口服中医草药加上糖尿病病的常规护理:一项随机,双盲,安慰剂控制的试验试验的研究方案
Meifang Liu1,2,3, Yuan Ming Di1, Lei Zhang2,3
1The China-Australia International Research Centre for Chinese Medicine, School of Health and Biomedical Sciences, RMIT University, Melbourne, VIC, Australia.
Frontiers in endocrinology
|February 23, 2024
概括
这项试点试验调查了Tangshen Qushi Formula (TQF) 对糖尿病病 (DKD) 的治疗方法. 在一项随机试验中,TQF显示出前景,为减缓功能衰退提供了潜在的新疗法.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 药理学 药理学是指药理学的学科.
- 临床试验 临床试验
背景情况:
- 糖尿病病 (DKD) 是导致衰竭的首要原因,对全球健康造成重大负担.
- 传统的DKD治疗方法在预防渐进性功能丧失方面经常表现出有限的疗效.
- 中国传统医药中的Tangshen Qushi配方 (TQF) 已经在患有2-4期DKD的患者中证明了初步的临床益处和安全性.
研究的目的:
- 评估TQF的可行性,有效性和安全性,以延迟患有2-4期DKD的患者的功能下降.
- 通过嵌入式半结构面试来评估TQF颗粒和试验程序的可接受性.
- 收集关键数据来设计未来的大规模临床试验TQF的DKD.
主要方法:
- 一个随机,双盲,安慰剂控制的试验试验,采用混合方法设计.
- 60名患有2-4期DKD的参与者将随机分配到TQF或安慰剂组48周,随后进行12周的随访.
- 主要结局是可行性;次要结局包括估计膜过率 (eGFR),蛋白尿,功能标志物,血糖/脂质概况和安全性评估的变化.
主要成果:
- 作为主要结果,将评估TQF和试验设计的可行性.
- 疗效将通过eGFR,尿蛋白/白蛋白和其他脏和代谢标记物的变化来衡量.
- 安全性将通过肝功能测试,血清水平和不良事件监测来评估.
结论:
- 这项试点试验对于确定TQF和研究协议的可行性和可接受性至关重要.
- 结果将为更大规模的,最终的试验的设计提供信息,以在临床实践中产生TQF的证据.
- 这项研究旨在提供一种潜在的新疗法策略,用于控制糖尿病病的进展.
相关概念视频
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Chronic Kidney Disease III: Interprofessional Care
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Diabetic Nephropathy
Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...


