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Not yet recruitingNCT07145060Updated Aug 28, 2025

A Study of Yiqi Yangyin Formula in the Treatment of Primary Sjogren's Syndrome

An interventional study of Yiqi Yangyin Formula and Yiqi Yangyin Formula placebo in Primary Sjögren's Syndrome (pSS), sponsored by China-Japan Friendship Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-08-28.

Sponsored by China-Japan Friendship Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
105
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

This project aims to conduct a prospective, randomized, double-blind, controlled clinical study to clarify the efficacy and safety of the YiQi YangYin Formula in treating patients with primary Sjogren's syndrome (pSS) presenting with Qi and Yin deficiency syndrome, with the expectation of providing a scientific basis for the research and development of new traditional Chinese medicine drugs for the effective treatment of pSS.

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Conditions studied

  • Primary Sjögren's Syndrome (pSS)
03

In context

Lead sponsor

China-Japan Friendship Hospital is the lead sponsor of 173 studies on the registry; 109 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients aged18-75 years old (including the critical value), gender not limited;
  • Patients meeting the classification criteria of primary Sjogren's syndrome in ACR/EULAR 2016;
  • Patients with dry mouth VAS ≥4 and ESSDAI score \< 5;
  • Patients with positive autoantibodies (ANA or anti-SSA antibodies or anti-SSB antibodies or RF) and/or hyperimmunoglobulinemia or increased erythrocyte sedimentation rate;
  • Patients meeting the syndrome of qi and Yin deficiency in traditional Chinese medicine;
  • The subjects were informed and voluntarily signed the informed consent form.

Exclusion criteria

Exclusion Criteria:

  • Patients with a history of hypersensitivity or intolerance to any investigational therapeutic drug;
  • Patients diagnosed with secondary Sjogren's syndrome or combined with other connective tissue diseases;
  • Patients with severe lesions in the heart, brain, lungs, liver, kidneys, hematopoietic system, etc., as well as those with malignant tumors or infectious diseases;
  • Patients who are pregnant, preparing for pregnancy or breastfeeding;
  • Patients who have used cholinergic drugs or artificial tears/saliva in last 1 week;
  • Patients who have used hydroxychloroquine, total glycosides of Paeonia lactide, Iguratimod, cyclophosphamide, cyclosporine A, tacrolimus, and azathioprine in last 1 month;
  • Patients who have used glucocorticoids, methotrexate or mycophenolate mofetil in last 3 months;
  • Patients who have used Leflunomide in last 6 months;
  • Patients who have used rituximab in last 6 months, or have used other biological agents (such as tofacitinib) other than rituximab in last 3 months;
  • Patients who have participated in or are currently receiving any other experimental drugs or experimental medical devices within the past three months;
  • Other situations that researchers consider ineligible for inclusion (such as cognitive impairment, taking psychotropic drugs).
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
105 participants (estimated)

Study arms

  • Experimental
    Yiqi Yangyin Formula

    The herbal prescription for patients eligible for pSS "Qi-Yin deficiency syndrome" , 200 ml twice daily for 12 weeks.

    Drug: Yiqi Yangyin Formula

  • Placebo comparator
    Yiqi Yangyin Formula placebo

    The herbal prescription placebo for patients eligible for pSS "Qi-Yin deficiency syndrome" , 200 ml twice daily for 12 weeks.

    Drug: Yiqi Yangyin Formula placebo

Interventions

  • DrugYiqi Yangyin Formula

    Yiqi Yangyin Formula,consists of seven Chinese herbal medicines(Table 1): Rehmanniae Radix (Sheng Di Huang), Lilium brownii (Bai He), Adenophorae Radix (Nan Sha Shen), Fructus Hordei Germinatus (Sheng Mai Ya), Artemisia annua (Qing Hao), Cimicifuga foetida (Sheng Ma) , and Bupleurum chinense(Chai Hu)

    Also known as: The treatment group

  • DrugYiqi Yangyin Formula placebo

    Yiqi Yangyin Formula placebo,has the same appearance, state, and taste as YQYYF, but contains 5% of the ingredients of Yiqi Yangyin Formula

    Also known as: The control group

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What researchers measure

Primary outcomes

  1. Unstimulated Whole Saliva flow rate (UWS)

    Before the measurement, the participants should avoid eating, drinking, smoking, brushing teeth. and sit still for 10 minutes to collect all the saliva that flows out within 15 minutes in a clean container. The volume will be measured and the salivary secretion rate per unit time will be calculated, which is the UWS (ml/min). UWS ≤ 0.1 ml/min is defined as low UWS.

    Time frame: week0、week12

Secondary outcomes

  1. bilateral Schirmer's test

    Without surface anesthesia, in a quiet and dim environment, bend the standard Schirmer filter paper at the scale and gently place it on the edge of the lower temporal eyelid of the subject. Instruct the subject to gently close their eyes and keep the filter paper for 5 minutes. After 5 minutes, remove the filter paper and measure the wet length. Schirmer≤5 mm/5 min indicates the presence of dry eye syndrome.

    Time frame: week0、week12

  2. EULAR Sjögren Syndrome Patient Reported Index (ESSPRI)

    The ESSRPI is a patient-reported index for Sjogren's syndrome, which includes scores for sjogren's symptoms, limb pain, and physical fatigue. The weights of the three aspects are the same, and each aspect's score ranges from 0 to 10. ESSPRI is defined as the average of these three aspects, with a score range of 0 to 10. The higher the value, the more severe the condition. A symptom state of less than 5 is acceptable to the patient, while a symptom state of ≥5 is unsatisfactory to the patient.

    Time frame: week0、week4、week8、week12

  3. EULAR Sjögren syndrome disease activity index (ESSDAI)

    Low activity is defined as ESSDAI \< 5 points, moderate activity as 5≤ESSDAI≤13 points, and high activity as ESSDAI≥14 points

    Time frame: week0、week12

  4. Sjögren's Tool for Assessing Response (STAR)

    It includes the assessment of ESSDAI system involvement, the subjective perception assessment of ESSPRI patients, the functional changes of salivary glands and lacrimal glands, and the evaluation of serological indicators for treatment response. A total score of ≥5 is considered a treatment response.

    Time frame: week12

  5. Composite of Relevant Endpoints for Sjogren Syndrome (CRESS)

    It includes an assessment of five aspects,at least three out of the five have responded is defined as a response.

    Time frame: week 12

  6. erythrocyte sedimentation rate (ESR), C-reactive protein (CRP)

    conventional inflammatory marks

    Time frame: 0week、12week

  7. 36-Item Short Form Survey (SF-36)

    The higher the score, the better the quality of life

    Time frame: week0、week12

  8. serum immunoglobulin(IgA、IgM、IgG)

    Compare the differences in the values of various serological indicators between the two groups of patients at the time of enrollment and 12 weeks after treatment, as well as the proportion of improvement and aggravation of serological indicators.

    Time frame: week0、week12

  9. Complement (C3, C4)

    Compare the differences in the values of various serological indicators between the two groups of patients at the time of enrollment and 12 weeks after treatment, as well as the proportion of improvement and aggravation of serological indicators.

    Time frame: week0、week12

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Study locations

1 site
  • China-Japan friendship hospital
    Beijing, Beijing Municipality 100029, China
08

References and documents

Publications

  • Seror R, Ravaud P, Mariette X, Bootsma H, Theander E, Hansen A, Ramos-Casals M, Dorner T, Bombardieri S, Hachulla E, Brun JG, Kruize AA, Praprotnik S, Tomsic M, Gottenberg JE, Devauchelle V, Devita S, Vollenweider C, Mandl T, Tzioufas A, Carsons S, Saraux A, Sutcliffe N, Vitali C, Bowman SJ; EULAR Sjogren's Task Force. EULAR Sjogren's Syndrome Patient Reported Index (ESSPRI): development of a consensus patient index for primary Sjogren's syndrome. Ann Rheum Dis. 2011 Jun;70(6):968-72. doi: 10.1136/ard.2010.143743. Epub 2011 Feb 22. PubMed 21345815 ↗
  • Guo N, Wu F, Wu M, Wang Y, Lang Q, Lin X, Feng Y. Progress in the design and quality control of placeboes for clinical trials of traditional Chinese medicine. J Integr Med. 2022 May;20(3):204-212. doi: 10.1016/j.joim.2022.02.005. Epub 2022 Feb 21. PubMed 35248517 ↗
  • Day SJ, Altman DG. Statistics notes: blinding in clinical trials and other studies. BMJ. 2000 Aug 19-26;321(7259):504. doi: 10.1136/bmj.321.7259.504. No abstract available. PubMed 10948038 ↗
  • Brito-Zeron P, Theander E, Baldini C, Seror R, Retamozo S, Quartuccio L, Bootsma H, Bowman SJ, Dorner T, Gottenberg JE, Mariette X, Bombardieri S, de Vita S, Mandl T, Ng WF, Kruize AA, Tzioufas A, Vitali C, Buyon J, Izmirly P, Fox R, Ramos-Casals M; Eular Sjogren Syndrome Task Force. Early diagnosis of primary Sjogren's syndrome: EULAR-SS task force clinical recommendations. Expert Rev Clin Immunol. 2016;12(2):137-56. doi: 10.1586/1744666X.2016.1109449. Epub 2015 Dec 22. PubMed 26691952 ↗
  • Chan AW, Boutron I, Hopewell S, Moher D, Schulz KF, Collins GS, Tunn R, Aggarwal R, Berkwits M, Berlin JA, Bhandari N, Butcher NJ, Campbell MK, Chidebe RCW, Elbourne DR, Farmer AJ, Fergusson DA, Golub RM, Goodman SN, Hoffmann TC, Ioannidis JPA, Kahan BC, Knowles RL, Lamb SE, Lewis S, Loder E, Offringa M, Ravaud P, Richards DP, Rockhold FW, Schriger DL, Siegfried NL, Staniszewska S, Taylor RS, Thabane L, Torgerson DJ, Vohra S, White IR, Hrobjartsson A. SPIRIT 2025 statement: updated guideline for protocols of randomised trials. BMJ. 2025 Apr 28;389:e081477. doi: 10.1136/bmj-2024-081477. PubMed 40294953 ↗
  • Mentz RJ, Hernandez AF, Berdan LG, Rorick T, O'Brien EC, Ibarra JC, Curtis LH, Peterson ED. Good Clinical Practice Guidance and Pragmatic Clinical Trials: Balancing the Best of Both Worlds. Circulation. 2016 Mar 1;133(9):872-80. doi: 10.1161/CIRCULATIONAHA.115.019902. PubMed 26927005 ↗
  • Cheng CW, Wu TX, Shang HC, Li YP, Altman DG, Moher D, Bian ZX; CONSORT-CHM Formulas 2017 Group. CONSORT Extension for Chinese Herbal Medicine Formulas 2017: Recommendations, Explanation, and Elaboration. Ann Intern Med. 2017 Jun 27;167(2):112-121. doi: 10.7326/M16-2977. Print 2017 Jul 18. PubMed 28654980 ↗
  • Fox RI, Fox CM, Gottenberg JE, Dorner T. Treatment of Sjogren's syndrome: current therapy and future directions. Rheumatology (Oxford). 2021 May 14;60(5):2066-2074. doi: 10.1093/rheumatology/kez142. PubMed 31034046 ↗
  • Bowman SJ, Everett CC, O'Dwyer JL, Emery P, Pitzalis C, Ng WF, Pease CT, Price EJ, Sutcliffe N, Gendi NST, Hall FC, Ruddock SP, Fernandez C, Reynolds C, Hulme CT, Davies KA, Edwards CJ, Lanyon PC, Moots RJ, Roussou E, Giles IP, Sharples LD, Bombardieri M. Randomized Controlled Trial of Rituximab and Cost-Effectiveness Analysis in Treating Fatigue and Oral Dryness in Primary Sjogren's Syndrome. Arthritis Rheumatol. 2017 Jul;69(7):1440-1450. doi: 10.1002/art.40093. Epub 2017 Jun 5. PubMed 28296257 ↗
  • Ramos-Casals M, Brito-Zeron P, Bombardieri S, Bootsma H, De Vita S, Dorner T, Fisher BA, Gottenberg JE, Hernandez-Molina G, Kocher A, Kostov B, Kruize AA, Mandl T, Ng WF, Retamozo S, Seror R, Shoenfeld Y, Siso-Almirall A, Tzioufas AG, Vitali C, Bowman S, Mariette X; EULAR-Sjogren Syndrome Task Force Group. EULAR recommendations for the management of Sjogren's syndrome with topical and systemic therapies. Ann Rheum Dis. 2020 Jan;79(1):3-18. doi: 10.1136/annrheumdis-2019-216114. Epub 2019 Oct 31. PubMed 31672775 ↗
  • Brito-Zeron P, Retamozo S, Gheitasi H, Ramos-Casals M. Treating the Underlying Pathophysiology of Primary Sjogren Syndrome: Recent Advances and Future Prospects. Drugs. 2016 Nov;76(17):1601-1623. doi: 10.1007/s40265-016-0659-z. PubMed 27844414 ↗
  • Brito-Zeron P, Baldini C, Bootsma H, Bowman SJ, Jonsson R, Mariette X, Sivils K, Theander E, Tzioufas A, Ramos-Casals M. Sjogren syndrome. Nat Rev Dis Primers. 2016 Jul 7;2:16047. doi: 10.1038/nrdp.2016.47. PubMed 27383445 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07145060
Lead sponsor
China-Japan Friendship Hospital
Responsible party
Luo Jing (Associate chief physician, China-Japan Friendship Hospital) — Principal investigator
First posted
Aug 28, 2025
Start date
Sep 1, 2025 (estimated)
Primary completion
Jan 31, 2028 (estimated)
Completion
Mar 31, 2028 (estimated)
Last update
Aug 28, 2025

Study contacts

Luo Jing Luo
Contact
luojinggg@sina.com
+8618400664714
Tao Qingwen Tao
study chair · China-Japan Friendship Hospital

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 Aug 2025. You cannot join it, but the record below documents what was studied.

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