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Effectiveness of Chinese Herbal Therapy for Asthma

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ClinicalTrials.gov Identifier: NCT00712296
Recruitment Status : Suspended
First Posted : July 9, 2008
Last Update Posted : December 30, 2009
National Center for Complementary and Integrative Health (NCCIH)
Information provided by:
Icahn School of Medicine at Mount Sinai

July 7, 2008
July 9, 2008
December 30, 2009
August 2008
July 2010   (Final data collection date for primary outcome measure)
Number of patients whose asthma medication regimen (Inhaled corticosteroids) can be stepped down at least two levels [ Time Frame: 28 weeks ]
Same as current
Complete list of historical versions of study NCT00712296 on ClinicalTrials.gov Archive Site
  • Pulmonary function tests [ Time Frame: 12 weeks ]
  • Asthma symptoms [ Time Frame: 12 weeks ]
  • Asthma-related quality of life [ Time Frame: 12 weeks ]
  • Airway hyperreactivity [ Time Frame: 28 weeks ]
  • Acute asthma-related resource utilization [ Time Frame: 12 weeks ]
  • Immunologic markers [ Time Frame: 12 weeks ]
Same as current
Not Provided
Not Provided
Effectiveness of Chinese Herbal Therapy for Asthma
Center for Chinese Herbal Therapy for Asthma. Project #2-Clinical Effect of a Chinese Herbal Therapy in Human Asthma-Phase II
The purpose of this study is to determine the efficacy of an anti-asthma herbal medicine intervention (ASHMI) in adult asthmatics

Asthma is a major public health problem worldwide, particularly in westernized societies and has continued to increase in prevalence over the past two decades. Inhaled corticosteroids have become the first-line treatment for persistent asthma even though side effects have been reported. New asthma medications, including leukotriene inhibitors and anti-IgE, have shown limited benefits. Patients have increasingly turned to complementary and alternative medicine (CAM) for treatment of their asthma, despite the uncertainty of its benefits due a lack of well-controlled scientific studies.

We have developed a Chinese herbal formula composed of 3 herbs called ASHMI. It has been previously shown in murine studies that ASHMI (a formula containing Ling Zhi, Ku Shen and Gan Cao) has therapeutic effects on the major pathogenic mechanisms of asthma-airway hyperreactivity, pulmonary inflammation, and airway remodeling, as well as a down-regulating of TH2 response. A subsequent study in 91 asthmatic patients in Weifang, China found ASHMI to be a safe and effective alternative to prednisone for treating asthma and exhibited a beneficial effect on TH1 and TH2 balance. Additionally, a Phase I study conducted in the United States showed good tolerability to ASHMI. Based on these preliminary studies, we hypothesize that ASHMI will be a safe medication in patients with asthma.

Phase 2
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
  • Drug: ASHMI
    6 capsules orally twice a day
  • Drug: ASHMI
    2 capsules orally twice a day
  • Drug: Placebo
    Placebo 6 capsules twice a day
  • Experimental: 1
    ASHMI 6 capsules twice a day
    Intervention: Drug: ASHMI
  • Experimental: 2
    ASHMI 2 capsules twice a day plus placebo 4 capsules twice a day
    Intervention: Drug: ASHMI
  • Placebo Comparator: 3
    Placebo 6 capsules twice a day
    Intervention: Drug: Placebo
Wen MC, Wei CH, Hu ZQ, Srivastava K, Ko J, Xi ST, Mu DZ, Du JB, Li GH, Wallenstein S, Sampson H, Kattan M, Li XM. Efficacy and tolerability of anti-asthma herbal medicine intervention in adult patients with moderate-severe allergic asthma. J Allergy Clin Immunol. 2005 Sep;116(3):517-24.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
July 2010
July 2010   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Male and female subjects ages 18 through 55 and otherwise in good health as determined by medical history and physical examination
  • History of asthma documented by a physician for at least 6 months
  • Females of childbearing potential must be sexually inactive or take effective birth control measures, as deemed appropriate by the investigator, for the duration of the study
  • The subject agrees to participate in the study
  • Subjects must have one of the following:
  • one asthma-related unscheduled visit to an Emergency Department or clinic in the past 12 months
  • One overnight hospitalization in the past 12 months
  • Disturbed sleep more than twice in the past month
  • Asthma symptoms ≥8 times in the past month
  • use of a β2-agonist ≥8 times in the past month
  • two short courses (3-7 days) of oral corticosteroids in the last 12 months
  • FEV1 <80% predicted AND Use of inhaled corticosteroid (ICS) for at least 1 month prior to enrollment

Exclusion Criteria:

  • Acute illness (such as cold, flu, etc.) within two weeks before the screening visit
  • Any history of systemic disease that in the investigator's opinion would preclude the subject from participating in this study, including hepatitis virus infection
  • History of chronic obstructive lung disease, emphysema, or other chronic respiratory condition
  • Abnormal hepatic function (ALT/AST and bilirubin >1.25 x upper limit of normal)
  • Abnormal bone marrow function (WBC <4 x 103/mm3; platelets <100 x 103/mm3; Hgb <11 g/dl)
  • Abnormal renal function (BUN and creatinine >1.25 x upper limit of normal)
  • Clinically significant abnormal electrocardiogram
  • FEV1 <50% predicted
  • Participation in another experimental therapy study within 30 days of this study
  • History of alcohol or drug abuse
  • Pregnant or lactating female subjects. Females of childbearing potential will need a negative serum pregnancy test at screening to be considered for this study
  • Subjects receiving treatment with Omalizumab or immunotherapy for asthma
Sexes Eligible for Study: All
18 Years to 55 Years   (Adult)
Contact information is only displayed when the study is recruiting subjects
United States
P01 AT002647-2
P01AT002647-02 ( U.S. NIH Grant/Contract )
5P01AT002647-02 ( U.S. NIH Grant/Contract )
Not Provided
Not Provided
Xiu-Min Li, MD, Mount Sinai School of Medicine
Icahn School of Medicine at Mount Sinai
National Center for Complementary and Integrative Health (NCCIH)
Principal Investigator: Juan P Wisnivesky, MD, MPH Icahn School of Medicine at Mount Sinai
Icahn School of Medicine at Mount Sinai
December 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP