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Compound Ciwujia Granules is a traditional Chinese medicine (TCM) preparation primarily derived from Eleutherococcus senticosus (also known as Acanthopanax senticosus or Siberian ginseng). It is currently under investigation in a large-scale, multi-center Phase 3 clinical trial sponsored by Hui Zhu for the treatment of chronic insomnia in adults aged 40-75. The formulation, manufactured by Heilongjiang Quanle Pharmaceutical Co., Ltd., contains several active compounds, including eleutherosides B and E, isofraxidin, and chlorogenic acid. The drug's mechanism of action involves the modulation of central neurotransmitter levels, specifically by increasing the levels of inhibitory neurotransmitters serotonin (5-HT) and gamma-aminobutyric acid (GABA) while reducing the levels of excitatory neurotransmitters dopamine (DA) and norepinephrine (NE). It is typically administered orally in a granule dosage form.
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