Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial

Abstract Background Irritable bowel syndrome (IBS) is a common gastrointestinal functional disease. Adults with IBS may experience abdominal pain, change of bowel habits, and abnormal stool form without organic disease. IBS can seriously affect their work productivity and quality of life, especially...

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Autores principales: Ya Zheng, Jessica Ching, Chung Wah Cheng, Wai Ching Lam, Kam Leung Chan, Xuan Zhang, Pui Yan Lam, Xing Yao Wu, Linda L. D. Zhong, Pei Hua Cao, Cho Wing Lo, Pui Kuan Cheong, Zhixiu Lin, Matthew Koh, Justin Wu, Zhao Xiang Bian
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Publicado: BMC 2021
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spelling oai:doaj.org-article:5c86824aab01446da4c1080bb27873d02021-11-14T12:10:24ZEfficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial10.1186/s13020-021-00530-21749-8546https://doaj.org/article/5c86824aab01446da4c1080bb27873d02021-11-01T00:00:00Zhttps://doi.org/10.1186/s13020-021-00530-2https://doaj.org/toc/1749-8546Abstract Background Irritable bowel syndrome (IBS) is a common gastrointestinal functional disease. Adults with IBS may experience abdominal pain, change of bowel habits, and abnormal stool form without organic disease. IBS can seriously affect their work productivity and quality of life, especially diarrhea-predominant irritable bowel syndrome (IBS-D). The Chinese medicine JCM-16021 has been shown to be potentially effective in improving the symptoms of IBS-D based on a small scale clinical trial. Hence, a large scale clinical study is designed to further evaluate the efficacy and safety of the Chinese medicine JCM-16021 for IBS-D with traditional Chinese medicine (TCM) pattern of Liver Stagnation and Spleen Deficiency (LSSD). Methods This study is a multi-center, randomized, double-blind, placebo-controlled clinical trial. 392 eligible participants will be enrolled with 2-week run-in, 8-week treatment and 8-week follow-up. After run-in period, participants will be randomized to receive either the Chinese medicine JCM-16021 or placebo for 8 weeks, and will have post-treatment follow up for another 8 weeks. The primary outcome is the improvement rate on the global assessment of improvement (GAI) at week 10. The secondary outcomes consist of changes of IBS-D symptoms, TCM pattern improvement, IBS-Quality of Life (IBS-QoL), IBS-Symptom Severity Score (IBS-SSS), safety, etc. Results A standard protocol has been developed for the study. The protocol will provided a detailed procedure to conduct a clinical trial and verify if the Chinese medicine JCM-16021 would significantly improve the overall symptoms of IBS-D with LSSD pattern of TCM by relieving abdominal pain, reducing stool frequency, improving the stool consistency and improving quality of life. The consolidated evidence from the study can shed light on the treatment of IBS-D with Chinese medicine. Conclusion The protocol will provide details for investigators about the study following SPIRIT Statement. High-quality evidence on the efficacy and safety of Chinese medicine JCM-16021 for IBS-D will be provided through strict compliance with the protocol. Trial registration: ClinicalTrial.gov identifier: NCT03457324. Registered 8 February 2018, https://clinicaltrials.gov/ct2/show/NCT03457324?term=NCT03457324&draw=2&rank=1Ya ZhengJessica ChingChung Wah ChengWai Ching LamKam Leung ChanXuan ZhangPui Yan LamXing Yao WuLinda L. D. ZhongPei Hua CaoCho Wing LoPui Kuan CheongZhixiu LinMatthew KohJustin WuZhao Xiang BianBMCarticleIrritable bowel syndromeDiarrhea-predominantRandomized controlled trialChinese medicine JCM-16021TreatmentOther systems of medicineRZ201-999ENChinese Medicine, Vol 16, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Irritable bowel syndrome
Diarrhea-predominant
Randomized controlled trial
Chinese medicine JCM-16021
Treatment
Other systems of medicine
RZ201-999
spellingShingle Irritable bowel syndrome
Diarrhea-predominant
Randomized controlled trial
Chinese medicine JCM-16021
Treatment
Other systems of medicine
RZ201-999
Ya Zheng
Jessica Ching
Chung Wah Cheng
Wai Ching Lam
Kam Leung Chan
Xuan Zhang
Pui Yan Lam
Xing Yao Wu
Linda L. D. Zhong
Pei Hua Cao
Cho Wing Lo
Pui Kuan Cheong
Zhixiu Lin
Matthew Koh
Justin Wu
Zhao Xiang Bian
Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial
description Abstract Background Irritable bowel syndrome (IBS) is a common gastrointestinal functional disease. Adults with IBS may experience abdominal pain, change of bowel habits, and abnormal stool form without organic disease. IBS can seriously affect their work productivity and quality of life, especially diarrhea-predominant irritable bowel syndrome (IBS-D). The Chinese medicine JCM-16021 has been shown to be potentially effective in improving the symptoms of IBS-D based on a small scale clinical trial. Hence, a large scale clinical study is designed to further evaluate the efficacy and safety of the Chinese medicine JCM-16021 for IBS-D with traditional Chinese medicine (TCM) pattern of Liver Stagnation and Spleen Deficiency (LSSD). Methods This study is a multi-center, randomized, double-blind, placebo-controlled clinical trial. 392 eligible participants will be enrolled with 2-week run-in, 8-week treatment and 8-week follow-up. After run-in period, participants will be randomized to receive either the Chinese medicine JCM-16021 or placebo for 8 weeks, and will have post-treatment follow up for another 8 weeks. The primary outcome is the improvement rate on the global assessment of improvement (GAI) at week 10. The secondary outcomes consist of changes of IBS-D symptoms, TCM pattern improvement, IBS-Quality of Life (IBS-QoL), IBS-Symptom Severity Score (IBS-SSS), safety, etc. Results A standard protocol has been developed for the study. The protocol will provided a detailed procedure to conduct a clinical trial and verify if the Chinese medicine JCM-16021 would significantly improve the overall symptoms of IBS-D with LSSD pattern of TCM by relieving abdominal pain, reducing stool frequency, improving the stool consistency and improving quality of life. The consolidated evidence from the study can shed light on the treatment of IBS-D with Chinese medicine. Conclusion The protocol will provide details for investigators about the study following SPIRIT Statement. High-quality evidence on the efficacy and safety of Chinese medicine JCM-16021 for IBS-D will be provided through strict compliance with the protocol. Trial registration: ClinicalTrial.gov identifier: NCT03457324. Registered 8 February 2018, https://clinicaltrials.gov/ct2/show/NCT03457324?term=NCT03457324&draw=2&rank=1
format article
author Ya Zheng
Jessica Ching
Chung Wah Cheng
Wai Ching Lam
Kam Leung Chan
Xuan Zhang
Pui Yan Lam
Xing Yao Wu
Linda L. D. Zhong
Pei Hua Cao
Cho Wing Lo
Pui Kuan Cheong
Zhixiu Lin
Matthew Koh
Justin Wu
Zhao Xiang Bian
author_facet Ya Zheng
Jessica Ching
Chung Wah Cheng
Wai Ching Lam
Kam Leung Chan
Xuan Zhang
Pui Yan Lam
Xing Yao Wu
Linda L. D. Zhong
Pei Hua Cao
Cho Wing Lo
Pui Kuan Cheong
Zhixiu Lin
Matthew Koh
Justin Wu
Zhao Xiang Bian
author_sort Ya Zheng
title Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial
title_short Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial
title_full Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial
title_fullStr Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial
title_full_unstemmed Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial
title_sort efficacy and safety of chinese medicine jcm-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial
publisher BMC
publishDate 2021
url https://doaj.org/article/5c86824aab01446da4c1080bb27873d0
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