PMID- 31553228 OWN - NLM STAT- MEDLINE DCOM- 20200121 LR - 20200121 IS - 1557-7708 (Electronic) IS - 1075-5535 (Linking) VI - 25 IP - 12 DP - 2019 Dec TI - Efficacy and Safety of Toutongning Capsule in Patients with Migraine: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial. PG - 1215-1224 LID - 10.1089/acm.2018.0500 [doi] AB - Objective: Toutongning (TTN) capsule, a Chinese patent medicine, is used as a prophylactic treatment for migraine. The present study was conducted as a postmarketing evaluation of the efficacy and safety of TTN capsule. Design: A randomized, double-blind, placebo-controlled trial. Location: Patients recruited from 14 medical centers in China from May 2014 to August 2015. Subjects: Patients between 18 and 65 years of age with a diagnosis of migraine. Interventions: The patients were randomly assigned to receive either TTN (1200 mg, three times daily) or a matched placebo (1:1) for 4 weeks. Outcome measures: The primary outcome measured was a minimum 50% reduction in the frequency of headaches from the 4-week baseline period to the last 4 weeks of the 12-week trial. Secondary outcomes included duration, days, and visual analog score of headache attack, interval between headache attacks, usage of acute analgesics, and score on the Headache Impact Test-6. In addition, all patients were evaluated for adverse events (AEs). Results: This study initially enrolled 400 patients; a total of 378 participants completed the experiment while fulfilling all study requirements. TTN had a superior effect compared with the placebo on both the primary and secondary outcome measures without any serious AEs or unexpected side effects. Conclusion: TTN can effectively prevent the occurrence of migraine headaches and is well-tolerated and safe. TTN may exhibit a persistent therapeutic effect even after cessation of use. Trial Registration number: ChiCTR-IPR-15007058. FAU - Yu, Shengyuan AU - Yu S AD - Department of Neurology, Chinese PLA General Hospital, Beijing, P.R. China. FAU - Ran, Ye AU - Ran Y AD - Department of Neurology, Chinese PLA General Hospital, Beijing, P.R. China. FAU - Wan, Qi AU - Wan Q AD - Department of Neurology, Jiangsu Province Hospital, Nanjing, P.R. China. FAU - Yang, Xiaosu AU - Yang X AD - Department of Neurology, Xiangya Hospital Central South University, Changsha, P.R. China. FAU - Chen, Huisheng AU - Chen H AD - Department of Neurology, The General Hospital of Shenyang Military, Shenyang, P.R. China. FAU - Wang, Hebo AU - Wang H AD - Department of Neurology, Hebei General Hospital, Shijiazhuang, P.R. China. FAU - Hu, Xueqiang AU - Hu X AD - Department of Neurology, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, P.R. China. FAU - Mao, Shanping AU - Mao S AD - Department of Neurology, Hubei General Hospital, Wuhan, P.R. China. FAU - Yu, Tingming AU - Yu T AD - Department of Neurology, The Second Hospital of Jilin University, Changchun, P.R. China. FAU - Luo, Guogang AU - Luo G AD - Department of Neurology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, P.R. China. FAU - Gao, Xuguang AU - Gao X AD - Department of Neurology, Peking University People's Hospital, Beijing, P.R. China. FAU - Li, Xin AU - Li X AD - Department of Neurology, The Second Hospital of Tianjin Medical University, Tianjin, P.R. China. FAU - Zhou, Muke AU - Zhou M AD - Department of Neurology, West China Hospital, Sichuan University, Chengdu, P.R. China. FAU - Li, Yu AU - Li Y AD - Department of Neurology, Fuling Center Hospital of Chongqing City, Chongqing, P.R. China. LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20190925 PL - United States TA - J Altern Complement Med JT - Journal of alternative and complementary medicine (New York, N.Y.) JID - 9508124 RN - 0 (Drugs, Chinese Herbal) SB - IM MH - Adult MH - Double-Blind Method MH - Drugs, Chinese Herbal/*adverse effects/*therapeutic use MH - Female MH - Humans MH - Male MH - Middle Aged MH - Migraine Disorders/*drug therapy/epidemiology MH - Treatment Outcome MH - Vital Signs OTO - NOTNLM OT - Toutongning capsule OT - herbal medicine OT - migraine OT - multicenter study OT - randomized controlled trial EDAT- 2019/09/26 06:00 MHDA- 2020/01/22 06:00 CRDT- 2019/09/26 06:00 PHST- 2019/09/26 06:00 [pubmed] PHST- 2020/01/22 06:00 [medline] PHST- 2019/09/26 06:00 [entrez] AID - 10.1089/acm.2018.0500 [doi] PST - ppublish SO - J Altern Complement Med. 2019 Dec;25(12):1215-1224. doi: 10.1089/acm.2018.0500. Epub 2019 Sep 25.