Skip to main content
Top
Published in: Trials 1/2018

Open Access 01-12-2018 | Study protocol

Danggwijagyaksan for climacteric syndrome in peri- and postmenopausal women with a blood-deficiency dominant pattern: study protocol for a randomized, double-blind, placebo-controlled pilot trial

Authors: Mikyung Kim, Ae-Ran Kim, Hyo-Ju Park, Ojin Kwon, Joo-Hee Kim, Eun-Ji Park, Seon-Eun Baek, Jeong-Eun Yoo, Jun-Hwan Lee

Published in: Trials | Issue 1/2018

Login to get access

Abstract

Background

This study aims to explore the safety, efficacy, and feasibility of Danggwijagyaksan (DJS) for alleviating climacteric syndrome in peri- and postmenopausal women with a blood-deficiency dominant pattern.

Methods/design

This is a randomized, double-blind, placebo-controlled pilot clinical trial. A total of 34 women with climacteric syndrome who have signed informed consent forms will be registered in this study. Placebo or DJS will be randomly assigned to the participants in an equal proportion. The participants will visit the clinical trial center every 2 weeks and receive placebo or DJS granules. The treatment period is 4 weeks and the administration frequency is three times daily. Data will be collected from the participants at baseline, at week 5, and at week 9 after random allocation. The primary outcome measure will be the mean change in the Menopause Rating Scale from baseline to week 5. Secondary outcome measures will include the World Health Organization Quality of Life-BREF (WHOQOL-BREF) score, the Blood Deficiency Scoring System score, lean body mass, and blood tests, including serum follicle-stimulating hormone and estradiol concentration. To assess the safety of DJS, a laboratory test will be conducted before and after treatment and the participants will be asked about any occurrence of adverse events every visit. The recruitment rate, completion rate, and medication adherence will also be calculated, to assess feasibility.

Discussion

The findings of this study will provide the basis for a full-scale randomized controlled trial to confirm the safety and efficacy of DJS for the treatment of climacteric syndrome in peri- and postmenopausal women.

Trial registration

Clinical Research Information Service (CRIS), Republic of Korea, KCT0002387. Registered on 25 July 2017.
Appendix
Available only for authorised users
Literature
1.
go back to reference Plouffe LJ. Comprehensive management of menopause. New York: Springer Science & Business Media; 1994. p. 229. Plouffe LJ. Comprehensive management of menopause. New York: Springer Science & Business Media; 1994. p. 229.
2.
go back to reference Huang K-E, Xu L, Nasri N, Jaisamrarn U. The Asian menopause survey: knowledge, perceptions, hormone treatment and sexual function. Maturitas. 2010;65(3):276–83.CrossRefPubMed Huang K-E, Xu L, Nasri N, Jaisamrarn U. The Asian menopause survey: knowledge, perceptions, hormone treatment and sexual function. Maturitas. 2010;65(3):276–83.CrossRefPubMed
3.
go back to reference Choi H, Lee HK, Park HM. The Korean menopausal Women’s attitudes and awareness on menopause: results of Korean Gallup epidemiologic survey on menopause and HRT. JMM. 2003;9(1):36–43. Choi H, Lee HK, Park HM. The Korean menopausal Women’s attitudes and awareness on menopause: results of Korean Gallup epidemiologic survey on menopause and HRT. JMM. 2003;9(1):36–43.
4.
go back to reference Avis NE, Colvin A, Bromberger JT, Hess R, Matthews KA, Ory M, et al. Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: study of Women’s health across the nation (SWAN). Menopause. 2009;16(5):860–9.CrossRefPubMedPubMedCentral Avis NE, Colvin A, Bromberger JT, Hess R, Matthews KA, Ory M, et al. Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women: study of Women’s health across the nation (SWAN). Menopause. 2009;16(5):860–9.CrossRefPubMedPubMedCentral
5.
go back to reference Poomalar G, Arounassalame B. The quality of life during and after menopause among rural women. J Clin Diagn Res. 2013;7(1):135–9. Poomalar G, Arounassalame B. The quality of life during and after menopause among rural women. J Clin Diagn Res. 2013;7(1):135–9.
6.
go back to reference Stuenkel CA, Davis SR, Gompel A, Lumsden MA, Murad MH, Pinkerton JV, et al. Treatment of symptoms of the menopause: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2015;100(11):3975–4011.CrossRefPubMed Stuenkel CA, Davis SR, Gompel A, Lumsden MA, Murad MH, Pinkerton JV, et al. Treatment of symptoms of the menopause: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2015;100(11):3975–4011.CrossRefPubMed
7.
go back to reference Carpenter J, Gass ML, Maki PM, Newton KM, Pinkerton JV, Taylor M, et al. Nonhormonal management of menopause-associated vasomotor symptoms: 2015 position statement of the North American menopause society. Menopause. 2015;22(11):1155–74.CrossRef Carpenter J, Gass ML, Maki PM, Newton KM, Pinkerton JV, Taylor M, et al. Nonhormonal management of menopause-associated vasomotor symptoms: 2015 position statement of the North American menopause society. Menopause. 2015;22(11):1155–74.CrossRef
8.
go back to reference Goldstein KM, McDuffie JR, Shepherd-Banigan M, Befus D, Coeytaux RR, Van Noord MG, et al. Nonpharmacologic, nonherbal management of menopause-associated vasomotor symptoms: An umbrella systematic review (protocol). Syst Rev. 2016;5(1):56.CrossRefPubMedPubMedCentral Goldstein KM, McDuffie JR, Shepherd-Banigan M, Befus D, Coeytaux RR, Van Noord MG, et al. Nonpharmacologic, nonherbal management of menopause-associated vasomotor symptoms: An umbrella systematic review (protocol). Syst Rev. 2016;5(1):56.CrossRefPubMedPubMedCentral
9.
go back to reference Terauchi M, Hiramitsu S, Akiyoshi M, Owa Y, Kato K, Obayashi S, et al. Effects of three kampo formulae: tokishakuyakusan (TJ-23), kamishoyosan (TJ-24), and keishibukuryogan (TJ-25) on Japanese peri- and postmenopausal women with sleep disturbances. Arch Gynecol Obstet. 2011;284(4):913–21.CrossRefPubMed Terauchi M, Hiramitsu S, Akiyoshi M, Owa Y, Kato K, Obayashi S, et al. Effects of three kampo formulae: tokishakuyakusan (TJ-23), kamishoyosan (TJ-24), and keishibukuryogan (TJ-25) on Japanese peri- and postmenopausal women with sleep disturbances. Arch Gynecol Obstet. 2011;284(4):913–21.CrossRefPubMed
10.
go back to reference Terauchi M, Hiramitsu S, Akiyoshi M, Owa Y, Kato K, Obayashi S, et al. Effects of the kampo formula Tokishakuyakusan on headaches and concomitant depression in middle-aged women. Evid Based Complement Alternat Med. 2014;2014:593560.CrossRefPubMedPubMedCentral Terauchi M, Hiramitsu S, Akiyoshi M, Owa Y, Kato K, Obayashi S, et al. Effects of the kampo formula Tokishakuyakusan on headaches and concomitant depression in middle-aged women. Evid Based Complement Alternat Med. 2014;2014:593560.CrossRefPubMedPubMedCentral
11.
go back to reference Park J-M, Yang J-M, Kim D-I. A clinical trial to verify the quality of life improvement efficacy of dangguijakyak-san and gyejibogneyong-hwan granulation in postmenopausal women. J Orient Obstet Gynecol. 2007;20(3):213–28. Park J-M, Yang J-M, Kim D-I. A clinical trial to verify the quality of life improvement efficacy of dangguijakyak-san and gyejibogneyong-hwan granulation in postmenopausal women. J Orient Obstet Gynecol. 2007;20(3):213–28.
12.
go back to reference Kim J-E, Cho J, Kwon O, Kim A-R, Park H-J, Jung S-Y, et al. Effect of guizhifulingwan (keishibukuryogan) on climacteric syndrome: study protocol for a randomized controlled pilot trial. Trials. 2017;18(1):135.CrossRefPubMedPubMedCentral Kim J-E, Cho J, Kwon O, Kim A-R, Park H-J, Jung S-Y, et al. Effect of guizhifulingwan (keishibukuryogan) on climacteric syndrome: study protocol for a randomized controlled pilot trial. Trials. 2017;18(1):135.CrossRefPubMedPubMedCentral
13.
go back to reference Tanaka T. Effects of herbal medicines on menopausal symptoms induced by gonadotropin-releasing hormone agonist therapy. Clin Exp Obst Gynecol. 2000;28(1):20–3. Tanaka T. Effects of herbal medicines on menopausal symptoms induced by gonadotropin-releasing hormone agonist therapy. Clin Exp Obst Gynecol. 2000;28(1):20–3.
14.
go back to reference Chung MH, Suzuki S, Nishihara T, Hattori M. Estrogenic effects of a kampo formula, tokishakuyakusan, in parous ovariectomized rats. Biol Pharm Bull. 2008;31(6):1145–9.CrossRefPubMed Chung MH, Suzuki S, Nishihara T, Hattori M. Estrogenic effects of a kampo formula, tokishakuyakusan, in parous ovariectomized rats. Biol Pharm Bull. 2008;31(6):1145–9.CrossRefPubMed
15.
go back to reference Usuki S, Nakauchi T, Higa S, Someya K. The improvement of luteal insufficiency in fecund women by tokishakuyakusan treatment. Am J Chin Med. 2002;30(2–3):327–38.CrossRefPubMed Usuki S, Nakauchi T, Higa S, Someya K. The improvement of luteal insufficiency in fecund women by tokishakuyakusan treatment. Am J Chin Med. 2002;30(2–3):327–38.CrossRefPubMed
16.
go back to reference Choi J-Y, Yoon S-H, Lee W-C. The effect of dangkijakyaksan on female sex hormone and cerebral atrophy following middle cerebral artery occlusion in rats. J Oriental Chr Dis. 1998;4(1):70–85. Choi J-Y, Yoon S-H, Lee W-C. The effect of dangkijakyaksan on female sex hormone and cerebral atrophy following middle cerebral artery occlusion in rats. J Oriental Chr Dis. 1998;4(1):70–85.
17.
go back to reference Lee HW, Jun JH, Kil K-J, Ko B-S, Lee CH, Lee MS. Herbal medicine (danggui shaoyao San) for treating primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials. Maturitas. 2016;85:19–26.CrossRefPubMed Lee HW, Jun JH, Kil K-J, Ko B-S, Lee CH, Lee MS. Herbal medicine (danggui shaoyao San) for treating primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials. Maturitas. 2016;85:19–26.CrossRefPubMed
18.
go back to reference Akase T, Akase T, Onodera S, Jobo T, Matsushita R, Kaneko M, et al. A comparative study of the usefulness of Toki-shakuyaku-san and an oral iron preparation in the treatment of hypochromic anemia in cases of uterine myoma. Yakugaku Zasshi. 2003;123(9):817–24.CrossRefPubMed Akase T, Akase T, Onodera S, Jobo T, Matsushita R, Kaneko M, et al. A comparative study of the usefulness of Toki-shakuyaku-san and an oral iron preparation in the treatment of hypochromic anemia in cases of uterine myoma. Yakugaku Zasshi. 2003;123(9):817–24.CrossRefPubMed
19.
go back to reference Hwang D-S, Kim HG, Jang J-B, Oh MS. Dangguijakyak-San protects against 1-methyl-4-phenyl-1, 2, 3, 6,-tetrahydropyridine-Induced neuronal damage via anti-inflammatory action. Evid Based Complement Alternat Med. 2013;2013:976270.PubMedPubMedCentral Hwang D-S, Kim HG, Jang J-B, Oh MS. Dangguijakyak-San protects against 1-methyl-4-phenyl-1, 2, 3, 6,-tetrahydropyridine-Induced neuronal damage via anti-inflammatory action. Evid Based Complement Alternat Med. 2013;2013:976270.PubMedPubMedCentral
21.
go back to reference Lee J-M, Hwang D-S, Kim HG, Lee C-H, Oh MS. Dangguijakyak-san protects dopamine neurons against 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine-induced neurotoxicity under postmenopausal conditions. J Ethnopharmacol. 2012;139(3):883–8.CrossRefPubMed Lee J-M, Hwang D-S, Kim HG, Lee C-H, Oh MS. Dangguijakyak-san protects dopamine neurons against 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine-induced neurotoxicity under postmenopausal conditions. J Ethnopharmacol. 2012;139(3):883–8.CrossRefPubMed
22.
go back to reference Bang H, Ni L, Davis CE. Assessment of blinding in clinical trials. Control Clin Trials. 2004;25(2):143–56.CrossRefPubMed Bang H, Ni L, Davis CE. Assessment of blinding in clinical trials. Control Clin Trials. 2004;25(2):143–56.CrossRefPubMed
24.
go back to reference Potthoff P, Heinemann L, Schneider H, Rosemeier H, Hauser G. Menopause-rating skala (MRS): methodische standardisierung in der deutschen bevölkerung. Zentralbl Gynakol. 2000;122:280–6.PubMed Potthoff P, Heinemann L, Schneider H, Rosemeier H, Hauser G. Menopause-rating skala (MRS): methodische standardisierung in der deutschen bevölkerung. Zentralbl Gynakol. 2000;122:280–6.PubMed
25.
go back to reference Hauser GA, Huber IC, Keller PJ, Lauritzen C, Schneider HPG. Evaluation der klinischen beschwerden (menopause rating scale). Zentralbl Gynakol. 1994;116(1):16–23.PubMed Hauser GA, Huber IC, Keller PJ, Lauritzen C, Schneider HPG. Evaluation der klinischen beschwerden (menopause rating scale). Zentralbl Gynakol. 1994;116(1):16–23.PubMed
27.
go back to reference The WHOQOL Group. Development of the world health organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551–8.CrossRef The WHOQOL Group. Development of the world health organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551–8.CrossRef
28.
go back to reference Min SK, Kim K, Lee C, Jung YC, Suh SY, Kim DK. Development of the Korean versions of WHO quality of life scale and WHOQOL-BREF. Qual Life Res. 2002;11(6):593–600.CrossRefPubMed Min SK, Kim K, Lee C, Jung YC, Suh SY, Kim DK. Development of the Korean versions of WHO quality of life scale and WHOQOL-BREF. Qual Life Res. 2002;11(6):593–600.CrossRefPubMed
29.
go back to reference Terasawa K. Kampo diagnosis of Western medical doctor. Seoul: Jipmundang; 1998. p. 41–106. Terasawa K. Kampo diagnosis of Western medical doctor. Seoul: Jipmundang; 1998. p. 41–106.
30.
go back to reference Kondo T, Tokunaga S, Sugahara H, Yoshimasu K, Akamine M, Kanemitsu Y, et al. Qi-deficiency, qi-stagnation, qi-flowback, blood deficiency, and fluid retention in patients with depression, psychiatric disorders, or psychosomatic disorders. Psychology. 2011;2(6):643–59.CrossRef Kondo T, Tokunaga S, Sugahara H, Yoshimasu K, Akamine M, Kanemitsu Y, et al. Qi-deficiency, qi-stagnation, qi-flowback, blood deficiency, and fluid retention in patients with depression, psychiatric disorders, or psychosomatic disorders. Psychology. 2011;2(6):643–59.CrossRef
31.
go back to reference Lim J-H, Ryu J-M, Jang S-Y, Kim H-K, Lee J-S, Yoon S-H, et al. Analysis of symptom pattern through comprehensive diagnosis of Qui Xui Shui in patients with functional dyspepsia. Korean J Orient Int Med. 2004;25(2):224–37. Lim J-H, Ryu J-M, Jang S-Y, Kim H-K, Lee J-S, Yoon S-H, et al. Analysis of symptom pattern through comprehensive diagnosis of Qui Xui Shui in patients with functional dyspepsia. Korean J Orient Int Med. 2004;25(2):224–37.
32.
go back to reference Lu LJ, Nayeem F, Anderson KE, Grady JJ, Nagamani M. Lean body mass, not estrogen or progesterone, predicts peak bone mineral density in premenopausal women. J Nutr. 2009;139(2):250–6.CrossRefPubMedPubMedCentral Lu LJ, Nayeem F, Anderson KE, Grady JJ, Nagamani M. Lean body mass, not estrogen or progesterone, predicts peak bone mineral density in premenopausal women. J Nutr. 2009;139(2):250–6.CrossRefPubMedPubMedCentral
33.
go back to reference Choi DY, Kim JK, Yeom YH. Golden chamber: interpretation and lecture. Seoul: Dongguk University Publishing; 2004. p. 565–7. 624. Choi DY, Kim JK, Yeom YH. Golden chamber: interpretation and lecture. Seoul: Dongguk University Publishing; 2004. p. 565–7. 624.
Metadata
Title
Danggwijagyaksan for climacteric syndrome in peri- and postmenopausal women with a blood-deficiency dominant pattern: study protocol for a randomized, double-blind, placebo-controlled pilot trial
Authors
Mikyung Kim
Ae-Ran Kim
Hyo-Ju Park
Ojin Kwon
Joo-Hee Kim
Eun-Ji Park
Seon-Eun Baek
Jeong-Eun Yoo
Jun-Hwan Lee
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Trials / Issue 1/2018
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-018-2443-8

Other articles of this Issue 1/2018

Trials 1/2018 Go to the issue