Student or educator? Sign up with your school email and get 6 months of Pro free.
Cited by 15

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial

Zheng, Ya, Ching, Jessica, Cheng, Chung Wah, Lam, Wai Ching, Chan, Kam Leung, Zhang, Xuan, Lam, Pui Yan, Wu, Xing Yao, Zhong, Linda L. D., Cao, Pei Hua, Lo, Cho Wing, Cheong, Pui Kuan, Lin, Zhixiu, Koh, Matthew, Wu, Justin, Bian, Zhao Xiang·2021·Chinese Medicine

Published version of a preprint

Abstract

Background: Irritable bowel syndrome (IBS) is a common gastrointestinal functional disease. Adults with IBS may experience abdominal pain, change of bowel habits, and abnormal stool form without organic disease. IBS can seriously affect their work productivity and quality of life, especially diarrhea-predominant irritable bowel syndrome (IBS-D). The Chinese medicine JCM-16021 has been shown to be potentially effective in improving the symptoms of IBS-D based on a small scale clinical trial. Hence, a large scale clinical study is designed to further evaluate the efficacy and safety of the Chinese medicine JCM-16021 for IBS-D with traditional Chinese medicine (TCM) pattern of Liver Stagnation and Spleen Deficiency (LSSD). Methods: This study is a multi-center, randomized, double-blind, placebo-controlled clinical trial. 392 eligible participants will be enrolled with 2-week run-in, 8-week treatment and 8-week follow-up. After run-in period, participants will be randomized to receive either the Chinese medicine JCM-16021 or placebo for 8 weeks, and will have post-treatment follow up for another 8 weeks. The primary outcome is the improvement rate on the global assessment of improvement (GAI) at week 10. The secondary outcomes consist of changes of IBS-D symptoms, TCM pattern improvement, IBS-Quality of Life (IBS-QoL), IBS-Symptom Severity Score (IBS-SSS), safety, etc. Results: A standard protocol has been developed for the study. The protocol will provided a detailed procedure to conduct a clinical trial and verify if the Chinese medicine JCM-16021 would significantly improve the overall symptoms of IBS-D with LSSD pattern of TCM by relieving abdominal pain, reducing stool frequency, improving the stool consistency and improving quality of life. The consolidated evidence from the study can shed light on the treatment of IBS-D with Chinese medicine. Conclusion: The protocol will provide details for investigators about the study following SPIRIT Statement. High-quality evidence on the efficacy and safety of Chinese medicine JCM-16021 for IBS-D will be provided through strict compliance with the protocol. Trial registration : ClinicalTrial.gov identifier: NCT03457324. Registered 8 February 2018, https://clinicaltrials.gov/ct2/show/NCT03457324?term=NCT03457324&draw=2&rank=1

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/s13020-021-00530-2

Cites

9 of 9 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 9 references

Research works printed but not linked: 28

  1. Ford AC, Lacy BE, Talley NJ. Irritable bowel syndrome. N Engl J Med. 2017;376:26. · DOI · Paper page
  2. Chey WD, Kurlander J, Eswaran S. Irritable bowel syndrome: a clinical review. JAMA. 2015;313:9.
  3. Kwan AC, Hu WH, Chan YK, Yeung YW, Lai TS, Yuen H. Prevalence of irritable bowel syndrome in Hong Kong. J Gastroenterol Hepatol. 2002;17:11. · DOI
  4. Bolino CM, Bercik P. Pathogenic factors involved in the development of irritable bowel syndrome: focus on a microbial role. Infect Dis Clin North Am. 2010;24:4. · DOI
  5. Imperatore N, Tortora R, Morisco F, Caporaso N. Gut microbiota and functional diseases of the gastrointestinal tract. Minerva Gastroenterol Dietol. 2017;63:4.
  6. El-Salhy M, Gundersen D, Gilja OH, Hatlebakk JG, Hausken T. Is irritable bowel syndrome an organic disorder? World J Gastroenterol. 2014;20:2.
  7. Palsson OS, Whitehead W, Törnblom H, Sperber AD, Simren M. Prevalence of Rome IV functional bowel disorders among adults in the United States, Canada, and the United Kingdom. Gastroenterology. 2020;158(5):1262-1273.e3. · DOI · Paper page
  8. Norwood DA Jr, Dominguez L, Paredes AA, et al. The functional gastrointestinal disorders population-based prevalence and relationship to dietary factors in Latino populations in the resource limited setting of rural Central America. Am J Gastroenterol. 2019;114(suppl):S295. · DOI
  9. Rangan V, Ballou S, Shin A, Camilleri M, Beth Israel Deaconess Medical Center GI Motility Working Group, Lembo A. Use of treatments for irritable bowel syndrome and patient satisfaction based on the IBS in America survey. Gastroenterology. 2020;158(3):786-788.e1. · DOI
  10. Sayuk GS, Wolf R, Chang L. Comparison of symptoms, healthcare utilization, and treatment in diagnosed and undiagnosed individuals with diarrhea-predominant irritable bowel syndrome. Am J Gastroenterol. 2017;112(6):892–9. · DOI
  11. Li CY, Ain Mohd Tahir N, Li SC. A systematic review of integrated traditional Chinese and Western medicine for managing irritable bowel syndrome. Am J Chin Med. 2015;43:3.
  12. Zhu JJ, Liu S, Su XL, Wang ZS, Guo Y, Li YJ, et al. Efficacy of Chinese herbal medicine for diarrhea-predominant irritable bowel syndrome: a meta-analysis of randomized, double-blind, placebo-controlled trials. Evid Based Complement Alternat Med. 2016;2016:4071260. · DOI
  13. Bian ZX, Zhang M, Han QB, Xu HX, Sung JJ. Analgesic effects of JCM-16021 on neonatal maternal separation-induced visceral pain in rats. World J Gastroenterol. 2010;16:7.
  14. Qin HY, Xiao HT, Leung FP, Yang ZJ, Wu JC, Sung JJ, et al. JCM-16021, a Chinese herbal formula, attenuated visceral hyperalgesia in TNBS-induced postinflammatory irritable bowel syndrome through reducing colonic EC cell hyperplasia and serotonin availability in rats. Evid Based Complement Alternat Med. 2012;2012: 239638.
  15. Leung WK, Wu J, Bian ZX, Suen B, Ziea E, Yim C, et al. A pilot study comparing traditional Chinese herbal medicine or hyoscine on treatment of irritable bowel syndrome. J Gastroenterol Hepatol. 2007;22:143. · DOI
  16. Dai L, Cheng CW, Tian R, Zhong LL, Li YP, Lyu AP, et al. Standard protocol items for clinical trials with traditional Chinese medicine 2018: recommendations, explanation and elaboration (SPIRIT-TCM extension 2018). Chin J Integr Med. 2019;25:1.
  17. Cheng CW, Wu TX, Shang HC, Li YP, Altman DG, Moher D, et al. CONSORT extension for Chinese herbal medicine formulas 2017: recommendations, explanation, and elaboration. Ann Intern Med. 2017;167:2. · DOI · Paper page
  18. Mearin F, Lacy BE, Chang L, Chey WD, Lembo AJ, Simren M, et al. Bowel disorders. Gastroenterology. 2016;S0016–5085(16):00222–5.
  19. Zhen XY. Guiding principles for clinical study of new Chinese medicines. The guiding principles of clinical research on the treatment of diarrhea with new Chinese medicine. Beijing: China Medical Science Press; 2002. p. 139–43.
  20. Chinese Pharmacopoeia Commission. The Pharmacopoeia of People’s Republic of China (2015 Volume IV). Guidelines for Stability Testing of Raw materials medicine and Preparations. Beijing: China Medical Science Press; 2015. p. 355–356.
  21. Gordon S, Ameen V, Bagby B, Shahan B, Jhingran P, Carter E. Validation of irritable bowel syndrome Global Improvement Scale: an integrated symptom end point for assessing treatment efficacy. Dig Dis Sci. 2003;48:7. · DOI
  22. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81. · DOI · Paper page
  23. Holtmann GJ, Ford AC, Talley NJ. Pathophysiology of irritable bowel syndrome. Lancet Gastroenterol Hepatol. 2016;1:2. · DOI · Paper page
  24. Xiao HT, Zhong L, Tsang SW, Lin ZS, Bian ZX. Traditional Chinese medicine formulas for irritable bowel syndrome: from ancient wisdoms to scientific understandings. Am J Chin Med. 2015;43:1. · DOI
  25. Bi Z, Zheng Y, Yuan J, Bian Z. The efficacy and potential mechanisms of chinese herbal medicine on irritable bowel syndrome. Curr Pharm Des. 2017;23:34. · DOI
  26. Collins SM. A role for the gut microbiota in IBS. Nat Rev Gastroenterol Hepatol. 2014;11:8. · DOI · Paper page
  27. Distrutti E, Monaldi L, Ricci P, Fiorucci S. Gut microbiota role in irritable bowel syndrome: new therapeutic strategies. World J Gastroenterol. 2016. https://doi.org/10.3748/wjg.v22.i7.2219. · DOI · Paper page
  28. Gupta A. Peripheral mechanisms in irritable bowel syndrome. N Engl J Med. 2013. https://doi.org/10.1056/NEJMc1214185. · DOI · Paper page

Cited by

Metadata

Authors
Zheng, Y., Ching, J., Cheng, C. W., Lam, W. C., Chan, K. L., Zhang, X., Lam, P. Y., Wu, X. Y., Zhong, L. L. D., Cao, P. H., Lo, C. W., Cheong, P. K., Lin, Z., Koh, M., Wu, J., & Bian, Z. X.
Venue
Chinese Medicine
Published
2021-11-13
Volume
16
Issue
1
ISSN
1749-8546
Cited by
15
References
9
Language
en
Licence
Funders
The Innovative Technology Commission of HKSAR, China (ITS-148-14FP)

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

How to cite

Cite CoChat for the checks on this page, and the paper for its own findings.

This page
CoChat. (2026). Citation check: Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial. https://app.cochat.ai/papers/10.1186/s13020-021-00530-2
The paper
Zheng, Y., Ching, J., Cheng, C. W., Lam, W. C., Chan, K. L., Zhang, X., Lam, P. Y., Wu, X. Y., Zhong, L. L. D., Cao, P. H., Lo, C. W., Cheong, P. K., Lin, Z., Koh, M., Wu, J., & Bian, Z. X. (2021). Efficacy and safety of Chinese medicine JCM-16021 for diarrhea-predominant irritable bowel syndrome: study protocol for a multi-center, randomized, double-blind, placebo controlled clinical trial. Chinese Medicine. https://doi.org/10.1186/s13020-021-00530-2

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.