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RecruitingNCT05508815Updated May 25, 2023

Modified Zhiwang Decoction Combined With Methotrexate in the Treatment of Early Rheumatoid Arthritis

An Early Phase 1 interventional study of Modified Zhiwang Decoction Combined with methotrexate and Methotrexate in Arthritis, Rheumatoid, sponsored by Beijing University of Chinese Medicine. Recruiting at 1 site in China. Open to participants aged 16 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-05-25.

Sponsored by Beijing University of Chinese Medicine · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 10 months ago, but the record still lists the study as recruiting.
  • Started Feb 2023; still recruiting 3 years 9 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
16 Years to 70 Years
Sex
All
01

Where this study stands

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

Among 249 studies in Arthritis, Rheumatoid with a site in China — 63 open to participants now, 73 under way, 4 of them phase 3. Arthritis, Rheumatoid · China.

Planned enrollment
95th of 217
150 · median 134
Started
2023
with 18 others
Phase 1
54 of 249
20 open now
Primary completion
2024-12
later than 5 of 72 live
Registered
151st of 249
by date

Among the 249 studies in Arthritis, Rheumatoid with a site in China, this one is the 95th largest by planned enrollment of the 217 interventional ones, is one of 19 that started in 2023, is one of 54 in phase 1, reaches primary completion later than 5 of the 72 other live ones, and was the 151st registered.

By phase

249 studies; the count open now beside each. This study's row is marked.

Phase 1this study54 · 20 open
No phase45 · 15 open
Phase 344 · 1 open
Phase 234 · 8 open
Observational32 · 9 open
Phase 428 · 9 open
Phase 2/38 · 0 open
Phase 1/24 · 1 open

By the year they started

First in 2003; this study’s year is marked. 19 started in 2023.

Size and results

Median enrollment 134 across the 217 interventional studies, 287 across the 32 observational. Of the 114 that completed or were terminated, 28 (25%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 249 studies in Arthritis, Rheumatoid with a site in China, or all of them as a file.
02

Study summary

The aim of this study is to evaluate the effectiveness and safety of Modified Zhiwang Decoction in combination with methotrexate for the treatment of early RA patients and a parallel-group, single-center randomized controlled clinical study was designed.

Read the detailed description

Rheumatoid Arthritis(RA) is a progressive inflammatory autoimmune disease characterized by chronic systemic inflammation, which can cause swelling, stiffening and articular cartilage and bone destruction. Early diagnosis and treatment in RA can improve outcomes and slow progression of joint damage. Modified Zhiwang Decoction(MZWD) has great curative effects for treating RA. However, few randomized clinical trials(RCTs) have evaluated the effectiveness of MZWD for the treatment of early RA. Therefore, a parallel-group randomized controlled trial was designed to evaluate the efficacy and safety of MZWD combined with methotrexate on early RA.

03

Conditions studied

  • Arthritis, Rheumatoid
04

Who can participate

Ages eligible
16 Years to 70 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

  • Patients aged 16-70 years old;
  • Patients who meet the diagnostic criteria of 2010 ACR/EULAR .
  • Patients who meet the diagnostic criteria of cold pattern.
  • Disease activity score(DAS28) ≤5.2.

Exclusion criteria

Exclusion Criteria:

  • Patients accompanied with other rheumatic diseases or severe pain due to other medical conditions, such as diabetic pain or post-herpetic neuralgia;
  • Patients with joint dysfunction and the X-ray score of wrists is grade IV;
  • Patients accompanied with mental and psychological disorders such as cognitive impairment, depression, anxiety, physical dysfunction, cerebral infarction, cerebral hemorrhage, epilepsy, , myelitis, demyelinating disease and other central nervous system diseases.
  • Patients accompanied with organ injury or malignant tumors, disorders of the cardiovascular system, liver(/AST>3 times higher than the ), kidneys(Ccr\<60ml/min), brain, or hematopoietic system.
  • Pregnant and lactating women.
  • Patients are participation in any other clinical trials.
  • Patients who are allergic to the drugs used in this study.
Terms in these criteria, in plain language(3)

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

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.

05

Study design

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

Study arms

  • Experimental
    Modified Zhiwang Decoction Combined with Methotrexate

    Drug: Modified Zhiwang Decoction Combined with methotrexate

  • Active comparator
    Methotrexate

    Drug: Methotrexate

Interventions

  • DrugModified Zhiwang Decoction Combined with methotrexate

    Modified Zhiwang Decoction 100 ml (twice, per day) and methotrexate (7.5-15mg, once a week) for 12 weeks.

  • Methotrexate(7.5-15mg, once a week) for 12 weeks.

06

What researchers measure

Primary outcomes

  1. DAS28 based on erythrocyte sedimentation rate scores

    DAS28 is widely accepted to evaluate RA disease activity and consists of number of tender joints out of 28, number of swollen joints out of 28, ESR and the patient's global assessment of disease activity.

    Time frame: 12 weeks

Secondary outcomes

  1. Fatigue scale-14

    The fatigue scale-14 is a standardized questionnaire regarding physical and mental fatigue. The higher the score, the greater the fatigue.

    Time frame: 12 weeks

  2. Visual analogue scale pain scores

    Visual analogue scale pain score is utilized to quantify the pain level that ranges from 0 to 10. A VAS score of 0 means no pain and a score of 10 means unbear-able pain.

    Time frame: 12 weeks

  3. Traditional chinese medicine symptom scores

    Traditional chinese medicine symptom score is calculated based on the percentage of symptom score reduction(PSSR) and the formula is as follows: PSSR=((symptom score before treatment-symptom score after treatemt)/(symptom score before treatment))×100%

    Time frame: 12 weeks

  4. Erythrocyte sedimentation rate

    Time frame: 12 weeks

  5. C-reactive protein

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
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

Started Feb 2023 (actual). Primary completion is estimated for Dec 2024, 22 months after the start.

Of 148 phase 1 interventional studies under Arthritis, Rheumatoid, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 32. This study's planned 22 months is above that.

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

Registered
Aug 15, 2022
First posted
Aug 19, 2022
StartActual
Feb 9, 2023
Primary completionEst.
Dec 31, 2024
CompletionEst.
Dec 31, 2024
Last update
May 25, 2023
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 May 25, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05508815
Lead sponsor
Beijing University of Chinese Medicine
Responsible party
zhang liubo (MD, Beijing University of Chinese Medicine) — Principal investigator
First posted
Aug 19, 2022
Start date
Feb 9, 2023
Primary completion
Dec 31, 2024 (estimated)
Completion
Dec 31, 2024 (estimated)
Last update
May 25, 2023

Study contacts

Liu-bo Zhang
Contact
597810955@qq.com
86-10-84205067
Yuan Xu
study chair · China-Japan Friendship Hospital
Cheng Xiao
study director · China-Japan Friendship Hospital

Oversight

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

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