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Efficacy and safety of Xin-Li-Fang in the treatment of chronic heart failure:A Randomized, double-blind, placebo-controlled study

Phase 1
Conditions
Chronic Heart Failure
Registration Number
ITMCTR2200005855
Lead Sponsor
The Second Affiliated Hospital of Guangzhou University of Chinese Medicine(Guangdong Provincial of Chinese Medicine)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

(1)Age is above 18 years, not restrictions on male or female;
(2)Patients who meet the chronic heart failure diagnosis creteria, and have a history of chronic heart failure for more than 3 months, or clinical symptoms of heart failure for more than 3 months; The diagnosis of chronic heart failure was based on the 2018 Guidelines for the Diagnosis and Treatment of Chronic Heart Failure in China;
(3)The syndrome differentiation of traditional Chinese medicine is the syndrome of water stopping, Qi deficiency and blood stasis;
(4)NYHA classification stage II-IV;
(5)Serum NT-proBNP>=450pg/ml;
(6)Patients have received standard medical treatment for more than 2 wks and no modification of dosage or intravenous administration has been given;
(7) To be able to and willing to provide signed informed consent.

Exclusion Criteria

(1)CHF is caused by following condition: valvular disease, congenital heart disease, pericardial disease, cardiac arrhythmia, or other non-cardiogenic factors, including dysfunction of kidney, liver and lung;
(2)Patients with severe liver, kidney, hematological disease or abnormal renal or hepatic funtion (ALT and ALP > 3 UNL, Cr> 2mg/dl(176.82umol/L), serum potassium >5.5 mmol/L. Patients with tumor, severe neural, endocrine or psychological disease; The investigator judges that the survival period does not exceed 1 year;
(3)Combined with left ventricular outflow tract obstruction, myocarditis, hypertrophic cardiomyopathy, restrictive cardiomyopathy, aortic aneurysm, aortic dissection, congenital heart disease, and significant hemodynamic changes in patients with silent valvular heart disease; Patients with cardiogenic shock, uncontrollable malignant arrhythmia, sinus or atrioventricular block without pacemaker treatment, progressive unstable angina pectoris or acute myocardial infarction;
(4)Patients undergoing cardiac resynchronization therapy, or who will undergoing coronary revascularization or cardiac resynchronization therapy within 12 weeks;
(5)The patients with hypertension without control, SBP=180mmHg and/or DBP=110mmHg; SBP<90mmHg and/or DBP<60mmHg;
(6)People with allergies, or those who are known to be allergic to this medicine and its ingredients;
(7)Involved in any clinical trial in recent 1 month;
(8)During pregnancy and lactation women;
(9)The investigator judged that he could not complete the study or could not comply with the requirements of the study.

Study & Design

Study Type
Interventional study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
T-proBNP;
Secondary Outcome Measures
NameTimeMethod
YHA classification;primary end point event;6 minute walking test;Minnesota living with heart failure questionnaire;TCM symptoms evaluation;Colour Sonography;
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