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Yinhu Qingwen Granule in the Treatment of Viral Pneumonia

Early Phase 1
Not yet recruiting
Conditions
Viral Pneumonia
Interventions
Registration Number
NCT04955223
Lead Sponsor
Zhong Wang
Brief Summary

This is a non-randomized single arm clinical study to observe the effect of Yinhu Qingwen Granule in the relief of fever and improvement of related-symptoms of patients with viral pneumonia.

Detailed Description

Preliminary pharmacodynamic and toxicological studies can show that Yinhu Qingwen Granule has a certain effect on pneumonia caused by various viruses, and its safety is good. This study aims to observe the effect of Yinhu Qingwen Granule in the relief of fever and improvement of related-symptoms of patients with viral pneumonia.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Clinical diagnosis of viral pneumonia;
  • Clinical diagnosis of Shi-du-yun-jie Zheng (damp stagnation syndrome) according to Chinese medicine, including fever,cough,sore throat,stuffy chest,irritability and thirst,short yellow urine,constipation or loose stool,thick and greasy yellow coating,and slippery pulse;
  • Chest CT showed signs of acute exudative pneumonia in the lungs;
  • Over 18 years old, regardless of gender, voluntarily signed an informed consent form;
  • Those who were hospitalized and were accompanied by fever (body temperature ≥37.3℃) and respiratory tract symptoms like cough or dyspnea, when they were enrolled.
Exclusion Criteria
  • Patients that are susceptible to sensitivity or known to be allergic to the study drug;
  • Patients whose white blood cell count ≥12×10^9 or neutrophil percentage ≥80%;
  • Patients whose weight is less than 40 kg;
  • Patients with respiratory failure or need mechanical ventilation;
  • Patients with shock;
  • Patients required to be in ICU monitoring and treatment;
  • Patients participated in other clinical trials within 1 month;
  • Patients with known renal impairment;
  • Patients with any of the following laboratory parameter abnormalities during the screening period or within 24 hours before screening: ALT or AST level> 5 times the upper limit of normal range (ULN) or-ALT or AST level > 3 times ULN and total bilirubin level> 2 times ULN;
  • Patients with immune system diseases and long-term use of immunosuppressive agents;
  • Pregnant or breastfeeding women, or who have a positive pregnancy test during the screening period, or plan to become pregnant within 3 months after the study treatment.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Yinhu Qingwen GranuleYinhu Qingwen GranulesFor mild and common patients, take 1 bag 2 times a day. For severe patients, take 1 bag 3 times a day. All treatment should be used for 10 days unless all the symtopms of patient with the viral pneumonia are relieved.
Primary Outcome Measures
NameTimeMethod
Time to the normalization of the temperatureup to 30 days

The normalization of the temperature is defined as that the temperature of the patient dropped to normal and stabilized for more than 72 hours.

Secondary Outcome Measures
NameTimeMethod
Time to cough reported as mild or absentBaseline, Day 3, Day 7, Day 10 and Day 30

The severity of cough is assessed using Cough Symptom Scale, a scale range from 0-6. 0: cough absent;1-2: mild; 3-4:moderate; 5-6: severe

Mean clinical recovery time (hours)up to 30 days

The clinical recovery time is defined as the time from initiation of study treatment (active or placebo) until normalisation of fever, respiratory rate, and oxygen saturation, and alleviation of cough, sustained for at least 72 hours.

Normalisation and alleviation criteria:

(1) Fever: ≤36.6°C or -axilla, ≤37.2 °C oral or ≤37.8°C rectal or tympanic;(2)Respiratory rate - ≤24/minute on room air; 3) Oxygen saturation - \>94% on room air; (4) Cough - mild or absent on a patient reported scale (cough symptoms score ≤ 2 points).

Time to dyspnea reported as mild or absentBaseline, Day 3, Day 7, Day 10 and Day 30

The severity of dyspnea is assessed on a self-reported scale of severe, moderate, mild or absent.

Mean blood oxygen saturationBaseline, Day 3, Day 7, Day 10
Mean neutrophil/lymphocyte ratio (NLR)Baseline, Day 10

Neutrophil/lymphocyte ratio (NLR) is obtained from the blood routine.

Frequency of requirement for supplemental oxygen or non-invasive ventilationup to 30 days
Mean time of supplemental oxygen (days)up to 30 days
Mean time of non-invasive ventilation (days)up to 30 days
Severe case incidenceup to 30 days

Severe case is defined as respiratory rate ≥30/minute on room air;or Oxygen saturation - ≤94% on room air;or PaO2/FiO2≤300mmHg.

Proportion of re-hospitalization or admission to ICUup to 30 days
All-cause mortalityup to 30 days
Frequency of serious adverse eventsup to 30 days

Trial Locations

Locations (2)

Chengdu First People's Hospital/Chengdu integrated TCM & Western Medicine Hospital

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Chengdu, Sichuan, China

Affiliated Hospital of Chengdu University of Traditional Chinese Medicine

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Chengdu, Sichuan, China

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