Description for medicine or protocol of treatment in detail:
|
Pien Tze Huang is a listed product. Its approval number is Z35020243, which is included in The Chinese Pharmacopoeia (2015 edition). Its prescription is composed of bezoar, musk, panax notoginseng and snake bile, which can clear heat and detoxify, cool blood and remove blood stasis, relieve swelling and relieve pain. The main indications are acute or chronic viral hepatitis caused by heat or blood stasis, malignant tumors, malignant boils, lesions, and inflammation. A multi-center, randomized, double-blind, placebo-parallel controlled clinical trial is planned to evaluate the efficacy and safety of pien Tze Huang in the treatment of hepatic fibrosis in chronic viral hepatitis B (stagnant blood blocking collateral-damp-heat syndrome).
|
Exclusion criteria:
|
(1) 6 months before Screening for interferon-based anti-HBV therapy;
(2) 6 months before Screening for systemic use of immunomodulators such as adrenocorticosteroids, thymosin, etc. for more than 2 weeks or expected during the study period, with the exception of corticosteroid nasal spray, inhaled steroids, and/or topical steroids;
(3) Evidence of liver function decompensation, including but not limited to: TBIL>5 times ULN or prothrombin activity (PTA) < 60% confirmed by retest; Past or present ascites, upper gastrointestinal bleeding and/or hepatic encephalopathy; Previous or existing Child-pugh Class B or C (see Annex 1);
(4) Patients with primary liver cancer, high-risk population of primary liver cancer (family history of liver cancer, liver imaging examination with nodules, etc.), AFP >upper limit of normal reference value;
(5) Patients with hepatitis A, C, D, E and other hepatitis virus infections, severe non-alcoholic fatty liver disease, autoimmune hepatitis, alcoholic liver disease, drug hepatitis, Wilson disease and hematopathy;
(6) Failure of liver puncture or non accurate reading of liver tissue pathology;
(7) ALT >= 5 times ULN and/or AST >= 5 times ULN, or serum creatinine (Scr) > upper limit of normal reference value;
(8) Poorly controlled diabetes (HbA1c > upper limit of normal reference value);
(9) Hypertension of poorly controlled blood pressure after treatment with drug specification (poorly controlled systolic blood pressure or greater 160 mmHg and/or diastolic blood pressure, 100 mmHg or higher), New York, cardiac function class (NYHA) III and above (see annex 2), 6 months before screening happened myocardial infarction and unstable angina, or line within six months of coronary artery intervention treatment or vascular transplantation performer;
(10) Screening ECG examination results QTc (QTcF or QTcB) >= 500 ms or II-III degree atrioventricular block and other uncontrolled arrhythmias;
(11) HIV-infected persons;
(12) Routine blood count: WBC < 3 * 10^9/L, neutrophil (NEUT) < 1.5 * 10^9/L, platelet (PLT) < 50 * 10^9/L or hemoglobin (Hb) < 100g/L;
(13) With severe blood system (all kinds of severe anemia, hemophilia, etc.), kidney disease(chronic kidney disease, kidney function not entire), respiratory system (active tuberculosis, severe lung infection, etc.), the digestive system (refractory digestive ulcer, the refractory colitis, etc.), nervous system, such as the primary disease and mental illness patients (including a history of mental illness or a family history of mental illness).
(14) Long-term heavy drinking (long-term heavy drinking standard: drinking more than 5 years, equivalent to alcohol amount: male >= 40g/d, female >= 20g/d, or history of heavy drinking within 2 weeks, equivalent to alcohol amount > 80g/d) (conversion formula of alcohol amount (g): alcohol amount (m1) * ethanol content (%) * 0.8) and/or psychoactive substances, drug abusers and dependants;
(15) Active or suspected malignant tumor or history of malignant tumor within 5 years prior to screening (excluding basal cell carcinoma of skin or carcinoma in situ of cervix);
(16) A history of transplantation of major functional organs (such as liver, kidney, lung, heart);
(17) Failures are determined by Fibroscan, which is caused by obesity and narrow intercostal space.
(18) Allergic constitution or history of severe allergy, especially allergic to experimental drugs and ingredients;
(19) Pregnant or lactating women, subjects of reproductive age (including male subjects of heterosexual sex and their potential female partners) who have pregnancy plans or do not wish to use effective contraception within 6 months after from the screening period to withdrawal medication;
(20) Must use the prohibited drugs specified in this test;
(21) Previous 3 months of Screening those who have participated in other drug clinical trials;
(22) Those who were considered unfit to participate in this clinical trial by the investigator.
|