典型文献
Safety and efficacy of Yupingfeng granules in children with recurrent respiratory tract infection: A randomized clinical trial
文献摘要:
Importance::Recurrent respiratory tract infection (RRTI) is common in children. Inappropriate RRTI treatment will lead to asthma and other diseases, thereby seriously affecting the growth and physical health of children. Immune function modulation can prevent and alleviate childhood RRTI. Yupingfeng (YPF), a patented traditional Chinese medicine (TCM), has immunomodulatory effects and is widely used in China to treat children with RRTI.Objective::To evaluate the safety and efficacy of YPF monotherapy in treating children with RRTI.Methods::This multicenter, randomized, double-blind, double-simulation, noninferiority clinical trial was conducted from January 2015 to August 2017, with an 8-week treatment period and 52-week follow-up after the drug withdrawal. Children aged 2–6 years with RRTI meeting the inclusion and exclusion criteria were enrolled in 13 hospitals in China and divided randomly into three groups (2:2:1 ratio) to receive YPF, pidotimod, or placebo. The primary outcome was the proportion of RRTI returning to normal standard level during the follow-up. The secondary outcomes were reduction in the number of RRTI recurrences, effect on clinical symptoms (in accord with TCM practice), effect per symptom, and safety. The trial was registered at the Chinese Clinical Trials Registry () under the unique identifier ChiCTR-IPR-15006847.Results::Three hundred and fifty-one children were enrolled and randomly assigned to 3 groups; 124, 125, and 61 children in the YPF, pidotimod, and placebo groups, respectively, had completed the trial. During the follow-up, the proportion of RRTI returning to normal standard level was 73.13%, 67.15%, and 38.81% with YPF, pidotimod, and placebo, respectively (
P < 0.0001). The proportion of cases who returned to normal standard level in the YPF group was 34.32% higher than that in the placebo group. The safety profile did not significantly differ among the groups.
Interpretation::YPF granules were noninferior to the active control drug pidotimod oral solution for the treatment of RRTI in children, and were superior to placebo, with a high safety profile.
文献关键词:
Pidotimod;Recurrent childhood respiratory tract infection;Traditional Chinese medicine;Yupingfeng
中图分类号:
作者姓名:
Xu Baoping;Li Xinmin;Hu Siyuan;Bao Yixiao;Chen Fengmei;Chen Zhimin;Du Yonggang;Liu Enmei;Liu Yufeng;Mou Qinghui;Su Baoling;Wang Bo;Xu Jianwen;Xu Guiping;Yang Qiaozhi;Gao Liwei;Liu Xiaohui;Li Lei;Ma Rong;Shen Kunling
作者机构:
China National Clinical Research Center of Respiratory Diseases, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China;The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China;Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China;Guangdong Women and Children Hospital and Health Institute, Guangzhou, Guangdong, China;Children’s Hospital of Zhejiang University School of Medicine, Zhejiang, China;Changzhi People’s Hospital, Changzhi, Shanxi, China;Children’s Hospital of Chongqing Medical University, Chongqing, China;The Fourth Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China;Qilu Children’s Hospital of Shandong University, Jinan, Shandong, China;Heji Hospital Affiliated to Changzhi Medical College, Changzhi, Shanxi, China;The Third Affiliated Hospital of Xinxiang Medical College, Xinxiang, Henan, China;Huizhou Traditional Chinese Medicine Hospital, Guangdong, China;Liaocheng People’s Hospital, Shandong, China;Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, China;Drug Research and Evaluation Technology Center, Chinese Association of Traditional Chinese Medicine, Beijing, China
文献出处:
引用格式:
[1]Xu Baoping;Li Xinmin;Hu Siyuan;Bao Yixiao;Chen Fengmei;Chen Zhimin;Du Yonggang;Liu Enmei;Liu Yufeng;Mou Qinghui;Su Baoling;Wang Bo;Xu Jianwen;Xu Guiping;Yang Qiaozhi;Gao Liwei;Liu Xiaohui;Li Lei;Ma Rong;Shen Kunling-.Safety and efficacy of Yupingfeng granules in children with recurrent respiratory tract infection: A randomized clinical trial)[J].儿科学研究(英文),2022(02):75-84
A类:
Yupingfeng,YPF,noninferiority,pidotimod,noninferior,Pidotimod
B类:
Safety,efficacy,granules,children,recurrent,respiratory,tract,infection,randomized,clinical,trial,Importance,Recurrent,RRTI,common,Inappropriate,treatment,will,lead,asthma,diseases,thereby,seriously,affecting,growth,physical,health,Immune,function,modulation,prevent,alleviate,childhood,patented,traditional,Chinese,medicine,TCM,has,immunomodulatory,effects,widely,used,China,Objective,To,evaluate,safety,monotherapy,treating,Methods,This,multicenter,double,blind,simulation,was,conducted,from,January,August,week,period,follow,after,drug,withdrawal,Children,aged,years,meeting,inclusion,exclusion,criteria,were,enrolled,hospitals,divided,randomly,into,three,groups,ratio,receive,placebo,primary,proportion,returning,normal,standard,level,during,secondary,outcomes,reduction,number,recurrences,symptoms,accord,practice,registered,Clinical,Trials,Registry,under,unique,identifier,ChiCTR,IPR,Results,Three,hundred,fifty,one,assigned,respectively,had,completed,During,cases,who,returned,higher,than,that,profile,did,significantly,differ,among,Interpretation,active,control,oral,solution,superior,Traditional
AB值:
0.461947
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