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RecruitingNCT06143696Updated Nov 22, 2023

QXZS in Menopausal Syndrome Based on 16S rRNA Sequencing Technology

An interventional study of Qingxin Zishen decoction and Femoston in Menopause, sponsored by Yun Chen. Recruiting at 1 site in China. Open to female participants aged 45 Years to 55 Years. Per ClinicalTrials.gov, last updated 2023-11-22.

Sponsored by Yun Chen · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2024, 2 years 1 month ago, but the record still lists the study as recruiting.
  • Registered 3 months after the study started (first participant enrolled Aug 2023, registered Nov 2023).
  • Started Aug 2023; still recruiting 3 years 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
45 Years to 55 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to explore the differences of intestinal flora and saliva flora between menopausal women, and the changes after medication, to find the association between the two and menopausal syndrome. The main questions it aims to answer are:

  • What are the differences in intestinal flora and saliva flora in menopausal women with hot flashes and sweating.
  • Whether these differences change after using traditional Chinese medicine and the association between intestinal, salivary flora and menopausal syndrome.

    60 patients will be screened according to the clinical experimental criteria. They will be randomly divided into trial group (30 cases) and control group (30 cases). The test group takes traditional Chinese medicine Qingxin Zishen decoction, and the control group takes oral Femoston, comparing the two groups with analysis of symptom improvement, intestinal flora and salivary flora with 16S rRNA sequencing technology.

02

Conditions studied

  • Menopause

Keywords

  • menopause
  • 16S rRNA
  • saliva flora
  • intestinal flora
03

In context

Lead sponsor

Yun Chen is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 55 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Those who meet the diagnostic criteria for menopausal syndrome and the TCM heart and kidney syndrome differentiation criteria.
  • Women between the ages of 45\~55.
  • The score of the modified Kupperman Menopausal Symptom Rating Scale ≥ 15 points.
  • Hot flashes and sweating≥ 3 times/day.
  • Menopause ≥ 6 months.
  • FSH > 10U/L during menopausal transition, 40U/L > after menopause, and estradiol (E2) \< (10\~20) pg/mL.

Informed consent, voluntary test. The process of obtaining informed consent should be in accordance with GCP regulations.

Exclusion criteria

Exclusion Criteria:

  • Other Chinese and Western drugs for the treatment of menopausal syndrome have been used after the onset of the disease.
  • Have serious primary heart, liver, lung, kidney, blood or serious diseases that affect their survival.
  • Contraindications to hormone therapy: known or suspected pregnancy; In perimenopausal women, menstrual disorders should be ruled out to exclude pregnancy-related problems such as intrauterine pregnancy, ectopic pregnancy, and trophoblastic disease. Unexplained vaginal bleeding: Causes of vaginal bleeding include neoplastic, inflammatory, iatrogenic, traumatic, and ovarian dysfunction, which should be carefully identified before perimenopausal menstrual disorders are treated with sex hormones. Known or suspected breast cancer. Known or suspected sex hormone-dependent malignancy. Active venous or arterial thromboembolic disease within the last 6 months. Severe hepatic and renal insufficiency.
  • Those who are unable to give full informed consent due to intellectual or behavioral disabilities.
  • Suspected or confirmed history of alcohol and drug abuse.
  • Allergies, such as a history of allergies to two or more drugs or foods; or those who are known to be allergic to the ingredients of this medicine.
  • Patients who are participating in clinical trials of other drugs.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    the experimental group

    Qingxin Zishen decoction, oral administration, 1 dose a day, 2 times a day. For 28 days of medication, every 28 days. Observation time for 3 courses.

    Drug: Qingxin Zishen decoction

  • Active comparator
    the control group

    Femoston, oral, 1 each time, once a day. For 28 days of medication, every 28 days. Observation time for 3 courses.

    Drug: Femoston

Interventions

  • DrugQingxin Zishen decoction

    Oral administration, 1 dose daily, twice a day

  • DrugFemoston

    Oral administration, 1 pill each time, once a day

06

What researchers measure

Primary outcomes

  1. 16s rRNA high-throughput sequencing of the gut flora

    16s rRNA is a highly conserved gene segment in bacteria and archaea, together with some variability. Sequencing the 16S rRNA gene allowed us to identify different genera and species present in the microbial community and to assess their relative abundance.

    Time frame: Baseline (Before treatment) and 12th weeks of treatment

  2. 16s rRNA high-throughput sequencing of the saliva flora

    16s rRNA is a highly conserved gene segment in bacteria and archaea, together with some variability. Sequencing the 16S rRNA gene allowed us to identify different genera and species present in the microbial community and to assess their relative abundance.

    Time frame: Baseline (Before treatment) and 12th weeks of treatment

Secondary outcomes

  1. Hot flashes and sweating on a five-point scale.

    The symptoms of hot flashes and sweating were recorded as none, mild, moderate, severe, and very severe, and were recorded as 0, 1, 2, 3, and 4 points. The individual scores of the two groups before and after treatment at the end of the 4th, 8th and 12th weeks were compared.

    Time frame: Baseline (Before treatment) at the 4th, 8th and 12th weeks of treatment

  2. Modified Kupperman rating scale

    The Kupperman Index (KMI) score was used to include 13 menopausal related symptoms such as vasomotor symptoms, paresthesias, insomnia, etc., and each symptom was divided into 0-3 points according to severity, and multiplied by different coefficients to obtain the menopausal symptom index, when the index \> 35 indicates severe symptoms, 21-35 indicates moderate symptoms, and 15-20 indicates mild symptoms. The individual scores and total scores of the two groups before and after treatment at the 4th, 8th and 12th weekends were compared

    Time frame: Baseline (Before treatment) at the 4th, 8th and 12th weeks of treatment

07

Study locations

1 of 1 sites recruiting
  • Yuxin Zhou
    Nanjing, Jiang Su, China
    Recruiting
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 Nov 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06143696
Lead sponsor
Yun Chen
Responsible party
Yun Chen (Deputy Chief Physician, Jiangsu Province Hospital of Traditional Chinese Medicine) — Sponsor-investigator
First posted
Nov 22, 2023
Start date
Aug 1, 2023
Primary completion
Aug 31, 2024 (estimated)
Completion
Jun 30, 2025 (estimated)
Last update
Nov 22, 2023

Study contacts

Yun Chen
Contact
fsyy00684@njucm.edu.cn
+8615151835610

Oversight

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

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