Evidence map›Paper›PMID 25381721›Full record

Trial reportTrials2014

Blocking and reversing hepatic fibrosis in patients with chronic hepatitis B treated by traditional Chinese medicine (tablets of biejia ruangan or RGT): study protocol for a randomized controlled trial.

Jianhui Qu, Zujiang Yu, Qin Li, Yongping Chen, Dedong Xiang, Lin Tan, Chunliang Lei, Wenlin Bai, Hongyan Li, Qinghua Shang and 22 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01965418 (A Clinical Evaluation on Traditional Chinese Medicine Diagnosis and Treatment Program Blocking and Reversing Hepatitis B-related Liver Fibrosis - a Randomized, Controlled, Double-blind, Multi-center Clinical Trial), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01965418 phase4unknown statusnot on this map

A Clinical Evaluation on Traditional Chinese Medicine Diagnosis and Treatment Program Blocking and Reversing Hepatitis B-related Liver Fibrosis - a Randomized, Controlled, Double-blind, Multi-center Clinical Trial

TypeinterventionalSponsorBeijing 302 HospitalRan2013Enrolled1,000ConditionsLiver Fibrosis, Chronic Hepatitis BArmsFufang Biejia Ruangan Tablet, Placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
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  13. Antiliver Fibrosis Screening of Active Ingredients fromEvidence-based complementary and alternative medicine : eCAM · 2020
    Article
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  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors at 13 institutions in 1 country.

Jianhui Qu
Zujiang Yu
Qin Li
Yongping Chen
Dedong Xiang
Lin Tan
Chunliang Lei
Wenlin Bai
Hongyan Li
Qinghua Shang
Liang Chen
Xiaoyu Hu
Wei Lu
Zhiqin Li
Da Chen
Xiaodong Wang
Changjiang Zhang
Guangming Xiao
Xun Qi
Jing Chen
Li Zhou
Guofeng Chen
Yonggang Li
Zhen Zeng
Guanghua Rong
Zheng Dong
Yan Chen
Min Lou
Chunping Wang
Yinying Lu
Cuihong Zhang
Yongping YangCenter of Therapeutic Research for Liver Cancer, the 302 hospital of PLA, 100 Xisi Huan Middle Road, Beijing 100039, China. yongpingyang@hotmail.com.
302 Military Hospital of China · CNArmy Medical University · CNChengdu University of Traditional Chinese Medicine · CNFirst Affiliated Hospital of Zhengzhou University · CNFuzhou Pulmonary Hospital of Fujian · CNShanghai Public Health Clinical Center · CNTianjin People's Hospital · CNTwelfth Guangzhou City People's Hospital · CNWenzhou Medical University · CN82th Hospital of Pla · CNFirst Affiliated Hospital of Wenzhou Medical University · CNFuyang Maternity and Child Health Care Hospital · CNSouthwest Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic hepatitis B (CHB) can progress to cirrhosis, hepatocellular carcinoma (HCC) and ultimately liver-related death. Although oral antiviral therapy for patients with CHB reduces the risk of such complications, once cirrhosis is established, the benefits of antiviral therapy are not robustly demonstrated. According to traditional Chinese medicine (TCM), some Chinese herbal medicines promote blood circulation and soften hard masses, and therefore they may block and reverse hepatic fibrosis. The aim of this study is to evaluate the effects of TCM tablets of the compound biejia ruangan (RGT) administered for fibrosis, and entecavir (ETV), on the development of HCC in patients with CHB or hepatitis B virus (HBV)-related compensated cirrhosis. METHODS/

designThis multicenter, centrally randomized, double-blind, placebo-controlled, parallel-group study is planned to complete within 5 years. For the study, 1,000 with CHB or HBV-related compensated cirrhosis are randomly assigned in a 1:1 ratio to a treatment group (0.5 mg ETV once daily; 2 g RGT three times daily) or a control group (0.5 mg ETV once daily; 2 g RGT dummy agent three times daily). The primary end points are the development of HCC and liver-related death. Secondary end points include disease progression and overall survival. DISCUSSION: Although antiviral therapy can achieve sustained suppression of HBV replication, thereby preventing cirrhosis, patients with CHB treated with nucleos(t)ide analogs (NUCs) retain a higher risk for HCC compared with patients with inactive disease. Although previous clinical trials with RGT have confirmed the efficacy of blocking and reversing hepatic fibrosis in patients with CHB or compensated cirrhosis, the long-term risk for HCC or disease progression in these patients treated with combination of RGT and NUCs compared with NUCs alone is unclear. Therefore, it is necessary to investigate the effects of the RGT blockade and reversal of hepatic fibrosis on the development of HCC in patients with CHB or HBV-related compensated cirrhosis in large, prospective, multicenter, double-blind, randomized, controlled trials in China.

trial registrationClinicalTrials.gov Identifier: NCT01965418. Date registered: 17 October 2013.

Indexed as

Research DesignAdministration, OralAdolescentAdultAgedAntiviral AgentsChinaClinical ProtocolsDisease ProgressionDouble-Blind MethodDrugs, Chinese HerbalDrug Therapy, CombinationFemaleGuanineHepatitis B, ChronicHumansAntiviral Agentsbiejia ruanganDrugs, Chinese HerbalentecavirGuanineTablets

Identifiers

PMID25381721
PMCPMC4234899
OpenAlexW2108053527

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.