Renal Dialysis
Conditions
Brief summary
This is a randomized, double-blind, placebo-controlled, parallel comparison trial to evaluate the efficacy and safety of Eleutherococcus Senticosus taken orally by patients under regular dialysis. Eligible subjects with written consent were randomized into one of the two groups: A. Acanthopanax senticosus (30mg/vial); B. Placebo. After 2-4 weeks of run-in period, the study subjects were asked to take the investigational products orally for 90 days in order to evaluate the effects of oral Eleutherococcus Senticosus liquid on the markers of inflammation, anemia, and safety, and to compare the efficacy among oral Acanthopanax senticosus and placebo.
Interventions
taken orally once/day for 90 days
taken orally once/day for 90 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Under regular dialysis for at least 3 months * Hemoglobin (Hb) \<11 g/L after regular Erythropoietin (EPO) treatment * Subjects with written informed consent form
Exclusion criteria
* Use of steroid or high dose of antiplatelet drug (e.g. Aspirin \>300mg) within one month * Had surgery, myocardial infarction, or tumor within 12 weeks * Currently use of antibiotic treatment for acute infection * Pregnant women * Reticulocyte\>40 x 10\^9 * Anemia (ferritin \<100ng/mL and Transferrin Saturation (TSAT) \<20%) * Urea reduction ratio \<65% or single pool Kt/V \< 1.0 (hemodialysis patients) or total weekly Kt/V\<1.7 (peritoneal dialysis patients) * Sudden change of eating habit within one month * Expected life less than six months or with unstable medical conditions * Known history of allergic reaction to the investigational products * With acute diseases and judged by the investigator to be ineligible to participate * Received melatonin, androgen therapy or blood transfusion within two months * Received any trial medications within 30 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Erythropoietin (EPO) | baseline and 3 months | value at 3 months minus value at baseline reported |
| Hemoglobin (Hb) | baseline and 3 months | value at 3 months minus value at baseline reported |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Corpuscular Hemoglobin Concentration (MCHC) | baseline and 3 months | value at 3 months minus value at baseline reported |
| Mean Corpuscular Volume (MCV) | baseline and 3 months | value at 3 months minus value at baseline reported |
| Mean Corpuscular Hemoglobin (MCH) | baseline and 3 months | value at 3 months minus value at baseline reported |
| Red Blood Cell (RBC) | baseline and 3 months | value at 3 months minus value at baseline reported |
| Tumor Necrosis Factor - Alpha (TNF-alpha) | baseline and 3 months | value at 3 months minus value at baseline reported |
| Interleukin 6 (IL-6) | baseline and 3 months | value at 3 months minus value at baseline reported |
| Intact Parathyroid Hormone (iPTH) | baseline and 3 months | value at 3 months minus value at baseline reported |
| Hematocrit (Hct) | baseline and 3 months | value at 3 months minus value at baseline reported |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Eleutherococcus Senticosus Acanthopanax senticosus-mono formula (30mg/vial) and Fructus Ziziphi Jujube concentrated juice15ml/vial | 11 |
| Placebo Fructus Ziziphi Jujube concentrated juice15ml/vial | 10 |
| Total | 21 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 2 | 0 |
Baseline characteristics
| Characteristic | Placebo | Total | Eleutherococcus Senticosus |
|---|---|---|---|
| Age, Continuous | 55.8 years STANDARD_DEVIATION 11.3 | 60.1 years STANDARD_DEVIATION 12.7 | 64 years STANDARD_DEVIATION 13.1 |
| Race and Ethnicity Not Collected | — | 0 Participants | — |
| Region of Enrollment Taiwan | 10 participants | 21 participants | 11 participants |
| Sex: Female, Male Female | 6 Participants | 11 Participants | 5 Participants |
| Sex: Female, Male Male | 4 Participants | 10 Participants | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 11 | 0 / 10 |
| other Total, other adverse events | 2 / 11 | 0 / 10 |
| serious Total, serious adverse events | 0 / 11 | 0 / 10 |
Outcome results
Erythropoietin (EPO)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Erythropoietin (EPO) | -6000.0 u/mth | Standard Deviation 5916.5 |
| Placebo | Erythropoietin (EPO) | -1714.3 u/mth | Standard Deviation 6264.1 |
Hemoglobin (Hb)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Hemoglobin (Hb) | 1.0 gm/dl | Standard Deviation 1.1 |
| Placebo | Hemoglobin (Hb) | -0.1 gm/dl | Standard Deviation 0.8 |
Hematocrit (Hct)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Hematocrit (Hct) | 2.5 vol% RBC in blood | Standard Deviation 3.2 |
| Placebo | Hematocrit (Hct) | -0.3 vol% RBC in blood | Standard Deviation 2.6 |
Intact Parathyroid Hormone (iPTH)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Intact Parathyroid Hormone (iPTH) | 28.6 pg/ml | Standard Deviation 240.5 |
| Placebo | Intact Parathyroid Hormone (iPTH) | -97.9 pg/ml | Standard Deviation 149.3 |
Interleukin 6 (IL-6)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Interleukin 6 (IL-6) | -20.3 pg/ml | Standard Deviation 28.7 |
| Placebo | Interleukin 6 (IL-6) | -0.7 pg/ml | Standard Deviation 41.2 |
Mean Corpuscular Hemoglobin Concentration (MCHC)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Mean Corpuscular Hemoglobin Concentration (MCHC) | -0.5 g/dl | Standard Deviation 0.3 |
| Placebo | Mean Corpuscular Hemoglobin Concentration (MCHC) | -0.3 g/dl | Standard Deviation 1 |
Mean Corpuscular Hemoglobin (MCH)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Mean Corpuscular Hemoglobin (MCH) | 0.0 Pg | Standard Deviation 1.1 |
| Placebo | Mean Corpuscular Hemoglobin (MCH) | 0.3 Pg | Standard Deviation 0.7 |
Mean Corpuscular Volume (MCV)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Mean Corpuscular Volume (MCV) | 1.3 fl | Standard Deviation 3 |
| Placebo | Mean Corpuscular Volume (MCV) | 1.7 fl | Standard Deviation 2.2 |
Red Blood Cell (RBC)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Red Blood Cell (RBC) | 25.1 10^4 cells/ul | Standard Deviation 35.6 |
| Placebo | Red Blood Cell (RBC) | -7.8 10^4 cells/ul | Standard Deviation 28.7 |
Tumor Necrosis Factor - Alpha (TNF-alpha)
value at 3 months minus value at baseline reported
Time frame: baseline and 3 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Eleutherococcus Senticosus | Tumor Necrosis Factor - Alpha (TNF-alpha) | -17.2 pg/ml | Standard Deviation 16.1 |
| Placebo | Tumor Necrosis Factor - Alpha (TNF-alpha) | -14.9 pg/ml | Standard Deviation 19.6 |