ClinicalTrials.gg
Status unknownNCT03591471Updated Jul 19, 2018

Study on Children Henoch-Schönlein Purpura Nephritis With TCM Multistep Treatment

A Phase 1/2 interventional study of Glycosides Of Tripterygium Wilfordii Hook(GTW) and Sulfotanshinone Sodium Injection in Henoch-Schönlein Purpura Nephritis, sponsored by Henan University of Traditional Chinese Medicine. Status unknown at 2 sites in China. Open to participants aged 2 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-07-19.

Sponsored by Henan University of Traditional Chinese Medicine · Phase 1/2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2018), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Sep 2014, registered Dec 2014).
Phase
Phase 1/2
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
2 Years to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 16 studies in Purpura with a site in China — 4 open to participants now, 4 under way, 2 of them phase 3. Purpura · China.

Planned enrollment
Largest of 16
500 · median 137
Started
2014
the only one that year
Phase 1/2
2 of 16
1 open now
Registered
9th of 16
by date
Lead sponsor
1 of 16
Henan University of Traditional Chinese Medicine

Among the 16 studies in Purpura with a site in China, this one has the largest planned enrollment, is the only one that started in 2014, is one of 2 in phase 1/2, and was the 9th registered.

Purpura

45 studies on the registry are indexed under Purpura; 4 are open to participants now.

Browse Purpura studies →

Open to participants now

4 of the 16 studies in Purpura with a site in China are open now. Recruiting first, the newest first:

All 4 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 4 Purpura studies recruiting now, 2 (50%) set no upper age limit and 2 (50%) stop at 75 or younger; 1 take children under 18; 0 take healthy volunteers.

This study: 2 Years to 18 Years · all sexes · healthy volunteers too.

The full table on the hub →

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02

Study summary

The purpose of this study is to determine the optimum dosage and application method of Glycosides Of Tripterygium Wilfordii Hook(GTW) for Henoch-Schönlein Purpura Nephritis(HSPN) in children, and develop into the normal treatment protocols for Henoch-Schönlein Purpura Nephritis in children.

Read the detailed description

Based on Chinese Eleventh Five-year Plan for Science and Technology Program, this study follows a large-sample multicenter centerrandom open-label controlled perspective method, enrolls HSPN children with hematuria associated with proteinuria and isolated proteinuria from 2 to 18 years of age, classifys five traditional Chinese medicine patterns of syndrome: wind-heat complicated with blood stasis, blood-heat complicated with blood stasis, yin deficiency complicated with blood stasis, both qi and yin deficiency complicated with blood stasis,damp-heat complicated with blood stasis. For TCM group,according to the severity of HSPN, stepped treatment should be taken. The initial dosage of GTW for severe HSPN is 2mg/kg/d, continued with 1.5mg/kg/d and 1mg/kg/d; The initial dosage of GTW for light HSPN is 1.5mg/kg/d, continued with 1mg/kg/d. On the above base, the comprehensive treatment are taken combined with TCM syndrome differentiation, medicated with Sulfotanshinone Sodium Injection.For controlled group,the treatment for severe HSPN is prednisone combined with heparin plus lotensin and dipyridamole tablets;for light HSPN is heparin plus lotensin and dipyridamole tablets.12 weeks after treatment, the third-party statistics evaluate the efficacy and effect,and a follow-up lasting 36 weeks will go on.

03

Conditions studied

  • Henoch-Schönlein Purpura Nephritis

Browse trials for

Keywords

  • Children,
  • Henoch-Schönlein Purpura Nephritis
  • Integrated and Stepped Treatment in TCM
04

Who can participate

Ages eligible
2 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Clinical diagnosis of Henoch-Schönlein Purpura Nephritis Disease
  • Age form 2-18 years old
  • Disease onset within 2 months

Exclusion criteria

Exclusion Criteria:

  • Nephritis not causing by HSPN
  • Being alergic to the medicine in the treatment
  • No compliance
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    TCM multistep therapy

    Light HSPN:1.Glycosides Of Tripterygium Wilfordii Hook(GTW): initial dosage is 1.5mg/kg/d(4 weeks),continued with 1mg/kg/d(8 weeks),12weeks in total. Severe HSPN:1.GTW:the initial dosage is 2mg/kg/d(2 weeks), continued with 1.5mg/kg/d(2 weeks) and 1mg/kg/d(8 weeks); 12weeks in total. On the above base,Sulfotanshinone Sodium Injection(1mg/kg/d,2weeks) and Qingrezhixue granules(a nosocomial preparation) combined with Chinese herbs(12weeks) based on TCM syndrome differentiation are taken at the same time.

    Drug: Glycosides Of Tripterygium Wilfordii Hook(GTW) · Drug: Sulfotanshinone Sodium Injection · Drug: Chinese herbs based on syndrome differentiation

  • Active comparator
    Routine medicine

    Light HSPN:1.Lotensin: 5-10mg/d,12weeks; 2.Low Molecular Weight Heparin(LMWH):100u/kg,2weeks;3.Dipyridamole:3mg/kg/d,Tid,12weeks.4.Chinese medicine placebo,12weeks. Severe HSPN:Add pednisone on the treatment of Light HSPN,and gradually reduce the dosage in 12 weeks,the initial dosage is 2mg/kg/d(maximum to 30mg,4 weeks),continue to reduce the dosage until discontinued(Reduce the dosage at the rate of 5mg every other day in 4-8 weeks,then reduce the dosage at the rate of 5-10mg per week in 8-12weeks)

    Drug: Prednisone Acetate Tablets · Drug: Benazepril Hydrochloride Tablets · Drug: Low Molecular Weight Heparin Calcium Injection · Drug: Dipyridamole Tab 25 MG · Drug: Chinese medicine placebo

Interventions

  • DrugGlycosides Of Tripterygium Wilfordii Hook(GTW)

    For severe HSPN GTW is 2mg/kg/d for the first 2 weeks , continued with 1.5mg/kg/d (maximum to 90mg/d) for another 2 weeks; For light HSPN GTW is 1.5mg/kg/d(maximum to 90mg/d) for 4 weeks. Both the 2 types are continued with 1mg/kg/d of GTW for another 4 weeks . Besides,Sulfotanshinone Sodium Injection,Qingrezhixue graunles,Chinese herbs by syndrome differentiation are plused at the same time

  • Intravenous drip of Sulfotanshinone Sodium Injection with the dosage of 1mg/kg/d(maximum to 50mg), combined with 100-250ml 5% Glucose Solution (G.S) for 2 weeks in both the light and serious type of TCM group.

  • DrugChinese herbs based on syndrome differentiation

    For both the light and serious type of HSPN in TCM group,five traditional Chinese medicine patterns of syndrome are classified on the main pathogenesis "Blood Stasis": based on Qingre Zhixue granule,for wind-heat complicated with blood stasis, add Forsythia, Honeysuckle,;for blood-heat complicated with blood stasis,add Buffalo horn,Comfrey; for yin deficiency complicated with blood stasis, add Rhizoma anemarrhenae,Cortex phellodendri;for both qi and yin deficiency complicated with blood stasis,add Astragalus, Heterophylla;for damp-heat complicated with blood stasis,add Scutellaria baicalensis,Lalang Grass Rhizome.

  • Prednisone Acetate Tablets are necessary for serious HSPN in controlled group,the initial dosage is 2mg/kg/d(maximum to 30mg,4 weeks),continue to reduce the dosage until discontinued(Reduce the dosage at the rate of 5mg every other day in 4-8 weeks,then reduce the dosage at the rate of 5-10mg per week in 8-12weeks)

  • In controlled group, Benazepril Hydrochloride Tablets are used for both the light and serious type with the dosage of 5-10mg/d(10mg/d for children with weight above 30kg) ,12 weeks in total.

    Also known as: Lotensin

  • In controlled group,Low Molecular Weight Heparin Calcium Injection are used for both the light and serious type with the dosage of 100u/kg/d by hypodermic injection for 2 weeks

  • In controlled group,Dipyridamole Tab 25 MG are used for both the light and serious type of HSPN with the dosage of 3mg/kg/d ,3 times a day,12 weeks in total.

    Also known as: Persantine

  • DrugChinese medicine placebo

    In controlled group,take a potential necessary for patients who come to the hospital of TCM to take traditional Chinese medicine in consideration, we add the traditional Chinese medicine placebo in controlled group.

06

What researchers measure

Primary outcomes

  1. 24-hour urinary protein quantity

    24-hour urinary protein is the most important and direct indicators of therapeutic effect,so this clinical lab index should be reccord at every point during treatment and follow-up,17 times in total.

    Time frame: Changes in the quantity of urinary protein at week 1、week2、week 4、week6、week8、week10 and week12 of the treatment phase and at week16、week20、week24、week28、week32、week36、week40、week44、week48 of the follow-up phase compared with baseline

Secondary outcomes

  1. Urine red blood cells

    Compared to 24-hour urinary protein,urine red blood cells count is a secondary indicator to reflect therapeutic effect because urine red blood cells recede more slowly than protein,this clinical lab index should also be reccorded at every point during treatment and follow-up,17 times in total.

    Time frame: Changes in the quantity of urinary protein at week 1、week2、week 4、week6、week8、week10 and week12 of the treatment phase and at week16、week20、week24、week28、week32、week36、week40、week44、week48 of the follow-up phase compared with baseline

Other outcomes

  1. The white blood cell count(WBC) in the blood

    There is a potential risk of abnormality in the blood system in terms of leukocyte counts after taking immunosuppressor or prednison. Leukocyte count should be recorded in total of 17 times during and after treatment through routine blood tests.

    Time frame: Week0(before treatment),week1、week2、week4、week6、week8、week10 and week12 of the treatment phase and week16、week20、week24、week28、week32、week36、week40、week44、week48 of the follow-up phase

  2. The platelet count(PLT) in the blood

    There is a potential risk of abnormality in the blood system in terms of platelet counts after taking immunosuppressor or prednison. Platelet count should be recorded in total of 17 times during and after treatment through routine blood tests.

    Time frame: Week0(before treatment),week1、week2、week4、week6、week8、week10 and week12 of the treatment phase and week16、week20、week24、week28、week32、week36、week40、week44、week48 of the follow-up phase

  3. Glutamate alanine transferase(ALT) in the blood

    There is a potential risk of dysfunction in liver after using any drug. As one of the indicators of liver damage,the test of ALT should be taken in total of 11 times during and after treatment through a liver function test by taking blood from vein.

    Time frame: Week0(before treatment),week1、week2、week4、week8、week12 of the treatment phase and week20、week28、week36、week44、week48 of the follow-up phase

  4. Glutamate aspartate transferase(AST) in the blood

    There is a potential risk of dysfunction in liver after using any drug. As one of the indicators of liver damage,the test of AST should be taken in total of 11 times during and after treatment through a liver function test by taking blood from vein.

    Time frame: Week0(before treatment),week1、week2、week4、week8、week12 of the treatment phase and week20、week28、week36、week44、week48 of the follow-up phase

  5. Serum Creatinine(Scr)

    There is a potential risk of dysfunction in kidney after using any drug. As an indicator of kidney damage,the test of Cr should be taken in total of 11 times during and after treatment through a kidney function test by taking blood from vein.

    Time frame: Week0(before treatment),week1、week2、week4、week8、week12 of the treatment phase and week20、week28、week36、week44、week48 of the follow-up phase

  6. Blood Urea Nitrogen(BUN)

    There is a potential risk of dysfunction in kidney after using any drug. As an indicator of kidney damage,the test of BUN should be taken in total of 11 times during and after treatment through a kidney function test by taking blood from vein.

    Time frame: Week0(before treatment),week1、week2、week4、week8、week12 of the treatment phase and week20、week28、week36、week44、week48 of the follow-up phase

07

Study locations

2 of 2 sites recruiting
  • Children's Hospital, The First Affiliated Hospital of HUTCM
    Zhengzhou, Henan 450000, China
    Recruiting
  • The First Affiliated Hospital of Henan University of Traditional Chinese Medicine
    Zhengzhou, Henan 450000, China
    Recruiting
08

References and documents

Publications

  • Ding Y, Zhang X, Ren X, Zhai W, He L, Liu J, Yao C, Han S, Wang L. Traditional Chinese medicine versus regular therapy in Henoch-Schonlein purpura nephritis in children: study protocol for a randomized controlled trial. Trials. 2019 Aug 29;20(1):538. doi: 10.1186/s13063-019-3484-3. PubMed 31464626 ↗

Individual participant data

Plan to share: Yes — We allow all the data to be made public once the trial finished

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: Our data will become availiable from January,2019 and for 10 years

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2014 (actual). Primary completion is estimated for Dec 2018, 51 months after the start.

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

Registered
Dec 9, 2014
First posted
Jul 19, 2018
StartActual
Sep 2014
Primary completionEst.
Dec 2018
CompletionEst.
Dec 2018
Last update
Jul 19, 2018
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 Jul 19, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03591471
Lead sponsor
Henan University of Traditional Chinese Medicine
Collaborators
Peking University First Hospital, Children's Hospital of Fudan University, Shanghai Children's Hospital, Chengdu University of Traditional Chinese Medicine, Affiliated Hospital of Yunnan University of Traditional Chinese Medicine
Responsible party
Sponsor
First posted
Jul 19, 2018
Start date
Sep 2014
Primary completion
Dec 2018 (estimated)
Completion
Dec 2018 (estimated)
Last update
Jul 19, 2018

Study contacts

Ying Ding, professor
Contact
dingying3236@sina.com
+86-371-66221361
Guizhen Zheng, Lecturer
Contact
zhengguizhen@126.com
+86-371-65962457
Ying Ding, professor
principal investigator · Henan University of Traditonal Chinese Medicine

Oversight

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

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Studies of the drug tested here: Tanshinone II A sodium sulfonate

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