요통환자 대상 오적산 엑스산 투여 임상시험 이상반응 연구

Adverse Event Study on Ojeok-san Extract Powders RCT in Low Back Pain Patients

  • 윤은혜 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 장민기 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 황지후 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 이승훈 (경희대학교 한의과대학 침구학교실) ;
  • 정원제 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 이재동 (경희대학교 한의과대학 침구학교실) ;
  • 이승덕 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 김경호 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 김갑성 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실) ;
  • 김은정 (동국대학교 서울캠퍼스 일반대학원 한의학과 침구학교실)
  • Yoon, Eun-Hye (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Univ-Seoul) ;
  • Jang, Min-Gee (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Univ-Seoul) ;
  • Hwang, Ji-Hoo (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Univ-Seoul) ;
  • Lee, Seung-Hoon (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Jeong, Won-Je (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Univ-Seoul) ;
  • Lee, Jae-Dong (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Seung-Deok (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Univ-Seoul) ;
  • Kim, Kyung-Ho (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Univ-Seoul) ;
  • Kim, Kap-Sung (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Univ-Seoul) ;
  • Kim, Eun-Jung (Department of Acupuncture & Moxibustion, Graduate School of Oriental Medicine, Dongguk Univ-Seoul)
  • 투고 : 2010.07.22
  • 심사 : 2010.08.02
  • 발행 : 2010.08.20

초록

Objectives : This study was performed to report adverse events in Ojeok-san extract powders RCT. Methods : 180 patients with LBP were randomized into groups for a double blind, placebo-controlled clinical study. They received Ojeok-san simple Extract, Ojeok-san complex Extract or placebo in powders, orally dissolved 3times a day for 4weeks. During 4weeks, we researched the symptoms and duration of adverse events and Digest ability, Milk hypersensitivity, Starch hypersensitivity, Caramel hypersensitivity, West-med hypersensitivity, Herb-med hypersensitivity in patients who had adverse events. Results : 52patients(28.9%) had adverse events and of them 44patients(28.9%) had lost adverse events naturally. But 5patients(2.8%) were withdrawn from the research because of the adverse events. Most of the symptoms of adverse event was Gastrointestinal symptom(88.3%) and adverse events frequency was not different from Ojeok-san simple Extract, Ojeok-san complex Extract and placebo. Conclusions : Ojeok-san extract powders had adverse events no different from the placebo, which shows that it is a safe drug.

키워드

참고문헌

  1. Evidence-Based Medicine Working Group. Evidence- Based Medicine : a new approach to teaching the practice of medicine. JAMA. 1992 ; 268 : 2420-5. https://doi.org/10.1001/jama.268.17.2420
  2. 배한호, 강위창, 박양춘. 감기에 대한 연교패독산의 유효성 평가를 위한 community-based 이중맹검 위약 대조군 연구. 동의생리병리학회지. 2008 ;22(1) : 234-45.
  3. 정수경, 김동일. 갱년기 여성의 안면홍조에 대한 이선탕가미방의 증상 완화 효과 및 안전성 평가를 위한 임상연구. 대한한방부인과학회. 2008 ; 21(3) : 75-89.
  4. 정희, 이지형, 장보형, 고성규. 성요한초제제 임상시험 고찰을 통한 한약기원 항우울제 임상시험 방법론 연구. 대한한방내과학회지. 2007 ; 28(2) :363-76.
  5. 박정현, 남종경, 권동현, 김호준, 이명종. 비만 치료 한약의 무작위 대조임상시험에 대한 체계적인 분석. 한방재활의학과학회지. 2009 ; 19(3) : 33-46.
  6. 형례창, 양창섭, 이태호, 김락형, 곽민정, 서의석, 장인수. 마황 단기복용이 사상체질인의 불안에 미치는 영향 : 이중맹검 임상시험. 대한한방내과학회지. 2007 ; 28(1) : 86-93.
  7. 여진주, 형례창, 양창섭, 정승일, 서의석, 장인수. 마황 복용이 성인의 체중감소에 미치는 영향에 대한 이중맹검 임상연구. 대한한의학회지. 2007 ;28(1) : 63-71.
  8. 식품의약품안전청. 임상시험 이상반응 보고지침. 의약 65625-13553호(2000.12.29) http://opendrug.kfda.go.kr/drugsafeuse/data/data_2_view.jsp?bo_id=540.
  9. Borum ML. Fulminant exacerbation of autoimmune hepatitis after use of Ma Huang. Am J Gastroenterol. 2001 ; 96 : 1654-5. https://doi.org/10.1111/j.1572-0241.2001.03827.x
  10. Kamiyama T, Nouchi T, Kojima S, Murata N, Ikeda T, Sato C. Autoimmune Hepatitis triggered by administration of an herbal medicine. Am J Gastroenterol. 1997 ; 92 : 703-4.
  11. 국민건강보험공단. 2008년 건강보험통계.
  12. 陳師文. 太平惠民和劑局方. 서울 ; 경희대학교 출판국. 2006 ; 27-28. 연보. 2009.
  13. FDA Center for Drug Evaluation and Research. Expert Working Group (Efficacy) of the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use(ICH). (August 25, 2007). "Guideline for Industry-Clinical safety data management : definitions and standards for dxpedited reporting. http://www.fda.go-v/cder/guidance/iche2a.pdf.
  14. R Andrew Moore, Sheena Derry, Geoffrey T Makinson and Henry J McQuay. Tolerability and adverse events in clinical trials of celecoxib in osteoarthritis and rheumatoid arthritis : systematic review and meta-analysis of information from company clinical trial reports. Arthritis Research & Therapy. 2005 ; 7 : 644-65. https://doi.org/10.1186/ar1704
  15. Jean Yves Reginster, Rita Deroisy, Lucio C Rovati, Richard L Lee, Eric Lejeune, Olivier Bruyere, Giacovelli, Yve Henrotin, Jane E Dacre, Christiane Gossett. Long-term effects of glucosamine suphate on osteoarthritis progression : a randomized, placebo-controlled clinical trial. Lancet. 2001 ; 357 : 251-6. https://doi.org/10.1016/S0140-6736(00)03610-2
  16. World Heath Organisation. Adverse Reatios Terminology (WHO-ART). Uppsala : World Health Organisation. 1999.
  17. Edwards JE, McQuay HJ, Moore RA, Collins SL. Reporting of adverse effects in clinical trials should be improved : lessons from acute postoperative pain. J Pain Synptom Manage. 1999 ;18 : 427-37. https://doi.org/10.1016/S0885-3924(99)00093-7
  18. Bjerkenstedt L, Edman GV, Alken RG, Mannel M. Hypericum extrat LI 160 fluoxetine in mild to moderate depression. Eur Arch Psychiatry Clin Neurosci. 2005 ; 255 : 40-7. https://doi.org/10.1007/s00406-004-0532-z
  19. Woelk H. Comparisom of St John's Wort and imipramine for treating depression : randomized controlled trial. 2000 ; 321(7260) : 536-9. https://doi.org/10.1136/bmj.321.7260.536