A Clinical Study on Qianjin Capsule of Gynaecology Combined With Antibiotics for Pelvic Inflammatory Diseases (Damp-heat Stasis and Qi Deficiency Syndrome)

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the efficacy, safety of Qianjin Capsule of Gynaecology combined with antibiotics for pelvic inflammatory diseases (Damp-heat Stasis and Qi Deficiency Syndrome) for the short-term and long-term efficacy of traditional Chinese medicine in reducing the use of antibiotics, reducing the risk of clinical use of drugs.

Official Title
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A Clinical Study on Qianjin Capsule of Gynaecology Combined With Antibiotics for Pelvic Inflammatory Diseases (Damp-heat Stasis and Qi Deficiency Syndrome)：a Randomized, Double Blind, Parallel Control of Positive Drugs, Multi-center Clinical Study

Conditions
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Pelvic Inflammatory Diseases

Intervention / Treatment
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* Drug: Qianjin Capsule of Gynaecology


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: (1) Women aged 20-50; (2) Sexual History ; (3) According to the diagnostic criteria of pelvic inflammatory diseases: according to the Diagnosis and Treatment Criteria of Pelvic Inflammatory Diseases (2014), the following specifications are as follows: A. uterine tenderness, or adnexal tenderness, or cervical lifting pain; B. axillary body temperature < 38 C. blood routine white blood cell count < 1.1 times the upper limit of normal value; D. blood routine neutrophil percentage < 90%; All of the above four items are available. Exclusion Criteria: (4)4<McCormack<12; (5)TCM syndrome differentiation for damp-heat stagnation and Qi deficiency syndrome, A. lower abdominal pain; B. excessive amount of belt, yellow color, or odor; C. fatigue; D. tongue red, greasy fur, or with teeth marks, or blood stasis spots; the above four items are all available; (6)Those who agree to participate in this clinical trial and sign the informed consent form. Exclusion Criteria: (1) Pregnant or recent (within 6 months) pregnant women, lactating women ; (2) To identify the pathogen as Neisseria gonorrhoeae; (3) Symptoms related to appendicitis, ectopic pregnancy, torsion or rupture of ovarian cyst pedicle, gastroenteritis, endometriosis, adenomyosis, trichomonal vaginitis, vulvovaginal candidiasis, bacterial vaginosis, etc.; (4)Those with critical condition or surgical indications, such as fallopian tube and ovary abscess, pelvic abscess, diffuse peritonitis, septicemia; (5)In patients with severe primary diseases such as heart, brain and hematopoietic system, ALT of liver function is higher than the upper limit of normal value, and Cr of renal function is higher than the upper limit of normal value; (6)One month before admission, Chinese and Western medicines were used to treat the disease, which made it difficult to judge the efficacy of drugs; (7)Anaphylactic constitution or persons known to be allergic to the medicines and their components used in this test ; (8)Researchers do not consider it appropriate to participate in this clinical trial; (9)Suspected or true history of alcohol and drug abuse, or other pathological changes or conditions that reduce the likelihood of enrollment or complicate enrollment, such as frequent changes in the working environment, unstable living environment, etc., are liable to lead to lost interviews, according to the judgement of researchers; (10)Participation in other clinical researchers within 3 months before admission; (11)Patients with suspected or confirmed quinolone contraindications, central or peripheral neuropathy, epilepsy, and depression

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Qianjin Capsule of Gynaecology<br>On the basis of the antibiotic levofloxacin + metronidazole for 14 days, Gynecological Qianjin Capsule for 28 days. One of the levofloxacin quinolones has broadspectrum antimicrobial activity and strong antimicrobial activity. Metronidazole is mainly used to treat or prevent systemic or local infections caused by the abovementioned anaerobes, such as anaerobic infections in abdominal cavity, digestive tract, female reproductive system, lower respiratory tract, skin and soft tissue, bone and joint, etc. | Drug: Qianjin Capsule of Gynaecology<br>* To evaluate the short-term and long-term efficacy of traditional Chinese medicine of Qianjin Capsule of Gynaecology in reducing the use of antibiotics, reducing the risk of clinical use of drugs.<br>|
| Placebo Comparator: Antibiotics alone group<br>Levofloxacin + metronidazole for 14 days, and gynecological Qianjin capsule simulator for 28 days. One of the levofloxacin quinolones has broadspectrum antimicrobial activity and strong antimicrobial activity. It has strong antimicrobial activity against most Enterobacteriaceae bacteria, such as Escherichia coli, Klebsiella, Proteus, Salmonella, Shigella and Haemophilus influenzae, Legionella pneumophila, Neisseria gonorrhoeae and other gramnegative bacteria. Bacterial activity. Metronidazole is mainly used to treat or prevent systemic or local infections caused by the abovementioned anaerobes, such as anaerobic infections in abdominal cavity, digestive tract, female reproductive system, lower respiratory tract, skin and soft tissue, bone and joint, etc. | Drug: Qianjin Capsule of Gynaecology<br>* To evaluate the short-term and long-term efficacy of traditional Chinese medicine of Qianjin Capsule of Gynaecology in reducing the use of antibiotics, reducing the risk of clinical use of drugs.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The MCCormack scale scores of 184 subjects will be assessed | assessment of the 70% reduction rate after treatment | Change from base line on the 56 days after discontinuation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The neutrophils of 184 participants will be assessed | assessment of neutrophils returning to normal reference range | Change from base line on the 28 days of medication and 56 days after discontinuation | 
| The whole blood reduced viscosity from hemorheological tests of 184 participants will be assessed | assessment of whole blood viscosity returning to normal reference range | Change from base line on the 28 day of medication. | 
| The plasma viscosity from hemorheological tests of 184 participants will be assessed | assessment of the plasma viscosity returning to normal reference range | Change from base line on the 28 day of medication. | 
| The fibrinogen determination from hemorheological tests of 184 participants will be assessed | assessment of the fibrinogen determination returning to normal reference range | Change from base line on the 28 day of medication. | 
| The CRP of 184 participants will be assessed | assessment of the CRP returning to normal reference range | Change from base line on the 28 day of medication. | 
| The volume of liquid on B-mode of 184 subjects will be assessed | The changes of the volume of liquid on B-mode at different observation points before and after treatment will be assessed | After 28 days of medication | 
| The white blood cells of 184 participants will be assessed | assessment of the white blood returning to normal reference range | Change from base line on the 28 days of medication and 56 days after discontinuation | 
| The TCM syndrome scores of 184 subjects will be assessed | assessment of the 70% reduction rate after treatment | Change from base line on the 56 days after discontinuation | 
| The VAS score of 184 subjects will be assessed | assessment of the 70% reduction rate after treatment | Change from base line on the 56 days after discontinuation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Qianjin Capsule of Gynaecology, efficacy and safety, recurrence rate, randomized, double blind, parallel control, multi-center clinical study