A Randomized Double-blind Placebo-controlled Clinical Trials of the Blood-quickening Stasis-transforming Formula Quick-Acting Heart Reliever for Patients With Moderate Coronary Stenosis
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- the effective power of angina pectoris
研究概览
简要总结
This study investigates the effective power of angina pectoris after Quick-Acting Heart Reliever and isosorbide dinitrate interventing respectively the patients with moderate coronary stenosis for six months. At the same time, the studying will assess the plaque, myocardial blood-supplying,quality of life and observe the end point of the heart (including the myocardial revascularization, death and myocardial infarction). The purpose is to study the function of the blood-quickening stasis-transforming formula Quick-Acting Heart Reliever for moderate coronary stenosis lesions.
详细描述
Blood-quickening stasis-transforming medicinal of Chinese medicinal can ameliorate clinical symptoms of coronary artery disease. Quick-Acting Heart Reliever is one of blood-quickening stasis-transforming medicinals to relieve angina pectoris in clinic and is especially benefit for the patients with moderate coronary stenosis who need not coronary revascularization only have medical treatment. But there is no randomized evidence that established the beneficial effects of blood-quickening stasis-transforming medicinals to treat moderate coronary stenosis lesions. This study is a randomized double-blind placebo-controlled clinical trials. A total of 120 consecutive participants with at least one moderate coronary stenosis lesion (diameter stenosis 50-75%) will be randomized to two groups: group 1(n =60) will receive Quick-Acting Heart and the placebo of isosorbide dinitrate, patients in group 2(n = 60) will receive isosorbide dinitrate and the placebo of Quick-Acting Heart for six months. The myocardial perfusion imaging and the coronary CT angiography will be used to evaluate the effective power of angina pectoris,myocardial blood-supplying,the quality and volume of the plaque, diameter stenosis after treating after 6 months and the end point of the heart (including death,myocardial infarction and myocardial revascularization which includes intracoronary stenting and coronary artery bypass grafting,) after 12 months. The purpose is to study the function of Quick-Acting Heart Reliever delaying percutaneous coronary intervention(PCI) for moderate coronary stenosis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 30 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or female subjects 30-75 years of age
- •Angina or CAD patient
- •Diameter stenosis 50-75% in at least one main coronary artery (Confirmed by coronary arteriography or coronary CT angiography)
- •Not received percutaneous coronary intervention(PCI)
- •Heart blood stasis obstruction syndrome according to TCM syndrome differentiation
- •Provide written informed consent.
排除标准
- •Heart transplant or history of CABG or history of percutaneous transluminal coronary angioplasty (PTCA) with a drug-eluting stent.
- •Left ventricular ejection fraction < 35%
- •Acute myocardial infarction within 4 weeks prior to inclusion
- •The contractive pressure > 160 mmHg or diastolic pressure >100 mmHg
- •Severe valvular heart disease
- •Insulin-dependent diabetes mellitus
- •Serious heart, lung, liver, kidney and brain or other primary complications
- •Mental patients
- •Diagnosed or suspected tumor
- •Allergic persons
- •Pregnant, breastfeeding, or intends to become pregnant during the course of the study (females only)
- •Patients not willing to or not able to give the informed consent to participate in the study
- •The patients who are attending other clinical trial
- •The person maybe loss for some reason such as work or life condition according to the investigator's judgement
研究组 & 干预措施
Quick-Acting Heart Reliever group
Drug: Quick-Acting Heart Reliever and Placebo of isosorbide dinitrate and Aspirin Enteric-coated Tablets
干预措施: Quick-Acting Heart Reliever (Drug)
Quick-Acting Heart Reliever group
Drug: Quick-Acting Heart Reliever and Placebo of isosorbide dinitrate and Aspirin Enteric-coated Tablets
干预措施: Placebo of Isosorbide Dinitrate (Drug)
Quick-Acting Heart Reliever group
Drug: Quick-Acting Heart Reliever and Placebo of isosorbide dinitrate and Aspirin Enteric-coated Tablets
干预措施: Aspirin Enteric-coated Tablets (Drug)
Isosorbide Dinitrate group
Isosorbide Dinitrate and Placebo of Quick-Acting Heart Reliever and Aspirin Enteric-coated Tablets
干预措施: Isosorbide Dinitrate (Drug)
Isosorbide Dinitrate group
Isosorbide Dinitrate and Placebo of Quick-Acting Heart Reliever and Aspirin Enteric-coated Tablets
干预措施: Placebo of Quick-Acting Heart Reliever (Drug)
Isosorbide Dinitrate group
Isosorbide Dinitrate and Placebo of Quick-Acting Heart Reliever and Aspirin Enteric-coated Tablets
干预措施: Aspirin Enteric-coated Tablets (Drug)
结局指标
主要结局
the effective power of angina pectoris
时间窗: 6 months
the effective power of angina pectoris after Quick-Acting Heart Reliever and isosorbide dinitrate interventing respectively the patients with morderate coronary stenosis for six months
次要结局
- plaque(6 months)
- the end point of the heart(a composite of cardiovascular events including death, nonfatal myocardial infarction,coronary revascularization, hospitalized unstable angina)(12 months)
- SCD40L(6 months)
- MMP-9(6 months)
- VEGF(6 months)
- bFGF(6 months)
- symptoms score(6 months)
- quality of life(6 months)
- myocardium blood-supply(6 months)
研究者
Jie Wang
President of Guang'anmen Hospital
Guang'anmen Hospital of China Academy of Chinese Medical Sciences
