Study of Wangbi Granules with Methotrexate and Tofacitinib for Rheumatoid Arthritis
Post-Marketing Re-evaluation to Improve Treatment and Remission
Led by China-Japan Friendship Hospital · Updated on 2025-01-20
340
Participants Needed
1
Research Sites
12 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating the use of Wangbi granules in patients with rheumatoid arthritis who have low disease activity after receiving standard treatments of methotrexate and tofacitinib citrate. This phase 4 randomized controlled trial aims to observe the degree of clinical remission and provide evidence to improve treatment outcomes by combining traditional Chinese medicine with Western medicine. The study is sponsored by China-Japan Friendship Hospital and focuses on enhancing remission depth and care quality for rheumatoid arthritis.
Participants are randomly assigned to one of two groups one receiving methotrexate and tofacitinib plus Wangbi granules, and the other receiving methotrexate and tofacitinib plus a Wangbi granules simulant. Both groups take their assigned treatments three times daily for a treatment course of three months. The study uses a triple-blind design to assess the effects of the combination therapies over the treatment period.
During the study, participants will be monitored over 12 weeks, with evaluations including the Disease Activity Score 28 DAS28, Fatigue Scale-14, and a visual analogue scale to measure symptoms and treatment response. Researchers will assess clinical remission, fatigue levels, and pain or discomfort. Safety and adherence will be tracked, and participants are followed through the studys duration, which ends in March 2026.
CONDITIONS
Brief Title
Post-marketing Re-evaluation of WangBi Granules for Rheumatoid Arthritis
Research Team
Z
Zihan Wang, Dr
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Diagnosed with rheumatoid arthritis according to 1987 ACR or 2010 ACR/EULAR criteria
Meet Chinese medicine diagnostic criteria for Kidney deficiency and dampness and stasis blocking channels
Rheumatoid arthritis disease activity score (DAS28) between 2.6 and 3.2
On stable treatment with methotrexate 7.5-15 mg once weekly and tofacitinib 5 mg twice daily for more than 4 weeks
Voluntary participation with signed informed consent
You will not qualify if you...
Use of immunosuppressive drugs other than traditional DMARDs within 3 months before enrollment
History of organ transplant, malignant tumors, or serious heart, brain, liver, kidney, or blood system diseases
Psychiatric or neurological disorders including cognitive disorders, depression, anxiety, epilepsy, stroke, and peripheral neurological conditions
Pregnant or breastfeeding individuals, or planning pregnancy within 6 months, or unable/unwilling to use contraception if of childbearing potential
Body mass index (BMI) greater than 35 kg/m2
Allergy to the study drug
Currently participating in other clinical trials
Other conditions deemed unsuitable by investigators such as inability to attend follow-up visits
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 3 months
Participants receive methotrexate and tofacitinib combined with either Wangbi granules or a Wangbi granules simulant for rheumatoid arthritis.
Weekly visits for up to 12 weeks
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Wangbi granule as a combination therapy to achieve clinical deep remission in rheumatoid arthritis: protocol for a multicenter, triple-blind, randomised, placebo-controlled trial.