ClinicalTrials.gg
Not yet recruitingNCT06371196Updated Apr 17, 2024

Clinical Study on the Treatment of Elevated Total Bilirubin in Primary Biliary Cholangitis With Baobao Dan Capsule

A Phase 4 interventional study of Babaodan Capsule in Primary Biliary Cholangitis, sponsored by Mei Han. Not yet recruiting. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-04-17.

Sponsored by Mei Han · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 3 months ago, but the record still lists the study as not yet recruiting.

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Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

  1. Explore the effect of Babaodan Capsule on the serum total bilirubin level of primary biliary cholangitis patients with elevated total serum bilirubin;
  2. To observe the positive intervention effect of Babaodan Capsule on the clinical symptoms of primary biliary cholangitis patients with elevated total bilirubin.
Read the detailed description
  1. Primary objective: to investigate the effect of Baobao Dan capsule on serum total bilirubin levels in patients with primary biliary cholangitis with elevated total serum bilirubin.
  2. Secondary objective: to observe the effects of Babaodan Capsule on the following aspects in patients with primary biliary cholangitis with elevated total bilirubin:

(1) Other indicators of liver function: ALP, GGT, AST, ALT, TBA, TBil, DBil, IBil; (2) Itching and fatigue symptom scores; (3) Biochemical response rate; (4) Histologic changes; (5) Changes in immunologic indices (serum IgM, IgG, IgA, autoantibodies AMA/AMA-M2 and anti-gp210 antibody, anti-sp100 antibody); (6) Adverse events and safety evaluation.

02

Conditions studied

  • Primary Biliary Cholangitis
03

In context

Liver Cirrhosis, Biliary

214 studies on the registry are indexed under Liver Cirrhosis, Biliary; 48 are open to participants now.

This study's planned enrollment of 60 is close to the median of 60 across 151 interventional studies indexed under Liver Cirrhosis, Biliary.

Browse Liver Cirrhosis, Biliary studies →

Lead sponsor

Mei Han is the lead sponsor of 4 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 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. meets the diagnostic criteria for primary biliary cholangitis (PBC) in the Diagnostic and Therapeutic Guidelines for Primary Biliary Cholangitis (2021), i.e., meets at least 2 out of the following 3 criteria: (i) Biochemical evidence of cholestasis, i.e., elevated ALP and GGT, and imaging studies that exclude extrahepatic or intrahepatic biliary obstruction; (ii) Anti-mitochondrial antibody (AMA) or AMA-M2 positivity or, if AMA negative, PBC-specific antibody (anti-GP210 and/or anti-SP100) positivity; (iii) Histologic evidence suggestive of non-purulent destructive cholangitis and interlobular bile duct destruction.
    1. Male or female, ≥ 18 years of age and \< 75 years of age;
    1. ursodeoxycholic acid capsule (Yusuf) 10 \~15 mg/d for ≥6 months prior to screening and after screening enrollment, the therapeutic dose was maintained unchanged for the duration of the trial;
    1. ALP ≥ 1.67 x ;
    1. liver function tests no less than 2 times in the last 3 months, and total in liver function tests before enrollment and in the last 3 months are in accordance with the following: 1 × ULN \< TBil ≤ 5 × ULN;
    1. Understand the content of the study, be willing to comply with the study protocol, and voluntarily sign the written .

Exclusion criteria

Exclusion Criteria.

    1. Combination of or history of other liver diseases, including: (1) virus (HCV) infection; (2) virus (HBV) infection; (3) primary sclerosing cholangitis (PSC); (4) alcoholic liver disease; (5) hepatitis (AIH) or overlapping autoimmune liver disease; (6) nonalcoholic steatohepatitis (NASH); (7) drug-induced liver injury; (8) extrahepatic biliary obstruction; (9) Gilbert's syndrome; (10) suspected or diagnosed primary liver cancer; (11) suspected or confirmed primary liver cancer; and (12) extrahepatic biliary obstruction; ⑨ Gilbert's syndrome; ⑩ suspected or confirmed primary liver cancer;
    1. Presence of clinical complications of PBC, including but not limited to: (i) history of liver transplantation, pending liver transplantation, or current Model for End-Stage Liver Disease (MELD) score ≥ 15; (ii) portal hypertension with complications, including gastric or large esophageal varices, or diuretic-resistant ascites, history of variceal hemorrhage, history of variceal treatment such as use of β-blockers, endoscopic tissue adhesive injections or ligatures, transjugular portacaval shunts, or hepatic encephalopathy; (iii) cirrhosis with Complications, including spontaneous bacterial peritonitis, hepatocellular carcinoma; 4. Hepatorenal syndrome (type I or II) or screening serum creatinine (Cr) ≥ 1.5 x and serum \< 60 mL/min;
    1. Hepatic function classification grade B/C;
    1. ≥ 5 × ULN and/or AST ≥ 5 × ULN;
    1. ALP > 10 × ULN;
    1. patients with pruritus with severe itching or requiring systemic medication (e.g., bile acid sequestrants or rifampicin, etc.) within 2 months prior to enrollment
    1. use of the following medications within 3 months prior to enrollment: azathioprine, colchicine, cyclosporine, methotrexate, mycophenolate mofetil, hexacosanol, dicyclomine, simethicone, ximethicone; fenofibrate or other fibrates; budesonide and other systemic ; and hepatotoxic medications (including alpha-methyldopa, valproate, isoniazid, furosemide, etc.);
    1. use of the following medications within 12 months prior to enrollment and throughout the trial: antibodies or immunotherapies against interleukins or other cytokines or chemokines;
    1. having or having had a previous cardiac arrhythmia requiring clinical intervention that may affect survival during the trial; or pre-treatment or QTc intervals ≥470ms in men and ≥480ms in women
    1. pregnant, planning pregnancy, breastfeeding women, women of who do not wish to use effective (≥1 effective method of contraception e.g., condom, hormonal contraceptive pill, intrauterine device), or male subjects who do not wish to use contraception during the trial period and up to 30 days after the last dose of study medication
    1. patients with co-infections of infectious diseases such as , syphilis, and neo-coronavirus;
    1. the presence of any other disease or condition that interferes with the absorption, distribution, metabolism, or excretion of the drug (e.g., patients with inflammatory bowel disease or those who have undergone gastric bypass surgery);
    1. any other disease that is not well controlled or for which the need for the drug is expected to change during the trial;
    1. persons with a suspected or confirmed history of alcohol or drug abuse within 1 year prior to screening;
    1. incapacitated or restricted persons;
    1. subjects who have been enrolled in another study within 30 days prior to Screening
    1. mentally unstable or incapacitated persons for whom the validity of or compliance with the trial is uncertain;
    1. has had a malignant tumor in the last 5 years, with or without treatment and with or without evidence of local recurrence or ;
    1. the patient has taken Babao Dan capsule within 1 month prior to the trial;
    1. who, in the opinion of the investigator, should not participate in the trial.
Terms in these criteria, in plain language(16)

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.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Babaodan Capsule

    Babaodan Capsule (State Drug License: Z10940006) is manufactured by Xiamen Traditional Chinese Medicine Factory Co., Ltd; Packing specification: 0.3g/capsule, 6 capsules/board×2 boards/carton; Ingredients are in vitro cultivated cowhide, snake gallbladder, antelope horn, pearl, panax ginseng, artificial musk and so on.

    Drug: Babaodan Capsule

Interventions

  • Babao Dan Capsule (State Drug License: Z10940006) is produced by Xiamen Traditional Chinese Medicine Factory Co., Ltd; Packing specification: 0.3g/capsule, 6 capsules/board×2 boards/small box; Ingredients are in vitro cultivated cowhide, snake gallbladder, antelope horn, pearl, panax ginseng, artificial musk, and so on. Intervention measures are really the original UDCA treatment program based on the addition of eight treasure Dan capsule, 2 capsules / times, tid, oral. Course of treatment: 3 months (based on 30 days/month).

06

What researchers measure

Primary outcomes

  1. Total bilirubin (TBil) reversion rate

    Total bilirubin (TBil) reversion rate: cases with normal total bilirubin index after treatment/60 cases × 100%

    Time frame: 90 days

  2. Total bilirubin (TBil) efficacy rate

    Total bilirubin (TBil) efficacy rate: total bilirubin index decreased by 1×ULN cases/60 cases×100% after treatment compared with before treatment.

    Time frame: 90 days

Secondary outcomes

  1. biological response rate

    Biological response rate of UDCA combined with Baobao Dan capsule in the treatment of PBC: number of cases meeting the biochemical response standard criteria / 60 cases × 100%. Referring to the UDCA treatment of PBC proposed in the "Diagnostic and therapeutic standard of primary biliary cholangitis (2021)", ALP \<1.67×ULN was used as the biochemical response standard.

    Time frame: 90 days

  2. ALT

    The actual level of ALT was collected in the form of measured information.

    Time frame: 90 days

  3. AST

    The actual level of AST was collected in the form of measured information.

    Time frame: 90 days

  4. ALP

    The actual level of ALP was collected in the form of measured information.

    Time frame: 90 days

  5. TBA

    The actual level of TBA was collected in the form of measured information.

    Time frame: 90 days

  6. DBil

    The actual level of DBil was collected in the form of measured information.

    Time frame: baseline, 30 days, 60 days, 90 days

  7. IBil

    The actual level of IBil was collected in the form of measured information.

    Time frame: 90 days

  8. 5-D Pruritus Scale Score

    Evaluation was performed according to the 5-D Pruritus Scale Score, which includes 5 aspects of site, duration, intensity, tendency, and impairment of life, with a total score of 5 to 25.

    Time frame: 90 days

  9. Fatigue section of the PBC-40 questionnaire

    It was carried out using the entries of malaise in the Quality of Life Questionnaire for Patients with Primary Biliary Cholangitis (PBC-40), which consisted of 11 items that were categorized according to the degree of malaise as none, seldom, sometimes, often, and continually, with scores of 1, 2, 3, 4, and 5, respectively, and a total score of 11-55.

    Time frame: 90 days

  10. Immunological indicators - serum IgM

    The actual level of serum IgM was collected in the form of measured information.

    Time frame: 90 days

  11. Immunological indicators - serum IgG

    The actual level of serum IgG was collected in the form of measured information.

    Time frame: 90 days

  12. Immunological indicators - serum IgA

    The actual level of serum IgA was collected in the form of measured information.

    Time frame: 90 days

  13. Immunological indicators - anti-gp210 antibody

    The actual level of anti-gp210 antibody was collected in the form of measured information.

    Time frame: 90 days

  14. Immunological indicators - anti-sp100 antibody

    The actual level of anti-sp100 antibody was collected in the form of measured information.

    Time frame: 90 days

  15. Immunological indicators - autoantibodies AMA/AMA-M2

    The actual level of autoantibodies AMA/AMA-M2 was collected in the form of measured information.

    Time frame: 90 days

  16. Histopathology of the liver - grading of inflammatory activity

    Baseline liver puncture biopsy results were valid for 6 months prior to screening, allowing patients to refuse to provide a histologic sample of the liver. The grading of inflammatory activity was observed and changes in the frequency of each corresponding grade were analyzed.

    Time frame: Changes of 90 days from the baseline.

  17. Histopathology of the liver - staging of the degree of fibrosis

    Baseline results of hepatic puncture biopsy were valid for 6 months prior to screening, allowing patients to refuse to provide a histologic sample of the liver. The staging of the degree of fibrosis was observed and changes in the frequency of each corresponding grade were analyzed.

    Time frame: Changes of 90 days from the baseline.

  18. 12-lead electrocardiogram

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal 12-lead electrocardiogram.

    Time frame: baseline, 30 days, 60 days, 90 days

  19. Physical examination

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal physical examination which concludes general examination of the whole body, head examination, neck examination, chest examination, abdominal examination, etc.

    Time frame: baseline, 30 days, 60 days, 90 days

  20. Routine blood test

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal routine blood test which concludes RBC, Hb, HCT, MCV, MCHC, RDW, WBC, Neut, Lymph, Mono, Eos, Basso, PLT.

    Time frame: baseline, 30 days, 60 days, 90 days

  21. Renal Function Tests-BUN

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal BUN.

    Time frame: baseline, 30 days, 60 days, 90 days

  22. Renal Function Tests-UA

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal UA.

    Time frame: baseline, 30 days, 60 days, 90 days

  23. Renal Function Tests-Scr

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal Scr.

    Time frame: baseline, 30 days, 60 days, 90 days

  24. Urinalysis

    This is a safety outcome.

    Time frame: baseline, 30 days, 60 days, 90 days

  25. Coagulation tests-PT

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal PT.

    Time frame: baseline, 30 days, 60 days, 90 days

  26. Coagulation tests-APTT

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal APTT.

    Time frame: baseline, 30 days, 60 days, 90 days

  27. Coagulation tests-TT

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal TT.

    Time frame: baseline, 30 days, 60 days, 90 days

  28. Coagulation tests-FIB

    This is a safety outcome. The test operator needs to check the numbers of participants with abnormal FIB.

    Time frame: baseline, 30 days, 60 days, 90 days

  29. Urine beta-hCG pregnancy test

    This is a safety outcome.

    Time frame: baseline, 30 days, 60 days, 90 days

  30. adverse event

    This is a safety outcome.

    Time frame: baseline, 30 days, 60 days, 90 days, 100 days

  31. Body temperature

    This is a safety outcome.

    Time frame: baseline, 30 days, 60 days, 90 days

  32. Heart rate

    This is a safety outcome.

    Time frame: baseline, 30 days, 60 days, 90 days

  33. Number of breaths in 1 min

    This is a safety outcome.

    Time frame: baseline, 30 days, 60 days, 90 days

  34. Blood pressure-Diastolic blood pressure(mmHg)

    This is a safety outcome.

    Time frame: baseline, 30 days, 60 days, 90 days

  35. Blood pressure-Systolic blood pressure(mmHg)

    This is a safety outcome.

    Time frame: baseline, 30 days, 60 days, 90 days

07

Study locations

No study locations are listed for this record.

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 reached

Start is estimated for Apr 2024; primary completion for Jul 2025, 15 months later.

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

Registered
Mar 13, 2024
First posted
Apr 17, 2024
StartEst.
Apr 25, 2024
Primary completionEst.
Jul 25, 2025
CompletionEst.
Dec 31, 2025
Last update
Apr 17, 2024
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 Apr 17, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06371196
Lead sponsor
Mei Han
Responsible party
Mei Han (Principal Investigator, Beijing University of Chinese Medicine) — Sponsor-investigator
First posted
Apr 17, 2024
Start date
Apr 25, 2024 (estimated)
Primary completion
Jul 25, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Apr 17, 2024

Study contacts

Lin Shuiping
Contact
linsp@dinglu.com.cn
136660698451

Oversight

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

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This study is not yet recruiting, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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