HuoXin Pills Intervention on Patients With Coronary Heart Disease After Drug-Coated Balloon Implantation

Phase 4

Recruiting

• Conditions: Coronary Heart Disease; Medicine, Chinese Traditional
• Interventions: Drug: Yuekang Huoxin Pills (concentrated pills); Drug: Yuekang Huoxin Pills (concentrated pills)simulant

• Registration Number: NCT05489016
• Lead Sponsor: China National Center for Cardiovascular Diseases

Brief Summary

This trial is a multi-center, randomized, double-blind, placebo, parallel controlled study. Objectively evaluates the curative effect of Huoxin Pills (concentrated pills) intervention on improving the prognosis of patients with coronary heart disease after drug-coated balloon implantation from a functional point of view. Huoxin Pill(concentrated pills), a traditional Chinese medicine, has been prescribed widely in the treatment of coronary heart disease, angina pectoris, and other diseases.440 patients were selected and followed up for one year. The quantitative blood flow score of the target vessel, late lumen loss, MACE incidence, and safety index were observed at 12 months.

Detailed Description

Percutaneous coronary intervention (PCI) is currently the main treatment for coronary heart disease. Drug-coated balloon (DCB) is an emerging interventional therapy technology. DCB can effectively reduce the incidence of vascular restenosis and cardiovascular composite event endpoints after PCI. However, the incidence of target lesion failure and major adverse cardiac event (MACE) of DCB in the treatment of primary coronary artery disease within one year after surgery can also reach more than 10%. Therefore, how to reduce vascular restenosis after DCB and other related cardiovascular composite endpoint events through the combination of DCB and drug therapy is a potential development direction of existing DCB therapy.

The research results of Chinese scholars have shown that the traditional Chinese medicine of replenishing qi and activating blood circulation can significantly reduce the restenosis rate after PCI, the recurrence rate of angina pectoris and the incidence of cardiovascular composite endpoint in three and six months after PCI.

It has significant clinical efficacy in improving the symptoms and prognosis of patients with coronary heart disease such as angina pectoris. In addition, basic research has further shown that Huoxin Pill (concentrated pill) can significantly reduce the degree and scope of myocardial ischemia and has the effects of dilating coronary artery and improving microcirculation.

Quantitative flow fraction (QFR) technology is the new method with the most sufficient clinical evidence in recent years, and can rapidly calculate the coronary stenosis-related lesions and severity of the diseased vessels in real time during the operation. Therefore, in this study, the QFR technology was used to evaluate the postoperative efficacy of DCB and the combination of Huoxin Pill (concentrated pill).

This trial is a multi-center, randomized, double-blind, placebo, parallel controlled study. Objectively evaluates the curative effect of Huoxin Pills (concentrated pills) intervention on improving the prognosis of patients with coronary heart disease after drug-coated balloon implantation from a functional point of view. Huoxin Pill(concentrated pills), a traditional Chinese medicine, has been prescribed widely in the treatment of coronary heart disease, angina pectoris, and other diseases.440 patients were selected and followed up for one year. The quantitative blood flow score of the target vessel, late lumen loss, MACE incidence, and safety index were observed at 12 months.

Study Timeline

• Study First Submitted: 2022-07-25
• Status Verified: 2022-08
• Study First Submitted QC: 2022-08-03
• Study Start: 2022-08-05
• Study First Posted: 2022-08-05
• Last Update Submitted: 2022-08-14
• Last Update Posted: 2022-08-17
• Primary Completion: 2024-01-01
• Study Completion: 2025-07-13

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 440

Inclusion Criteria

1. Aged 18-75 years;
2. Patients who meet the diagnostic criteria of Western medicine for coronary heart disease, elective patients within two weeks after DCB surgery;
3. Voluntary selection of patients who undergo coronary angiography 12 months after surgery;
4. Meet the TCM criteria for syndrome differentiation of Qi deficiency and blood stasis (total score >= 8 points, and secondary symptoms >= 4 points);
5. The patients voluntarily participated in the trial and signed the informed consent.

Exclusion Criteria

1. Severe arrhythmia, severe cardiopulmonary insufficiency and poorly controlled hypertension;
2. Patients with serious primary diseases such as severe liver and kidney damage, hematopoietic system, and mental illness;
3. Patients with heart valve disease, cardiomyopathy, congenital heart disease, aortic dissection or aortic aneurysm that need to be corrected by surgery or interventional therapy;
4. Those who have cerebrovascular events such as stroke and transient cerebral ischemia within 6 months;
5. Pregnant, planning pregnancy or lactating patients;
6. Allergic constitution and those who are allergic to known components of the research drug;
7. Those who are participating in other clinical trials or have participated in other drug clinical trials within one month;
8. Those who are judged by the investigator to be unsuitable to participate in this clinical trial.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Yuekang Huoxin Pills (concentrated pills)	Yuekang Huoxin Pills (concentrated pills)	2 pills at a time, 3 times a day
Yuekang Huoxin Pills (concentrated pills) simulant	Yuekang Huoxin Pills (concentrated pills)simulant	2 pills at a time, 3 times a day

Primary Outcome Measures

Name	Time	Method
QFR	At the end of the 12-month follow-up	quantitative flow fraction was measured by coronary angiography at 12-month follow-up. The AngioPlus system (Pulse Medical Imaging Technology, Shanghai Co., Ltd., Shanghai, China) is used for computation of QFR in this trial. n order to obtain accurate QFR measurement, analysts are required to follow the SOP (Standard Operation Procedure) for angiographic image acquisition.

Secondary Outcome Measures

Name	Time	Method
QFR change value	At the end of the 12-month follow-up	quantitative flow fraction change value was measured by coronary angiography in 12-month Drug intervention. The AngioPlus system (Pulse Medical Imaging Technology, Shanghai Co., Ltd., Shanghai, China) is used for computation of QFR in this trial. n order to obtain accurate QFR measurement, analysts are required to follow the SOP (Standard Operation Procedure) for angiographic image acquisition.
Late Lumen Loss Late lume loss	At the end of the 12-month follow-up	The software was used to automatically profile the artery by subtracting the minimum lumen diameter at the 12-month follow-up from the minimum lumen diameter immediately after coronary angiography within the drug-coating balloon.
incidence of main adverse cardiac events composite endpoints incidence of cardiovascular composite endpoints	At the end of the 12-month follow-up	the occurrence of death, myocardial infarction and revascularization

Trial Locations

Locations (3)

Fuwai Hospital, China National Center for Cardiovascular Diseases; 🇨🇳 Beijing, Beijing, China

Fuwai Central China Cardiovascular Hospital; 🇨🇳 Zhengzhou, Henan, China

Fuwai Yunnan Cardiovascular Hospital; 🇨🇳 Kunming, Yunnan, China