Tolerability, exposure and pharmacokinetics in healthy subjects of a Chinese herbal medicine MaZiRenWan (MZRW): Study protocol for a randomized open-labelled, three-arm phase 0/1 clinical trial

Lidan ZHONG, Wai Kun, Ling Zhao, Cheng Yuan Lin, Tao Huang, Zhaoxiang BIAN*, for MZRW Research Group

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Introduction The formula of MaZiRenWan (MZRW) has been commonly used in Chinese medicine to treat constipation. Our previous studies have showed benefits in terms of increased bowel movement, relief in the severity of constipation and straining of evacuation when compared with placebo. However, the lack of studies on its safety, tolerability, system exposure and pharmacokinetics making it difficult to obtain a consistent picture of its mechanism of action. Methods/design This is a randomized, open-labelled, three-arm phase 0/1 clinical trial. After the run-in period, eligible healthy subjects will be randomized assigned in a ratio of 1:1:1 to receive 5.0 g, 7.5 g, 10 g q.d. of MZRW. The primary outcome will be the number of participants with adverse events as a measurement of safety and tolerability among three doses of MZRW. Secondary outcome will be the clearness of pharmacokinetic parameters of main active ingredients in human sample, include the area under the plasma concentration-time curve (AUC), the peak plasma concentration of an ingredient after administration (Cmax), the time to reach Cmax (tmax), the elimination half-life (t1/2) and clearance (CL). Ethics and dissemination The study was approved by Hong Kong Baptist University Ethics Committee on the Use of Human Subjects for Teaching and Research (Approval no. HASC/13-14/0017) and was registered with an identifier (NCT02359396) in Clinical Trial.gov. The potential risks incurred by study participants will be reported to the public and the study results will be released to the investigators, patients and the general medical community.

Original languageEnglish
Pages (from-to)581-586
Number of pages6
JournalEuropean Journal of Integrative Medicine
Volume8
Issue number4
DOIs
Publication statusPublished - 1 Aug 2016

Scopus Subject Areas

  • Complementary and alternative medicine

User-Defined Keywords

  • Chinese herbal medicine
  • Constipation
  • MaZiRenWan
  • Pharmacokinetics
  • Phase 0/1 clinical trial
  • Safety

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