Prevention of Recurrence With Cordyceps Sinensis in Mycobacterium Avium Complex Pulmonary Disease

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-75
SponsorBin Cao

About this trial

The goal of this clinical trial is to learn if cordyceps sinesis capsule (Bailiing Capsule) works to prevent the recurrence of microbiologically cured mycobacterium avium complex pulmonary disease in adults. The main questions it aims to answer are:

Does cordyceps sinesis capsule (Bailiing Capsule) prevents the recurrence of mycobacterium avium complex pulmonary disease in adults? Researchers will compare cordyceps sinesis capsule (Bailiing Capsule) to a placebo (a look-alike substance that contains no drug) to see if cordyceps sinesis capsule helps to prevent the recurrence of mycobacterium avium complex pulmonary disease.

Participants will:

Take cordyceps sinesis capsule (Bailiing Capsule) or a placebo (a look-alike substance that contains no drug) for 12 months, both are administered every day.

Visit the clinic once every 3 months for checkups and tests. Take online questionnaires every month.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients voluntarily participate in the study and sign the informed consent form.

Age between 18 and 75 years, inclusive; gender unrestricted.

Confirmed diagnosis of MAC (Mycobacterium avium complex) lung disease according to either the 2020 ATS/IDSA guidelines or the Chinese Guideline for Diagnosis and Treatment of Nontuberculous Mycobacterial Disease (2020 edition). Imaging findings at baseline must show a nodular bronchiectatic pattern prior to treatment initiation.

Completed the recommended treatment regimen for nodular-bronchiectatic MAC lung disease (macrolide + ethambutol + rifampin, with minimum 12-month duration) per the above guidelines within 3 months prior to screening; Fully completed the anti-infective treatment phase of this study. Participants must achieve bacteriologic negativity (two consecutive negative sputum cultures with an interval ≥4 weeks) by the end of their treatment course.

Disqualifiers

Any allergy to drugs included in the treatment regimen.

Completed anti-MAC therapy for more than 3 months.

Active respiratory tract infection.

Presence of congenital/acquired immunodeficiency diseases, active pulmonary malignancies (primary or metastatic), or any malignant tumors requiring chemotherapy/radiotherapy during screening or the study period.

Trial design

Design model

Parallel

Treatments tested in this trial

  • cordyceps sinesis capsule

    Drug

    cordyceps sinesis capsule 4 capsules tid po for 12 months

  • cordyceps sinesis capsule placebo

    Drug

    cordyceps sinesis capsule placebo 4 capsules tid po for 12 months

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: Cordyceps sinesisExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

bacterial recurrence of MAC-PD

Time frame
from enrollment to the end of month 12

Secondary outcomes

1

occurrence of respiratory infection

Time frame
from enrollment to the end of month 12

Other outcomes

1

adverse events and laboratory findings

Time frame
from enrollment to the end of month 12
2

recurrent MAC strain subtype

Time frame
from enrollment to the end of month 12

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Bin Cao

Lead sponsor

Capital Medical University

Sponsor institution

China-Japan Friendship Hospital

Collaborator

Shanghai Pulmonary Hospital, Shanghai, China

Collaborator

Jiangxi Chest Hospital

Collaborator

Guangzhou Chest Hospital.

Collaborator

Anhui Chest Hospital

Collaborator

Beijing Chest Hospital

Collaborator

Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.

Collaborator