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CompletedNCT04993729Updated Aug 13, 2024

Safety and Efficacy of T89 in the Prevention and Treatment of Adults With Acute Mountain Sickness (AMS)

A Phase 3 interventional study of T89 capsule and Placebo capsule in Acute Mountain Sickness (AMS), sponsored by Tasly Pharmaceuticals, Inc.. Completed at 3 sites in 2 countries. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-13.

Sponsored by Tasly Pharmaceuticals, Inc. (part of China Resources Pharmaceutical Group Limited) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was May 2023, 3 years 5 months ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
853
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The specific aim of this double blind, randomized phase III trial is to evaluate the safety and efficacy of T89 in preventing Acute Mountain Sickness (AMS) and relieving the symptoms of AMS after rapid ascent.

Read the detailed description

Acute mountain sickness (AMS) is a common ailment in people venturing over 2,500 meters altitude. It is a pathological effect of high altitude on humans, caused by acute exposure to low partial pressure of oxygen at high altitude. It presents with a cluster of nonspecific symptoms including headache and one of the following: gastrointestinal symptoms, fatigue and/or weakness, dizziness/ lightheadedness or difficulty sleeping.

T89 capsule is a modernized industrialized version of a traditional Chinese herbal medicine. It is a botanical drug product for oral use. Previous clinical studies showed T89 has substantial benefits in the prevention or amelioration of symptoms associated with acute mountain sickness (AMS).This is double-blind, randomized, placebo controlled pivotal phase 3 study. After informed consent is obtained, eligible subjects will be randomized to one of the 3 study groups (T89 high dose, T89 low dose and placebo control). The study drug will be given orally for 5 days (2 days at sea level and 3 days at high altitude). The clinical assessment of Lake Louise Scoring System (LLSS), blood oxygen saturation, the exercise tolerance, blood pressure and heart rate will be performed at sea level and altitude. A total of 846 subjects will be enrolled with 282 subjects in each treatment arm, and a minimum of 756 subjects are expected to complete the study.

02

Conditions studied

  • Acute Mountain Sickness (AMS)

Browse trials for

Keywords

  • Acute Mountain Sickness
03

In context

Altitude Sickness

216 studies on the registry are indexed under Altitude Sickness; 46 are open to participants now.

This study's enrollment of 853 is above the median of 34 across 178 interventional studies indexed under Altitude Sickness.

Browse Altitude Sickness studies →

Lead sponsor

Tasly Pharmaceuticals, Inc. is the lead sponsor of 17 studies on the registry; 1 is open to participants now.

First submitted before Tasly Pharmaceuticals, Inc. became part of China Resources Pharmaceutical Group Limited.

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

04

Who can participate

Ages eligible
18 Years to 55 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

  1. Healthy volunteers: ages 18 - 55 years old;
  2. Primary residence elevation of 2,461 ft (750m) or lower;
  3. Not ascending to altitude >10,000 ft within 4 months prior to screening;
  4. Females of must have a negative pregnancy test and established on a method of that in the investigator's opinion is acceptable. Females must agree to remain on their established method of contraception from the time of the screening visit and throughout the study period;
  5. Willing to participate voluntarily and sign a written .

Exclusion criteria

Exclusion Criteria:

  1. Subjects with medical history of cardiovascular, cerebrovascular diseases or asthma; uncontrolled hypertension with SBP>140 and or DBP>90 mmHg;
  2. Subjects with current and respiratory system disease, digestive disease, liver disease, central nervous system disease, psychiatric disease, metabolic disease, renal disease, acute infection or anemia, or who test positive for COVID-19 (COVID testing will be performed, not per study requirement, but in compliance with local law or policy, and subject with known positive for COVID-19 will be excluded).
  3. Total LLSS score (LLSS score) is ≥2 at any check point during screening period;
  4. Blood oxygen saturation (SpO2), preferably tested on the left-hand index finger, is less than 95% at screening visits;
  5. Subjects with abnormal renal or liver function with clinical significance ( or AST > 2×, Creatinine > ULN) at screening visit;
  6. Subjects with CRP > ULN at screening visit;
  7. Subjects with primary (migraine, tension-type headache, and cluster headache etc.) or secondary headaches (headache related to infection, vascular disease etc.) within one month at screening;
  8. Surgery or blood donation within 3 months prior to screening;
  9. On treatment of any medications (including any dietary supplements) except for within 14 days prior to screening and throughout the study period;
  10. Smokers who had a habit of smoking during the last 4 months prior to the starting of screening;
  11. Contradictive to treatment of Danshen (Radix Saliva Miltiorrhize Bge., RSM) products;
  12. Women who are pregnant or lactating.
  13. Substance abuse. Subjects with a recent (within the last 6 months) history of substance abuse (alcohol, marijuana, or known drug dependence). Or subjects who have a positive urine substance test at screening;
  14. Participation in any other interventional clinical trial or on an drug within 30 days prior to screening;
  15. A family member or relative of the study site staff;
  16. Any condition that, in the opinion of the investigator, is likely to prevent compliance with the study protocol, interfere with the assessment, or pose a safety concern if the subject participates in the study at screening.
Terms in these criteria, in plain language(7)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    T89 low-dose group

    Subjects in this group will take three T89 capsules and one Placebo capsule each time by oral administration three times daily for 5 days.

    Drug: T89 capsule · Drug: Placebo capsule

  • Experimental
    T89 high-dose group

    Subjects in this group will take four T89 capsules each time by oral administration three times daily for 5 days.

    Drug: T89 capsule

  • Placebo comparator
    Placebo group

    Placebo capsule does not contain any amount of active substance. Subjects in this group will take four placebo capsules each time by oral administration three times daily for 5 days.

    Drug: Placebo capsule

Interventions

  • T89 capsule (trade name Dantonic®) is a botanical drug containing 75mg active substance which is the water extract of Danshen and Sanqi. T89 capsules, p.o. TID.

  • DrugPlacebo capsule

    Placebo capsules, p.o. TID.

06

What researchers measure

Primary outcomes

  1. Change of baseline corrected mean LLSS score on Day 4 morning (next mornings after arrival at high altitude) between T89 and placebo groups.

    2018 Lake Louise Scoring System (LLSS) score \[0-12\] will be used in this primary outcome assessment. The higher LLSS scores mean the worse symptoms of AMS. Baseline will be the average of LLSS scores on Day 2 and the one on Day 3 before breakfast.

    Time frame: Baseline and day 4

Secondary outcomes

  1. The change of blood oxygen saturation levels (SpO2) at high altitude between T89 and placebo groups.

    Blood oxygen saturation (SpO2) will be measured by pulse oximeter at sea level (on screening day, Day 2 and Day 3 morning) and at high altitude (Day 3 after arriving and Day 4-Day 6).

    Time frame: Baseline and days 3-6

  2. The change of the area under the curve (AUC) of baseline corrected LLSS score-time profile between T89 and placebo groups.

    AUC of based corrected LLSS score-time curve during altitude stay will be compared between T89 and placebo groups.

    Time frame: Baseline and days 3-6

  3. The change in total incidence of LLSS score ≥5 on Day 4 morning between T89 and placebo groups.

    Total incidence of LLSS score ≥5 will be recorded on Day 4 morning. The difference between T89 and placebo groups will be compared.

    Time frame: Day 4 morning

  4. The change of percentage reduction of the daily total LLSS score from Day 4 to Day 5 between T89 and placebo groups.

    Proportional reduction of the daily total LLSS score from Day 4 to Day 5 at high altitude will be compared between T89 and placebo groups.

    Time frame: Days 4-5

  5. The change of baseline corrected LLSS score at any given time points between T89 and placebo groups.

    2018 Lake Louise Scoring System (LLSS) score \[0-12\] will be used in this primary outcome assessment. The higher LLSS scores mean the worse symptoms of AMS. Baseline corrected LLSS score will be assessed at every time points at high altitude from Day 3 to Day 6.

    Time frame: Baseline and days 3-6

  6. The change of total functional LLSS score at any given time points between T89 and placebo groups.

    The functional score \[0-3\] will be self-reported using the 1993 Lake Louise Acute Mountain Sickness Score System to evaluate how did AMS symptoms affect subjects' activities, if they have AMS symptoms. The higher functional scores mean the worse symptoms of AMS.

    Time frame: Baseline and days 3-6

  7. Accumulated incidence rate of subjects who underwent any rescue activity in transit and after ascending between T89 and placebo groups.

    The total incidence of subjects who received rescue medicine, oxygen or descent to lower level will be recorded in transit and after arriving high altitude.

    Time frame: Days 3-6

  8. The change of exercise tolerance at high altitude (on Day 3 after arriving and Day 5, respectively) from those of at sea level baseline between T89 and placebo groups.

    Exercise tolerance test will be performed on bicycle ergometer.

    Time frame: Baseline and days 3 and 5

  9. The change of the symptom-related AE drop-out rate between T89 and placebo groups.

    The symptom-related AE drop-out rate is proportion of participants who dropped out study because of adverse event.

    Time frame: Days 3-6

  10. The change of blood pressure (mmHg) during at high altitude from those of at sea level baseline on Day 1 (prior to the first dose administration) between T89 and placebo groups.

    Unit of blood pressure is mmHg. Both systolic blood pressure (SBP) and diastolic blood pressure (DBP) will be recorded. Blood pressure will be measured at each applicable visit during the whole study period (screening day, Day 2-Day 6).

    Time frame: Screening day, days 2-6

  11. The change of heart rate (beats/minute) at high altitude from those of at sea level baseline on Day 1 (prior to the first dose administration) between T89 and placebo groups.

    Unit of heart rate is beats/minute. Heart rate will be measured at each applicable visit during the whole study period (screening day, Day 2-Day 6).

    Time frame: Screening day, days 2-6

07

Study locations

3 sites
  • Hypoxia Research Lab, UCSF Parnassus Campus, S-256
    San Francisco, California 94143, United States
  • Affiliated Hospital of Chengdu University of TCM
    Chengdu, Sichuan 610032, China
  • Tibet Autonomous Region People's Hospital
    Lhasa, Tibet 850000, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04993729
Responsible party
Sponsor
First posted
Aug 6, 2021
Start date
Jul 21, 2021
Primary completion
May 26, 2023
Completion
May 26, 2023
Last update
Aug 13, 2024

Study contacts

Henry H Sun, PhD, MD
study chair · Tasly Pharmaceuticals, Inc.

Oversight

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

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This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: T89

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