Efficacy and safety of Hou Gu Mi Xi rice paste on improving the symptoms of indigestion

ISRCTN ISRCTN17174559
DOI https://doi.org/10.1186/ISRCTN17174559
Submission date
30/06/2022
Registration date
06/07/2022
Last edited
08/03/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Functional dyspepsia (FD), a kind of chronic indigestion, is defined by symptoms that are centered in the upper abdomen (the gastroduodenal region) without any underlying disease that might explain these symptoms. Jiangzhong Hou Gu Mi Xi® (HGMX) rice paste, a dietary traditional Chinese medicine (TCM) formula, is modified from the classic TCM Shen Ling Bai Zhu San formula. This study aims to explore the efficacy and safety of HGMX rice paste on the clinical symptoms of FD and to put forward some suggestions on dietary therapy with HGMX rice paste.

Who can participate?
Adults with FD

What does the study involve?
Participants are given health education and guidance on the use, dose, and precautions to take when consuming the rice paste. Rice paste is distributed at the beginning of the first month. Without affecting their normal diet, the participants will consume either one complete packet (30g) per day of HGMX or one complete packet (30g) per day of a dummy (placebo) product for 2 months under the supervision of the researcher's WeChat. Using WeChat, participants are asked to answer questions about their FD symptoms and quality of life, and other physical measurement indicators on the 15th, 30th, and 60th days after treatment, and at follow-up at 1 month after the expiration of the intervention. Participants are also asked for feedback and their feelings about the entire trial. The reasons for dropouts or withdrawals of participants are recorded in the case report form there is monitoring for any adverse events (AEs) and severe AEs (SAEs) throughout the entire trial period using a standard adverse event case report form.

What are the possible benefits and risks of participating?
Participants will benefit from HGMX and may get some compensation. There are risks associated with drawing blood.

Where is the study run from?
Beijing Shijitan Hospital, Capital Medical University (China)

When is the study starting and how long is it expected to run for?
January 2019 to April 2023

Who is funding the study?
Chinese Institute of Food Science and Technology, Food Science and Technology Fund (China)

Who is the main contact?
Dr Xin Wang (China)
winsun2011@163.com

Contact information

Dr Xin Wang
Principal Investigator

Beijing Shijitan Hospital
Capital Medical University
10 Tieyi Road
Yangfangdian Haidian District
Beijing
100038
China

ORCiD logoORCID ID 0000-0003-0431-8211
Phone +86 15717517447
Email winsun2011@163.com

Study information

Study designSingle-center single-dose prospective randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleEfficacy and Safety of Hou Gu Mi Xi Rice Paste on Improving the Symptoms of Functional Dyspepsia: A Randomized, Placebo-Controlled, Clinical Trial
Study objectivesHou Gu Mi Xi rice paste will provide an effective and safe method to improve the symptoms and quality of life in patients with functional dyspepsia
Ethics approval(s)Approved 26/05/2022, Clinical Research Ethics Committee of Beijing Shijitan Hospital (10 Tieyi Road, Yangfangdian Haidian District, Beijing, China; +86 (0)10 63926603; sjtkyll@126.com), ref: sjtkyll-lx-2020 (1)
Health condition(s) or problem(s) studiedFunctional dyspepsia
InterventionBefore starting the intervention, researchers will provide health education to the subjects and give face-to-face guidance on the usage, dosage, and precautions of rice paste. Rice paste will be distributed at the beginning of the first month. Without affecting the normal diet, subjects would complete either one packet (30g) /day HGMX or one packet (30g)/day placebo, taken orally for a 2-month intervention under the supervision of the researcher's WeChat. Participants attend investigations, including global overall symptom scale (GOSS), 36-Item Short Form Survey (SF-36), body mass index (BMI), and other physical measurement indicators on the 15th, 30th, and 60th days after treatment, and follow-up at 1 month after the expiration of the intervention including GOSS, SF-36, BMI, other physical measurement indicators, feedback, and feelings about the entire trial. The form of the questionnaire is a WeChat answer sheet. Participants do not need to come to the hospital to complete the investigation at the time points except for baseline investigation. At the end of the test, it is necessary to take pictures of the remaining packaging bags of rice paste for two months to understand the completion of the test. The reasons for dropouts or withdrawals of participants would be recorded in the case report form. We will monitor any adverse events (AEs) and severe AEs (SAEs) throughout the entire trial period using a standard adverse event case report form.
Intervention typeSupplement
Primary outcome measureOverall severity of dyspepsia symptoms measured using the 7-point global overall symptom scale (GOSS) at baseline (0 day), 15th, 30th, and 60th days after treatment, and follow-up at 1 month after the expiration of the intervention
Secondary outcome measuresQuality-of-life, adverse reactions and other indicators measured using the 36-Item Short Form Survey (SF-36) at baseline (0 day), 15th, 30th, and 60th days after treatment, and follow-up at 1 month after the expiration of the intervention
Overall study start date08/01/2019
Completion date08/04/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit80 Years
SexBoth
Target number of participants80
Total final enrolment64
Key inclusion criteria1. Aged 18 to 80 years old with no gender restrictions
2. Meet the diagnostic criteria for functional dyspepsia in Rome III (the absence of organic dyspepsia confirmed by endoscope)
3. Normal gastroscopy results in the past 1 year, and no other organic lesions in the gastrointestinal tract
4. No mental illness (Mini Mental State Questionnaire, MMSE ≥ 20)
5. Able to take food orally
6. Volunteered to accept intervention and signed the informed consent
7. Compliance with treatment completion and follow-up
Key exclusion criteria1. Severe cognitive impairment
2. Abnormal electrocardiogram
3. Organic digestive tract disease
4. History of gastrointestinal surgery
5. Diabetes
6. Malignant tumors
7. Other diseases
8. Taking traditional Chinese medicine preparations
9. Pregnancy and breast-feeding or planning to become pregnant within 6 months
10. History of allergic reactions related to Chinese medicine or rice paste
11. Impairment of liver and kidney function:
11.1 Total bilirubin, alanine aminotransferase or aspartate aminotransferase> 2 times the upper limit of normal
11.2. Serum creatinine> 2 times the upper limit of normal
12. Drugs that affect digestive function taken within the past month and during the study period:
12.1. Gastrointestinal motility drugs
12.2. Anti-Helicobacter pylori drugs
12.3. Antidepressants
12.4. Antianxiety drugs
12.5. Acid-suppressing drugs (PPIs and H2 receptor blockers)
13. A place of residence that is too far, unwilling or unable to complete the return visit
14. H. pylori positive by Carbon-13 urea breath test at the time of screening.
Date of first enrolment08/01/2022
Date of final enrolment08/01/2023

Locations

Countries of recruitment

  • China

Study participating centre

Beijing Shijitan Hospital
Capital Medical University
10 Tieyi Road
Yangfangdian Haidian District
Beijing
100038
China

Sponsor information

Beijing Shijitan Hospital
Hospital/treatment centre

Capital Medical University
10 Tieyi Road
Yangfangdian Haidian District
Beijing
100038
China

Phone +86 010 63926603
Email sjtkyll@126.com
Website https://www.bjsjth.cn/
ROR logo "ROR" https://ror.org/0569k1630

Funders

Funder type

Research organisation

Chinese Academy of Agricultural Sciences
Government organisation / Universities (academic only)
Alternative name(s)
中国农业科学院, 中國農業科學院, CAAS
Location
China

Results and Publications

Intention to publish date04/01/2024
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe data sharing plans for the current study are unknown and will be made available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 07/01/2024 08/03/2024 Yes No

Editorial Notes

08/03/2024: Publication reference and total final enrolment added.
07/03/2024: The following changes were made to the trial record:
1. The recruitment end date was changed from 05/01/2024 to 08/01/2023.
2. The overall end date was changed from 05/04/2024 to 08/04/2023.
3. The intention to publish date was changed from 08/01/2025 to 04/01/2024.
4. The plain English summary was updated to reflect these changes.
05/07/2022: Trial's existence confirmed by the Clinical Research Ethics Committee of Beijing Shijitan Hospital.