Chronic Kidney Disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Age 18-75 years, any gender; (2) Diagnosed with chronic kidney disease (CKD stages 1-3); (3) TCM pattern of spleen-kidney qi deficiency with blood stasis; (4) Stable ARB treatment (e.g., valsartan 80mg/day) =1 month; pre-randomization BP: 100 = SBP <160 mmHg, 60 = DBP <100 mmHg; (5) 30 mg/g = UACR <5000 mg/g; (6) HbA1c =9%; (7) Willing to sign informed consent.
Exclusion criteria
Exclusion criteria: (1) Allergy to investigational drug components; (2) Abnormal liver function (AST/ALT =3×ULN) or active hepatitis/cirrhosis; (3) Systemic lupus erythematosus or drug-induced nephropathy; (4) Type 1 diabetes; (5) Severe acute diabetic complications within 6 months (e.g., ketoacidosis, hyperosmolar coma); (6) LDL-C >3.5 mmol/L despite lipid-lowering therapy; (7) Serum potassium >5.5 mmol/L; (8) Current use of corticosteroids/immunosuppressants; (9) Acute coronary syndrome, heart failure (NYHA III-IV), stroke, or related surgeries within 1 year; (10) HIV infection; (11) Substance abuse history; (12) Pregnancy, lactation, or refusal of contraception; (13) Comorbidities interfering with assessments (psychiatric, immunological, endocrine disorders, malignancies); (14) Participation in other clinical trials within 3 months; (15) Investigator-determined ineligibility.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Estimated glomerular filtration rate (eGFR); | — |
Secondary
| Measure | Time frame |
|---|---|
| 24-hour urine protein (g/24h), Urine albumin-to-creatinine ratio (UACR), Urea/Urea nitrogen (BUN), Serum creatinine (Scr);Urinary sediment abnormalities (red blood cells, red blood cell casts);Traditional Chinese Medicine (TCM) Syndrome Efficacy;TCM syndrome individual symptom scores; | — |
Countries
China
Contacts
Shanghai Seventh People's Hospital