Evidence map›Paper›PMID 32291608›Full record

Trial reportChinese journal of integrative medicine2020

Clinical Efficacy and Transcriptomic Analysis of Congrong Shujing Granules () in Patients with Parkinson's Disease and Syndrome of Shen (Kidney) Essence Deficiency.

Shi-Ya Chen, Shao-Jian Xiao, You-Ning Lin, Xi-Yu Li, Qian Xu, Sha-Sha Yang, Lian-Hong Huang, Jing Cai

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

8 authors.

Shi-Ya ChenGeriatrics Department, the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
Shao-Jian XiaoGeriatrics Department, the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
You-Ning LinGeriatrics Department, the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
Xi-Yu LiGeriatrics Department, the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
Qian XuCollege of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
Sha-Sha YangCollege of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
Lian-Hong HuangCollege of Medical Technology and Engineering, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, 350001, China.
Jing CaiGeriatrics Department, the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, China. caij1@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the clinical efficacy and safety of Congrong Shujing Granules ( , CSGs) in treating patients with Parkinson's disease (PD) and Chinese medicine (CM) syndrome of Shen (Kidney) essence deficiency, and to investigate the potential mechanism involving efficacy through a transcriptome sequencing approach.

methodsEligible PD patients with syndrome of Shen essence defificiency were randomly assigned to a treatment group or a control group by a random number table, and were treated with CSGs combined with Western medicine (WM), or placebo combined with WM, respectively. Both courses of treatment lasted for 12 weeks. The Unifified Parkinson's Disease Rating Scale (UPDRS) score, the PD Question-39 (PDQ-39) score, CM Syndrome Scale score, and drug usage of all patients were evaluated before and after treatment. Safety was evaluated by clinical laboratory tests and electrocardiographs. Blood samples from 6 patients in each group were collected before and after the trial and used for transcriptomic analysis by gene ontology analysis and Kyoto Encyclopedia of Genes and Genomes pathway analysis. Differentially expressed genes were validated using reverse transcription-polymerase chain reaction.

resultsA total of 86 PD patients were selected from the Third Affifiliated People's Hospital of Fujian University of Traditional Chinese Medicine between January 2017 and December 2017. Finally, 72 patients completed the trial, including 35 in the treatment group and 37 in the control group. When compared with the control group after treatment, patients in the treatment group showed signifificant decreases in UPDRS sub-II score, PDQ-39 score, CM syndrome score, and Levodopa equivalent dose (P<0.05). During the treatment course, no signifificant changes were observed in safety indicators between the two groups (P>0.05). A possible mechanism of clinical effificacy was proposed that involved regulating cell metabolism-related processes and ribosome-related pathways. Treatment with CSGs had shown to affect relevant gene loci for PD, including AIDA, ANKRD36BP2, BCL2A1, BCL2L11, FTH1P2, GCH1, HPRT1, NFE2L2, RMRP, RPS7, TGFBR1, WIPF2, and COX7B.

conclusionsCSGs combined with WM can be used to treat PD patients with CM syndrome of Shen essence defificiency with a good safety. The possible mechanism of action and relevant gene loci were proposed. (Registration No. ChiCTR-IOR-16008394).

Indexed as

AgedAged, 80 and overDouble-Blind MethodDrugs, Chinese HerbalFemaleGene Expression ProfilingHumansKidney DiseasesMaleMedicine, Chinese TraditionalMiddle AgedParkinson DiseasePhytotherapySurveys and QuestionnairesDrugs, Chinese HerbalChinese medicineCongrong Shujing GranulesParkinson’s diseaserandomized controlled trialRNA-sequencingtranscriptomics

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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.