrome with a site in China — 22 open to participants now, 24 under way, none of them phase 3. Acquired Immunodeficiency Syndrome · China.

Enrollment
17th of 68
353 · median 108
Started
2018
with 6 others
Phase 3
7 of 87
none open now
Registered
34th of 87
by date
Lead sponsor
6 of 87
Peking Union Medical College Hospital

Among the 87 studies in Acquired Immunodeficiency Syndrome with a site in China, this one is the 17th largest by enrollment of the 68 interventional ones that give a count, is one of 7 that started in 2018, is one of 7 in phase 3, and was the 34th registered.

Acquired Immunodeficiency Syndrome

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

Browse Acquired Immunodeficiency Syndrome studies →

Open to participants now

22 of the 87 studies in Acquired Immunodeficiency Syndrome with a site in China are open now. Recruiting first, the newest first:

17 more — sign in →

All 22 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 198 Acquired Immunodeficiency Syndrome studies recruiting now, 118 (60%) set no upper age limit and 67 (34%) stop at 75 or younger; 43 take children under 18; 68 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

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02

Study summary

The traditional Chinese herbal medicine Triptolide Wilfordii has displayed remarkable effect on the treatment of autoimmune diseases such as rheumatoid arthritis. Now that immunosuppression therapy has recently become a new strategy for HIV infection, it's reasonable to expect the anti-inflammatory effect of Triptolide Wilfordii in HIV infected patients. So we designed a randomized, double-blinded, placebo-controlled study to explore the efficacy and safety of Triptolide Wilfordii in new-onset HIV infection.

Read the detailed description

Acquired immune deficiency syndrome(AIDS) is a severe fatal disease caused by HIV infection. Despite viral suppression achieved, antiretroviral therapy(ART) cannot ameliorate HIV-induced immune activation and the consequent non-AIDS complications including cardiovascular, renal, hepatic diseases. Recently, immunosuppression therapy has become the focus since it can suppress exorbitant immune activation and inflammation so as to reduce the risk of non-AIDS cardiovascular and central neural system complications. Triptolide Wilfordii is a traditional Chinese herbal remedy and has long been used in the treatment of autoimmune diseases such as rheumatoid arthritis. Moreover, a recent study has shown that Triptolide Wilfordii combined with ART is associated with increased CD4 T cell counts and reduced immune activation in immunological non-responders, who were defined as patients with CD4 cell counts\<350 cells/μl despite over 2 years of ART. Hence we expect Triptolide Wilfordii to bring up similar improvement in treatment naïve HIV infection. This randomized, double-blinded, placebo-controlled study is designed to investigate the safety and efficacy of Triptolide Wilfordii and hopefully provide evidence for a new treatment strategy.

03

Conditions studied

  • HIV-infection/AIDS

Keywords

  • CD4 cell recovery
  • immune activation
  • anti-inflammation
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18\~65 years old;
  • Male or female;
  • Good adherence and promise to follow-up;
  • Inform Consent signed;
  • Positive for antibody test or serum HIV-RNA positive for 2 times or more;

Exclusion criteria

Exclusion Criteria:

  • Present opportunity infection defined according to national AIDS treatment guideline or active opportunistic infection(not stable within 14 days ) within 3 months before recruitment or AIDS-related carcinoma;
  • (HGB) \< 9 g/dl, white blood cell (WBC) \< 3000/ul, granulin (GRN) \< 1500 /ul, (PLT) \< 75000 /ul, Cr >1.5x (ULN), or AST or alkaline phosphatase (ALP) >3x ULN, total (TBIL) >2x ULN;
  • Pregnancy or breastfeeding;
  • Woman with pregnancy plan;
  • Severe organ dysfunction;
  • Administration of immunosuppressor, immunomodulator(including thymocin) or systemic cytotoxic drugs within 6 months before recruitment.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
353 participants (actual)

Study arms

  • Experimental
    Triptolide Wilfordii Group

    150 patients will be enrolled and be administrated with Triptolide Wilfordii 20mg three times a day(TID) per os combined with appropriate ART for 12 months.

    Drug: Triptolide Wilfordii

  • Placebo comparator
    Placebo Oral Tablet Group

    150 patients will be enrolled and be administrated with placebo per os combined with appropriate ART for 12 months.

    Drug: Placebo Oral Tablet

Interventions

  • DrugTriptolide Wilfordii

    In addition to appropriate ART, Triptolide Wilfordii will be given to patients in the experimental group at a dosage of 20mg three times a day per os for 12 months.

  • DrugPlacebo Oral Tablet

    In addition to appropriate ART, placebo oral tablets will be given to patients in the experimental group at a dosage of 2 pills three times a day per os for 12 months.

06

What researchers measure

Primary outcomes

  1. CD4 T cell counts and HIV RNA

    Compared to patients in placebo group, CD4 T cells of patients treated with Triptolide Wilfordii significantly increase and HIV RNA is reduced below 20 copies/ml.

    Time frame: Baseline, Week4, Week12, Week24, Week36, Week 48

Secondary outcomes

  1. Immune activation

    Compared to patients in placebo group, immune activation index of patients treated with Triptolide Wilfordii decreases.

    Time frame: Baseline, Week4, Week12, Week24, Week36, Week 48

  2. Inflammation level

    Compared to patients in placebo group, inflammation level of patients treated with Triptolide Wilfordii decreases.

    Time frame: Baseline, Week4, Week12, Week24, Week36, Week 48

  3. HIV reservoir

    Compared to patients in placebo group, HIV reservoir of patients treated with Triptolide Wilfordii is reduced.

    Time frame: Baseline, Week4, Week12, Week24, Week36, Week 48

07

Study locations

7 sites
  • Mengchao Hepatobiliary Hospital of Fujian Medical University
    Fuzhou, Fujian 350025, China
  • The Eighth People's Hospital of Guangzhou
    Guangzhou, Guangdong 510060, China
  • The Fourth Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang 150001, China
  • The Sixth People's Hospital of Zhengzhou
    Zhengzhou, Henan 450015, China
  • Xixi Hospital of Hangzhou
    Hangzhou, Zhejiang 310023, China
  • Beijing YouAn Hospital, Capital Medical University
    Beijing, 100069, China
  • Beijing Ditan Hospital, Capital Medical University
    Beijing, 100191, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2018 to primary completion in Jun 2021, 33 months.

Of 31 non-industry phase 3 interventional studies under Acquired Immunodeficiency Syndrome, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 51. This study's 33 months is close to that.

Counting every sponsor, half of 65 studies reached it within 26 months; a quarter within 19 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 11, 2018
First posted
Jan 18, 2018
StartActual
Sep 1, 2018
Primary completionActual
Jun 30, 2021
CompletionActual
Jun 30, 2021
Last update
Apr 8, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03403569
Responsible party
Sponsor
First posted
Jan 18, 2018
Start date
Sep 1, 2018
Primary completion
Jun 30, 2021
Completion
Jun 30, 2021
Last update
Apr 8, 2022

Study contacts

Wei Lyu
principal investigator · Department of Infectious Diseases, PekingUMCH

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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