Evidence map›Paper›PMID 30176923›Full record

ArticleTrials2018

The efficacy and safety of the herbal medicine geonchildan for patients with active rheumatoid arthritis: study protocol for a randomized, double-blind, placebo-controlled, parallel pilot trial.

Seunghoon Lee, Yeeun Cho, Jihye Kim, Jung Won Kang, Ga Young Yoon, Jun-Hwan Lee, So-Young Jung, Ojin Kwon, Kyung-Min Shin, Jae-Dong Lee

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Seunghoon LeeDepartment of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital, 23 Kyunghee dae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.
Yeeun ChoDepartment of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, South Korea.
Jihye KimDepartment of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital, 23 Kyunghee dae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.
Jung Won KangDepartment of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital, 23 Kyunghee dae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.
Ga Young YoonDepartment of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, South Korea.
Jun-Hwan LeeClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, 34054, South Korea.
So-Young JungClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, 34054, South Korea.
Ojin KwonClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, 34054, South Korea.
Kyung-Min ShinClinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, 34054, South Korea. kyungmin7221@kiom.re.kr.
Jae-Dong LeeDepartment of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital, 23 Kyunghee dae-ro, Dongdaemun-gu, Seoul, 02447, South Korea. ljdacu@gmail.com.

Funding

Korea Institute of Oriental Medicine (KR) K16121
6 · The paper itself

Abstract

backgroundThis study aims to assess the efficacy and safety of geonchildan, a Korean traditional herbal medicine, for patients with active rheumatoid arthritis (RA) and evaluate the feasibility of a large-scale confirmatory clinical trial. METHODS/

designThis is a randomized, double-blind, placebo-controlled, parallel two-arm pilot trial in Seoul, Korea. Altogether, 30 patients diagnosed with RA for at least 3 months and with a Disease Activity Score for 28 joints (DAS28) ≥ 3.2 will be enrolled. Participants are randomly assigned to one of two groups, the experimental group or the placebo group, in a 1:1 ratio and will make four scheduled visits. The participants will be administered geonchildan or a placebo three times per day for 12 weeks. The change in DAS28 will be examined as the primary efficacy outcome. The secondary efficacy outcomes include the proportion of patients achieving ACR20, ACR50, ACR70, and EULAR responses; the DAS28 sub-items; the consumption of medication; Korean Health Assessment Questionnaire scores; inflammatory parameters; and the Korean medical diagnostic pattern indicator. Adverse events and laboratory test results will be recorded to evaluate safety. The process, resources used, and management of the study will also be assessed to determine the feasibility of a large-scale trial. DISCUSSION: This is the first clinical trial to explore the efficacy and safety of geonchildan in patients with active RA. If the superiority of geonchildan versus the placebo is demonstrated and the study design is feasible, this study could form the foundation for a large-scale clinical trial. The results will be published in a peer-reviewed journal.

trial registrationClinical Research Information Service, KCT0001943 . Registered on 14 June 2016.

Indexed as

AdultAgedAntirheumatic AgentsArthritis, RheumatoidDisability EvaluationDouble-Blind MethodFemaleHumansMaleMiddle AgedPilot ProjectsPlant ExtractsPlant PreparationsRandomized Controlled Trials as TopicRecovery of FunctionSeoulAntirheumatic AgentsgeonchildanPlant ExtractsPlant PreparationsGeonchildanHerbal medicineRandomized clinical trialRheumatoid arthritisStudy protocol

Identifiers

PMID30176923
PMCPMC6122614

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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.