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Table 6 Clinical research design status

From: Systematic analysis of randomised controlled trials of Chinese herb medicine for non-alcoholic steatohepatitis (NASH): implications for future drug development and trial design

Clinical research design Items

Including types

Trials number

Participants number

Participants enrollment

   

 Inclusion criteria

Including: diagnosis criteria, biochemical indexes, age, medication history, radiological examination, good adherence, comorbidities, liver histology test, no mention of inclusion criteria, history of NASH, not participating in other clinical trials, alcohol intake requirements

112

10,573

 Exclusion criteria

Including: comorbidities, fatty liver or liver disease with an established cause, pregnancy or breastfeeding

91

8824

Allergy, age, analogous therapeutic medication history, relevant drug usage history that might have an impact on the trial, non-cooperation

Excessive alcohol intake, genetic metabolic conditions, participation in other RCT, liver enzymes, poor adherence, drug abuse

 

Not specific the exclusion criteria

21

1749

 Diagnostic criteria

Integration medicine and western medicine criteria

75

7622

Western medicine diagnostic criteria

24

2036

Integration medicine criteria

4

350

Not mentioned

9

565

 Country

China

108

10,341

Iran

3

224

Japan

1

8

 Age

Range: 16–76 years old

107

10,070

 History of NASH

Range: 3 months–16 years from

62

5806

Not mentioned

50

4767

 Visit type

Outpatients

47

4579

Inpatients

4

326

Inpatients or outpatients

21

1682

Not mentioned: 40 trials

 Comorbidity

Obesity

2

169

Type II diabetes

1

62

COPD

1

60

Hyperuricemia

1

59

Chronic hepatitis B

1

68

Glycometabolic disease (1 trial)

1

119

 Source

Single hospital

81

8782

Multiple hospitals

13

1791

 Size

Mean: 94 ± 31 patients

\

\

Range: 8 to 220 patients

\

\

Interventions

   

 Medication

Only TCMs

73

7347

TCMs combining with other medicine

39

3226

 Other interventions

Exercise and/or diet

80

7341

Comparator

   

 Medication

Chemical medicine

92

8691

 

Chinese patent medicine

6

529

TCMs and Chemical medicine

2

219

Placebo

7

468

 Exercise/diet

 

3

414

 Other interventions

Basic treatment

1

32

 No comparator

Self-comparison

1

220

Outcome

Primary outcome

\

\

 Overall clinical efficacy rate

  

 Hepatic function outcomes

  

 Blood lipid profiles

  

 Radiological response improvement

  

Secondary outcome

\

\

 TCMs syndrome scores efficacy rate

  

 Blood sugar

  

 Liver fat, Indexes of inflammation and tumor necrosis factor

  

 Other indicators

  

Adverse effect

51

5229

Research design

Single-arm

1

 

Two-arms

110

 

Three-arms

1

 

Time period < 6 months

90

8130

Time period = 6 months

21

2375

Time period = 12 months

1

68