Phase IV clinical trial of Shufeng Jiedu Capsule in the treatment of cases of acute upper espiratory infection of wind-heat syndrome

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tp tp Phase IV clinical trial of Shufeng Jiedu Capsule in the treatment of 2 031 cases of acute upper espiratory infection of wind-heat syndrome XU Yan-ling 1, ZHANG Hui-hong 2, XUE Yun-li 2, YANG Jing-sheng 3, ZHOU Xian-mei 4, MAO Bing 5, FAN Fu-yuan 6, JIN Wei-liang 7, LYU Fu-yun 8, TIAN Zheng-jian 9, XING Zhi-hua 10 ( 1 Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China; 2 Beijing Yuanbo Kanghui Medical Information Consulting Co.,Ltd, Beijing 100161, China; 3 Anhui Jiren Pharmaceutical Co.,Ltd., Bozhou 236800, China; 4 Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing 210029, China; 5 West China Hospital of Sichuan University, Chengdu 610041, China; 6 The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha 410007, China; 7 Liaocheng City Hospital of Traditional Chinese Medicine, Liaocheng 252004, China; 8 Affiliated Hospital of Inner Mongolia University for the Nationalities, Tongliao 028007, China; 9 Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China; 10 Xiangya Hospital Central South University, Changsha 410008, China ) Abstract: Objective: To explore the clinical effect and security of Shufeng Jiedu Capsule on patients with acute upper respiratory infection with wind-heat syndrome. Methods: This trial was multicenter and open-label, 2 031 patients with acute -

upper respiratory tract infection (wind heat syndrome) from May 2010 to April 2012 were collected and given Shufeng Jiedu Capsule, four capsules each time, 3 times everyday, 0.5h after meals. Total scores of disease and traditional Chinese medicine (TCM) symptom scores before and after treatment were calculated for two groups. Antifebrile effect, signs or symptoms curative effect, laboratory indexes and adverse reactions were evaluated. Results: After the treatment of 3 days, the cure rate was 40.23%, the total effective rate was 87.40%; The total scores of disease of 3-day treatment were (6.82 lower than that 0-day treatment (24.77 ) (P<0.05). After the treatment for 3 days, the cure rate of TCM syndrome was 41.31% (FAS), the total effective rate of TCM syndromes was 90.40% (FAS); the TCM syndrome integral of 3-day treatment were (6.24 6.39) lower than that of 0-day treatment (23.16 5.99) (P<0.05). The cure rate of temperature was 56.23%, the total effective rate of temperature was 88.43%, after the treatment for 3 days. The median time to onset of antifebril was 4.50h, the median antipyretic time was 20.00h. The curative effect of each single symptoms were basiclly recovery after treatment of 3 days. No obvious adverse reaction was obsenved during the treatment. Conclusion: Shufeng Jiedu Capsule have a good effect on acute upper respiratory infection with wind-heat syndrome confirmed by multicenter, open-label trial. Key words: Shufeng Jiedu Capsule; Acute upper respiratory tract infection; Wind heat syndrome; Security

n n n n n n n nn n t t t χ FisherWilcoxon Wilcoxon CMHχ α t PP - x s x s x s t P

x s x s x s t P - t PP

P Clinical effect observation of Lifei Jianpi Decoction combined with chemotherapy in treating patients with advanced non-small cell lung cancer ZHU Yuan-hong, LYU Xin, XU Ting-zhen ( The First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310006, China ) Abstract: Objective: To observe the clinical curative effect of Lifei Jianpi (LFJP) Decoction in association with chemotherapy in treating patients with advanced non-small cell lung cancer (NSCLC). Methods: Sixty-three patients with advanced NSCLC were randomly assigned to two groups. The 31 patients in the control group were only treated with chemotherapy of GP or DP regimen, and 32 patients in the treatment group were treated with the same chemotherapy and LFJP Decoction. The clinical efficacy was evaluated after two cycles of treatment. Results: In treatment group, the response rate (RR) was 43.8%, and disease control rate (DCR) was 65.6%. In control group, the RR was 38.7%, and DCR was 61.3%. The difference between two groups was not statistically significant. After treatment, the KPS score, cellular immune function and chemotherapy toxicity in the treatment group were statistically significant compared with that of control group (P<0.05). Conclusion: LFJP combined with chemotherapy in treating advanced NSCLC can improve their quality of life, enhance their cell-mediated immune function and relive side effects and toxic effects caused by chemotherapy. Key words: Lifei Jianpi Decoction; Non-small cell lung cancer; Quality of life; Regulatory T cell; Cellular immunity Funding: TCM Scientific Research Program of Zhejiang Province (No.2011ZA028) -