Evidence map›Paper›PMID 31292845›Full record

Trial reportChinese journal of integrative medicine2019

Post-marketing Re-evaluation of Tongxiening Granules () in Treatment of Diarrhea-Predominant Irritable Bowel Syndrome: A Multi-center, Randomized, Double-Blind, Double-Dummy and Positive Control Trial.

Xu-Dong Tang, Sheng-Sheng Zhang, Xiao-Hua Hou, Zhen-Hua Li, Su-Ning Chen, Pei-Min Feng, Xiao-Nan Yang, Hui-Zhen Li, Jie-Qiong Wu, Pei-Jun Xia and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Expert Opinion on the Efficacy and Safety of Antispasmodics with a Focus on Irritable Bowel Syndrome.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
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

15 authors at 11 institutions in 1 country.

Xu-Dong TangInstitute of Spleen-Stomach Diseases, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. txdly@sina.com.
Sheng-Sheng ZhangDepartment of Gastroenterology, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, 100010, China.
Xiao-Hua HouDepartment of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Zhen-Hua LiInstitute of Spleen-Stomach Diseases, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Su-Ning ChenDepartment of Traditional Chinese Medicine, Shengjing Hospital, China Medical University, Shenyang, 110004, China.
Pei-Min FengDepartment of Gastroenterology, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.
Xiao-Nan YangDepartment of Integrated Traditional Chinese and Western Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China.
Hui-Zhen LiDepartment of Gastroenterology, the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300250, China.
Jie-Qiong WuDepartment of Gastroenterology, the Second Affiliated Hospital of Shaanxi College of Traditional Chinese Medicine, Xianyang, 712000, Shaanxi Province, China.
Pei-Jun XiaDepartment of Gastroenterology, the Second Affiliated Hospital of Shandong Traditional Chinese Medicine University, Jinan, 250001, China.
Xiao-Jun YangDepartment of Gastroenterology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, China.
Heng-Jun ZhouDepartment of Gastroenterology, Harbin Traditional Chinese Medicine Hospital, Harbin, 150076, China.
Hai-Yan WangDepartment of Gastroenterology, Yuncheng Central Hospital, Yuncheng, 044031, Shanxi Province, China.
Yao-Wei AiDepartment of Gastroenterology, The First Hospital of Yichang, Yichang, 443000, Hubei Province, China.
Kang LiHarbin Concise Pharmaceutical Technology Development Co., Ltd., Harbin, 150001, China.
Xiyuan Hospital · CNAffiliated Hospital of Shaanxi University of Chinese Medicine · CNBeijing Hospital of Traditional Chinese Medicine · CNChengdu University of Traditional Chinese Medicine · CNChina Medical University · CNFirst People's Hospital of Chongqing · CNHuazhong University of Science and Technology · CNShandong University of Traditional Chinese Medicine · CNSichuan University · CNTianjin University of Traditional Chinese Medicine · CNYuncheng Central Hospital

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of Tongxiening Granules (, TXNG) in the treatment of irritable bowel syndrome with predominant diarrhea (IBS-D).

methodsA randomized, double-blind, double-dummy, and positive parallel controlled clinical trial was conducted from October 2014 to March 2016. Totally 342 patients from 13 clinical centers were enrolled and randomly assigned (at the ratio of 1:1) to a treatment group (171 cases) and a control group (171 cases) by a random coding table. The patients in the treatment group were administered orally with TXNG (5 g per time) combined with pinaverium bromide Tablet simulator (50 mg per time), 3 times per day. The patients in the control group were given TXNG simulator (5 g per time) combined with pinaverium bromide Tablets (50 mg per time), 3 times per day. The treatment course lasted for 6 weeks. The improvement of Irritable Bowel Syndrome Symptom Severity Score (IBS-SSS) was used to evaluate the primary outcome. Secondary outcomes included adequate relief (AR) rate, Irritable Bowel Syndrome-Quality of Life Questionnaire (IBS-QOL), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and the recurrence rate at follow-ups. Safety indices including the adverse events (AEs) and related laboratory tests were evaluated.

resultsPrimary outcome: IBS-SSS at baseline, weeks 2, 4, 6 showed no statistical significance in both full analysis set (FAS) and per protocol set (PPS, P>0.05). After 6 weeks of treatment, the total effective rate of IBS-SSS scores in the treatment group (147/171,86.0%) was higher than the control group (143/171, 83.6%) by FAS (P>0.05). In regard to secondary outcomes, after 6-week treatment, there was no significant difference in AR rate, total score of IBS-QOL, improvement of HAMD and HAMA total scores between the two groups (P>0.05). The recurrence rate at 8-week follow-up was 12.35% (10/18) in treatment group and 15.79% (12/76) in control group, respectively (P>0.05). A total of 21 AEs occurred in 15 cases, of which 11 occurred in 8 cases in the treatment group and 10 AEs in 7 cases in the control group. The incidence of AEs had no statistical significance between the two goups (P>0.05).

conclusionTongxiening Granules could relieve the symptoms of patients with IBS-D and the treatment effect was comparable to pinaverium bromide. (No. ChiCTR-IPR-15006415).

Indexed as

Product Surveillance, PostmarketingAdultDiarrheaDouble-Blind MethodDrugs, Chinese HerbalDrug Therapy, CombinationFemaleHumansIrritable Bowel SyndromeMaleMiddle AgedMorpholinesQuality of LifeSurveys and QuestionnairesDrugs, Chinese HerbalMorpholinespinaveriumirritable bowel syndrome with predominant diarrheapost-marketing evaluationrandomized controlled trialTongxiening Granules

Identifiers

PMID31292845
OpenAlexW2958128310

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.