Studies of Traditional Chinese Medicine Clinical Efficacy Evaluation Index

NCT ID: NCT01502943

Last Updated: 2012-01-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

480 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2011-12-31

Brief Summary

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The purpose of the trial is to take stable angina pectoris of coronary heart disease (CHD) as examples to build a standard evaluation system for efficacy of traditional Chinese medicine (TCM).

1. Studies of evaluating reliability, validity and reactivates of Patients Report Outcomes of CHD and self-administrated scale of Stable Angina Pectoris
2. research on all indicators of CHD, and analyze their characteristics, target and function
3. theory of Invigorating Spleen to Remove Phlegm or replenish Qi, and activating blood and dissolving stasis as an example for clinical efficacy evaluation.

Detailed Description

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Clinical efficacy is the basis of traditional Chinese medicine development, and scientific evaluation of TCM clinical efficacy and its effectiveness is the way to push TCM modernized and international. TCM theories of Overall concept and Differentiation for life science and diseases are hard to be generally accepted. Besides, no unified and standard methods fit to evaluate the TCM clinical efficacy. Thus, there is a need to do a deeper research of methodology, evaluative index, and evaluative criteria in order to guide the evaluation of TCM clinical efficacy.

Based on the situation above, the study aims to choose the best and characteristic evaluative index of clinical efficacy, compare the demand among practitioners, patients and care givers. After data collected, a new cluster of index among Biochemical, patients report outcomes, endpoint indicators, and TCM soft indicators could be constituted and analyzed to use in respective way according to their characteristics, target and function.

Conditions

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Coronary Heart Disease Stable Angina Pectoris

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Phlegm and blood stasis Syndrome G

Group Type EXPERIMENTAL

Louxiangdan Tongxin granules

Intervention Type DRUG

TCM treatment:

Decoction: Louxiangdan Tongxin granules Herbs:Danshen 10g、Chenxiang 1g、Gualou10g、Xiebai 10g、Banxia6g、Chuanxiong 6g 、Dangshen 10g、Zhiqiao 6g、Taoren 10g、Guizhi 6g Therapeutic Principle:Invigorating Spleen to Remove Phlegm and activating blood and dissolving stasis, at least 6 kinds of TCM herbs can be chosen and their dosages be adjusted according to Syndrome Differentiation.

Usage:Once 100ml, twice per day after breakfast and supper.

Western basis treatment

Intervention Type DRUG

Aspirin: 100mg pd. P.O.( patients who have Aspirin resistance or Allergy can replaced with Piece clopidogrel 75mg pd. P.O.) Atorvastatin calcium (Lipitor): 10mg pd. P.O.( patients who have Atorvastatin calcium resistance or Allergy can replaced with Additive amount of pravastatin equal to 10mg Lipitor) Nitroglycerin: sublingual necessary.

Phlegm and blood stasis control G

Group Type PLACEBO_COMPARATOR

TCM granules placebo

Intervention Type DRUG

Chinese medicine granules placebo: once 100ml, twice per day after breakfast and supper.

Western basis treatment

Intervention Type DRUG

Aspirin: 100mg pd. P.O.( patients who have Aspirin resistance or Allergy can replaced with Piece clopidogrel 75mg pd. P.O.) Atorvastatin calcium (Lipitor): 10mg pd. P.O.( patients who have Atorvastatin calcium resistance or Allergy can replaced with Additive amount of pravastatin equal to 10mg Lipitor) Nitroglycerin: sublingual necessary.

Qi deficiency and blood stasis G

Group Type EXPERIMENTAL

Chixiangshen Tongxin granules

Intervention Type DRUG

TCM treatment:

Decoction: Chixiangshen Tongxin granules Herbs: Chishao 10g, Chenxiang 1g, Danggui 10g, Jupi 10g, Yanhusuo 6g, Chuanxiong 6g, Dangshen 10g, Huangqi 6g, Taoren 10g, Honghua 10g Therapeutic Principle:Invigorating Spleen to Replenish Qi and activating blood and dissolving stasis, at least 6 kinds of TCM herbs can be chosen and their dosages be adjusted according to Syndrome Differentiation.

Usage:Once 100ml, twice per day after breakfast and supper.

Western basis treatment

Intervention Type DRUG

Aspirin: 100mg pd. P.O.( patients who have Aspirin resistance or Allergy can replaced with Piece clopidogrel 75mg pd. P.O.) Atorvastatin calcium (Lipitor): 10mg pd. P.O.( patients who have Atorvastatin calcium resistance or Allergy can replaced with Additive amount of pravastatin equal to 10mg Lipitor) Nitroglycerin: sublingual necessary.

Qi deficiency and blood stasis control G

Group Type PLACEBO_COMPARATOR

TCM granule placebo plus western basis treatment

Intervention Type DRUG

Chinese medicine granules placebo: once 100ml, twice per day after breakfast and supper.

Western basis treatment

Intervention Type DRUG

Aspirin: 100mg pd. P.O.( patients who have Aspirin resistance or Allergy can replaced with Piece clopidogrel 75mg pd. P.O.) Atorvastatin calcium (Lipitor): 10mg pd. P.O.( patients who have Atorvastatin calcium resistance or Allergy can replaced with Additive amount of pravastatin equal to 10mg Lipitor) Nitroglycerin: sublingual necessary.

Interventions

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Louxiangdan Tongxin granules

TCM treatment:

Decoction: Louxiangdan Tongxin granules Herbs:Danshen 10g、Chenxiang 1g、Gualou10g、Xiebai 10g、Banxia6g、Chuanxiong 6g 、Dangshen 10g、Zhiqiao 6g、Taoren 10g、Guizhi 6g Therapeutic Principle:Invigorating Spleen to Remove Phlegm and activating blood and dissolving stasis, at least 6 kinds of TCM herbs can be chosen and their dosages be adjusted according to Syndrome Differentiation.

Usage:Once 100ml, twice per day after breakfast and supper.

Intervention Type DRUG

TCM granules placebo

Chinese medicine granules placebo: once 100ml, twice per day after breakfast and supper.

Intervention Type DRUG

Chixiangshen Tongxin granules

TCM treatment:

Decoction: Chixiangshen Tongxin granules Herbs: Chishao 10g, Chenxiang 1g, Danggui 10g, Jupi 10g, Yanhusuo 6g, Chuanxiong 6g, Dangshen 10g, Huangqi 6g, Taoren 10g, Honghua 10g Therapeutic Principle:Invigorating Spleen to Replenish Qi and activating blood and dissolving stasis, at least 6 kinds of TCM herbs can be chosen and their dosages be adjusted according to Syndrome Differentiation.

Usage:Once 100ml, twice per day after breakfast and supper.

Intervention Type DRUG

TCM granule placebo plus western basis treatment

Chinese medicine granules placebo: once 100ml, twice per day after breakfast and supper.

Intervention Type DRUG

Western basis treatment

Aspirin: 100mg pd. P.O.( patients who have Aspirin resistance or Allergy can replaced with Piece clopidogrel 75mg pd. P.O.) Atorvastatin calcium (Lipitor): 10mg pd. P.O.( patients who have Atorvastatin calcium resistance or Allergy can replaced with Additive amount of pravastatin equal to 10mg Lipitor) Nitroglycerin: sublingual necessary.

Intervention Type DRUG

Other Intervention Names

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Louxiangdan Tongxin granules from Jiangyin Tianjiang Pharmaceutical Co., Ltd TCM placebo granules from Jiangyin Tianjiang Pharmaceutical Co., Ltd Chixiangshen Tongxin granules from Jiangyin Tianjiang Pharmaceutical Co., Ltd TCM placebo granules from Jiangyin Tianjiang Pharmaceutical Co., Ltd Aspirin from Liaoning WanLong medicine Co.,Ltd Atorvastatin calcium (Lipitor) from Liaoning Pharmaceutical foreign trade corporation

Eligibility Criteria

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Inclusion Criteria

* The diagnosis standard according with stable angina coronary heart disease
* The participants with any one of the below six standards are included:

* history of myocardial infarction previously
* PCI postoperative patients
* CT showing more than 50% coronary stenosis
* Coronary angiography showing more than 50% coronary stenosis
* positive results of the electrocardiogram
* ischemia changes in the electrocardiogram recently
* The Patients with disease history more than three months, attacked in the recent one month
* Standard according to the phlegm and blood stasis syndrome or Qi deficiency and blood stasis syndrome of the traditional Chinese medicine
* Male: 45 years old \< 75 years old
* Female: 50 years old \< 75 years old
* Participants signed the agreement paper voluntarily.

Exclusion criterion:

* Participants with Acute coronary syndrome (ST segment elevation myocardial infarction, non ST segment elevation myocardial infarction, unstable angina), asymptomatic myocardial ischemia,ischemic cardiomyopathy,the myocardial infarction happening in the 3 months before the test
* Participants with rheumatism heart disease, hyper thyroid heart disease, hypertensive heart disease, myocarditis, cardiomyopathy
* Participants with Cervical disease, gallbladder cardiac syndrome, stomach and esophageal reflux, aortic dissection
* Participants with acute cerebral infarction and cerebral hemorrhage
* Participants with severe heart failure, lung function, liver function (AST, ALT 1.5 times normal standard), kidney function (BUN, Cr more than the normal standard), hematopoietic system and endocrine systems and serious primary disease, malignant tumor, gastrointestinal bleeding, gastric ulcer and are prone to bleed
* the Participants can not complete the whole test
* The serious high blood pressure and hard to control (SBP \>= 180 mmHg or DBP \>=110 mmHg)
* Participants of acute or chronic cardiac dysfunction with heart function III-IV
* Participants has been included in other clinical studies in one month;
* Participants with glaucoma
* Participants with Pregnancy Or Lactation ,Allergy
* Participants with mental disorder, or nervous disease, or illiteracy, or bad compliance for questionnaire
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ministry of Science and Technology of the People´s Republic of China

OTHER_GOV

Sponsor Role collaborator

Liaoning University of Traditional Chinese Medicine

OTHER

Sponsor Role lead

Responsible Party

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YANG Guan-lin

Principal of Liaoning university of TCM

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Guanlin Yang

Role: STUDY_CHAIR

Liaoning University of TCM

Locations

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Affiliated hospital of Changchun university of TCM

Changchun, Jilin, China

Site Status

Jilin integrative Chinese and western medicine hospital

Changchun, Jilin, China

Site Status

Dalian integrative of Chinese and Western medicine hospital

Dalian, Liaoning, China

Site Status

Dandong TCM hospital

Dandong, Liaoning, China

Site Status

Fuxin TCM hospital

Fuxin, Liaoning, China

Site Status

Affiliated hospital of Liaoning university of TCM 2

Shenyang, Liaoning, China

Site Status

Affiliated hospital of Liaoning university of TCM

Shenyang, Liaoning, China

Site Status

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status

Yingkou TCM hospital

Yingkou, Liaoning, China

Site Status

Affiliated hospital of Tianjin university of TCM

Tianjin, Tianjin Municipality, China

Site Status

Countries

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China

Other Identifiers

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2009ZX09502-029

Identifier Type: -

Identifier Source: org_study_id

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