Pulmonary Disease, Chronic Obstructive
Conditions
Keywords
Pulmonary Disease, Chronic Obstructive, Xuebijing
Brief summary
Objective: A prospective multicenter randomized controlled trial to assess the efficacy and safety of Xuebijing injection for acute exacerbation of chronic obstructive pulmonary disease(AECOPD). Methods: 254 AECOPD inpatients will be recruited in 6 hospitals in China over 2 years. They will be randomly assigned to Experimental group and Placebo group，Experimental: Xuebijing injection 50ml in 100ml of Normal Saline IV, in 80mins, per 12 hours. administration of the agent for consecutive 5 days；Placebo Comparator: Normal Saline 150ml IV, in 80mins, per 12 hours. administration of the agent for consecutive 5 days. Compare the following index between the two groups: Invasive mechanical ventilation rate, length of hospital stay, Treg cell,Th1,Th2,HLA-DR,CRP,PCT,IL-4,IL-6,IL-10,TNF-α，IFN-γ, APACHEⅡ, CAPS score.
Detailed description
A prospective multicenter randomized controlled trial to assess the efficacy and safety of Xuebijing injection for acute exacerbation of chronic obstructive pulmonary disease(AECOPD).
Interventions
DRUGXuebijing
Xuebijing injection 50ml in 100ml of Normal Saline IV, in 80mins, per 12 hours. administration of the agent for consecutive 5 days
DRUGPlacebo
Normal Saline 150ml IV, in 80mins, per 12 hours. administration of the agent for consecutive 5 days
Sponsors
First Hospitals affiliated to the China PLA General Hospital
Navy General Hospital, Beijing
Rocket Force General Hospital，Chinese People's Liberation Army
307 Hospital of PLA
Beijing Shijitan Hospital, Capital Medical University
Chinese PLA General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
1. Body weight≥40kg and ≤100kg 2. Diagnosis of COPD :(following Global initiative for Chronic Obstructive Lung Disease，GOLD2016) 3. Forced Expiratory Volume in 1 second of less than 70% predicted value after bronchodilator 4. Acute exacerbation of COPD: the clinical presentation of the patient complaining of an acute change of symptoms(baseline dyspnea,cough,and/or sputum production)that is beyond normal day-to-day variation. 5. Assessment of COPD Exacerbations: Medical History:severity of COPD based on degree of airflow limitation;Duration of worsening or new symptoms;Number of previous episodes (total/hospitalizations); Comorbidities; Present treatment regimen;Previous use of mechanical ventilation; 6. sign the informed consent
Exclusion criteria
1. Pregnant women, lactating women； 2. Be allergic to Xuebijing； 3. Acute exacerbation of COPD onset of more than 72 hours； 4. AECOPD with severe hypoxemia：oxygenation index \<150 or received Endotracheal intubation invasive mechanical ventilation； 5. Participation in another experimental protocol within 30 days of study entry 6. Primary diseases：Asthma，Cystic fibrosis，Lung cancer，Tuberculosis，Pulmonary sarcoidosis，Pulmonary interstitial fibrosis，Malignant neoplasms，Blood system diseases，HIV； 7. Complications：Pulmonary embolism，shock，DIC，Unstable cardiovascular disease，Upper gastrointestinal bleeding，pneumothorax，Severe liver and kidney dysfunction； 8. Mental incompetence or active psychiatric illness 9. used the following drugs within 72 hours days of study entry：Ulinastatin，Tanreqing， Reduning，Qingkailing； 10. The investigator judged that the subject could not be completed or should not participate in the trial：Hemodialysis more than 1 mouth，Organ transplant patients with potential medical dispute.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Invasive mechanical ventilation rate | 28 days | Invasive mechanical ventilation rate in % |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| length of Hospital stay | 28 days | Invasive mechanical ventilation rate in days |
Countries
China
Outcome results
None listed