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CompletedNCT06102655JJGS and POIUpdated Dec 5, 2024

Effect and Mechanism of Jiajian Guishen Formulation on Premature Ovarian Insufficiency Based on Metabolomics

An Early Phase 1 interventional study of Jiajian Guishen Formulation in Premature Ovarian Insufficiency, Metabolomics and Traditional Chinese Medicine, sponsored by Shi Yun. Completed at 1 site in China. Open to female participants aged 18 Years to 39 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-12-05.

Sponsored by Shi Yun · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
46
Allocation
Non-randomized
Ages
18 Years to 39 Years
Sex
Female
01

Study summary

  1. Identify differential metabolites in POI patients.
  2. Analysis of differential metabolites and their involved mechanism pathways.
02

Conditions studied

  • Premature Ovarian Insufficiency
  • Metabolomics
  • Traditional Chinese Medicine
  • Mechanism
  • Clinical Syndrome

Keywords

  • Premature Ovarian Insufficiency
  • Metabolomics
  • Traditional Chinese Medicine
  • Mechanism
  • Clinical Syndrome
03

In context

Primary Ovarian Insufficiency

181 studies on the registry are indexed under Primary Ovarian Insufficiency; 48 are open to participants now.

This study's enrollment of 46 is close to the median of 48 across 113 interventional studies indexed under Primary Ovarian Insufficiency.

Browse Primary Ovarian Insufficiency studies →

Lead sponsor

Shi Yun is the lead sponsor of 7 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 39 Years
Sexes eligible
Female
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

POI Inclusion Criteria:

  1. Patients diagnosed by Western medicine with premature ovarian insufficiency;
  2. Patients with Chinese medicine differentiation of kidney deficiency and liver depression;
  3. 18 ≤ patients' age ≤ 39 years;
  4. Patients who do not use other drugs during treatment;
  5. Patients who voluntarily participate in this study, sign an form, and agree to take the corresponding treatment plan.

The above five items must be met to be included in the POI patient group in this study.

Healthy subjects inclusion criteria:

  1. 18 ≤ Age≤ 39 years old;
  2. menstrual regularity;
  3. There is no abnormality in sex hormone and AMH examination;
  4. Voluntarily participate in this research and sign the informed consent form;
  5. Those who match the general information such as age, height, and weight of the patients included in POI.

Exclusion criteria

Exclusion Criteria:

POI exclusion criteria:

  1. Patients with congenital gonadal dysplasia or a family history similar to "early menopause";
  2. POI patients with acquired organic lesions or ovarian surgery;
  3. Patients who have taken Western medicine artificial cycle therapy or other endocrine therapy in the past three months;
  4. Patients with serious primary diseases and mental disorders such as cardiovascular and cerebrovascular, liver, kidney and hematopoietic system;
  5. Patients who are breastfeeding or pregnant;
  6. Patients who are allergic to the drugs used in this study or have a history of previous allergy to traditional Chinese medicines.

Those who met any of the above 5 criteria were excluded from this study. Healthy subjects were excluded as (1), (3), (4), (5).

Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    treatment group(Jiajian Guishen Formulation)

    Jiajian Guishen Formulation is a traditional Chinese medicine, it will be used in POI patients for three menstrual cycles; their blood samples are collected before and after treatment.

    Drug: Jiajian Guishen Formulation

  • No intervention
    no-treatment control group

    healthy people

Interventions

  • DrugJiajian Guishen Formulation

    Jiajian Guishen Formulation is a formulation of Traditional Chinese Medicine.POI patients will be treat with Jiajian Guishen Formulation for three menstrual cycles; their blood samples are collected before and after treatment.No drug will be used in control group, and their blood samples are collected when join the experiment.

06

What researchers measure

Primary outcomes

  1. follicle stimulating hormone,FSH

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

Secondary outcomes

  1. anti mullerian hormone, AMH

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  2. Evaluation of the efficacy of Traditional Chinese Medicine symptoms

    A sacle score to evalyate the symptoms, results of scores ranges from 0 to 108, higher scores mean more severe condition of POI.The main symptoms include menstrual cycle, menstrual flow reduction. Scoring criteria: ① normal menstrual cycle 0 points, 1-2 weeks ahead or behind the wrong 4 points, 2-3 weeks 8 points, more than 3 weeks 12 points; ② menstrual flow than the previous menstrual flow no change 0 points, menstrual flow reduction ≤ ⅓ 4 points, ⅓ \< menstrual flow reduction ≤ ½ 8 points, menstrual flow reduction \> ½ 12 points. Secondary symptoms included lumbar and knee pain, dizziness and tinnitus, loss of libido, increased urination, hot flashes and night sweats, and lower back and lower limb pain et. According to the degree of aggravation of symptoms, the total score was assigned as 0,2,4,8.

    Time frame: before and1 month after the treatment

  3. Improved Kupperman Scale Scoring

    A sacle score to evalyate the symptoms, results of scores ranges from 0 to 39, higher scores mean more severe condition of POI.Referring to the domestic modified Kupperman Symptom Scoring Criteria in Chinese Obstetrics and Gynecology, edited by Cao Zeyi, to observe and rate perimenopausal symptoms before and after treatment and to quantify the degree of decline in ovarian function.Entries include hot flashes and sweating, sensory abnormalities, insomnia, anxiety and depression, dizziness, fatigue, muscle and joint pain, headache, palpitations, ankylosis of the skin, sexual discomfort, and urinary irritation, with different coefficients for each entry, and according to the aggravating degree of the symptom, they are divided into 0, 1, 2, and 3 points, and the coefficients corresponding to the scoring of the degree of each item are multiplied by a fixed score of the symptom to add up to the total score.

    Time frame: before and 1 month after the treatment

  4. estradiol, E2

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  5. luteinizing hormone, LH

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  6. testosterone, T

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  7. malondialdehyde

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  8. superoxide dismutase

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  9. reduced glutathione, GSH

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  10. ceruloplasmin

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  11. copper

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  12. metabolite level

    Blood samples are collected before and after treatment.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  13. Differential metabolites and their related indexes of mechanism pathways

    The results of differential metabolites and their related indexes of mechanism pathways cann't be predicted until the metabolomics test finish, because the test include hundreds of metabolites. Metabolomics results will be tested by using liquid chromatography coupled with mass spectrometry (LC-MS) to identify potential markers.All multivariate analyses and modeling on the normalized data were carried out using software SIMCA-P. Supervised analysis (orthogonal partial least squares discriminate analysis, OPLS-DA) was applied to distinguish metabolic difference between normal group and POI group. SPSS 22.0 (SPSS Inc) software was used for receiver operating characteristic (ROC) curve analyses and binary logistic regression analyses. Then their related indexes of mechanism pathways will be tested in blood samples.

    Time frame: Differential metabolites will be tested on the 2~4th day of menstruation (amenorrhea patients before and after taking medication), related indexes of mechanism pathways will be tested after the analyses of differential metabolities

  14. Number of participants with abnormal laboratory test of blood routine examination results

    Blood samples are collected before and after treatment. white blood cell count (WBC), red blood cell (RBC) and platelet count/blood platelet count (PLT) are included.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

  15. Number of participants with abnormal Liver and kidney function (by laboratory test results)

    Blood samples are collected before and after treatment. creatinine(CREA), uric acid (UA), alanine amiotransferase(AST), aspartate aminotransferase (AST) and γ-glutamyl transpeptadase (GGT) are included.

    Time frame: On the 2~4th day of menstruation (amenorrhea patients before and after taking medication)

07

Study locations

1 site
  • Dongzhimen Hospital, Beijing University of Chinese Medicine
    Beijing, 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 Dec 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06102655
Lead sponsor
Shi Yun
Responsible party
Shi Yun (Sponsor-Investigator, Dongzhimen Hospital, Beijing) — Sponsor-investigator
First posted
Oct 26, 2023
Start date
Jul 24, 2023
Primary completion
Jul 20, 2024
Completion
Jul 20, 2024
Last update
Dec 5, 2024

Study contacts

Yun Shi
study director · Dongzhimen Hospital of Beijing University of Chinese Medicine
Ke Xu, Master
principal investigator · Dongzhimen Hospital of Beijing University of Chinese Medicine
Jing yi Shao, Master
study chair · Dongzhimen Hospital of Beijing University of Chinese Medicine
Xi yu Li, Bachelor
study chair · Dongzhimen Hospital of Beijing University of Chinese Medicine
Qin yang Liu, Bachelor
study chair · Dongzhimen Hospital of Beijing University of Chinese Medicine

Oversight

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

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