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NCT Number: NCT07145060

A Study of Yiqi Yangyin Formula in the Treatment of Primary Sjogren's Syndrome

This project aims to conduct a prospective, randomized, double-blind, controlled clinical study to clarify the efficacy and safety of the YiQi YangYin Formula in treating patients with primary Sjogren's syndrome (pSS) presenting with Qi and Yin deficiency syndrome, with the expectation of providing a scientific basis for the research and development of new traditional Chinese medicine drugs for the effective treatment of pSS.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged18-75 years old (including the critical value), gender not limited;
  • Patients meeting the classification criteria of primary Sjogren's syndrome in ACR/EULAR 2016;
  • Patients with dry mouth VAS ≥4 and ESSDAI score < 5;
  • Patients with positive autoantibodies (ANA or anti-SSA antibodies or anti-SSB antibodies or RF) and/or hyperimmunoglobulinemia or increased erythrocyte sedimentation rate;
  • Patients meeting the syndrome of qi and Yin deficiency in traditional Chinese medicine;
  • The subjects were informed and voluntarily signed the informed consent form.

Exclusion criteria

  • Patients with a history of hypersensitivity or intolerance to any investigational therapeutic drug;
  • Patients diagnosed with secondary Sjogren's syndrome or combined with other connective tissue diseases;
  • Patients with severe lesions in the heart, brain, lungs, liver, kidneys, hematopoietic system, etc., as well as those with malignant tumors or infectious diseases;
  • Patients who are pregnant, preparing for pregnancy or breastfeeding;
  • Patients who have used cholinergic drugs or artificial tears/saliva in last 1 week;
  • Patients who have used hydroxychloroquine, total glycosides of Paeonia lactide, Iguratimod, cyclophosphamide, cyclosporine A, tacrolimus, and azathioprine in last 1 month;
  • Patients who have used glucocorticoids, methotrexate or mycophenolate mofetil in last 3 months;
  • Patients who have used Leflunomide in last 6 months;
  • Patients who have used rituximab in last 6 months, or have used other biological agents (such as tofacitinib) other than rituximab in last 3 months;
  • Patients who have participated in or are currently receiving any other experimental drugs or experimental medical devices within the past three months;
  • Other situations that researchers consider ineligible for inclusion (such as cognitive impairment, taking psychotropic drugs).

Treatment and study plan

Yiqi Yangyin Formula

Drug

Yiqi Yangyin Formula,consists of seven Chinese herbal medicines(Table 1): Rehmanniae Radix (Sheng Di Huang), Lilium brownii (Bai He), Adenophorae Radix (Nan Sha Shen), Fructus Hordei Germinatus (Sheng Mai Ya), Artemisia annua (Qing Hao), Cimicifuga foetida (Sheng Ma) , and Bupleurum chinense(Chai Hu)

Other names: The treatment group

Yiqi Yangyin Formula placebo

Drug

Yiqi Yangyin Formula placebo,has the same appearance, state, and taste as YQYYF, but contains 5% of the ingredients of Yiqi Yangyin Formula

Other names: The control group

Primary outcomes

  1. Unstimulated Whole Saliva flow rate (UWS)

    Time frame: week0、week12

    Before the measurement, the participants should avoid eating, drinking, smoking, brushing teeth. and sit still for 10 minutes to collect all the saliva that flows out within 15 minutes in a clean container. The volume will be measured and the salivary secretion rate per unit time will be calculated, which is the UWS (ml/min). UWS ≤ 0.1 ml/min is defined as low UWS.

Secondary outcomes

  1. bilateral Schirmer's test

    Time frame: week0、week12

    Without surface anesthesia, in a quiet and dim environment, bend the standard Schirmer filter paper at the scale and gently place it on the edge of the lower temporal eyelid of the subject. Instruct the subject to gently close their eyes and keep the filter paper for 5 minutes. After 5 minutes, remove the filter paper and measure the wet length. Schirmer≤5 mm/5 min indicates the presence of dry eye syndrome.

  2. EULAR Sjögren Syndrome Patient Reported Index (ESSPRI)

    Time frame: week0、week4、week8、week12

    The ESSRPI is a patient-reported index for Sjogren's syndrome, which includes scores for sjogren's symptoms, limb pain, and physical fatigue. The weights of the three aspects are the same, and each aspect's score ranges from 0 to 10. ESSPRI is defined as the average of these three aspects, with a score range of 0 to 10. The higher the value, the more severe the condition. A symptom state of less than 5 is acceptable to the patient, while a symptom state of ≥5 is unsatisfactory to the patient.

  3. EULAR Sjögren syndrome disease activity index (ESSDAI)

    Time frame: week0、week12

    Low activity is defined as ESSDAI < 5 points, moderate activity as 5≤ESSDAI≤13 points, and high activity as ESSDAI≥14 points

  4. Sjögren's Tool for Assessing Response (STAR)

    Time frame: week12

    It includes the assessment of ESSDAI system involvement, the subjective perception assessment of ESSPRI patients, the functional changes of salivary glands and lacrimal glands, and the evaluation of serological indicators for treatment response. A total score of ≥5 is considered a treatment response.

  5. Composite of Relevant Endpoints for Sjogren Syndrome (CRESS)

    Time frame: week 12

    It includes an assessment of five aspects,at least three out of the five have responded is defined as a response.

  6. erythrocyte sedimentation rate (ESR), C-reactive protein (CRP)

    Time frame: 0week、12week

    conventional inflammatory marks

  7. 36-Item Short Form Survey (SF-36)

    Time frame: week0、week12

    The higher the score, the better the quality of life

  8. serum immunoglobulin(IgA、IgM、IgG)

    Time frame: week0、week12

    Compare the differences in the values of various serological indicators between the two groups of patients at the time of enrollment and 12 weeks after treatment, as well as the proportion of improvement and aggravation of serological indicators.

  9. Complement (C3, C4)

    Time frame: week0、week12

    Compare the differences in the values of various serological indicators between the two groups of patients at the time of enrollment and 12 weeks after treatment, as well as the proportion of improvement and aggravation of serological indicators.

Study contacts

Contact information is provided by the study sponsor or research team.

Luo Jing Luo

CONTACT

[email protected]

+8618400664714

Sponsors and collaborators

Lead sponsor

China-Japan Friendship Hospital

Other

Registry information

Official study title

A Randomized Controlled Study of Yiqi Yangyin Formula in the Treatment of Primary Sjogren's Syndrome

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Aug 28, 2025
Registry last updated
Aug 28, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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