题名

Early intervention with Kan Jang® to treat upper-respiratory tract infections: A randomized, quadruple-blind study

DOI

10.1016/j.jtcme.2021.06.001

作者

Mikayel Narimanyan;Kristina Jamalyan;Anna Balyan;Anders Barth;Staffan Palm;Georg Wikman;Alexander Panossian

关键词

Kan Jang® ; Andrographis paniculata ; Eleutherococcus senticosus ; Clinical trial ; Upper-respiratory tract infections ; Inflammation

期刊名称

Journal of Traditional and Complementary Medicine

卷期/出版年月

11卷6期(2021 / 11 / 01)

页次

552 - 562

内容语文

英文

中文摘要

Background and aim: Andrographis paniculata and Eleutherococcus senticosus preparations and their fixed combination, called Kan Jang®, are traditionally used for relieving symptoms of upper-respiratory tract infections (URTIs). This study aimed to assess the efficacy of early intervention with Kan Jang® on the relief and duration of inflammatory symptoms during the acute phase of the disease. Experimental procedure: A total of 179 patients with URTI symptoms received six Kan Jang® (daily dose of andrographolides: 60 mg) or placebo capsules a day for five consecutive days in this randomized, quadruple-blinded, placebo-controlled, two-parallel-group phase II study. The primary efficacy outcomes were the decrease in the acute-phase duration and the mean URTI symptoms score (sore throat, runny nose, nasal congestion, hoarseness, cough, headache, and fatigue). Results: Early intervention with Kan Jang® significantly increased the recovery rate and reduced the number of sick leave days by >21% (0.64/day) relative to that observed in the placebo group (2.38 vs. 3.02 days, p = 0.0053). Kan Jang® significantly alleviated all URTI symptoms starting from the second day of treatment. A superior anti-inflammatory effect of Kan Jang® to that of placebo was also observed on the white blood cell count (p = 0.007) and erythrocyte sedimentation rate (p = 0.0258). Treatment with Kan Jang® was tolerated well. Conclusion: This study demonstrates that early intervention with Kan Jang® capsules reduces the recovery duration of patients by 21% and significantly relieves the severity of typical URTI symptoms.

主题分类 醫藥衛生 > 中醫藥學
参考文献
  1. Assessment of efficacy of KAN-JANG® in mild COVID-19. ClinicalTrials.gov Identifier: NCT04847518 https://clinicaltrials.gov/ct2/show/NCT04847518
  2. Asea, A,Kaur, P,Wikman, KG(2021).Antiviral activity and synergy of Herba Andrographidis and radix eleutherococci preparations against SARSCoV-2 infected vero E6 human primary embryonic kidney epithelial cells.J. Altern Complement Integr. Med,6,148.
  3. Bosch, AA,Biesbroek, G,Trzcinski, K,Sanders, EA,Bogaert, D(2013).Viral and bacterial interactions in the upper respiratory tract.PLoS Pathog,9(1),e1003057.
  4. Brendler, T,Al-Harrasi, A,Bauer, R(2020).Botanical drugs and supplements affecting the immune response in the time of COVID-19: implications for research and clinical practice.Phytother Res
  5. Cáceres, DD,Hancke, JL,Burgos, RA,Sandberg, F,Wikman, GK(1999).Use of visual analogue scale measurements (VAS) to asses the effectiveness of standardized Andrographis paniculata extract SHA-10 in reducing the symptoms of common cold. A randomized double blind-placebo study.Phytomedicine,6,217-223.
  6. Cáceres, DD,Hancke, JL,Burgos, RA,Wikman, GK(1997).Prevention of common colds with Andrographis paniculata dried extract. A Pilot double blind trial..Phytomedicine,4,101-104.
  7. Coon, JT,Ernst, E(2004).Andrographis paniculata in the treatment of upper respiratory tract infections: a systematic review of safety and efficacy.Planta Med,70,293-298.
  8. Eccles, R(2005).Understanding the symptoms of the common cold and influenza.Lancet Infect Dis,5(11),718-725.
  9. Eccles, R,Wilkinson, JE(2015).Exposure to cold and acute upper respiratory tract infection.Rhinology,53,99-106.
  10. Gabrielian, ES,Shukarian, AK,Goukasova, GI(2002).A double blind, placebo-controlled study of Andrographis paniculata fixed combination Kan Jang in the treatment of acute upper respiratory tract infections including sinusitis.Phytomedicine,9,589-597.
  11. Global Burden of Disease Study(2015).Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013.Lancet,386(9995),743-800.
  12. Gonzales, R,Bartlett, JG,Besser, RE,Hickner, JM,Hoffman, JR,Sande, MA,Centers for Disease Control and Prevention(2001).Principles of appropriate antibiotic use for treatment of nonspecific upper respiratory tract infections in adults: background.Ann Emerg Med.,37,698-702.
  13. Grief, SN(2013).Upper respiratory infections.Prim Care,40,757-770.
  14. Hancke, JBR,Burgos, R,Caceres, D,Wikman, G(1995).A double-blind study with a new monodrug Kan Jang: decrease of symptoms and improvement in the recovery from common colds.Phytother Res,9,559-562.
  15. Hu, XY,Wu, RH,Logue, M(2017).Andrographis paniculata (Chuān Xīn Lián) for symptomatic relief of acute respiratory tract infections in adults and children: a systematic review and meta-analysis.PloS One,12(8),e0181780.
  16. Jayakumar, T,Hsieh, CY,Lee, JJ,Sheu, JR(2013).Experimental and clinical pharmacology of Andrographis paniculata and its major bioactive phytoconstituent andrographolide.Evid Based Complement Alternat Med,2013,846740.
  17. Kligler, B,Ulbricht, C,Basch, E(2006).Andrographis paniculata for the treatment of upper respiratory infection: a systematic review by the natural standard research collaboration.Explore,2,25-29.
  18. Kulichenko, LL,Kireyeva, LV,Malyshkina, EN,Wikman, G(2003).A randomized, controlled study of Kan Jang versus amantadine in the treatment of influenza in Volgograd.J Herb Pharmacother,3,77-93.
  19. Melchior, J,Eliasson, B,Barth, A,Hoheisel, O,Palm, S,Wikman, G(2009).Melchior J, Eliasson B, Barth A, Hoheisel O, Palm S, Wikman G. A randomized, double-blind, placebo-controlled multicentre study of kan Jang® capsules in patients with uncomplicated upper respiratory tract infection. Clinical Study Report. 2009. unpublished in-house documentation, Swedish Herbal Institute..
  20. Melchior, J,Palm, S,Wikman, G.(1996).Controlled clinical study of standardized Andrographis paniculata extract in common cold.Phytomedicine,3,315-318.
  21. Melchior, J,Spasov, AA,Ostrovskij, OV,Bulanov, AE,Wikman, G(2000).Double-blind, placebo-controlled pilot and phase III study of activity of standardized Andrographis paniculata Herba Nees extract fixed combination (Kan jang) in the treatment of uncomplicated upper-respiratory tract infection.Phytomedicine,7,341-350.
  22. Panossian, A,Brendler, T(2020).The role of adaptogens in prophylaxis and treatment of viral respiratory infections.Pharmaceuticals,13(9),236.
  23. Panossian, A,Seo, EJ,Wikman, G,Efferth, T(2015).Synergy assessment of fixed combinations of Herba Andrographidis and Radix Eleutherococci extracts by transcriptome-wide microarray profiling.Phytomedicine,22,981-992.
  24. Panossian, A,Wikman, G.(2012).Efficacy of Andrographis paniculata in upper respiratory tract (URTI) infectious diseases and the mechanism of action.Evidence and Rational Based Research on Chinese Drugs,London:
  25. Poolsup, N,Suthisisang, C,Prathanturarug, S,Asawamekin, A,Chanchareon, U(2004).Andrographis paniculata in the symptomatic treatment of uncomplicated upper respiratory tract infection: systematic review of randomized controlled trials.J Clin Pharm Therapeut,29,37-45.
  26. Puri, A,Saxena, R,Saxena, RP,Saxena, KC,Srivastava, V,Tandon, JS(1993).Immunostimulant agents from Andrographis paniculata.J Nat Prod,56,995-999.
  27. Serhan, CN(2017).Treating inflammation and infection in the 21st century: new hints from decoding resolution mediators and mechanisms.Faseb J.,31(4),1273-1288.
  28. Serhan, CN,Gupta, SK,Perretti, M(2020).The atlas of inflammation resolution (AIR).Mol Aspect Med.,74,100894.
  29. Spasov, AA,Ostrovskij, OV,Chernikov, MV,Wikman, G(2004).Comparative controlled study of Andrographis paniculata fixed combination, Kan Jang and an Echinacea preparation as adjuvant, in the treatment of uncomplicated respiratory disease in children.Phytother Res,18,47-53.
  30. Wagner, L,Cramer, H,Klose, P(2015).Herbal medicine for cough: a systematic review and meta-analysis.Forsch Komplementmed,22,359-368.
  31. Worakunphanich, W,Thavorncharoensap, M,Youngkong, S,Thadanipon, K,Thakkinstian, A(2021).Safety of Andrographis paniculata: a systematic review and meta-analysis.Pharmacoepidemiol Drug Saf.,30,727-739.
  32. Yearsley, C(2021).Thailand approves asian herb Andrographis to treat COVID-19.HerbalGram,129,35-37.
  33. Yuvejwattana S. Thailand clears use of herbal medicine for covid-19 treatment. Bloomberg; December 30, 2020, 7:02 AM GMT+1 https://www.bloomberg.com/news/articles/2020-12-30/thailand-clears-use-of-herbal-medicine-for-covid-19-treatment