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Published in: Trials 1/2020

01-12-2020 | Bronchial Asthma | Study protocol

Sanfu herbal patch applied at acupoints in patients with bronchial asthma: study protocol for a randomized controlled trial

Authors: Xiaoyan Xie, Danghan Xu, Lixing Zhuang, Hui Liu, Sui Tan, Yanqing Lu, Meiyi Su, Jie Chen, Haihua Pan, Lu Lu, Yiming Xu, Muxi Liao, Zhanqiong Xu, Jun He

Published in: Trials | Issue 1/2020

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Abstract

Background

Bronchial asthma is one of the most common inflammatory airway disorders. As one of the main non-drug therapies, the Sanfu herbal patch (SHP) has been widely used to treat bronchial asthma, although the evidence for its efficacy and associated mechanism are inconclusive. The objective of this trial is to clarify the clinical efficacy and safety of the SHP in the treatment of bronchial asthma in the chronic persistent or clinical remission stage and to provide high-quality data for further research.

Methods

We propose a multicentre, double-blinded, parallel, randomized, placebo-controlled clinical trial involving 4 study hospitals in China. A total of 72 eligible participants will be randomized into an SHP group and a placebo group. They will receive an SHP for 3 treatment sessions. The primary outcome will be changes in forced expiratory volume in 1 s after 3 treatment sessions. Secondary outcomes will include the following: (1) the Asthma Quality of Life Questionnaire, Asthma Control Test, and Asthma Long-term Follow-up Scale; (2) levels of Metallothionein-2 and Transgelin-2 in blood and urine; and (3) levels of IL-5, IL-13, IL-23, IL-25, and thymic stromal lymphopoietin in blood. Analysis of the data will be performed at baseline, at the end of the 2nd and 3rd treatment sessions, and at the 24-week follow-up. The safety of the SHP will be evaluated at each treatment session.

Discussion

The aims of this trial are to determine whether the SHP is more effective than placebo in the treatment of patients with bronchial asthma, as well as whether the SHP works by reducing airway inflammation and reversing bronchoconstriction.

Trial registration

Chinese Clinical Trial Registry (http://​www.​chictr.​org.​cn), ChiCTR1900024616. Registered on 19 July 2019.
Appendix
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Literature
1.
go back to reference Papadopoulos NG, Arakawa H, Carlsen KH, Custovic A, Gern J, Lemanske R, Le Souef P, Makela M, Roberts G, Wong G, et al. International consensus on (ICON) pediatric asthma. Allergy. 2012;67(8):976–97.PubMedPubMedCentralCrossRef Papadopoulos NG, Arakawa H, Carlsen KH, Custovic A, Gern J, Lemanske R, Le Souef P, Makela M, Roberts G, Wong G, et al. International consensus on (ICON) pediatric asthma. Allergy. 2012;67(8):976–97.PubMedPubMedCentralCrossRef
2.
go back to reference Genuneit J, Seibold AM, Apfelbacher CJ, Konstantinou GN, Koplin JJ, La Grutta S, Logan K, Flohr C, Perkin MR. The state of asthma epidemiology: an overview of systematic reviews and their quality. Clin Transl Allergy. 2017;7:12.PubMedPubMedCentralCrossRef Genuneit J, Seibold AM, Apfelbacher CJ, Konstantinou GN, Koplin JJ, La Grutta S, Logan K, Flohr C, Perkin MR. The state of asthma epidemiology: an overview of systematic reviews and their quality. Clin Transl Allergy. 2017;7:12.PubMedPubMedCentralCrossRef
3.
go back to reference Anandan C, Nurmatov U, van Schayck OC, Sheikh A. Is the prevalence of asthma declining? Systematic review of epidemiological studies. Allergy. 2010;65(2):152–67.PubMedCrossRef Anandan C, Nurmatov U, van Schayck OC, Sheikh A. Is the prevalence of asthma declining? Systematic review of epidemiological studies. Allergy. 2010;65(2):152–67.PubMedCrossRef
5.
go back to reference Kim RY, Pinkerton JW, Gibson PG, Cooper MA, Horvat JC, Hansbro PM. Inflammasomes in COPD and neutrophilic asthma. Thorax. 2015;70(12):1199–201.PubMedCrossRef Kim RY, Pinkerton JW, Gibson PG, Cooper MA, Horvat JC, Hansbro PM. Inflammasomes in COPD and neutrophilic asthma. Thorax. 2015;70(12):1199–201.PubMedCrossRef
6.
go back to reference Chipps BE, Zeiger RS, Dorenbaum A, Borish L, Wenzel SE, Miller DP, Hayden ML, Bleecker ER, Simons FE, Szefler SJ, et al. Assessment of asthma control and asthma exacerbations in the epidemiology and natural history of asthma: outcomes and treatment regimens (TENOR) observational cohort. Curr Respir Care Rep. 2012;1(4):259–69.PubMedPubMedCentralCrossRef Chipps BE, Zeiger RS, Dorenbaum A, Borish L, Wenzel SE, Miller DP, Hayden ML, Bleecker ER, Simons FE, Szefler SJ, et al. Assessment of asthma control and asthma exacerbations in the epidemiology and natural history of asthma: outcomes and treatment regimens (TENOR) observational cohort. Curr Respir Care Rep. 2012;1(4):259–69.PubMedPubMedCentralCrossRef
7.
go back to reference Graff S, Demarche S, Henket M, Paulus V, Louis R, Schleich F. Increase in blood eosinophils during follow-up is associated with lung function decline in adult asthma. Respir Med. 2019;152:60–6.PubMedCrossRef Graff S, Demarche S, Henket M, Paulus V, Louis R, Schleich F. Increase in blood eosinophils during follow-up is associated with lung function decline in adult asthma. Respir Med. 2019;152:60–6.PubMedCrossRef
8.
go back to reference Matsushita S, Yamashiro T, Matsuoka S, Yagihashi K, Nakajima Y. The association between bronchial wall CT attenuation and spirometry in patients with bronchial asthma. Acad Radiol. 2019;26(7):960–6.PubMedCrossRef Matsushita S, Yamashiro T, Matsuoka S, Yagihashi K, Nakajima Y. The association between bronchial wall CT attenuation and spirometry in patients with bronchial asthma. Acad Radiol. 2019;26(7):960–6.PubMedCrossRef
9.
go back to reference Grosso A, Pesce G, Marcon A, Piloni D, Albicini F, Gini E, Marchetti P, Battaglia S, Ferrari M, Fois A, et al. Depression is associated with poor control of symptoms in asthma and rhinitis: a population-based study. Respir Med. 2019;155:6–12.PubMedCrossRef Grosso A, Pesce G, Marcon A, Piloni D, Albicini F, Gini E, Marchetti P, Battaglia S, Ferrari M, Fois A, et al. Depression is associated with poor control of symptoms in asthma and rhinitis: a population-based study. Respir Med. 2019;155:6–12.PubMedCrossRef
10.
go back to reference Alvarez GG, Schulzer M, Jung D, Fitzgerald JM. A systematic review of risk factors associated with near-fatal and fatal asthma. Can Respir J. 2005;12(5):265–70.PubMedCrossRef Alvarez GG, Schulzer M, Jung D, Fitzgerald JM. A systematic review of risk factors associated with near-fatal and fatal asthma. Can Respir J. 2005;12(5):265–70.PubMedCrossRef
14.
go back to reference Zhou F, Yang D, Lu JY, Li YF, Gao KY, Zhou YJ, Yang RX, Cheng J, Qi XX, Lai L, et al. Characteristics of clinical studies of summer acupoint herbal patching: a bibliometric analysis. BMC Complement Altern Med. 2015;15:381.PubMedPubMedCentralCrossRef Zhou F, Yang D, Lu JY, Li YF, Gao KY, Zhou YJ, Yang RX, Cheng J, Qi XX, Lai L, et al. Characteristics of clinical studies of summer acupoint herbal patching: a bibliometric analysis. BMC Complement Altern Med. 2015;15:381.PubMedPubMedCentralCrossRef
16.
go back to reference Zhang L. Zhang shi yi tong. 2nd ed. Shanghai: Shanghai Scientific & Technical Publishers; 1990. Zhang L. Zhang shi yi tong. 2nd ed. Shanghai: Shanghai Scientific & Technical Publishers; 1990.
17.
go back to reference Xiaqiu W, Jin P, Guoqin L, Wei Z, Guangxia L, Baoyan L. Efficacy evaluation of summer acupoint application treatment on asthma patients: a two-year follow-up clinical study. J Tradit Chin Med. 2015;35(1):21–7.CrossRef Xiaqiu W, Jin P, Guoqin L, Wei Z, Guangxia L, Baoyan L. Efficacy evaluation of summer acupoint application treatment on asthma patients: a two-year follow-up clinical study. J Tradit Chin Med. 2015;35(1):21–7.CrossRef
18.
go back to reference RanBang M, HyunKim J, YeonMin S. Clinical effectiveness of the Sanfu herbal patch at acupoints for respiratory diseases including otitis media in children: a pilot before-and-after study. Eur J Integr Med. 2017;10:1–7.CrossRef RanBang M, HyunKim J, YeonMin S. Clinical effectiveness of the Sanfu herbal patch at acupoints for respiratory diseases including otitis media in children: a pilot before-and-after study. Eur J Integr Med. 2017;10:1–7.CrossRef
20.
go back to reference Zhou F, Liang N, Maier M, Liu JP. Sanfu acupoint herbal patching for stable asthma: a systematic review and meta-analysis of randomised controlled trials. Complement Ther Med. 2017;30:40–53.PubMedCrossRef Zhou F, Liang N, Maier M, Liu JP. Sanfu acupoint herbal patching for stable asthma: a systematic review and meta-analysis of randomised controlled trials. Complement Ther Med. 2017;30:40–53.PubMedCrossRef
22.
go back to reference Zheng JP, Gao Y. Practical guide to pulmonary function testing. Beijing: People’s Medical Publishing House; 2010. Zheng JP, Gao Y. Practical guide to pulmonary function testing. Beijing: People’s Medical Publishing House; 2010.
23.
go back to reference Everhart RS, Smyth JM, Santuzzi AM, Fiese BH. Validation of the Asthma Quality of Life Questionnaire with momentary assessments of symptoms and functional limitations in patient daily life. Respir Care. 2010;55:427–32.PubMed Everhart RS, Smyth JM, Santuzzi AM, Fiese BH. Validation of the Asthma Quality of Life Questionnaire with momentary assessments of symptoms and functional limitations in patient daily life. Respir Care. 2010;55:427–32.PubMed
24.
go back to reference Hasegawa T, Koya T, Sakagami T, Kagamu H, Arakawa M, Gejyo F, Narita I, Suzuki E, Group tNATS. The Asthma Control Test, Japanese Version (ACT-J) as a predictor of Global Initiative for Asthma (GINA) guideline-defined asthma control: analysis of a questionnaire-based survey. Allergol Int. 2013;62(3):323–30.PubMedCrossRef Hasegawa T, Koya T, Sakagami T, Kagamu H, Arakawa M, Gejyo F, Narita I, Suzuki E, Group tNATS. The Asthma Control Test, Japanese Version (ACT-J) as a predictor of Global Initiative for Asthma (GINA) guideline-defined asthma control: analysis of a questionnaire-based survey. Allergol Int. 2013;62(3):323–30.PubMedCrossRef
25.
go back to reference Ramakrishnan K, Lee LK, Safioti G, et al. Asthma Control Test (ACT) scores correlate with health-related quality of life (HRQoL) in patients with asthma. J Allergy Clin Immunol. 2019;143(2):AB105.CrossRef Ramakrishnan K, Lee LK, Safioti G, et al. Asthma Control Test (ACT) scores correlate with health-related quality of life (HRQoL) in patients with asthma. J Allergy Clin Immunol. 2019;143(2):AB105.CrossRef
26.
go back to reference Zarqa A, Glattre DC, Suppli UC. Long-term mortality among adults with asthma. Chest. 2013;143(6):1649–55.CrossRef Zarqa A, Glattre DC, Suppli UC. Long-term mortality among adults with asthma. Chest. 2013;143(6):1649–55.CrossRef
28.
go back to reference Watcharatanyatipa K, Boonmoha S, Chaichounb K, Songsermc T, Woratantia M, Dharakula T. Multispecies detection of antibodies to influenza A viruses by a double-antigen sandwich ELISA. J Virol Methods. 2010;163(2):238–43.CrossRef Watcharatanyatipa K, Boonmoha S, Chaichounb K, Songsermc T, Woratantia M, Dharakula T. Multispecies detection of antibodies to influenza A viruses by a double-antigen sandwich ELISA. J Virol Methods. 2010;163(2):238–43.CrossRef
36.
go back to reference Halim TY, Steer CA, Matha L, Gold MJ, Martinez-Gonzalez I, McNagny KM, McKenzie AN, Takei F. Group 2 innate lymphoid cells are critical for the initiation of adaptive T helper 2 cell-mediated allergic lung inflammation. Immunity. 2014;40(3):425–35.PubMedPubMedCentralCrossRef Halim TY, Steer CA, Matha L, Gold MJ, Martinez-Gonzalez I, McNagny KM, McKenzie AN, Takei F. Group 2 innate lymphoid cells are critical for the initiation of adaptive T helper 2 cell-mediated allergic lung inflammation. Immunity. 2014;40(3):425–35.PubMedPubMedCentralCrossRef
37.
go back to reference Yu G, Zhang Y, Wang X, Sai L, Bo C, Yeo AJ, Lavin MF, Peng C, Jia Q, Shao H. Thymic stromal lymphopoietin (TSLP) and toluene-diisocyanate-induced airway inflammation: alleviation by TSLP neutralizing antibody. Toxicol Lett. 2019;317:59–67.PubMedCrossRef Yu G, Zhang Y, Wang X, Sai L, Bo C, Yeo AJ, Lavin MF, Peng C, Jia Q, Shao H. Thymic stromal lymphopoietin (TSLP) and toluene-diisocyanate-induced airway inflammation: alleviation by TSLP neutralizing antibody. Toxicol Lett. 2019;317:59–67.PubMedCrossRef
40.
go back to reference Yin LM, Ulloa L, Yang YQ. Transgelin-2: biochemical and clinical implications in cancer and asthma. Trends Biochem Sci. 2019;44(10):885–96.PubMedCrossRef Yin LM, Ulloa L, Yang YQ. Transgelin-2: biochemical and clinical implications in cancer and asthma. Trends Biochem Sci. 2019;44(10):885–96.PubMedCrossRef
41.
go back to reference Matsui TS, Ishikawa A, Deguchi S. Transgelin-1 (SM22alpha) interacts with actin stress fibers and podosomes in smooth muscle cells without using its actin binding site. Biochem Biophys Res Commun. 2018;505(3):879–84.PubMedCrossRef Matsui TS, Ishikawa A, Deguchi S. Transgelin-1 (SM22alpha) interacts with actin stress fibers and podosomes in smooth muscle cells without using its actin binding site. Biochem Biophys Res Commun. 2018;505(3):879–84.PubMedCrossRef
Metadata
Title
Sanfu herbal patch applied at acupoints in patients with bronchial asthma: study protocol for a randomized controlled trial
Authors
Xiaoyan Xie
Danghan Xu
Lixing Zhuang
Hui Liu
Sui Tan
Yanqing Lu
Meiyi Su
Jie Chen
Haihua Pan
Lu Lu
Yiming Xu
Muxi Liao
Zhanqiong Xu
Jun He
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Trials / Issue 1/2020
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-020-04604-8

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