Evidence map›Paper›PMID 34425471›Full record

Trial reportPhytomedicine : international journal of phytotherapy and phytopharmacology2021

Combination of Hua Shi Bai Du granule (Q-14) and standard care in the treatment of patients with coronavirus disease 2019 (COVID-19): A single-center, open-label, randomized controlled trial.

Jia Liu, Wei Yang, Yue Liu, Cheng Lu, Lianguo Ruan, Chen Zhao, Ruili Huo, Xin Shen, Qing Miao, Wenliang Lv and 33 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Phytomedicine : international journal of phytotherapy and phytopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 9 pooled it
3.6field-weighted citation impact, top 6% 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

42 citing papers in PubMed, 9 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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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

43 authors at 4 institutions in 1 country.

Jia LiuChina Academy of Chinese Medical Sciences Institute of Basic Research in Clinical Medicine, Beijing, China.
Wei YangChina Academy of Chinese Medical Sciences Institute of Basic Research in Clinical Medicine, Beijing, China.
Yue LiuChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Cheng LuChina Academy of Chinese Medical Sciences Institute of Basic Research in Clinical Medicine, Beijing, China.
Lianguo RuanWuhan Jinyintan Hospital, Wuhan, Hubei, China.
Chen ZhaoChina Academy of Chinese Medical Sciences Institute of Basic Research in Clinical Medicine, Beijing, China.
Ruili HuoChina Academy of Chinese Medical Sciences, Beijing, China.
Xin ShenChina Academy of Chinese Medical Sciences Institute of Chinese Materia Medica, Beijing, China.
Qing MiaoChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Wenliang LvChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Hao LiChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Huaxin ShiChina Academy of Chinese Medical Sciences, Beijing, China.
Lijie HuChina Academy of Chinese Medical Sciences, Beijing, China.
Zhixu YangChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Li ZhangChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Bing WangChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Guoju DongChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Yongyue XianChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Bin LiChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Zhenqi ZhouChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Chunyan XuChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Yingying ChenChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Yongjun BianChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Jing GuoChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Jinliang YangChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Jian WangChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Wensheng QiChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Suping ChenChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Yang ChenChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Bei YanChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Wei WangChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Jing LiChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Xiaolei XieChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Ming XuChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Jianxin JiangChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Gang WangChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Xiaodong CongChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Haoning ZhuChina Academy of Chinese Medical Sciences Xiyuan Hospital, Beijing, China.
Jiaheng ShiChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Luxing LengChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Dongxu LiChina Academy of Chinese Medical Sciences Guanganmen Hospital, Beijing, China.
Lanping GuoChina Academy of Chinese Medical Sciences Chinese Materia Medica Resource Center, Beijing, China.
Luqi HuangChina Academy of Chinese Medical Sciences, Beijing, China; China Center for Evidence-based Medicine of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China. Electronic address: huangluqi01@126.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNXiyuan Hospital · CNGuang’anmen Hospital · CNJinyintan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of Hua Shi Bai Du Granule (Q-14) plus standard care compared with standard care alone in adults with coronavirus disease (COVID-19). STUDY

designA single-center, open-label, randomized controlled trial.

settingWuhan Jinyintan Hospital, Wuhan, China, February 27 to March 27, 2020.

participantsA total of 204 patients with laboratory-confirmed COVID-19 were randomized into the treatment group and control group, consisting of 102 patients in each group.

interventionsIn the treatment group, Q-14 was administered at 10 g (granules) twice daily for 14 days, plus standard care. In the control group, patients were provided standard care alone for 14 days.

main outcome measureThe primary outcome was the conversion time for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral assay. Adverse events were analyzed in the safety population.

resultsAmong the 204 patients, 195 were analyzed according to the intention-to-treat principle. A total of 149 patients (71 vs. 78 in the treatment and control groups, respectively) tested negative via the SARS-CoV-2 viral assay. There was no statistical significance in the conversion time between the treatment group and control group (Full analysis set: Median [interquartile range]: 10.00 [9.00-11.00] vs. 10.00 [9.00-11.00]; Mean rank: 67.92 vs. 81.44; P = 0.051). The recovery time for fever was shorter in the treatment group than in the control group. The disappearance rate of symptoms like cough, fatigue, and chest discomfort was significantly higher in the treatment group. In chest computed tomography (CT) examinations, the overall evaluation of chest CT examination after treatment compared with baseline showed that more patients improved in the treatment group. There were no significant differences in the other outcomes.

conclusionThe combination of Q-14 and standard care for COVID-19 was useful for the improvement of symptoms (such as fever, cough, fatigue, and chest discomfort), but did not result in a significantly higher probability of negative conversion in the SARS-CoV-2 viral assay. No serious adverse events were observed.

trial registrationChiCTR2000030288.

Indexed as

COVID-19ChinaDrugs, Chinese HerbalFemaleHumansMaleMiddle AgedTreatment OutcomeDrugs, Chinese Herbalhuashi baiduChinese medicineCOVID-19efficacyHua Shi Bai Du GranuleRandomized Controlled Trialsafety

Identifiers

PMID34425471
PMCPMC8285932
OpenAlexW3198329102

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.