ClinicalTrials.gg
Not yet recruitingNCT07610434Updated May 28, 2026

Phase III Clinical Trial of Changji'an Capsules in the Treatment of Irritable Bowel Syndrome With Predominant Diarrhea (Liver-Qi Invading Spleen Syndrome)

A Phase 3 interventional study of Chang Ji'an capsule and Chang Ji'an capsule mimic in IBS, Diarrhea Predominant, sponsored by Beijing Hospital of Traditional Chinese Medicine. Not yet recruiting at 29 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-05-28.

Sponsored by Beijing Hospital of Traditional Chinese Medicine · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
636
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

This trial is a randomized, double-blind, placebo-controlled, parallel-group, multicenter Phase III clinical trial. Its purpose is to evaluate the efficacy and safety of Changji'an Capsules in subjects with diarrhea-predominant irritable bowel syndrome (liver-qi invading spleen syndrome) after 8 weeks of treatment.

02

Conditions studied

  • IBS, Diarrhea Predominant
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In context

Ichthyosis Bullosa of Siemens

24 studies on the registry are indexed under Ichthyosis Bullosa of Siemens; 6 are open to participants now.

This study's planned enrollment of 636 is above the median of 88 across 18 interventional studies indexed under Ichthyosis Bullosa of Siemens.

Browse Ichthyosis Bullosa of Siemens studies →

Lead sponsor

Beijing Hospital of Traditional Chinese Medicine is the lead sponsor of 22 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 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 the Western medicine diagnostic criteria for diarrhea-predominant irritable bowel syndrome;
  2. Meet the Traditional Chinese Medicine syndrome differentiation criteria for liver Qi invading the spleen;
  3. Aged ≥18 and ≤65 years, regardless of gender;
  4. Record daily the most severe abdominal pain, bloating, and abdominal discomfort NRS scores for the last week of the run-in period. At least one of these three items must meet the weekly average NRS score criterion (the weekly average of abdominal pain NRS is calculated as: total weekly score of abdominal pain NRS on days with Bristol Stool Form Scale type 6 or 7 stools / actual number of days with Bristol type 6 or 7 stools in that week; the average values for the other two items are calculated similarly) ≥3 points (11-point Numerical Rating Scale, NRS-11); meanwhile, for stool form, during the last week of the run-in period, there must be at least 2 days in which each day has at least one bowel movement of Bristol type 6 or 7;
  5. Self-Rating Anxiety Scale (SAS) \<60 points and Self-Rating Depression Scale (SDS) \<63 points;
  6. Have a colonoscopy result showing no obvious abnormalities (including diverticula or chronic inflammation) or colon polyps, based on colonoscopy results within 12 months prior at a tertiary hospital: 1.Colonoscopy results are normal with no organic changes; 2. Colonoscopy report shows minor abnormalities such as hemorrhoids or colonic polyps (diameter ≤5mm and number ≤3), which the investigator deems eligible for inclusion; 3. Previous colonoscopy reported colonic polyps with diameter >5mm or number >3, but after endoscopic treatment within 6 months prior to screening, remaining polyps are ≤5mm in diameter and ≤3 in number, deemed eligible by the investigator;
  7. Agree to participate in this clinical trial and voluntarily sign the form.

Exclusion criteria

Exclusion Criteria:

  1. Individuals with fewer than 3 spontaneous bowel movements per week during the induction period;
  2. Individuals with stool consistency of type 1 or 2 (Bristol Stool Form Scale) on at least 2 days per week during the induction period;
  3. Individuals confirmed to have infectious diarrhea, inflammatory bowel disease, parasitic infection, positive fecal occult blood tests and considered to have gastrointestinal bleeding (excluding hemorrhoids), colorectal tumors, malabsorption syndrome, lactose intolerance (based on medical history), and diarrhea caused by systemic diseases;
  4. Individuals who have used other medications for irritable bowel syndrome within 1 week prior to screening;
  5. Individuals with non-IBS-D or other organic gastrointestinal lesions (excluding superficial gastritis, grade I erosive gastritis, or chronic atrophic gastritis found on endoscopy but deemed by the investigator to be eligible for inclusion (e.g., no mucosal erosion or bleeding observed endoscopically, and the patient has no upper abdominal fullness, upper abdominal pain, or acid reflux)), or other organic lesions that the investigator judges may cause abdominal pain, bloating, or discomfort;
  6. Individuals with diabetes, hyperthyroidism, or serious primary diseases of the cardiovascular, cerebrovascular, liver, kidney, hematopoietic systems, or other serious diseases affecting survival (e.g., tumors), abnormal liver and kidney function (, ALT > 1.5 times the reference range, Scr above the upper limit of normal reference range), and abnormalities;
  7. Individuals with other mental disorders (excluding mild anxiety or depression);
  8. Individuals with a history of gastrointestinal surgery (excluding appendectomy or intestinal polyp removal);
  9. Individuals who, within 2 weeks prior to screening, are using or need to continue using medications that may affect gastrointestinal function (anticholinergic drugs, 5-HT3 receptor antagonists, antidiarrheal drugs, antacids, prokinetic drugs, antidepressants (fluoxetine for at least 28 days), anti-anxiety drugs, intestinal microbiota regulators, traditional Chinese medicine decoctions, etc.);
  10. Individuals allergic to 3 or more medications or foods, or known allergies to Xiangjie Capsules and its components, as well as emergency medication Pivabromium tablets;
  11. Individuals who took emergency medication (Pivabromium tablets) during the last week of the induction period;
  12. Individuals who took prohibited medications during the induction period;
  13. Individuals suspected of or confirmed with a history of alcohol or drug abuse;
  14. Pregnant women, breastfeeding women, or women of childbearing age planning to conceive; or female participants of and male participants (whose partners are women of childbearing potential) who do not agree to voluntarily use effective from screening to 3 months after the last dose;
  15. Individuals with cognitive impairment unable to provide fully ;
  16. Individuals positive for surface antigen, antibody, antibody, or syphilis treponemal antibody;
  17. Individuals who have participated in another clinical trial within the past month;
  18. Individuals known to have familial colorectal cancer syndrome;
  19. Individuals who, in the opinion of the investigator, have other factors making them unsuitable for inclusion.
Terms in these criteria, in plain language(10)

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
636 participants (estimated)

Study arms

  • Experimental
    Chang Ji'an capsule group

    Chang Ji'an Capsules, 4 capsules each time, 3 times a day, orally

    Drug: Chang Ji'an capsule

  • Placebo comparator
    Placebo group

    Chang Ji'an Capsules mimic, 4 capsules per dose, 3 times a day, orally

    Drug: Chang Ji'an capsule mimic

Interventions

  • DrugChang Ji'an capsule

    The prescription consists of 13 medicinal ingredients including Radix Paeoniae Alba, Rhizoma Atractylodis Macrocephalae (processed), and Radix Astragali.

  • DrugChang Ji'an capsule mimic

    Mock capsules with "no pharmaceutically active ingredients", identical to the Chang Ji'an capsule in color, odor and appearance.

06

What researchers measure

Primary outcomes

  1. Response rate of diarrhea (stool characteristics) at the end of 8 weeks of treatment

    Proportion of subjects who met the following criteria for at least 50% of the period from randomization to the end of Week 8 of treatment: patients with a reduction of at least 50% from baseline in the number of days per week with at least one stool that has a consistency of Type 6 or 7 Bristol Stool Score compared with baseline, and abdominal pain, abdominal distension and abdominal discomfort are unchanged or improved in comparison with baseline.

    Time frame: Evaluation will be performed at Day 56.

Secondary outcomes

  1. The abdominal pain response rate at the end of treatment weeks 2, 4, 6 and 8

    Proportion of subjects who satisfy the following criteria in no less than 50% of the treatment period from randomization to week endpoint: patients who experience a decrease in the weekly average of worst abdominal pain in the past 24 hours score of at least 30 percent compared with baseline, and the number of days per week with at least one stool with consistency of Type 6 or 7 that is the same as baseline or decreased and the number of stools of Type 6 or 7 on those days remains unchanged or decreased.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  2. The response rate of diarrhea (stool form) at the end of treatment weeks 2, 4 and 6

    Proportion of subjects who met the following criteria for at least 50% of the period from randomization to week endpoint: patients with a reduction of at least 50% from baseline in the number of days per week with at least one stool that has a consistency of Type 6 or 7 Bristol Stool Score compared with baseline, and abdominal pain, abdominal distension and abdominal discomfort are unchanged or improved in comparison with baseline.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42.

  3. Treatment response rate at the end of treatment weeks 2, 4, 6 and 8

    Defined as the proportion of subjects who meet the following criteria during at least 50% of the treatment period from randomization to the week endpoint: 1.Intensity of abdominal pain, abdominal distension and abdominal discomfort: a decrease in the weekly average of worst abdominal pain, abdominal distension and abdominal discomfort in the past 24 hours score of at least 30 percent compared with baseline; 2.Stool form: 50 percent or greater reduction in the number of days per week with at least one stool that has a consistency of Type 6 or 7 compared with baseline.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  4. Distention response rate at the end of treatment weeks 2, 4, 6 and 8

    Proportion of subjects who satisfy the following criteria in no less than 50% of the treatment period from randomization to week endpoint: patients who experience a decrease in the weekly average of worst abdominal distention in the past 24 hours score of at least 30 percent compared with baseline, and the number of days per week with at least one stool with consistency of Type 6 or 7 that is the same as baseline or decreased and the number of stools of Type 6 or 7 on those days remains unchanged or decreased.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  5. Response rate of abdominal discomfort at the end of 2, 4, 6, and 8 weeks of treatment

    Proportion of subjects who satisfy the following criteria in no less than 50% of the treatment period from randomization to week endpoint: patients who experience a decrease in the weekly average of worst abdominal discomfort in the past 24 hours score of at least 30 percent compared with baseline, and the number of days per week with at least one stool with consistency of Type 6 or 7 that is the same as baseline or decreased and the number of stools of Type 6 or 7 on those days remains unchanged or decreased.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  6. Changes in the number of days with diarrhea in the past week compared to baseline at the end of 2, 4, 6, and 8 weeks of treatment

    Among patients with unchanged or improved intensity of abdominal pain, abdominal distension and abdominal discomfort, the change from baseline in the number of days with Bristol Stool Form Scale type 6 or 7 at least once during the week.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  7. Changes in the average number of diarrhea episodes in the past week compared to baseline at the end of 2, 4, 6, and 8 weeks of treatment

    Defined as the change from baseline in the weekly frequency of Bristol Stool Form Scale Type 6 or 7 stools divided by 7 days, among patients whose intensity of abdominal pain, abdominal distension, and abdominal discomfort remained unchanged or improved.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  8. Changes in Urgency Numeric Rating Scale(Likert 5 point scale, score range:0-4, Lower-is-Better endpoint) compared to baseline at the end of weeks 2, 4, 6, and 8, and in the past 2 weeks

    Assessed based on the change in defecation urgency score.

    Time frame: Evaluation will be performed at baseline and D14, D28, D42, D56.

  9. Changes from baseline in IBS Symptom Severity Score (IBS-SSS, score range:0-500, Lower-is-Better endpoint) at the end of 2, 4, 6, and 8 weeks of treatment.

    Assessed by the changes in scores of the IBS-SSS scales.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  10. Changes from baseline in Quality of Life scale score (IBS-QOL, score range:0-136, Lower-is-Better endpoint) at the end of 2, 4, 6, and 8 weeks of treatment.

    Assessed by the changes in scores of the IBS-QOL scales.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  11. Changes from baseline in Traditional Chinese Medicine syndrome score at the end of treatment weeks 2, 4, 6 and 8.

    Assessed by the changes in Traditional Chinese Medicine (TCM) syndrome scores.

    Time frame: Evaluation will be performed at baseline and Day 14, Day 28, Day 42, Day 56.

  12. Proportion of subjects with sustained remission and no worsening of diarrhea severity at Week 4 and Week 8 during the follow-up period.

    Assessed via the Likert scale(Likert 7 point scale, score range:1-7, Lower-is-Better endpoint) completed in ePRO.

    Time frame: Evaluations will be performed at baseline, 4 and 8 weeks of the follow-up period after the end of treatment.

  13. Proportion of subjects without diarrhea associated with diarrhea-predominant irritable bowel syndrome at follow-up Week 4 and Week 8.

    Assessed via the Likert scale(Likert 7 point scale, score range:1-7, Lower-is-Better endpoint) completed in ePRO.

    Time frame: Evaluations will be performed at Day 7, Day 14, Day 21, Day 28, Day 35, Day 42, Day 49, Day 56 after treatment completion.

  14. Usage of rescue medication

    Statistical analysis will be performed based on the consumption of rescue medication throughout the entire trial period.

    Time frame: Evaluations shall be conducted at Week 8 of treatment.

07

Study locations

29 sites
08

References and documents

Publications

  • Lembo AJ, Lacy BE, Zuckerman MJ, Schey R, Dove LS, Andrae DA, Davenport JM, McIntyre G, Lopez R, Turner L, Covington PS. Eluxadoline for Irritable Bowel Syndrome with Diarrhea. N Engl J Med. 2016 Jan 21;374(3):242-53. doi: 10.1056/NEJMoa1505180. PubMed 26789872 ↗
  • Dove LS, Lembo A, Randall CW, Fogel R, Andrae D, Davenport JM, McIntyre G, Almenoff JS, Covington PS. Eluxadoline benefits patients with irritable bowel syndrome with diarrhea in a phase 2 study. Gastroenterology. 2013 Aug;145(2):329-38.e1. doi: 10.1053/j.gastro.2013.04.006. Epub 2013 Apr 9. PubMed 23583433 ↗
  • Wang Z, Xu M, Shi Z, Bao C, Liu H, Zhou C, Yan Y, Wang C, Li G, Zhang W, Gao A, Wu H. Mild moxibustion for Irritable Bowel Syndrome with Diarrhea (IBS-D): A randomized controlled trial. J Ethnopharmacol. 2022 May 10;289:115064. doi: 10.1016/j.jep.2022.115064. Epub 2022 Jan 31. PubMed 35114338 ↗
  • Corsetti M, Shin A, Lacy BE, Cash BD, Simren M, Schmulson MJ, Hou X, Lembo A. Bowel Disorders. Gastroenterology. 2026 May;170(6):1261-1282. doi: 10.1053/j.gastro.2026.02.003. Epub 2026 Feb 17. PubMed 41713703 ↗
  • Pimentel M, Lembo A, Chey WD, Zakko S, Ringel Y, Yu J, Mareya SM, Shaw AL, Bortey E, Forbes WP; TARGET Study Group. Rifaximin therapy for patients with irritable bowel syndrome without constipation. N Engl J Med. 2011 Jan 6;364(1):22-32. doi: 10.1056/NEJMoa1004409. PubMed 21208106 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07610434
Lead sponsor
Beijing Hospital of Traditional Chinese Medicine
Responsible party
Shengsheng Zhang (Chief physician, professor and doctoral supervisor, Beijing Hospital of Traditional Chinese Medicine) — Principal investigator
First posted
May 28, 2026
Start date
May 31, 2026 (estimated)
Primary completion
Jan 31, 2028 (estimated)
Completion
May 31, 2028 (estimated)
Last update
May 28, 2026

Study contacts

LuQing Zhao, Doctor
Contact
zhaoluqing@bjzhongyi.com
01087906580

Oversight

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

Not currently enrolling

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