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Not yet recruitingNCT07936760LIFTUpdated Nov 13, 2026

Effect of Fufang E'Jiao Jiang on Hierarchical Composite Clinical Benefit and Health-related Quality of Life in ICU Survivors After ICU Discharge: a Multicenter, Randomized, Double-blind, Placebo-controlled Clinical Trial

An interventional study of Fufang Ejiao Jiang and Matching placebo control in ICU Survivors, sponsored by Third Military Medical University. Not yet recruiting at 13 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Third Military Medical University · Not applicable, Interventional, and Treatment

Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
246
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to evaluate the effects of Fufang E'jiao Jiang on clinical outcomes, health-related quality of life, and functional recovery in survivors of critical illness following intensive care unit (ICU) discharge.This multicenter, randomized, double-blind, placebo-controlled trial will enroll 246 participants who will be randomly assigned in a 1:1 ratio to receive either Fufang E'jiao Jiang or matching placebo. Participants will receive 20 mL orally three times daily for 90 days, alongside standard post-ICU rehabilitation and supportive care.The primary outcome is a prespecified hierarchical composite endpoint assessed within 90 days after randomization and analyzed using the win ratio method. The components are evaluated in the following order of clinical priority: (1) all-cause mortality within 90 days; (2) unplanned all-cause readmission within 90 days; and (3) change from baseline in the EQ-5D-5L utility index at day 90. Secondary outcomes include exercise tolerance, frailty, cognitive function, fatigue, anxiety and depression, sleep quality assessed by wrist actigraphy and the Pittsburgh Sleep Quality Index (PSQI), appetite, handgrip strength, body composition, and selected biochemical, hematologic, and iron metabolism-related indicators. The trial aims to provide clinical evidence regarding the potential role of Fufang E'jiao Jiang in supporting recovery and improving health-related outcomes among survivors of critical illness after ICU discharge.

Read the detailed description

Post-intensive care syndrome is common among survivors of critical illness and is associated with impaired physical function, cognitive dysfunction, psychological symptoms, reduced quality of life, and increased health care utilization after intensive care unit (ICU) discharge. Current post-ICU rehabilitation strategies remain limited, and effective pharmacologic interventions are lacking. Fufang E'jiao Jiang is a traditional Chinese medicine preparation that has been used to improve fatigue, nutritional status, and functional recovery in relevant clinical settings. Based on its traditional indications and existing pharmacologic evidence, it may have potential value in supporting recovery among survivors of critical illness after ICU discharge. This study is a multicenter, randomized, double-blind, placebo-controlled, parallel-group trial designed to evaluate the efficacy and safety of Fufang E'jiao Jiang in adult survivors of critical illness after ICU discharge. A total of 246 participants will be enrolled and randomly assigned in a 1:1 ratio to receive either Fufang E'jiao Jiang or matching placebo. Study treatment will begin after ICU discharge once enteral nutrition has been initiated. Participants in both groups will receive standard post-ICU rehabilitation and supportive care. The investigational group will receive Fufang E'jiao Jiang, 20 mL orally three times daily for 90 consecutive days. The control group will receive a matching placebo with the same dosing schedule, appearance, packaging, color, and taste but without the active ingredients of Fufang E'jiao Jiang. The primary outcome is a prespecified hierarchical composite endpoint evaluated within 90 days after randomization and analyzed using the win ratio method. The components will be compared sequentially according to their predefined clinical priority: (1) all-cause mortality within 90 days after randomization; (2) unplanned all-cause readmission within 90 days after randomization; and (3) change from baseline in the EQ-5D-5L utility index at day 90, using a prespecified clinically meaningful threshold. The primary treatment effect will be summarized using a single win ratio. Secondary outcomes will assess multiple domains of post-ICU recovery, including physical function, frailty, cognitive function, fatigue, psychological health, sleep quality, appetite, nutritional status, body composition, and selected laboratory indicators. Physical and functional assessments will include the 6-minute walk test distance, Clinical Frailty Scale score, Montreal Cognitive Assessment score, Fatigue Severity Scale score, Hospital Anxiety and Depression Scale score, and handgrip strength. Sleep-related outcomes will be assessed using both objective and subjective measurements. Objective sleep parameters, including total sleep time, sleep efficiency, and wake after sleep onset, will be recorded using a wearable sleep wristband (actigraphy). Subjective sleep quality will be evaluated using the Pittsburgh Sleep Quality Index (PSQI). Body composition will be assessed using the Nutrilab body composition analysis system. The assessed parameters will include body fat percentage, fat mass, skeletal muscle mass, and fat-free mass. Biochemical and hematologic assessments will include hemoglobin concentration, albumin, prealbumin, C-reactive protein, creatinine, blood urea nitrogen, red blood cell count, absolute lymphocyte count, and white blood cell count. Hemoglobin concentration and blood cell counts will be assessed using whole-blood hematological analysis. The percentage of HLA-DR-positive monocytes will be assessed in peripheral blood using flow cytometry. Additional hematologic and iron metabolism-related assessments will include absolute reticulocyte count, reticulocyte hemoglobin content (RET-He or CHr), serum ferritin concentration, and transferrin saturation (TSAT). TSAT will be calculated using serum iron concentration and total iron-binding capacity, with the latter measured directly or derived from transferrin concentration using a validated laboratory method. Plasma growth differentiation factor 15 (GDF15) concentration will also be assessed. Sleep quality and body composition will be evaluated at baseline, day 30, and day 90 after randomization. The selected biochemical, hematologic, and iron metabolism-related indicators will be assessed at baseline and day 90 after randomization. The trial is intended to generate clinical evidence regarding the role of Fufang E'jiao Jiang in supporting functional recovery, health-related quality of life, and selected hematologic, nutritional, and metabolic outcomes among survivors of critical illness after ICU discharge.

02

Conditions studied

  • ICU Survivors

Keywords

  • post-intensive care syndrome
  • ICU survivors
  • critical illness
  • quality of life
  • readmission
  • rehabilitation
  • Fufang E'jiao Jiang
03

In context

postintensive care syndrome

106 studies on the registry are indexed under postintensive care syndrome; 49 are open to participants now.

This study's planned enrollment of 246 is above the median of 79 across 48 interventional studies indexed under postintensive care syndrome.

Browse postintensive care syndrome studies →

Lead sponsor

Third Military Medical University is the lead sponsor of 84 studies on the registry; 18 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • Provision of
  • Age 18 years or older
  • Expected ICU discharge within 24 hours
  • APACHE II score of 15 or higher at ICU admission
  • Received mechanical ventilation for at least 6 hours during the current ICU stay
  • Duration of the current ICU stay of more than 48 hours and no more than 28 days
  • Enteral nutrition has been initiated
  • Able to cooperate with study-related assessments and follow-up, including simple bedside activities such as sitting, standing, or short-distance walking independently or with assistance.

Exclusion criteria

Exclusion Criteria:

  • Expected death or withdrawal of life-sustaining treatment within 48 hours after ICU discharge
  • Severe liver failure ( class C) at ICU discharge
  • Chronic kidney disease with less than 40 mL/min at ICU discharge
  • Pregnant or breastfeeding
  • Unable to walk independently before ICU admission, except those able to walk independently with a walking aid
  • Acute-phase traumatic brain injury, primary cerebrovascular disease, brain tumor, or intracranial infection
  • Primary cognitive impairment, including Alzheimer's disease, vascular dementia, hydrocephalus, or other severe central nervous system disease
  • History of psychiatric or psychological disorders such as depression, anxiety, or schizophrenia
  • History of cardiopulmonary arrest
  • Lower limb injury, systemic neuromuscular disease, or spinal condition that may affect outcome assessment
  • Current use of other Chinese herbal medicines or proprietary Chinese medicines intended to tonify qi and nourish blood
  • Known allergy to Fufang E'jiao Jiang or any of its components
  • Active gastrointestinal bleeding
  • less than 16.0 kg/m² or 40.0 kg/m² or higher
Terms in these criteria, in plain language(4)

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.

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
246 participants (estimated)

Study arms

  • Experimental
    Fufang Ejiao Jiang

    Participants will receive Fufang Ejiao Jiang, 20 mL orally three times daily for 90 consecutive days

    Drug: Fufang Ejiao Jiang

  • Placebo comparator
    placebo

    Participants will receive a matching placebo, 20 mL orally three times daily for 90 consecutive days

    Drug: Matching placebo control

Interventions

  • DrugFufang Ejiao Jiang

    Oral liquid, 20 mL by mouth three times daily for 90 consecutive days.

  • DrugMatching placebo control

    Oral liquid placebo, 20 mL by mouth three times daily for 90 consecutive days. The placebo is matched to Fufang Ejiao Jiang in appearance, packaging, color, and taste and contains no active ingredients of Fufang Ejiao Jiang Other Name:

06

What researchers measure

Primary outcomes

  1. Win Ratio for the 90-Day Hierarchical Composite Outcome

    The primary outcome is a single prespecified hierarchical composite endpoint analyzed using the win ratio method. Participants from the two randomized groups will be compared pairwise according to the following clinical priority hierarchy: (1) all-cause mortality within 90 days after randomization; (2) unplanned all-cause readmission within 90 days after randomization; and (3) change from baseline in the EQ-5D-5L utility index at day 90. Comparisons will proceed to the next component when no winner is determined at the preceding level. The primary treatment effect will be expressed as a single win ratio, calculated as the ratio of winning to losing pairs. The three components constitute one hierarchical composite endpoint rather than three separate primary outcome measures.

    Time frame: From randomization through day 90

Secondary outcomes

  1. 6-minute walk test distance

    Exercise tolerance assessed using the 6-minute walk test

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization

  2. Clinical Frailty Scale score

    Frailty assessed using the Clinical Frailty Scale

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization

  3. Montreal Cognitive Assessment score

    Cognitive function assessed using the Montreal Cognitive Assessment

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization

  4. Fatigue Severity Scale score

    Fatigue assessed using the Fatigue Severity Scale

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization

  5. Hospital Anxiety and Depression Scale score

    Psychological symptoms assessed using the Hospital Anxiety and Depression Scale

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization

  6. Total Sleep Time Measured by Wrist Actigraphy

    Total sleep time will be assessed using a wearable sleep wristband (actigraphy) and reported in minutes.

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization.

  7. Sleep Efficiency Measured by Wrist Actigraphy

    Sleep efficiency will be assessed using a wearable sleep wristband (actigraphy) and reported as a percentage.

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization.

  8. Wake After Sleep Onset Measured by Wrist Actigraphy

    Wake after sleep onset (WASO) will be assessed using a wearable sleep wristband (actigraphy) and reported in minutes.

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization.

  9. Global Score on the Pittsburgh Sleep Quality Index (PSQI)

    Subjective sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI). The global score ranges from 0 to 21, with higher scores indicating poorer sleep quality.

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization.

  10. Appetite

    Appetite will be assessed using the Simplified Nutritional Appetite Questionnaire (SNAQ), a 4-item self-administered instrument covering appetite, feelings of fullness, taste of food, and number of meals per day. The total score ranges from 4 to 20; a score of 14 or lower indicates a significant risk of at least 5% weight loss within 6 months, with lower scores indicating poorer appetite.

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization

  11. Handgrip strength

    Muscle strength assessed by handgrip dynamometry

    Time frame: At baseline, 30 days after randomization, and 90 days after randomization

  12. Body Fat Percentage Measured by Nutrilab Body Composition Analysis

    Body fat percentage will be measured using the Nutrilab body composition analysis system and reported as the percentage of total body weight consisting of fat mass.

    Time frame: At baseline, day 30, and day 90 after randomization.

  13. Fat Mass Measured by Nutrilab Body Composition Analysis

    Total body fat mass will be measured using the Nutrilab body composition analysis system and reported in kilograms.

    Time frame: At baseline, day 30, and day 90 after randomization.

  14. Skeletal Muscle Mass Measured by Nutrilab Body Composition Analysis

    Skeletal muscle mass will be measured using the Nutrilab body composition analysis system and reported in kilograms.

    Time frame: At baseline, day 30, and day 90 after randomization.

  15. Fat-Free Mass Measured by Nutrilab Body Composition Analysis

    Fat-free mass will be measured using the Nutrilab body composition analysis system and reported in kilograms.

    Time frame: At baseline, day 30, and day 90 after randomization.

  16. Hemoglobin Concentration

    Hemoglobin concentration will be measured in whole blood using routine complete blood count (CBC) analysis and reported in g/L.

    Time frame: At baseline and day 90 after randomization.

  17. Albumin Concentration

    Albumin concentration will be measured by routine clinical laboratory analysis and reported in g/L.

    Time frame: At baseline and day 90 after randomization.

  18. Prealbumin Concentration

    Prealbumin concentration will be measured by routine clinical laboratory analysis and reported in mg/L.

    Time frame: At baseline and day 90 after randomization.

  19. C-Reactive Protein Concentration

    C-reactive protein (CRP) concentration will be measured by routine clinical laboratory analysis and reported in mg/L.

    Time frame: At baseline and day 90 after randomization.

  20. Creatinine Concentration

    Creatinine concentration will be measured by routine clinical laboratory analysis and reported in µmol/L.

    Time frame: At baseline and day 90 after randomization.

  21. Blood Urea Nitrogen Concentration

    Blood urea nitrogen (BUN) concentration will be measured by routine clinical laboratory analysis and reported in mmol/L.

    Time frame: At baseline and day 90 after randomization.

  22. Red Blood Cell Count

    Red blood cell count will be measured in whole blood using routine complete blood count (CBC) analysis and reported in 10\^12 cells/L.

    Time frame: At baseline and day 90 after randomization.

  23. Absolute Lymphocyte Count

    Absolute lymphocyte count will be measured in whole blood using routine hematological analysis and reported in 10\^9 cells/L.

    Time frame: At baseline and day 90 after randomization.

  24. White Blood Cell Count

    White blood cell count will be measured in whole blood using routine complete blood count (CBC) analysis and reported in 10\^9 cells/L.

    Time frame: At baseline and day 90 after randomization.

  25. Percentage of HLA-DR-Positive Cells

    The percentage of HLA-DR-positive monocytes will be assessed in peripheral blood using flow cytometry. HLA-DR-positive monocytes will be quantified as a percentage of the total monocyte population, with higher percentages indicating a greater proportion of monocytes expressing HLA-DR.

    Time frame: At baseline and day 90 after randomization.

  26. Absolute Reticulocyte Count

    Absolute reticulocyte count will be measured in peripheral whole blood using an automated hematology analyzer and reported in 10\^9 cells/L.

    Time frame: At baseline and day 90 after randomization.

  27. Reticulocyte Hemoglobin Content (RET-He or CHr)

    Reticulocyte hemoglobin content will be measured in peripheral whole blood using an automated hematology analyzer and reported in picograms (pg) per reticulocyte. The parameter will be reported as reticulocyte hemoglobin equivalent (RET-He) or reticulocyte hemoglobin content (CHr), depending on the analyzer used.

    Time frame: At baseline and day 90 after randomization.

  28. Serum Ferritin Concentration

    Serum ferritin concentration will be measured using a clinical laboratory immunoassay and reported in ng/mL.

    Time frame: At baseline and day 90 after randomization.

  29. Transferrin Saturation (TSAT)

    Transferrin saturation (TSAT) will be calculated from serum iron concentration and total iron-binding capacity (TIBC) using the formula: TSAT (%) = \[serum iron / TIBC\] × 100, with both measurements expressed in the same units. TIBC will be measured directly or calculated from serum transferrin concentration using the validated laboratory-specific method. TSAT will be reported as a percentage.

    Time frame: At baseline and day 90 after randomization.

  30. Plasma Growth Differentiation Factor 15 (GDF15) Concentration

    Plasma growth differentiation factor 15 (GDF15) concentration will be measured using a validated immunoassay and reported in pg/mL.

    Time frame: At baseline and day 90 after randomization.

07

Study locations

13 sites
  • Eastern Theater Command General Hospital
    Nanjing, Jiangsu China, China
    • Lu Ke · Contact
  • Panzhihua Central Hospital
    Panzhihua, Sichuan China, China
    • xiaodong Deng · Contact
  • Chongqing Iron and Steel General Hospital
    Chongqing, China, China
    • zhigao He · Contact
  • Chongqing University Affiliated Jiangjin Hospital (Chongqing Jiangjin District Central Hospital)
    Chongqing, China, China
    • jun Yang · Contact
  • Dianjiang County People's Hospital of Chongqing
    Chongqing, China, China
    • jianbin Huang · Contact
  • Hechuan Hospital of Traditional Chinese Medicine
    Chongqing, China, China
    • changyuan Zhou · Contact
  • Jiangsu Province Hospital of Chinese Medicine Chongqing Hospital (Chongqing Yongchuan District Hospital of Traditional Chinese Medicine)
    Chongqing, China, China
    • ke Li · Contact
  • No. 958 Hospital of Chinese PLA Land Force
    Chongqing, China, China
    • Xuemei Yang · Contact
  • People's Hospital of Shapingba District
    Chongqing, China, China
    • Shengqing He · Contact
  • PLA Army Characteristic Medical Center
    Chongqing, China, China
    • hao Tang · Contact
  • The First Affiliated Hospital of Army Medical University
    Chongqing, China, China
    • Liang Tan · Contactliangtan@tmmu.edu.cn · +86-158-2354-0630
    • Changlin Yin, MD · Principal investigator
    • Liang Tan, MD · Sub investigator
    • Yonghui Zhang, MB · Sub investigator
    • Yan Zhang, MB · Sub investigator
    • Ying Cao, MB · Sub investigator
    • Weiguang Zhang, MM · Sub investigator
    • Dongfang Yang, MM · Sub investigator
    • Lenv Gao, MD · Sub investigator
    • Lan Cheng, MM · Sub investigator
    • Ya Wang, MM · Sub investigator
  • The People's Hospital of Rongchang District
    Chongqing, China, China
    • dan Li · Contact
  • The Second Affiliated Hospital of Chongqing Medical University
    Chongqing, China, China
    • chenyang Duan · Contact
08

References and documents

Publications

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  • Puthucheary ZA, Rawal J, McPhail M, Connolly B, Ratnayake G, Chan P, Hopkinson NS, Phadke R, Dew T, Sidhu PS, Velloso C, Seymour J, Agley CC, Selby A, Limb M, Edwards LM, Smith K, Rowlerson A, Rennie MJ, Moxham J, Harridge SD, Hart N, Montgomery HE. Acute skeletal muscle wasting in critical illness. JAMA. 2013 Oct 16;310(15):1591-600. doi: 10.1001/jama.2013.278481. PubMed 24108501 ↗
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Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Jun 2029, 30 months later.

Of 39 interventional studies with no phase under postintensive care syndrome, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 38. This study's planned 30 months is above that.

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

Registered
Oct 29, 2026
First posted
Nov 13, 2026
StartEst.
Nov 30, 2026
Primary completionEst.
Jun 1, 2029
CompletionEst.
Aug 31, 2029
Last update
Nov 13, 2026
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.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07936760
Lead sponsor
Third Military Medical University
Responsible party
Tan Liang (Principal Investigator, Center of Critical Care Medicine, Southwest Hospital, China) — Principal investigator
First posted
Nov 13, 2026
Start date
Nov 30, 2026 (estimated)
Primary completion
Jun 1, 2029 (estimated)
Completion
Aug 31, 2029 (estimated)
Last update
Nov 13, 2026

Study contacts

Liang Tan
Contact
liangtan@tmmu.edu.cn
+86-158-2354-0630

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 Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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