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CompletedNCT05125081RLDPUpdated Jan 7, 2026

Efficacy and Safety of Liuwei Dihuang Pill Versus Placebo in Presbycusis With Shen (Kidney)-Yin Deficiency

A Phase 2 interventional study of Liuwei Dihuang Pill (marketed product in China) and Liuwei Dihuang Pill(placebo ) in Presbycusis, Age-related Hearing Loss and Hearing Disorders and Deafness, sponsored by Shanghai Jiao Tong University School of Medicine. Completed at 6 sites in China. Open to participants aged 65 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-01-07.

Sponsored by Shanghai Jiao Tong University School of Medicine · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
65 Years to 75 Years
Sex
All
01

Study summary

The objective of this study is to examine the effects and safety of Liuwei Dihuang pill and placebo in presbycusis with Shen (kidney)-yin deficiency.

Read the detailed description

There are no approved pharmacologic therapies for age-related hearing loss (ARHL), also known as presbycusis. Based on the syndrome differentiation in Chinese medicine (CM) theory, the pathogenesis of presbycusis is related to the Shen (kidney)-yin deficiency. Liuwei Dihuang Pill (LDP) is effective and commonly prescribed for the treatment of Shen-yin deficiency.

The main purpose of this study is to try to demonstrate an improvement in phonetically balanced maximum (PBmax) after 1 years of treatment with the LDP versus the placebo. Subjects will undergo a safety follow-up after the treatment period. Safety and efficacy will be determined by looking at a number of assessments (physical examinations, blood sampling, hearing assessments, questionnaires, etc.).The amount of drug in the blood will also be measured.

It is expected that around 120 people (at least 60 in each arm) with presbycusis with Shen (kidney)-yin deficiency may take part in the study. The study participants will be recruited at around 6 sites in the Shanghai, China.

02

Conditions studied

  • Presbycusis
  • Age-related Hearing Loss
  • Hearing Disorders and Deafness

Keywords

  • Presbycusis
  • Age-related hearing loss
  • Liuwei Dihuang Pill
03

In context

Presbycusis

66 studies on the registry are indexed under Presbycusis; 21 are open to participants now.

This study's enrollment of 120 is above the median of 60 across 45 interventional studies indexed under Presbycusis.

Browse Presbycusis studies →

Lead sponsor

Shanghai Jiao Tong University School of Medicine is the lead sponsor of 374 studies on the registry; 110 are open to participants now.

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

04

Who can participate

Ages eligible
65 Years to 75 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

  1. Subjects must have a current diagnosis of presbyacusis with symmetrical hearing loss, defined as 15-dB or less difference in pure tone average between ears at 0.5, 1, 2 and 4kHz. The average hearing threshold loss level is mild or moderate (20 ≤ average hearing threshold \< 50 dBHL).
  2. Adult aged 65-75 years inclusive.
  3. Maximum speech recognition rate in quiet environment is equal to or over 60% with ability to communicate well.
  4. Subjects have no cognitive impairment with CDR score =0.
  5. Subjects must have a current diagnosis of Shen (Kidney)-Yin Deficiency.
  6. Subjects have read and voluntarily signed the Form (ICF) after all questions have been answered and prior to any study-mandated procedure.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with sudden hearing loss or pure tone hearing fluctuation within the three months.
  2. Subjects with a history of serious mental illness.
  3. Subjects with severe cardiac insufficiency, malignant tumor or other serious systemic diseases.
  4. Subjects with conductive deafness, congenital deafness, hereditary deafness, inner ear immune and inner ear diseases, auditory neuropathy, toxic deafness and noise deafness.
  5. Subjects with organic ear diseases, abnormal ear structure and symptomatic cerebral infarction.
  6. Subjects with dementia, neurosyphilis, hypothyroidism and depression.
  7. Subjects has previously participated in other clinical trial within the three months.
  8. Subjects with using hearing aids or devices.
  9. Other situations where the researcher thinks it is inappropriate to participate in this research.
Terms in these criteria, in plain language(2)

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

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

Study arms

  • Experimental
    LDP group

    Liuwei Dihuang Pill (LDP)marketed product in China donated by pharmaceutical company.

    Drug: Liuwei Dihuang Pill (marketed product in China)

  • Placebo comparator
    placebo group

    Same smell, color and shape as Liuwei Dihuang Pill (LDP)without herbs in capsules.

    Drug: Liuwei Dihuang Pill(placebo )

Interventions

  • DrugLiuwei Dihuang Pill (marketed product in China)

    LDP group and placebo group were used for treatment. The random number is generated by the central randomization system. All the recruiters were divided into placebo group and LDP group. The numbers will be assigned according to random numbers. In this study, qualified subjects were randomly assigned to the LDP group and placebo group at a ratio of 1:1. The drug was administered for 48 weeks, 3 times a day, 8 pills each time.

    Also known as: Liu Wei Di Huang Pill

  • DrugLiuwei Dihuang Pill(placebo )

    LDP group and placebo group were used for treatment. The random number is generated by the central randomization system. All the recruiters were divided into placebo group and LDP group. The numbers will be assigned according to random numbers. In this study, qualified subjects were randomly assigned to the LDP group and placebo group at a ratio of 1:1. The drug was administered for 48 weeks, 3 times a day, 8 pills each time.

    Also known as: placebo group

06

What researchers measure

Primary outcomes

  1. Change in PB-Max after 48 weeks of treatment

    To compare the change in PB-Max using the Word Recognition in Quiet test measured with Consonant-Nucleus-Consonant (CNC) word lists from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

Secondary outcomes

  1. Change in Speech recognition threshold (SRT) after 24 weeks and 48 weeks of treatment

    To compare the change in Speech recognition threshold (SRT) using the Word Recognition in Quiet test measured with Consonant-Nucleus-Consonant (CNC) word lists from baseline (week 1 to week 24,week 48) between LDP and placebo.

    Time frame: 24 weeks,48 weeks

  2. Change in Pure Tone Average (PTA) after 24 weeks and 48 weeks of treatment

    To compare the change in Pure Tone Average (PTA) using the Air conduction audiometry for hearing at certain range (Hz) from baseline (week 1 to week 24,week 48) between LDP and placebo.

    Time frame: 24 weeks,48 weeks

  3. Change in Shen (Kidney)-Yin Deficiency Syndrome Questionnaire after 12 weeks,24 weeks,36 weeks and 48 weeks of treatment

    To compare the change in Shen (Kidney)-Yin Deficiency Syndrome Questionnaire using Face to face Interview for the scores from baseline (week 1 to week 12,week 24,week 36 and week 48) between LDP and placebo (range, 0 \[best\] to 100 \[worst\]).

    Time frame: 12 weeks,24 weeks,36 weeks,48 weeks

  4. Change in Tinnitus Handicap Inventory(THI)after 12 weeks,24 weeks,36 weeks and 48 weeks of treatment

    To compare the change in Tinnitus Handicap Inventory(THI)using Face to face Interview for the scores from baseline (week 1 to week 12,week 24,week 36 and week 48) between LDP and placebo (range, 0 \[best\] to 100 \[worst\]).

    Time frame: 12 weeks,24 weeks,36 weeks,48 weeks

  5. Change in Mini-mental State Examination (MMSE) after 12 weeks,24 weeks,36 weeks and 48 weeks of treatment

    To compare the change in Mini-mental State Examination (MMSE) using Face to face Interview for the scores from baseline (week 1 to week 12,week 24,week 36 and week 48) between LDP and placebo (range, 0 \[worst\] to 100 \[best\]).

    Time frame: 12 weeks,24 weeks,36 weeks,48 weeks

Other outcomes

  1. Change in ABR after 48 weeks of treatment

    The absolute values of changes in the levels of auditory brainstem response(ABR )from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  2. Change in DPOAE pass rate after 48 weeks of treatment

    The absolute values of changes in the pass rate levels of distortion product otoacoustic emissions(DPOAE)from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  3. Change in serum CRP after 48 weeks of treatment

    The absolute values of changes in the levels of serum C-reactive protein (CRP) related to the mechanism from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  4. Change in serum cytokines after 48 weeks of treatment

    The absolute values of changes in the levels of serum cytokines related to the mechanism from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  5. Change in Peripheral Blood Mononuclear Cells after 48 weeks of treatment

    The absolute values of changes in the levels of Peripheral Blood Mononuclear Cells related to the mechanism from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  6. Change in serum MDA after 48 weeks of treatment

    The absolute values of changes in the levels of serum Malondialdehyde (MDA) related to the mechanism from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  7. Change in serum MPO after 48 weeks of treatment

    The absolute values of changes in the levels of serum Myeloperoxidase (MPO) related to the mechanism from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  8. Change in serum GSH after 48 weeks of treatment

    The absolute values of changes in the levels of serum L-Glutathione(GSH) related to the mechanism from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  9. Change in serum T-AOC after 48 weeks of treatment

    The absolute values of changes in the levels of serum Total antioxidant capacity(T-AOC)related to the mechanism from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  10. Change in serum NfL after 48 weeks of treatment

    The absolute values of changes in the levels of serum Neurofilament Light(NfL)related to the mechanism from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  11. Change in Composite indictors after 48 weeks of treatment

    To compare the changes in Composite indictors (some individual indicators are compiled into a single index on the basis of an underlying model according to specific evaluation) from baseline (week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  12. Change in hemodynamic signals of resting fMRI after 48 weeks of treatment

    The changes in hemodynamic signals of resting functional magnetic resonance imaging (fMRI) related to the mechanism from baseline (week 1 to week 48) between LDP and placebo. 40 patients were selected for this study.

    Time frame: 48 weeks

  13. Change in perpheral metabolomics after 48 weeks of treatment

    To compare the change in perpheral metabolomics from baseline(week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  14. Change in perpheral proteomics after 48 weeks of treatment

    To compare the change in perpheral proteomics from baseline(week 1 to week 48) between LDP and placebo.

    Time frame: 48 weeks

  15. Adverse Events

    Incidence of adverse events.

    Time frame: 24 weeks,48 weeks

07

Study locations

6 sites
  • Community Health Service Center of North Sichuan Road, Hongkou District, Shanghai
    Shanghai, Shanghai Municipality 200081, China
  • Jiaxing Street Community Health Service Center, Hongkou District, Shanghai
    Shanghai, Shanghai Municipality 200086, China
  • Community Health Service Center of Tianlin Street, Xuhui District, Shanghai
    Shanghai, Shanghai Municipality 200233, China
  • Sixth people's Hospital Affiliated to Shanghai Jiaotong University
    Shanghai, Shanghai Municipality 200233, China
  • Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine
    Shanghai, Shanghai Municipality 200437, China
  • Juquan New Town Community Health Service Center, Gucun Town, Baoshan District, Shanghai
    Shanghai, Shanghai Municipality 201907, China
08

References and documents

Publications

  • Bednar MM, DeMartinis N, Banerjee A, Bowditch S, Gaudreault F, Zumpano L, Lin FR. The Safety and Efficacy of PF-04958242 in Age-Related Sensorineural Hearing Loss: A Randomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. 2015 Jul;141(7):607-13. doi: 10.1001/jamaoto.2015.0791. PubMed 25997115 ↗
  • McLean WJ, Hinton AS, Herby JTJ, Salt AN, Hartsock JJ, Wilson S, Lucchino DL, Lenarz T, Warnecke A, Prenzler N, Schmitt H, King S, Jackson LE, Rosenbloom J, Atiee G, Bear M, Runge CL, Gifford RH, Rauch SD, Lee DJ, Langer R, Karp JM, Loose C, LeBel C. Improved Speech Intelligibility in Subjects With Stable Sensorineural Hearing Loss Following Intratympanic Dosing of FX-322 in a Phase 1b Study. Otol Neurotol. 2021 Aug 1;42(7):e849-e857. doi: 10.1097/MAO.0000000000003120. PubMed 33617194 ↗
  • Ge JR, Xie LH, Chen J, Li SQ, Xu HJ, Lai YL, Qiu LL, Ni CB. Liuwei Dihuang Pill () Treats Postmenopausal Osteoporosis with Shen (Kidney) Yin Deficiency via Janus Kinase/Signal Transducer and Activator of Transcription Signal Pathway by Up-regulating Cardiotrophin-Like Cytokine Factor 1 Expression. Chin J Integr Med. 2018 Jun;24(6):415-422. doi: 10.1007/s11655-016-2744-2. Epub 2016 Dec 27. PubMed 28028720 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2022 to primary completion in Aug 2024, 30 months.

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

Registered
Nov 17, 2021
First posted
Nov 18, 2021
StartActual
Jan 25, 2022
Primary completionActual
Aug 7, 2024
CompletionActual
Dec 25, 2024
Last update
Jan 7, 2026
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 Jan 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05125081
Responsible party
Jianrong Shi (Professor&Vice-Principal, Shanghai Jiao Tong University School of Medicine) — Principal investigator
First posted
Nov 18, 2021
Start date
Jan 25, 2022
Primary completion
Aug 7, 2024
Completion
Dec 25, 2024
Last update
Jan 7, 2026

Study contacts

Jianrong Shi, Doctor
study director · Shanghai Jiao Tong University School of Medicine
Jianning Zhang, Doctor
principal investigator · Yueyang Hospital of Integrated Traditional Chinese and Western Medicine
Ping Huang, Doctor
principal investigator · Yueyang Hospital of Integrated Traditional Chinese and Western Medicine
Hongsheng Tan, Doctor
principal investigator · Shanghai Jiao Tong University School of 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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