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Not yet recruitingNCT07518420Updated Apr 8, 2026

Clinical Efficacy Evaluation of Chaizhi Hewei Decoction in the Treatment of Non-Erosive Reflux Disease With Liver-Stomach Disharmony Syndrome

An interventional study of Chaizhi Hewei Decoction and Placebo in Non-erosive Reflux Disease (NERD), sponsored by Xiyuan Hospital of China Academy of Chinese Medical Sciences. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-04-08.

Sponsored by Xiyuan Hospital of China Academy of Chinese Medical Sciences · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
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Study summary

This study focuses on patients with NERD (gastroesophageal reflux disease) and liver-gallbladder disharmony syndrome as its research subjects. It conducts a randomized, double-blind, placebo-controlled clinical trial to evaluate the efficacy and safety of the Chai Zhi He Wei formula in terms of symptom improvement, quality of life, and adverse reactions. On one hand, this research aims to enhance the level of evidence-based medicine for TCM syndrome differentiation and treatment of NERD. On the other hand, it seeks to reduce the dosage of PPIs (proton pump inhibitors) or discontinue their use, addressing the side effects caused by PPI overuse, and serving as a leading example for TCM clinical research. Lastly, the study aims to optimize the efficacy of Tongjiang granules and address potential safety concerns, such as diarrhea.

02

Conditions studied

  • Non-erosive Reflux Disease (NERD)

Keywords

  • Chaizhi Hewei Decoction
  • Liver-Stomach Disharmony Syndrome
  • randomized controlled trial
03

In context

Non-Erosive Reflux Disease

46 studies on the registry are indexed under Non-Erosive Reflux Disease; 7 are open to participants now.

This study's planned enrollment of 66 is below the median of 170 across 33 interventional studies indexed under Non-Erosive Reflux Disease.

Browse Non-Erosive Reflux Disease studies →

Lead sponsor

Xiyuan Hospital of China Academy of Chinese Medical Sciences is the lead sponsor of 43 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 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

  1. Meet thediagnosis criteria for NERD;
  2. GERD Q scale score >8 points;
  3. Meet the criteria for the liver-stomach disharmony syndrome in traditional Chinese medicine;
  4. Age between 18-70 years old;
  5. Participants are informed and voluntarily sign the form. -

Exclusion criteria

Exclusion Criteria:

  1. Patients with active gastric or duodenal ulcers, gastritis with active bleeding, severe dysplasia of the gastric mucosa, or suspected ; patients with achalasia or post-achalasia surgery; and patients with functional heartburn.
  2. Patients with severe primary diseases of the cardiovascular, hepatic, renal, hematological, or respiratory systems, or malignant tumors.
  3. Patients with mental disorders (e.g., schizophrenia, bipolar affective disorder, depression, anxiety, obsessive-compulsive disorder) and those with intellectual or language impairments.
  4. Pregnant or breastfeeding women.
  5. Patients allergic to any components of this preparation.
  6. Patients currently taking medications that may affect the outcome of this study (e.g., proton pump inhibitors, potassium-competitive acid blockers, Tongjiang granules, etc.).
  7. Patients currently participating in or having participated in other drug clinical trials within the past 4 weeks.
  8. Patients with suspected or confirmed history of alcohol or substance abuse, anxiety, or depression; or, according to the investigator's judgment, other conditions that may reduce the likelihood of enrollment or complicate the enrollment process, such as frequent changes in work environment that may lead to loss of follow-up.

    -

Terms in these criteria, in plain language(2)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
66 participants (estimated)

Study arms

  • Placebo comparator
    Control Group

    Placebo (a simulator of), 1 packet per dose, twice daily, to be taken 1 hour after breakfast and dinner, with a course duration of 4 weeks.

    Drug: Placebo

  • Active comparator
    Experimental Group

    Chaizhi Hewei Granules, 1 packet per dose, twice daily, take 1 hour after breakfast and dinner, course duration: 4 weeks.

    Drug: Chaizhi Hewei Decoction

Interventions

  • DrugChaizhi Hewei Decoction

    Chaizhi Hewei Decoction Granules, 1 packet per dose, twice daily, take 1 hour after breakfast and dinner, course duration: 4 weeks.

  • DrugPlacebo

    Placebo, 1 packet per dose, twice daily, to be taken 1 hour after breakfast and dinner, with a course duration of 4 weeks.

06

What researchers measure

Primary outcomes

  1. Gastroesophageal Reflux Disease Questionnaire (GERD Q) Score

    Time frame: week 0 and the end of treatment at 4 weeks

Secondary outcomes

  1. Traditional Chinese Medicine (TCM) syndrome improvement status

    Time frame: week 0 and the end of treatment at 4 weeks

  2. SF-36 Scale Score

    Time frame: week 0 and the end of treatment at 4 weeks

  3. Patient-Reported Outcomes (PRO) Scale Scoring

    Time frame: week 0 and the end of treatment at 4 weeks

  4. Hospital Anxiety and Depression Scale (HAD) score

    Scale Title: Hospital Anxiety and Depression Scale (HAD) Minimum Score: 0 Maximum Score:21 (for each subscale: Anxiety \[A\] and Depression \[D\]) Interpretation: Higher scores indicate worse outcomes (greater anxiety or depressive symptoms), with 0-7 = no symptoms, 8-10 = possible symptoms, 11-21 = definite symptoms.

    Time frame: week 0 and the end of treatment at 4 weeks

Other outcomes

  1. Hematuria Metabolomics

    Outcome Measure Title: Changes in Plasma and Urine Metabolite Profiles Assessed by Untargeted Metabolomics Using Liquid Chromatography-Mass Spectrometry (LC-MS) Outcome Measure Description: Untargeted metabolomics analysis will be performed on plasma and urine samples collected from patients before and after treatment. The measurement tool is liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS). The outcome measure is the relative abundance of detected metabolites. Unit of measure: Normalized peak intensity (arbitrary units) or relative ion count.

    Time frame: week 0 and the end of treatment at 4 weeks

  2. Fecal Gut Microbiota Metagenomics

    Outcome Measure Title: Changes in Gut Microbial Composition and Functional Genes Assessed by Shotgun Metagenomic Sequencing of Fecal Samples Outcome Measure Description: Shotgun metagenomic sequencing will be performed on fecal samples collected before and after treatment. The measurement tool is high-throughput next-generation sequencing (e.g., Illumina platform). The outcome measures include taxonomic relative abundance of microbial species, gene richness, and functional pathway abundances. Unit of measure: Relative abundance (percentage of total reads) and reads per kilobase per million (RPKM) for gene quantification.

    Time frame: week 0 and the end of treatment at 4 weeks

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Study locations

1 site
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 Apr 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07518420
Lead sponsor
Xiyuan Hospital of China Academy of Chinese Medical Sciences
Responsible party
Sponsor
First posted
Apr 8, 2026
Start date
May 15, 2026 (estimated)
Primary completion
Mar 1, 2028 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Apr 8, 2026

Study contacts

lin lv, Doctor
Contact
lushangshitou@qq.com
86-18811782728

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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