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Mechanistic investigation of Huayu Qiangshen Tongbi Decoction in the treatment of rheumatoid arthritis bone destruction based on the COX-2/TxA2 autoregulatory feedback pathway-mediated metabolism reprogramming of macrophages

Mechanistic investigation of Huayu Qiangshen Tongbi Decoction in the treatment of rheumatoid arthritis based on the COX-2/TxA2 autoregulatory feedback pathway-mediated metabolism reprogramming of macrophages

Status
Recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2400079862
Enrollment
Unknown
Registered
2024-01-15
Start date
2024-04-08
Completion date
Unknown
Last updated
2024-04-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

rheumatoid arthritis

Interventions

Sponsors

Guangdong Provincial Hospital of Chinese Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: 1. The subjects of the study should meet the following diagnostic criteria: (1) Western medical diagnostic criteria: the RA classification criteria of the 2010 ACR/EULAR were used for comprehensive judgment; (2) The diagnostic criteria of TCM syndrome refer to the diagnostic criteria of the 2011 Consensus on the Diagnosis and Treatment of Blood Stasis Pattern with Integrated Traditional Chinese and Western Medicine, and the TCM syndrome differentiation is blood stasis pattern; 2. Patients with moderately low activity according to the DAS28-CRP score (2.6< DAS28-CRP <5.1); 3. Age 18~70 years old; 4. Two-hand X-ray grade III and below; 5. If the subject is treated with traditional remission anti-rheumatic drugs (DMARDs), or JAK enzyme inhibitors (including tofacib, baritinib), fusion protein organisms (including Isep, strong, Aberno, Enli, etc.), and organisms (including adalimumab, infliximab, mab, etc.) must be treated at a stable dose for at least 2 weeks before enrollment; 6. If subjects take oral glucocorticoids, their dose must be stable to a dose equivalent to <=10mg/day of prednisone for at least 4 weeks prior to enrollment; If discontinued, oral glucocorticoids should be discontinued at least 2 weeks prior to enrollment; 7. If subjects are treated with non-steroidal anti-inflammatory drugs (NSAIDs) or other analgesics for RA, they must have been on a stable dose for at least 2 weeks prior to enrollment; If not used, NSAIDs must be discontinued for more than 2 weeks prior to enrollment; 8. Written informed consent signed by the subject or his/her family (guardian) to participate in this trial.

Exclusion criteria

Exclusion criteria: 1. Those who have previously taken Tripterygium wilfordii and stopped taking the drug 1.2 times ULN; (2) Hemoglobin 1.6 upper limit of normal; 11. 12-lead electrocardiogram (ECG) abnormality at screening, which in the opinion of the investigator or sponsor is clinically significant and may pose an unacceptable risk to the patient's participation in this study; 12. Those who are participating in other trials or have participated in other drug clinical trials within 2 months.

Design outcomes

Primary

MeasureTime frame
RF;CCP;ESR;CRP;ACR20;

Secondary

MeasureTime frame
X-rays of both hands;Rest pain score;Morning stiffness time;SJC28;TJC28;Health Assessment Questionnaire;DAS28;ACR50/70;

Countries

China

Contacts

Public ContactHuang Runyue

Guangdong Provincial Hospital of Chinese Medicine

ryhuang@gzucm.edu.cn+86 158 8993 2190

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026