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Published in: Trials 1/2016

Open Access 01-12-2016 | Study protocol

Chinese herbal medicine Tangshen Formula treatment of patients with type 2 diabetic kidney disease with macroalbuminuria: study protocol for a randomized controlled trial

Authors: Meihua Yan, Yumin Wen, Liping Yang, Xi’ai Wu, Xiaoguang Lu, Bingxuan Zhang, Weiping Huang, Ping Li

Published in: Trials | Issue 1/2016

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Abstract

Background

Diabetic kidney disease (DKD) is one of the most common microvascular complications of diabetes mellitus and the main cause of end-stage renal disease. Present medications for DKD are not entirely satisfactory. Preliminary studies indicate that the Chinese herbal formula Tangshen Formula (TSF) appears to decrease the proteinuria and improve the estimated glomerular filtration rate (eGFR) in DKD patients.

Methods/design

This trial is a five-center, randomized, double-blind, placebo-controlled study. DKD patients with a 24-h urinary protein (24 h UP) level between 0.5 and 3.5 g and serum creatinine < 265 μmol/L (3 mg/dl) will be included. A sample size of 144 participants will be randomly distributed into the treatment group (TSF plus irbesartan) and the control group (placebo plus irbesartan) at a ratio of 1:1. The study duration will be 50 weeks, comprising a 2-week run-in period, 24 weeks of intervention, and 24 weeks of follow-up. The primary endpoint will be the 24 h UP. Secondary endpoints will be an evaluation of renal function, management of blood lipids, improvement in traditional Chinese medicine symptoms, and safety assessments. Adverse events will also be evaluated.

Discussion

This study will provide evidence for the effectiveness and safety of TSF compared to placebo in treating DKD patients with macroalbuminuria.

Trial registration

Chinese Clinical Trials Registry, ChiCTR-TRC-13003566. Registered 9 August 2013.
Appendix
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Literature
2.
go back to reference Ruggenenti P, Remuzzi G. Nephropathy of type 1 and type 2 diabetes: diverse pathophysiology, same treatment? Nephrol Dial Transplant. 2000;15(12):1900–2.CrossRefPubMed Ruggenenti P, Remuzzi G. Nephropathy of type 1 and type 2 diabetes: diverse pathophysiology, same treatment? Nephrol Dial Transplant. 2000;15(12):1900–2.CrossRefPubMed
3.
go back to reference American Diabetes Association. 9. Microvascular complications and foot care. Diabetes Care. 2016;39 Suppl 1:S72–80. doi:10.2337/dc16-S012. American Diabetes Association. 9. Microvascular complications and foot care. Diabetes Care. 2016;39 Suppl 1:S72–80. doi:10.​2337/​dc16-S012.
4.
go back to reference Cheng X, Nayyar S, Wang M, Li X, Sun Y, Huang W, et al. Mortality rates among prevalent hemodialysis patients in Beijing: a comparison with USRDS data. Nephrol Dial Transplant. 2013;28(3):724–32. doi:10.1093/ndt/gfs326.CrossRefPubMed Cheng X, Nayyar S, Wang M, Li X, Sun Y, Huang W, et al. Mortality rates among prevalent hemodialysis patients in Beijing: a comparison with USRDS data. Nephrol Dial Transplant. 2013;28(3):724–32. doi:10.​1093/​ndt/​gfs326.CrossRefPubMed
7.
11.
go back to reference Zhao XF, Su SJ, Yun G, Guo YH, Wang S. Mortality and recurrence of vascular disease among stroke patients treated with combined TCM therapy. J Tradit Chin Med. 2012;32(2):173–8.CrossRefPubMed Zhao XF, Su SJ, Yun G, Guo YH, Wang S. Mortality and recurrence of vascular disease among stroke patients treated with combined TCM therapy. J Tradit Chin Med. 2012;32(2):173–8.CrossRefPubMed
13.
go back to reference Chen G, Wu X, Yang L, Yang X, Yan M, Li P. Using the Delphi method to survey clinical experts on the characteristics of traditional Chinese symptoms of diabetic nephropathy. China J Trad Chin Med Pharm. 2011;26:2241–4. Chinese. Chen G, Wu X, Yang L, Yang X, Yan M, Li P. Using the Delphi method to survey clinical experts on the characteristics of traditional Chinese symptoms of diabetic nephropathy. China J Trad Chin Med Pharm. 2011;26:2241–4. Chinese.
14.
go back to reference Yang S, Wang Y, Chen Z, Lv J, Wang X, Hu C, et al. Common Chinese medicine syndromes of diabetic nephropathy questionnaire-based study of experts. Chin J Integr Trad West Nephrol. 2013;14:1097–9. Chinese. Yang S, Wang Y, Chen Z, Lv J, Wang X, Hu C, et al. Common Chinese medicine syndromes of diabetic nephropathy questionnaire-based study of experts. Chin J Integr Trad West Nephrol. 2013;14:1097–9. Chinese.
15.
go back to reference Zhou D, Zhao J, Mou X, Liu W, Zhou D, Liu Y, et al. Distribution of syndrome stages of diabetic nephropathy. J Beijing Univ Tradit Chin Medi Chin Med Clin Edition. 2012;19(1):38–41. Chinese. Zhou D, Zhao J, Mou X, Liu W, Zhou D, Liu Y, et al. Distribution of syndrome stages of diabetic nephropathy. J Beijing Univ Tradit Chin Medi Chin Med Clin Edition. 2012;19(1):38–41. Chinese.
16.
go back to reference Yang L, Li P, Du J, Li J, Deng D, Zhan Y. Canonical correlation analysis of traditional Chinese syndrome and laboratory parameters in 350 patients with diabetic nephropathy. China J Tradit Chin Med Pharm. 2010;25:686–9. Chinese. Yang L, Li P, Du J, Li J, Deng D, Zhan Y. Canonical correlation analysis of traditional Chinese syndrome and laboratory parameters in 350 patients with diabetic nephropathy. China J Tradit Chin Med Pharm. 2010;25:686–9. Chinese.
17.
go back to reference Zhang H, Li P, Burczynski FJ, Gong Y, Choy P, Sha H, et al. Attenuation of diabetic nephropathy in Otsuka Long-Evans Tokushima Fatty (OLETF) rats with a combination of Chinese herbs (Tangshen Formula). Evid Based Complement Alternat Med. 2011;2011:613737. doi:10.1155/2011/613737.PubMedPubMedCentral Zhang H, Li P, Burczynski FJ, Gong Y, Choy P, Sha H, et al. Attenuation of diabetic nephropathy in Otsuka Long-Evans Tokushima Fatty (OLETF) rats with a combination of Chinese herbs (Tangshen Formula). Evid Based Complement Alternat Med. 2011;2011:613737. doi:10.​1155/​2011/​613737.PubMedPubMedCentral
18.
go back to reference Zhang H, Li P, Zhao J, Zhao S, Yan M, Luo Y. Effect of Tangshen Formula on expression of TGF-β1 and MMP-9 of renal tissue in STZ-induced diabetic nephropathy rats. Chin J Integr Trad West Nephrol. 2009;10:290–4. Chinese. Zhang H, Li P, Zhao J, Zhao S, Yan M, Luo Y. Effect of Tangshen Formula on expression of TGF-β1 and MMP-9 of renal tissue in STZ-induced diabetic nephropathy rats. Chin J Integr Trad West Nephrol. 2009;10:290–4. Chinese.
19.
go back to reference Guo J, Li P, Wan F, Zhao T, Dong X, Li X, et al. Protective effect of Tangshen Formula on renal function and IL-10, TNF-α, and DA in OLETF rats. Chin J Integr Trad West Nephrol. 2011;12(12):1044–7. Guo J, Li P, Wan F, Zhao T, Dong X, Li X, et al. Protective effect of Tangshen Formula on renal function and IL-10, TNF-α, and DA in OLETF rats. Chin J Integr Trad West Nephrol. 2011;12(12):1044–7.
20.
go back to reference Zhu C, Huang M, Liang Q, Wang Y, Hu P, Li P, et al. Effects of Tangshen Formula on phospholipids metabolism in spontaneous Type 2 Diabetic rats. Chem J Chin Univ. 2011;32(7):1512–8. Chinese. Zhu C, Huang M, Liang Q, Wang Y, Hu P, Li P, et al. Effects of Tangshen Formula on phospholipids metabolism in spontaneous Type 2 Diabetic rats. Chem J Chin Univ. 2011;32(7):1512–8. Chinese.
22.
24.
go back to reference Zheng X. Clinical research guideline of new investigational drug in traditional Chinese medicine. Beijing: China Medical Science Press; 2002. Zheng X. Clinical research guideline of new investigational drug in traditional Chinese medicine. Beijing: China Medical Science Press; 2002.
25.
go back to reference Levey AS, Stevens LA, Schmid CH, Zhang YL. Castro 3rd AF, Feldman HI, et al. A new equation to estimate glomerular filtration rate. Ann Intern Med. 2009;150(9):604–12.CrossRefPubMedPubMedCentral Levey AS, Stevens LA, Schmid CH, Zhang YL. Castro 3rd AF, Feldman HI, et al. A new equation to estimate glomerular filtration rate. Ann Intern Med. 2009;150(9):604–12.CrossRefPubMedPubMedCentral
26.
27.
go back to reference Danan G, Benichou C. Causality assessment of adverse reactions to drugs--I. A novel method based on the conclusions of international consensus meetings: application to drug-induced liver injuries. J Clin Epidemiol. 1993;46(11):1323–30.CrossRefPubMed Danan G, Benichou C. Causality assessment of adverse reactions to drugs--I. A novel method based on the conclusions of international consensus meetings: application to drug-induced liver injuries. J Clin Epidemiol. 1993;46(11):1323–30.CrossRefPubMed
29.
go back to reference World Health Organization. World Health Organization Collaborating Centre for International Drug Monitoring; Uppsala Monitoring Centre. http://www.who-umc.org. Accessed 26 Apr 2016. World Health Organization. World Health Organization Collaborating Centre for International Drug Monitoring; Uppsala Monitoring Centre. http://​www.​who-umc.​org. Accessed 26 Apr 2016.
30.
31.
go back to reference Gagnier JJ, Boon H, Rochon P, Moher D, Barnes J, Bombardier C, et al. Reporting randomized, controlled trials of herbal interventions: an elaborated CONSORT statement. Ann Intern Med. 2006;144(5):364–7.CrossRefPubMed Gagnier JJ, Boon H, Rochon P, Moher D, Barnes J, Bombardier C, et al. Reporting randomized, controlled trials of herbal interventions: an elaborated CONSORT statement. Ann Intern Med. 2006;144(5):364–7.CrossRefPubMed
Metadata
Title
Chinese herbal medicine Tangshen Formula treatment of patients with type 2 diabetic kidney disease with macroalbuminuria: study protocol for a randomized controlled trial
Authors
Meihua Yan
Yumin Wen
Liping Yang
Xi’ai Wu
Xiaoguang Lu
Bingxuan Zhang
Weiping Huang
Ping Li
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Trials / Issue 1/2016
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-016-1385-2

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