Colla Corii Asini Treating Anemia in Pregnant Women With Thalassemia(Presenting the Syndrome of Blood Deficiency)

Last updated: December 26, 2018
Sponsor: The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine
Overall Status: Active - Recruiting

Phase

4

Condition

Thalassemia

Anemia

Treatment

N/A

Clinical Study ID

NCT03374111
TH-2
  • Ages 20-50
  • Female

Study Summary

480 pregnant patients diagnosed of silent or standard α-thalassemia, HbH disease, minor or intermediate β-thalassemia with mild anemia will be randomly assigned to treatment group and control group. Patients in the treatment group will be given 15 g of Colla corii asini powder form daily for 8 weeks and followed up to 42 days postpartum while the control group will be observed and followed up in the same period treated with placebo. Levels of hemoglobin(Hb), reticulocyte (RET), immaturity reticulocyte (IRF), indirect bilirubin(IBIL), total bilirubin(TBIL), lactic dehydrogenase(LDH) will be measured on three visits(baseline, week 4 and week 8). The curative effect of TCM Syndrome( week 8) and undesirable pregnancy outcomes(42 days after giving birth) will be observed.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Pregnant women diagnosed as thalassemia carriers by genetic test with clinicalpresentation of silent or standard α-thalassemia, HbH disease, minor or intermediate β-thalassemia;

  • Patients with mild anemia (70 g/L≤ Hb<100 g/L) prior to study enrollment;

  • Singleton pregnancy ;

  • Gestational age between 24-32 weeks;

  • Patients having not received blood transfusion in the last 12 weeks;

  • Written informed consent of the patient.

Exclusion

Exclusion Criteria:

  • Known history of allergy or reaction to any component of the investigational product;

  • Allergic to two or more drugs;

  • Patients with severe thalassemia;

  • Anaemia not caused by thalassemia (e.g., iron deficiency, aplastic, megaloblastic orhaemolytic anaemia) or bone marrow diseases, leukemia.

  • Twin or multiple pregnancies;

  • Placental Abnormality (e.g., placenta previa, multilobate placenta, placentasuccenturiate, placenta cirumvallate) or polyhydramnios, oligohydramnios, fetal growthrestriction, fetal anomaly;

  • Patients having received hemopoieticfactors or treated by hematopoietic stem celltransplantation in the last 2 months;

  • Hypersplenism or hypertensive disorder in pregnancy;

  • Patients with any of the following abnormalities: immunodeficiency, primary diseasesinvolving cardiovascular system, liver, kidney, gastrointestinal tract, endocrinesystem and hematological system;

  • 1.5 times or more higher plasma creatinine level than high limit of normal state;

  • 1.5 times or more higher AST or ALT than high limit of normal state;

  • Patients with mental illness;

  • Patients who suffer from drug or alcohol abuse;

  • Patients who addicted to smoking and drinking;

  • Participation in any clinical investigational drug study within the previous 3 months;

  • Patients who are regarded as ineligible for this study by investigator.

Study Design

Total Participants: 480
Study Start date:
March 01, 2018
Estimated Completion Date:
December 30, 2019

Study Description

Thalassemia is a type of hemolytic anemia disease caused by genetic defect of synthesis in one or more globin chains. Among all the single genetic disorders thalassemia has the highest incidence rate in the world and causes heavy burdens on public health system. In China, the southern provinces suffer from high incidence of thalassemia, which is particularly common in the population of Guangdong, Guangxi and Yunnan provinces. Epidemiological studies showed that in Guangdong alone about 17.83 % of the 14,332 pregnant women across 21 regions examined were diagnosed as carriers of thalassemia .

Recent studies showed that compared with healthy controls, women with thalassemia are associated with a wide range of abnormality and adverse pregnancy outcomes including cardiovascular disease, thrombotic disease, spontaneous miscarriage, premature delivery, oligohydramnios, fetal growth restriction and low birth weight. Currently there is no consensus on treating anemia in pregnant thalassemia patients. Due to the absence of an safe and effective therapeutic measures， many thalassemia patients are prone to develop low level of Hb, which can severely impact the fetal growth and maternal health.

In traditional Chinese medicine (TCM), Colla corii asini (CCA, E'jiao) is a gelatin-like traditional Chinese medicine refined from donkey hide and has been widely used in clinical antanemic therapy for more than 2000 years. In the last decade, many studies had addressed the effect of CCA on the anemia using modern pharmacological approaches. The results indicated that CCA contains collagen protein,glycogen and a variety of trace elements, a variety of amino acids, etc. the main components of CCA can promote hematopoiesis by a number of mechanisms which eventually increase the peripheral erythrocyte counts and Hb concentration. Therefore, the investigators proposed that the hematopoietic effects of CCA might also contribute to the treatment of thalassemia with insuffcient or abnormal Hb concentration.

The study aims to evaluate the efficacy and safety of Colla corii asini (CCA ) in improve anemia during pregnancy among silent or standard α-thalassemia, HbH disease, minor or intermediate β-thalassemia. Four hundred and eighty pregnant patients who meet inclusion criteria will be randomly assigned to either the treatment group or control group. Patients in the treatment group will be given 15 g of CCA daily for 8 weeks and followed up to 42 days postpartum, while the control group were observed and followed up in the same period treated with placebo. Levels of hemoglobin (Hb),reticulocyte (RET), immaturity reticulocyte (IRF), indirect bilirubin (IBIL), total bilirubin (TBIL), lactic dehydrogenase (LDH) will be measured on three visits (baseline, week 4 and week 8). The curative effect of TCM Syndrome( week 8) and undesirable pregnancy outcomes(42 days after giving birth) will be observed.

Connect with a study center

  • The third people's Hospital of Dongguan

    Dongguan, Guangdong 523326
    China

    Site Not Available

  • Department of Gynaecology and Obstetrics,Nanfang Hospital, Southern Medical University

    Guangzhou, Guangdong 510515
    China

    Active - Recruiting

  • Dongguan Guangji Hospital

    Guangzhou, Guangdong 523382
    China

    Site Not Available

  • Intranet of Guangzhou Women and Children＇s Medical Center

    Guangzhou, Guangdong 510405
    China

    Active - Recruiting

  • The Fifth Affiliated Hospital of Guangzhou Medical University

    Guangzhou, Guangdong 510700
    China

    Active - Recruiting

  • The First Affiliated Hospital of Jinan University

    Guangzhou, Guangdong 510630
    China

    Active - Recruiting

  • the first affiliated hospital of Guangzhou University of Chinese Medicine

    Guangzhou, Guangdong 510405
    China

    Active - Recruiting

  • Shenzhen maternity and child health care hospital

    Shenzhen, Guangdong 518033
    China

    Site Not Available

  • Liuzhou Municipal Matemal and Child Health Hospital

    Liuzhou, Guangxi 545001
    China

    Active - Recruiting

  • Ruikang Hospital of Guangxi University of Traditional Chinese Medicine

    Nanning, Guangxi 530011
    China

    Active - Recruiting

  • The First Affiliated Hospital of Guangxi University of Chinese Medicine

    Nanning, Guangxi 530023
    China

    Site Not Available

  • The Guangxi Zhuang Autonomous Region National Hospital

    Nanning, Guangxi 530001
    China

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.