The purpose of this study is to confirm the efficacy and safety of BaofeiKang Granule in the treatment of Combined Pulmonary Fibrosis and Emphysema patients.
A randomized, double blinded, placebo controlled study is conducted to observe the efficacy and safety of BaoFeiKang Granule in the treatment of patients with Combined Pulmonary Fibrosis and Emphysema. The Traditional Chinese Medicine(TCM) syndrome intergal,lung function ,Chronic Obstructive Pulmonary Disease Assessment Test(CAT)score, acute exacerbation, arterial blood gas analysis, chest High Resolution Computerized Tomography (HRCT)and liver and kidney function are to be calculated and tested before and after the trial. 1. Randomization All the selected cases is divided into the experimental group and the control group randomly, and the section size is 6. STATISTICAL ANALYSIS SYSTEM(SAS)statistical software are randomly assigned table,and clinical researchers given the corresponding code number to the selected qualified patients.According to the code number,patients receive the corresponding code number box.The persons who generate and preserve of tables are not involved in clinical trials. 2. Drug coding According to the protocol,the experimental duration of treatment is 3 months.The patients accept the medication for each month. 3. Blind method In the course of the study, the researchers and the subjects were not aware of the grouping of the research objects. 4. Sample size According to the formula,n=(Uα+Uβ)2\*2P(1-P)/(P1-P0),the required sample size of each group is calculated.P1 represents for the efficiency of treatment group, P0 for the control group, P= (P1+P0) /2 \* 100%;α=0.05,β=0.10,Uα=1.65,Uβ=1.28.According to the previous research results and literature research,P1=70%,P0=40%.It is calculated n = 47,and considering shedding rate of 20%,n =56.So actual each group includes 60 patients. 5. Implementation and management (1) training of 4 clinical researchers to master case collection methods and evaluation methods to minimize selection bias; (2) all experimental drugs are used in the same batch of drugs. (3) to collect data of the combination of medication and the treatment to exclude the impact of the above interference; (4) inform patients to get a more comprehensive evaluation and follow-up treatment.Special problems can get all respiratory department doctor's consultation, so as to achieve patient cooperation and understanding.(5)List the cases of loss or withdrawal, and specify the details and reasons.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
120
To observe the efficacy and safety of Baofeikang granules on Combined Pulmonary Fibrosis and Emphysema Treatment.Baofeikang Granules consist of(Codonopsis 30g, Cordyceps fungi powder 12g, ophiopogon root 10g, Schisandra 10g, angelica 15g, Bulbus Fritillariae thunbergii 10g, Sophora flavescens 10g,Forsythia suspensa 12g,Pinellia 10g, saponins thorn 10g, Radix Peucedani 10g).1 bags,P.O(Oral)twice of each 3 months cycle.
On the basis of comprehensive treatment of spasmolysis antiasthmatic and anti-inflammatory, expectorant, cough , give Chinese medicine placebo,1 bags,P.O(Oral)twice of each 3 months cycle.
Beijing University of Chinese Medicine Third Affiliated Hospital
Beijing, Beijing Municipality, China
RECRUITINGDongzhimen hospital
Beijing, Beijing Municipality, China
RECRUITINGChanges from baseline in the efficacy of TCM syndrome index at 3 months
Observe the changes of the symptoms of wheezing, chest congestion, cough, shortness of breath and etc
Time frame: Baseline and 3 months after the start of treatment
Changes from baselines in Chronic Obstructive Pulmonary Disease Assessment Test(CAT)at 3 months
Time frame: Baseline and 3 months after the start of treatment
Changes from baselines in Arterial blood gas analysis(ABG)at 3 months
Time frame: Baseline and 3 months after the start of treatment
The scope and degree of fibrosis and emphysema of pulmonary in chest High Resolution Computerized Tomography(HRCT)
Time frame: Baseline and 3 months after the start of treatment
Changes from baselines in frequence of acute exacerbation of cough,sputum,dyspnea at 1,2,3 months
acute exacerbation defined as involving symptoms lasting for \>2 days , leading to treatment with systemic glucocorticoids, antibiotics, hospitalization or emergency
Time frame: Baseline and 1,2,3 months after the start of treatment
Forced Expiratory Volume in one second(FEV1)
pulmonary function
Time frame: Baseline and 3 months after the start of treatment
Forced Vital Capacity(FVC)
pulmonary function
Time frame: Baseline and 3 months after the start of treatment
Total Lung Capacity(TLC)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
pulmonary function
Time frame: Baseline and 3 months after the start of treatment
Diffusion capacity for Carbon monoxide of the Lung(DLCO)
pulmonary function
Time frame: Baseline and 3 months after the start of treatment