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Effect of PADMA 28 on Endothelial Function, Autonomic Nervous System and Biomarkers in Patients With Coronary Artery Disease

Phase 2
Completed
Conditions
Coronary Artery Disease
Interventions
Drug: Placebo
Registration Number
NCT01581034
Lead Sponsor
Insel Gruppe AG, University Hospital Bern
Brief Summary

This randomized, placebo-controlled, double-blinded trial investigates the effect of a 6 week intake of PADMA 28 on the endothelial function, biomarkers and the autonomic nervous systems in patients with coronary artery disease. The investigators hypothesize that PADMA 28 has a beneficial effect on endothelial function, arterial stiffness, the autonomic nervous systen and the blood inflammatory markers in patients with coronary artery disease compared to placebo treatment.

Detailed Description

Background

This randomized, placebo-controlled, double-blinded trial investigates the effect of a 6 week intake of PADMA 28 on the endothelial function, biomarkers and the autonomic nervous systems in patients with coronary artery disease. PADMA 28 contains 20 herbs from Tibet. The endothelial function will be measured by EndoPAT 2000, the autonomic nervous system by an ambulatory electrocardiography during the orthostatic reaction and the biomarkers will be analyzed with taking a blood sample. The investigators hypothesize that PADMA 28 has a beneficial effect on endothelial function, arterial stiffness, the autonomic nervous systen and the blood inflammatory markers in patients with coronary artery disease compared to placebo treatment.

Objective

To assess the effect of PADMA 28 on endothelial function, autonomic nervous system and biomarkers in patients with coronary artery disease.

Methods

80 patients with coronary artery disease will be recruited for the study. To measure endothelial function, the investigators use EndoPAT 2000. The autonomic nervous system will be analysed with ambulatory electrocardiography.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
80
Inclusion Criteria
  • Male patient with coronary artery disease
  • Stable medication
  • Physically stable
  • Psychologically stable
  • Written informed consent
  • Willing and able to comply with all trial requirements
  • Must have completed rehabilitation program since at least 6 months and no longer than 5 years prior to study begin
Exclusion Criteria
  • Acute coronary syndrome within the last three months
  • Abnormal high hepatic enzymes
  • Renal insufficiency with compensated retention
  • Intake of medication which may affect endothelial function
  • Currently smoking
  • Current malignant diseases, which may reduce the expectancy of life
  • Chronic heart failure
  • Insulin-dependent diabetes
  • Known hypersensitivity against any ingredient of PADMA 28
  • Longterm intake of supplements
  • Serious mental health issues
  • Alcohol and/or drug abuse
  • Simultaneous participation in another clinical trial

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PadmaPADMA 28-
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Endothelial functionAt completion of the study, expected to be at 6 weeks

Expressed as Reactive Hyperemic Index (RHI), measured by non-invasive peripheral arterial tonometry

Secondary Outcome Measures
NameTimeMethod
Autonomic nervous systemAt completion of the study, expected to be at 6 weeks

Cardiac autonomic tone (expressed as frequency domain parameters of heart rate variability (HRV) \& measured by ECG)

Biomarkers in bloodAt completion of the study, expected to be at 6 weeks

Blood inflammatory and anticoagulative biomarkers, measured by fasting blood samples

Trial Locations

Locations (1)

Swiss Cardiovascular Prevention and Rehabilitation Center, Bern University Hospital

🇨🇭

Bern, Switzerland

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