Randomized Controlled Clinical Study on Wumeiwan Jiawei Fang Use in Patients With Blepharospasm
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- According to the Jankovic rating scale, the recurrence was determined at 14 days, 42 days, 3 months and 6 months after medication
研究概览
简要总结
To evaluate the efficacy and safety of Jing Fang Wu Mei Wan Jiawei Fang in the treatment of idiopathic blepharospasm using a clinical randomized controlled trial method.
详细描述
Idiopathic blepharospasm is an idiopathic dysfunction characterized by involuntary spasms of the eyelids bilaterally that interfere with visual function and cause ocular discomfort. The incidence has increased each year in recent years, and the disease may present with persistent eye closure or even functional blindness in advanced stages. In some patients, the disease may be associated with submandibular dystonia, known as Meige's syndrome. Currently, the disease is treated symptomatically. Such as oral.These treatments not only have large side effects, but also make it difficult to relieve the patient of multiple lesions in the eyes, face and tongue. Chinese medicine has unique advantages in treating this disease, highlighting the overall diagnosis and solving different parts of the disease in an integrated manner. Wu Mei Wan is a traditional Chinese medicine prescription, and our team has been using Wu Mei Wan Jia Wei Fang for the treatment of Meige syndrome since 2009 under the leadership of Gao Jiansheng, a famous Chinese medicine teacher in the capital, and found significant therapeutic effects in preliminary clinical observation, but there is a lack of large sample of randomized controlled clinical studies. In this study, we propose to systematically observe the efficacy of traditional Chinese medicine in the treatment of idiopathic blepharospasm by using the traditional sutra formula for idiopathic blepharospasm as a test group and local botulinum toxin A injection as a control group, and to scientifically evaluate the efficacy of the Wu Mei Wan Jia Wei Fang in the treatment of idiopathic blepharospasm.The results were evaluated in order to provide new treatment options for the clinical management of idiopathic blepharospasm (including Meige syndrome) and to benefit more patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Idiopathic blepharospasm met the diagnostic criteria.
- •The age ranges from 18 to 80 years.
- •Liver Yang deficiency,mixed syndrome of cold and heat.
- •Signed Informed consent
排除标准
- •Secondary blepharospasm due to keratoconjunctivitis, trichiasis, and blepharitis.
- •Open eyelid disuse.
- •hemifacial spasm.
- •The patient had undergone eye surgery in the previous 6 months.
- •Allergic to the ingredients in the medicine.
- •Corneal lenses were worn during the study.
- •A woman who is pregnant or breastfeeding.
- •Combined with cardiovascular, cerebrovascular,Liver and kidney function, hematopoietic system serious primary disease, mental patients, combined with stroke patients.
- •At the same time, use drugs that interfere with the evaluation of drug efficacy.
- •Idiopathic blepharospasm is treated with other drugs.
研究组 & 干预措施
Wumeiwan Jiawei Fang
This group will take Wumei pill granule orally.
干预措施: Wumeiwan Jiawei Fang (Drug)
botulinum toxin A
In this group, Botulinum toxin type A (Lanzhou Biopharmaceutical Co. LTD.) was injected locally around the eye.
干预措施: botulinum toxin A (Drug)
结局指标
主要结局
According to the Jankovic rating scale, the recurrence was determined at 14 days, 42 days, 3 months and 6 months after medication
时间窗: Six months
According to the Jankovic rating scale, the recurrence situation at 14 days, 42 days, 3 months and 6 months after medication was determined, and the increase of spasm intensity by 1 grade or more was considered as recurrence.
Traditional Chinese Medicine（TCM） syndrome scale evaluated the change of systemic syndrome before and after treatment.
时间窗: Six months
The score for each syndrome is the sum of the highest scores obtained for each diagnosis of the syndrome. The full score is 30 points. Efficacy score = (Total score of pre-treatment symptoms➖Total post-treatment symptom score)/Total score of pre-treatment symptoms×100%. Symptoms basically disappear, reducing by 95 to 100 percent; Obvious effect: symptoms decreased significantly, reaching more than 75%; Effective: symptoms decreased to more than 55%; Ineffective: No or slightly reduced symptoms, only less than 50%..
The degree of relief of blepharospasm was evaluated by Jankovic Rating Scale.
时间窗: Six months
According to the Jankovic Rating Scale (JRS), in terms of severity and frequency, the score ranges from 0 to 4, with the highest score being 8. The higher the score is, the more severe the spasm is.
The Blepharospasm Disability Index (BSDI) was used to evaluate the impact of blepharospasm on daily living activities before and after treatment.
时间窗: Six months
A total of 6 items were included, including walking, reading, driving, shopping, watching television and general activities. Each item was scored from 0 to 4 points and was self-evaluated by the patients. The total score of BSDI was 24 points.The higher the score is, the more severe the spasm is.
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
时间窗: Six months
According to whether there are common side effects of botulinum toxin such as ptosis, diplopia, photophobia, dry eye, gastrointestinal tract of exposed keratitis, whether there are gastrointestinal reactions and other side effects that may be related to the Chinese medicine granule preparation in this study.
Number of participants with treatment-related adverse events as assessed by systemic response, routine blood tests, liver function (ALT), kidney function (BUN, Cr).
时间窗: Six months
1. Systemic reaction (record at any time); 2. Routine blood tests: the detection points were 14 days, 42 days, 3 months and 6 months after the first visit and treatment; 3. Liver function (ALT), kidney function (BUN, Cr) : The detection points were 14 days, 42 days, three months and six months after the first visit and treatment.
次要结局
未报告次要终点
研究者
Yang Wei
professor
China Academy of Chinese Medical Sciences