Efficacy and Safety of Shenqi Sherong Pill in Participants With Cervical Spondylotic Myelopathy

Last updated: May 20, 2024
Sponsor: Shanghai Hutchison Pharmaceuticals Limited
Overall Status: Active - Recruiting

Phase

3

Condition

Spinal Cord Disorders

Treatment

Placebo

Shenqi Sherong Pill

Clinical Study ID

NCT06377072
SHPL-W036-301
  • Ages 18-75
  • All Genders

Study Summary

The purpose of this study is to evaluate the efficacy and safety of Shenqi Sherong Pill in participants with Mild or Moderate Cervical Spondylotic Myelopathy (qi deficiency, blood stasis and kidney deficiency type) which based on placebo-control, providing a basis for drug registration.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Participants can only be selected if they meet all the inclusion criteria

  1. Age 18-75 years old (including 18 and 75 years old), gender unlimited;

  2. Accord with Western medicine diagnosis standards of Cervical Spondylotic Myelopathy;

  3. Accord with Chinese medicine diagnosis standards of qi deficiency, blood stasis andkidney deficiency type;

  4. The disease classification was mild or moderate (13 ≤mJOA score ≤15);

  5. X-ray examination of six cervical vertebrae (frontal, lateral, hyperextension andflexion lateral and double oblique) indicates cervical degenerative changes, whileMRI examination indicates spinal cord compression;

  6. The first diagnosis of Cervical Spondylotic Myelopathy within 3 months; for thosediagnosed for more than 3 months, the investigator needs to determine that thecondition is basically stable;

  7. Participants voluntarily participate in this experiment and sign an informedconsent.

Note: 1) CT examination is determined by the investigator according to the specific conditions of participants. 2) Imaging materials of MRI, X-ray(frontal, lateral, hyperextension and flexion and double oblique), CT examination within 3 months from the 3A Grade hospital can be accepted ; 3) If the laboratory tests and 12-lead electrocardiogram are completed in the research center on the same day before the participant signing an informed consent, the examination can not be repeated after the investigator judging.

Exclusion

Exclusion Criteria:

Participants should be excluded if they meet any one exclusion criteria :

  1. The use of long-acting hormone drugs within 1 week before screening, or the lastdrug use is less than 7 half-lives, or Traditional Chinese Medicine, drugs with nomarked half-life, physical therapy, etc. is less than 3 days before screening forthe treatment of this disease;

  2. Participants with obvious concurrent syndrome or complication (such as Hypertensionafter taking antihypertensive drugs who systolic pressure ≥160mmHg, or diastolicpressure ≥100mmHg , or Diabetes after taking antidiabetic drugs who fasting bloodglucose ≥10.0mmol/L and so on);

  3. MRI examination shows the degree of spinal stenosis is 1/2 or more, or the spinalcord compression caused by cervical spondylosis is three or more segments;

  4. Participants with severe hand muscle atrophy, or spasms, or is difficult to walkindependently, or urinary dysfunction;

  5. Participants with cervical spine fracture, or congenital deformity of cervicalspine, or ossification of ligamentum flavum, or ossification of posteriorlongitudinal ligament, or with neurological diseases such as lateral sclerosis andmultiple sclerosis;

  6. Participants with visual analogue scale(VAS) score >7 points (7 points is defined asthe distance between the left end and the mark location equal to 7.0cm);

  7. Participants with severe heart disease, such as myocardial infarction, unstableangina pectoris, Ⅲ to Ⅳ congestive heart failure and severe arrhythmia according toNew York Heart Association (NYHA),or with severe liver and kidney diseases, or withabnormal liver and kidney function tests (Alanine aminotransferase or Aspartateaminotransferase ≥ 1.5 times the upper limit of normal, or creatinine clearance> theupper limit of normal); or with severe lung disease such as chronic bronchitis,asthma, chronic obstructive pulmonary disease(COPD) and other acute episodes;

  8. Participants with cerebral infarction and serious mental disorders;

  9. Woman in lactation, pregnancy, or planned pregnancy;

  10. Participant is allergic constitution or known to be allergic to the components ofthe investigational drug;

  11. Participants have participated or are participating in other clinical trials within 3 months;

  12. Participants are judged unsuitable for participation by the investigators in thestudy.

Note: 1) If examination or efficacy index score of visit 1 and visit 2 is overlapping item, the baseline standard is based on visit 2; 2) Participant who has the abnormal laboratory examination items during screening can be arranged for retest, whether to be enrolled or not will be comprehensively evaluated by the investigators.

Study Design

Total Participants: 428
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 3
Study Start date:
May 11, 2024
Estimated Completion Date:
March 31, 2026

Study Description

  1. Trial Design: This is a multi-center, randomized, double-blind, placebo-controlled phase III study,which plans to enroll 428 participants who will be randomized to Shenqi Sherong pill group or placebo control group. The Modified Japanese Orthopaedic Association (mJOA) Score combined with the changes of clinical symptoms and syndrome score are used as the validity index. The laboratory examination and incidence of adverse events are used as the safety index.

  2. Therapeutic schedule: Participants will be provided with neck braces and recommended to wear them daily or outdoors along with health education. Participants will be treated with the investigational drug (Shenqi Sherong Pill or placebo ) by taking two bags each time, three times a day at half an hour after breakfast, lunch and dinner for 6 weeks, with a 2-week follow-up after withdrawal.

Connect with a study center

  • Guangdong Provincial Hospital of Chinese Medicine

    Guangzhou, Guangdong 510000
    China

    Active - Recruiting

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