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Effectiveness and safety of Chinese herbal medicines for hepatitis B virus-related acute-on-chronic liver failure:study protocol for a multicenter randomized controlled trial

查看全文 作  者:Zhang [1]Ning;Zhou [1]Chao;Wang [1]Lifu;He [1]Tingting;Wang [1]Yao;Wang [1]Yan;Bai [1]Yunfeng;Li [1]Jun;Xiao [1]Xiaohe;Gong [1]Man 高影响力作者 机构地区:[1]Integrated Traditional Chinese Medicine&Western Medicine Department,the Fifth Medical Center,General Hospital of PLA,Beijing 100039,China高影响力机构 出  处:《Journal of Traditional Chinese Medicine》索引2020年第40卷第6期,共8页高影响力期刊 基  金:Supported by National Science and Technology Major Project Evaluation of Clinical Efficacy of Chinese Herbal Medicines in Reducing the Mortality of Acute-on-Chronic Liver Failure(No.2018ZX10725-506-002)。 摘  要:OBJECTIVE:To conduct a multicenter randomized controlled trial of the efficacy of standardized Chinese herbal medicines(CHMs)against acuteon-chronic liver failure(ACLF)and provide reproducible and high-level evidence for clinical practice.METHODS:This is a prospective,multicenter,centrally randomized controlled trial.Patients diagnosed with hepatitis B virus-related ACLF(n=510)will be allocated to the standard medical therapy or CHM group at a 1∶1 ratio.Two CHMs will be used on the basis of the traditional Chinese medicine syndrome:Liangxue Jiedu granules for excess syndromes and Yiqi Jiedu granules for deficiency syndromes.The primary outcome is transplant-free survival at week 12.The secondary outcomes are(a)transplant-free survival at week 24,(b)liver function as assessed using the model for end-stage liver disease score at week 12,(c)liver function as assessed using the Child-Pugh score at week 12,and(d)the incidence of complications at week 12.DISCUSSION:The effectiveness and safety of CHM formulations will be assessed following treatment for ACLF.TRIAL REGISTRATION:The trial was registered at Clinical Trials.gov(NCT03577938)on June 24,2018. 关 键 词:Acute-on-chronic liver failure Hepatitis B CHRONIC DRUGS Chinese herbal Randomized controlled trial Clinical protocols
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