Evidence map›Paper›PMID 32676976›Full record

Trial reportChinese journal of integrative medicine2020

Exploring an Integrative Therapy for Treating COVID-19: A Randomized Controlled Trial.

Jia-Bo Wang, Zhong-Xia Wang, Jing Jing, Peng Zhao, Jing-Hui Dong, Yong-Feng Zhou, Guang Yang, Ming Niu, Xu Zhao, Tian-Jun Jiang and 20 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
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. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 12 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.

NCT04251871 naunknown statusnot on this map

Effects of Traditional Chinese Medicines (TCMs) on Patients With COVID-19 Infection: A Perspective, Open-labeled, Randomized, Controlled Trial

TypeinterventionalSponsorBeijing 302 HospitalRan2020 to 2021Enrolled150ConditionsPneumonia Caused by Human Coronavirus (Disorder)ArmsConventional medicines (Oxygen therapy, alfa interferon via aerosol inhalation, and lopinavir/ritonavir) and Traditional Chinese Medicines (TCMs) granules, Conventional medicines (Oxygen therapy, alfa interferon via aerosol inhalation, and lopinavir/ritonavir)
NCT07583992 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Multicenter Phase II Trial of NRICM102 Combined With Standard Therapy in Pneumonia

TypeinterventionalSponsorNational Research Institute of Chinese Medicine, Ministry of Health and WelfareRan2026 to 2027Enrolled150ConditionsMild to Moderate, Community-Acquired Pneumonia (CAP), Antibiotic Therapy, IntravenousArmsNRICM102, Placebo, Intravenous Antibiotic
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors.

Jia-Bo WangChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Zhong-Xia WangIntegrative Medical Center, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Jing JingIntegrative Medical Center, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Peng ZhaoTreatment and Research Center for Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Jing-Hui DongDepartment of Radiology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Yong-Feng ZhouChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Guang YangTreatment and Research Center for Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Ming NiuChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Xu ZhaoChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Tian-Jun JiangTreatment and Research Center for Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Jing-Feng BiResearch Center for Clinical and Translational Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Zhe XuTreatment and Research Center for Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Ping ZhangChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Dan WuTreatment and Research Center for Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Zhao-Fang BaiChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Yu-Ming GuoChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Si-Miao YuIntegrative Medical Center, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Yong-Qiang SunIntegrative Medical Center, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Zi-Teng ZhangChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Xiao-Yan ZhanChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Peng-Yan LiChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Jin-Biao DingResearch Center for Clinical and Translational Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Peng-Fei ZhaoCollege of Life Science, Beijing University of Chinese Medicine, Beijing, 100029, China.
Xue-Ai SongIntegrative Medical Center, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Jian-Yuan TangSichuan Evidence-Based Medicine Center of Traditional Chinese Medicine Affliated Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China.
Dong-Chu HeDepartment of Integrated Treatment, General Hospital of Central Theater Command, Wuhan, 430070, China.
Zhu ChenNational Clinical Research Center for Infectious Diseases, Beijing, 100039, China.
En-Qiang QinTreatment and Research Center for Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China. qeq2004@sina.com.
Rui-Lin WangIntegrative Medical Center, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China. wrl7905@163.com.
Xiao-He XiaoChina Military Institute of Chinese Medicine, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China. pharmacy302xxh@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop a new Chinese medicine (CM)-based drug and to evaluate its safety and effect for suppressing acute respiratory distress syndrome (ARDS) in COVID-19 patients.

methodsA putative ARDS-suppressing drug Keguan-1 was first developed and then evaluated by a randomized, controlled two-arm trial. The two arms of the trial consist of a control therapy (alpha interferon inhalation, 50 µg twice daily; and lopinavir/ritonavir, 400 and 100 mg twice daily, respectively) and a testing therapy (control therapy plus Keguan-1 19.4 g twice daily) by random number table at 1:1 ratio with 24 cases each group. After 2-week treatment, adverse events, time to fever resolution, ARDS development, and lung injury on newly diagnosed COVID-19 patients were assessed.

resultsAn analysis of the data from the first 30 participants showed that the control arm and the testing arm did not exhibit any significant differences in terms of adverse events. Based on this result, the study was expanded to include a total of 48 participants (24 cases each arm). The results show that compared with the control arm, the testing arm exhibited a significant improvement in time to fever resolution (P=0.035), and a significant reduction in the development of ARDS (P=0.048).

conclusionsKeguan-1-based integrative therapy was safe and superior to the standard therapy in suppressing the development of ARDS in COVID-19 patients. (Trial registration No. NCT04251871 at www.clinicaltrials.gov ).

Indexed as

Administration, InhalationAdultChinaCoronavirus InfectionsCOVID-19Dose-Response Relationship, DrugDrug Administration ScheduleDrugs, Chinese HerbalFemaleFollow-Up StudiesHumansIntegrative MedicineInterferon-alphaLopinavirMaleMiddle AgedDrugs, Chinese HerbalInterferon-alphaLopinaviracute respiratory distress syndromeChinese medicineCOVID-19SARS-CoV-2

Identifiers

PMID32676976
PMCPMC7364292

What OpenQuestion holds

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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.