Evidence map›Paper›PMID 40984831›Full record

Trial reportTherapeutics and clinical risk management2025

Combined Ruyi Zhenbao Pills-Baimai Ointment Therapy on Acute Ischemic Stroke: A Multi-Arm, Randomized, Double-Blind, Placebo Controlled Clinical Study.

Ziying Jiang, Xinzuo Qin, Xiao Wu, Zijian Wang, Xinyu Wang, Lingqian He, Mingji Cuomu, Zhinan Mei, Hongping Hou, Haiqing Song and 1 more

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Therapeutics and clinical risk management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Ziying Jiang *Department of Neurology, Xuanwu Hospital, Capital Medical University & National Center for Neurological Disorders, Beijing, People's Republic of China.
Xinzuo Qin *Department of Neurology, Xuanwu Hospital, Capital Medical University & National Center for Neurological Disorders, Beijing, People's Republic of China.
Xiao Wu *Department of Neurology, Xuanwu Hospital, Capital Medical University & National Center for Neurological Disorders, Beijing, People's Republic of China.
Zijian WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University & National Center for Neurological Disorders, Beijing, People's Republic of China.
Xinyu WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University & National Center for Neurological Disorders, Beijing, People's Republic of China.
Lingqian HeDepartment of Neurology, Xuanwu Hospital, Capital Medical University & National Center for Neurological Disorders, Beijing, People's Republic of China.
Mingji CuomuPostgraduate Department, the University of Tibetan Medicine in Lhasa, Lhasa, Tibet, People's Republic of China.
Zhinan MeiCollege of Plant Science and Technology, Huazhong Agricultural University, Wuhan, Hubei, People's Republic of China.
Hongping HouInstitute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, People's Republic of China.
Haiqing SongDepartment of Neurology, Xuanwu Hospital, Capital Medical University & National Center for Neurological Disorders, Beijing, People's Republic of China.
Juexian SongDepartment of Neurology, Xuanwu Hospital, Capital Medical University & National Center for Neurological Disorders, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ruyi Zhenbao Pills (RZPs) and Baimai Ointment (BMO), prescribed Tibetan formulations, have been confirmed as having a neuroprotective role in animal and cell models of stroke. However, the effects of RZPs and BMO in individuals with acute ischemic stroke (AIS) remain unclear. This is the first multicenter, large-sample, controlled trial to evaluate the therapeutic potential of traditional Tibetan medicine-specifically the RZP and BMO-in the treatment of AIS, thereby extending ethno-pharmacological evidence into modern stroke care. Methods: A multi-arm, randomized, double-blind, placebo controlled clinical trial was conducted at 21 hospitals in China between December 2020 and September 2022. The inclusion criteria are as follows: individuals diagnosed as AIS, 18 to 75 years of age and within 14 days of AIS onset. Subjects were randomly assigned in a 1:1:1:1 ratio to RZPs+BMO, RZPs, BMO, or placebo. The primary outcome was change of Fugl-Meyer assessment (FMA) score from baseline to day 90. Results: Four hundred and twenty-three participants were recruited and randomly allocated to the RZPs+BMO group (n=108), RZPs group (n=108), BMO group (n=99), or placebo group (n=108). The change from baseline to D90 in FMA score was 31.22 (SD 16.64) with RZPs+BMO, 29.25 (15.92) with RZPs, 29.88 (15.42) with BMO, and 19.20 (14.38) with placebo (RZPs+BMO group versus placebo group, Conclusion: Among Chinese patients suffering from AIS, combined RZPs and BMO therapy improved significantly the primary outcome of 90-day motor functions compared with placebo with acceptable safety, indicating that RZPs and BMO might be an effective therapeutic strategy in patients with AIS.

Indexed as

acute ischemic strokeBaimai ointmentneuroprotective agentsRuyi Zhenbao pillstraditional Tibetan medicine

Identifiers

PMID40984831
PMCPMC12450384

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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.