The efficacy and safety of herbal medicine BHH10 in postmenopausal women with osteoporosis: study protocol for a phase II, multicenter, randomized, double-blinded, placebo-controlled clinical trial.

IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Trials Pub Date : 2018-09-10 DOI:10.1186/s13063-018-2854-6
Yeeun Cho, Seunghoon Lee, Jihye Kim, Jung Won Kang, Yong-Hyeon Baek, Byung-Kwan Seo, Jae-Dong Lee
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引用次数: 2

Abstract

Background: Osteoporosis is becoming more prevalent in aging societies worldwide, and the economic burden attributable to osteoporotic fractures is substantial. The medications presently available to treat osteoporosis have side effects, and the development of safer and more effective treatments is urgently needed. The aim of this study is to evaluate the efficacy and safety of BHH10, a traditional Korean herbal medicine, in the treatment of postmenopausal osteoporosis.

Methods/design: This is a phase II, multicenter, randomized, double-blinded, placebo-controlled clinical trial and will include 168 postmenopausal women aged 55 years and older with osteoporosis. The participants will be recruited competitively from two sites of the Acupuncture and Moxibustion Department of Kyung Hee University Hospital of Korean Medicine, either Hoegidong or Gangdong in Seoul, Korea. Participants will be assigned randomly to one of two groups, the BHH10 group or the placebo group, in a 1:1 ratio, and will have five scheduled visits. Participants will take two tablets of BHH10 or placebo three times daily for 12 weeks. The primary efficacy outcome is the change in bone mineral density at the lumbar spine (L1-4) between baseline (visit 1) and 12 weeks after randomization (visit 5). Other outcome variables include changes in bone turnover markers, the Deficiency Syndrome of the Kidney Index, EuroQol five-dimension questionnaire score, and laboratory parameters, as well as adverse events.

Discussion: To our knowledge, this will be the first clinical trial to assess the efficacy and safety of BHH10 in postmenopausal women with osteoporosis. It is anticipated that the results will contribute to the development of traditional herbal medicines that can be used to treat osteoporosis in postmenopausal women in Korea. If the superiority of BHH10 over placebo is demonstrated, this study could provide the foundation for a phase III clinical trial. The results of the study will be published in a peer-reviewed journal.

Trial registration: Clinical Research Information Service, KCT0001842 . Registered on 14 March 2016.

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中药BHH10治疗绝经后骨质疏松症的疗效和安全性:一项II期、多中心、随机、双盲、安慰剂对照临床试验的研究方案
背景:骨质疏松症在全球老龄化社会中变得越来越普遍,骨质疏松性骨折造成的经济负担是巨大的。目前用于治疗骨质疏松症的药物有副作用,迫切需要开发更安全、更有效的治疗方法。本研究的目的是评估韩国传统草药BHH10治疗绝经后骨质疏松症的疗效和安全性。方法/设计:这是一项II期、多中心、随机、双盲、安慰剂对照的临床试验,将包括168名55岁及以上的绝经后骨质疏松症妇女。参与者将在韩国首尔会东或江东的庆熙大学韩国医学医院针灸科的两个地点进行竞争性招募。参与者将按1:1的比例随机分配到BHH10组或安慰剂组两组中的一组,并将安排五次就诊。参与者将服用BHH10药片或安慰剂,每天三次,持续12周。主要疗效指标是基线(访问1)和随机化后12周(访问5)之间腰椎(L1-4)骨矿物质密度的变化。其他结果变量包括骨转换标志物、肾虚证指数、EuroQol五维问卷评分、实验室参数的变化,以及不良事件。讨论:据我们所知,这将是第一个评估BHH10对绝经后骨质疏松症妇女疗效和安全性的临床试验。预计这一结果将有助于开发用于治疗绝经后女性骨质疏松症的传统草药。如果证实BHH10优于安慰剂,本研究可为III期临床试验提供基础。研究结果将发表在同行评议的期刊上。试验注册:临床研究信息中心,KCT0001842。于2016年3月14日注册。
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来源期刊
Trials
Trials 医学-医学:研究与实验
CiteScore
3.80
自引率
4.00%
发文量
966
审稿时长
6 months
期刊介绍: Trials is an open access, peer-reviewed, online journal that will encompass all aspects of the performance and findings of randomized controlled trials. Trials will experiment with, and then refine, innovative approaches to improving communication about trials. We are keen to move beyond publishing traditional trial results articles (although these will be included). We believe this represents an exciting opportunity to advance the science and reporting of trials. Prior to 2006, Trials was published as Current Controlled Trials in Cardiovascular Medicine (CCTCVM). All published CCTCVM articles are available via the Trials website and citations to CCTCVM article URLs will continue to be supported.
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