Chuanhu anti-gout mixture in therapy of acute gouty arthritis

ISRCTN ISRCTN65219941
DOI https://doi.org/10.1186/ISRCTN65219941
Secondary identifying numbers N/A
Submission date
05/07/2013
Registration date
08/08/2013
Last edited
17/12/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Chuanhu anti-gout mixture has been used for many years for treating gout in Chinese Traditional Medicine (TCM), while current standards for treatments for acute gouty arthritis (such as anti-inflammatory drugs [NSAIDs], colchicine and corticosteroids) were either less effective or had serious side-effects. The present study was designed to test the effectiveness of Chuanhu anti-gout mixture for therapy of acute gouty arthritis compared to colchicines.

Who can participate?
Adults with a new clinical diagnosis of gout and onset of the disease duration less than 48 hours were eligible to participate.

What does the study involve?
The participants were randomly allocated to one of the two groups:
Chuanhu group: to receive Chuanhu anti-gout mixture orally daily and placebo (dummy).
Colchicine group: to receive Colchicine 1 piece orally two times daily, for 3 days, later change to once daily, and placebo (dummy).
All of the patients were treated with etoricoxib 60 mg once daily orally to relieve pain of the affected joints for 10 days.

What are the possible benefits and risks of participating?
Chuanhu anti-gout mixture might be effective for therapy of acute gouty arthritis, and have fewer side-effects compared to colchicine. The possible risks include the adverse reactions pain, swelling and activity limitation of the joint, together with injury/damage to the liver and kidney.

Where is the study run from?
The study was run in the Affiliated Hospital of Qingdao University Medical College, Qingdao, China.

When is the study starting and how long is it expected to run for?
The study started in November 2011 and ran until November 2012.

Who is funding the study?
The study was founded by the Affiliated Hospital of Qingdao University Medical College and National Natural Sciences Foundation of China.

Who is the main contact?
Prof. Yangang Wang
wangyg1966@126.com

Contact information

Dr Youxin Wang
Scientific

10 Youanmenwai Xitoutiao
Beijing
100069
China

Phone +86 10 83911497
Email wangy@ccmu.edu.cn

Study information

Study designRandomized double-blind double-dummy non-inferiority trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheetDr.Yunlong Wang, Tel: 0086-13581562524, Email: wylsun@163.com
Scientific titleChuanhu anti-gout mixture versus Colchicine for acute gouty arthritis: a randomized, double-blind, double-dummy, non-inferiority trial
Study objectivesChuanhu anti-gout mixture has been used for many years in Chinese Traditional Medicine (TCM), and may be an effective treatment for acute gouty arthritis.
Ethics approval(s)The study was approved by Qingdao University’s ethics committee, Nov 1st, 2010
Health condition(s) or problem(s) studiedAcute gouty arthritis
InterventionFollowing screening, eligible patients were randomized (1:1) to two groups:
1. Chuanhu group, to receive Chuanhu anti-gout mixture 250ml orally daily and placebo (looks like colchicine).
2. Colchicine group, to receive Colchicine 1 piece orally (0.5mg per piece), 2 times daily, for 3 days, later change to once daily, and placebo (looks like Chuanhu anti-gout mixture).
All of the patients were treated with etoricoxib 60mg once daily orally to relieve pain of the affected joints for 10 days.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Chuanhu, Colchicine
Primary outcome measureThe recurrence rate within three months of these selected patients after 10 days’ treatment
Secondary outcome measures1. The changes of white blood cells and C-reactive protein (CRP).
White blood cells were measured at North West University Nutrition laboratory using an AcT 5diff Cap Pierce Hematology Analyzer, and CRP was measured by immunoturbidimetric test, at the baseline and after 10days of follow up.
2. Adverse reactions, the score of pain, swelling, and activity limitation of the joint (1-4 point scale, for absent, mild, moderate, or severe, respectively), were recorded in the patient diary, and biochemical indicators were detected.
Overall study start date01/11/2011
Completion date01/11/2012

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants176
Total final enrolment176
Key inclusion criteriaAdults >=18 year old, either sex, with a new clinical diagnosis of gout according to the 1977 American College of Rheumatology classification criteria and onset of the disease duration less than 48 hours were eligible to participate.
Key exclusion criteria1. Secondary gout, such as rheumatoid arthritis, septic arthritis, traumatic arthritis, etc
2. Gout in intermittent period or with tophi
3. Taking the following drugs: diuretics, pyrazinamide, aspirin, etc
4. Pregnancy, breast-feeding women
5. Cardiovascular and cerebral vascular disease, and severe trauma or underwent surgery
6. Severe infections
7. Hepatobiliary disease or whose ALT and AST were two times higher than upper limit of normal
8. The serum creatinine greater than the upper limit of normal
9. Severe chronic gastrointestinal disease
10. Hematological diseases or endocrine system diseases
11. Undergoing cancer treatment
12. Receiving steroid therapy
13. Allergic to those known ingredients in Chuanhu anti-gout mixture.
Date of first enrolment01/11/2011
Date of final enrolment01/11/2012

Locations

Countries of recruitment

  • China

Study participating centre

10 Youanmenwai Xitoutiao
Beijing
100069
China

Sponsor information

The Affiliated Hospital of Medical College Qingdao University (China)
Hospital/treatment centre

c/o Prof.Yangang Wang
Department of Endocrinology
16 Jiangsu Road
Qingdao
266003
China

Phone +86 532 82911399
Email wylapollo@163.com
ROR logo "ROR" https://ror.org/026e9yy16

Funders

Funder type

Hospital/treatment centre

Affiliated Hospital of Qingdao University Medical College (China)

No information available

The study was in part supported by National Natural Science Foundation of China (81001281)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 14/06/2014 17/12/2020 Yes No

Editorial Notes

17/12/2020: Publication reference and total final enrolment added.