Evidence map›Paper›PMID 29052559›Full record

Trial reportChinese medical journal2017

Efficacy and Safety of Niaoduqing Particles for Delaying Moderate-to-severe Renal Dysfunction: A Randomized, Double-blind, Placebo-controlled, Multicenter Clinical Study.

Ying Zheng, Guang-Yan Cai, Li-Qun He, Hong-Li Lin, Xiao-Hong Cheng, Nian-Song Wang, Gui-Hua Jian, Xu-Sheng Liu, Yu-Ning Liu, Zhao-Hui Ni and 18 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Chinese medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 26% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  13. The Use of Multiple Primary Outcomes in Randomized Controlled Trials of Chinese Herbal Medicine.Evidence-based complementary and alternative medicine : eCAM · 2021
    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

28 authors at 17 institutions in 1 country.

Ying ZhengDepartment of Nephrology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Institute of Nephrology, State Key Laboratory of Kidney Diseases (2011DAV00088), National Clinical Research Center for Kidney Diseases, Beijing 100853, China.
Guang-Yan CaiDepartment of Nephrology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Institute of Nephrology, State Key Laboratory of Kidney Diseases (2011DAV00088), National Clinical Research Center for Kidney Diseases, Beijing 100853, China.
Li-Qun HeDepartment of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China.
Hong-Li LinDepartment of Nephrology, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China.
Xiao-Hong ChengDepartment of Nephrology, Shaanxi Traditional Chinese Medicine Hospital, Xi'an, Shaanxi 710003, China.
Nian-Song WangDepartment of Nephrology and Rheumatology, Affiliated Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China.
Gui-Hua JianDepartment of Nephrology and Rheumatology, Affiliated Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China.
Xu-Sheng LiuDepartment of Nephrology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong 510120, China.
Yu-Ning LiuDepartment of Nephrology, Dongzhimen Hospital, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100700, China.
Zhao-Hui NiDepartment of Nephrology, Renji Hospital, Shanghai Jiao Tong University, Shanghai 200127, China.
Jing-Ai FangDepartment of Nephrology, First Affiliated Hospital of Shanxi Medical University, Taiyuan, Shanxi 030001, China.
Han-Lu DingDepartment of Nephrology, University of Electronic Science and Technology, Sichuan Academy of Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan 610072, China.
Wang GuoDepartment of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Ya-Ni HeDepartment of Nephrology, Daping Hospital, Third Military Medical University, Chongqing 400042, China.
Li-Hua WangDepartment of Nephrology, Second Affiliated Hospital of Shanxi Medical University, Taiyuan, Shanxi 030001, China.
Ya-Ping WangDepartment of Nephrology, Army General Hospital, Beijing 100700, China.
Hong-Tao YangDepartment of Nephrology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300192, China.
Zhi-Ming YeDepartment of Nephrology, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510030, China.
Ren-Huan YuDepartment of Nephrology, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China.
Li-Juan ZhaoDepartment of Nephrology, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi 710032, China.
Wen-Hua ZhouDepartment of Nephrology, Second Hospital of Jilin University, Changchun, Jilin 130041, China.
Wen-Ge LiDepartment of Nephrology, China-Japan Friendship Hospital, Beijing 100029, China.
Hui-Juan MaoDepartment of Nephrology, Jiangsu Province Hospital, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Yong-Li ZhanDepartment of Nephrology, Guang'anmen Hospital of China Academy of Traditional Chinese Medical Sciences, Beijing 100053, China.
Zhao HuDepartment of Nephrology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Chen YaoPeking University Clinical Research Institute, Peking University, Beijing 100191, China.
Ri-Bao WeiDepartment of Nephrology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Institute of Nephrology, State Key Laboratory of Kidney Diseases (2011DAV00088), National Clinical Research Center for Kidney Diseases, Beijing 100853, China.
Xiang-Mei ChenDepartment of Nephrology, Chinese People's Liberation Army General Hospital, Chinese People's Liberation Army Institute of Nephrology, State Key Laboratory of Kidney Diseases (2011DAV00088), National Clinical Research Center for Kidney Diseases, Beijing 100853, China.
Chinese People's Liberation Army · CNState Key Laboratory of Kidney DiseasesShanghai University of Traditional Chinese Medicine · CNShanghai Jiao Tong University · CNShanghai Sixth People's Hospital · CNChina-Japan Friendship Hospital · CNDongzhimen Hospital Affiliated to Beijing University of Chinese Medicine · CNFirst Affiliated Hospital of Dalian Medical University · CNGuangdong Provincial Hospital of Traditional Chinese Medicine · CNSecond Affiliated Hospital of Jilin University · CNSecond Hospital of Shanxi Medical University · CNShaanxi Provincial People's Hospital · CNShanghai University · CNShanxi Medical University · CNShuguang Hospital · CNSichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital · CNThe Military General Hospital of Beijing PLA · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) with moderate-to-severe renal dysfunction usually exhibits an irreversible course, and available treatments for delaying the progression to end-stage renal disease are limited. This study aimed to assess the efficacy and safety of the traditional Chinese medicine, Niaoduqing particles, for delaying renal dysfunction in patients with stage 3b-4 CKD.

methodsThe present study was a prospective, randomized, double-blind, placebo-controlled, multicenter clinical trial. From May 2013 to December 2013, 300 CKD patients with an estimated glomerular filtration rate (eGFR) between 20 and 45 ml·min-1·1.73 m-2, aged 18-70 years were recruited from 22 hospitals in 11 Chinese provinces. Patients were randomized in a 1:1 ratio to either a test group, which was administered Niaoduqing particles 5 g thrice daily and 10 g before bedtime for 24 weeks, or a control group, which was administered a placebo using the same methods. The primary endpoints were changes in baseline serum creatinine (Scr) and eGFR after completion of treatment. The primary endpoints were analyzed using Student's t-test or Wilcoxon's rank-sum test. The present study reported results based on an intention-to-treat (ITT) analysis.

resultsA total of 292 participants underwent the ITT analysis. At 24 weeks, the median (interquartile range) change in Scr was 1.1 (-13.0-24.1) and 11.7 (-2.6-42.9) μmol/L for the test and control groups, respectively (Z = 2.642, P = 0.008), and the median change in eGFR was -0.2 (-4.3-2.7) and -2.2 (-5.7-0.8) ml·min-1·1.73 m-2, respectively (Z = -2.408, P = 0.016). There were no significant differences in adverse events between the groups.

conclusionsNiaoduqing particles safely and effectively delayed CKD progression in patients with stage 3b-4 CKD. This traditional Chinese medicine may be a promising alternative medication for patients with moderate-to-severe renal dysfunction.

trial registrationChinese Clinical Trial Register, ChiCTR-TRC-12002448; http://www.chictr.org.cn/showproj.aspx?proj=7102.

Indexed as

AdolescentAdultAgedDouble-Blind MethodDrugs, Chinese HerbalFemaleGlomerular Filtration RateHumansKidneyKidney Function TestsMaleMedicine, Chinese TraditionalMiddle AgedRenal Insufficiency, ChronicYoung AdultDrugs, Chinese Herbal

Identifiers

PMID29052559
PMCPMC5684630
OpenAlexW2781353122

What OpenQuestion holds

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Registered trials

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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.