Traditional Chinese Medicine for Treatment of Chronic Heart Failure

NCT ID: NCT01939236

Last Updated: 2013-10-10

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

PHASE2

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2012-09-30

Brief Summary

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The purpose of this study is to determine whether traditional Chinese medicine as complementary treatment is safe and effective in the treatment of chronic heart failure.

Detailed Description

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Heart failure (HF) can be defined as an abnormality of cardiac structure or function leading to failure of heart to deliver oxygen at a rate commensurate with the requirements of the metabolizing tissues, despite normal filling pressures (or only at the expense of increased filling pressures). And according to the nature of the clinical presentation, HF is divided into acute or chronic HF.

In 2003, a random sample survey of 15,518 urban or rural residents between 35 and 74 years old was made in China: the prevalence rate of heart failure was 0.9%, and according to the result, there was about 4,000,000 HF subjects in China.

In China, the integrative treatment of western and traditional Chinese medicine (TCM) for HF is common and has been developed as a treatment model. TCM has been used in China and other south and east Asia countries for thousands of years. Syndrome differentiation and treatment variation are the basic principles in understanding and treatment of diseases. Investigators would like to test the hypothesis that it is efficacy and safety for patients to take TCM granules according to syndrome differentiation.

The specific aims for the study were to evaluate the efficacy and safety of TCM in treating chronic heart failure (CHF).

Conditions

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Chronic Heart Failure

Keywords

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chronic heart failure traditional Chinese medicine syndrome differentiation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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traditional Chinese medicine

Subjects were treated with TCM 2 times per day for 28 days according to syndrome differentiation. For example, the syndrome of one patient with chronic heart failure is qi deficiency and blood stasis. He will take drug of qi deficiency and blood stasis 2 times per day for 28 days.

Group Type EXPERIMENTAL

traditional Chinese medicine

Intervention Type DRUG

1 bag of drug 2 times per day for 28 days according to syndrome differentiation. For example, the syndrome of one patient is qi deficiency and blood stasis, he will take drugs of qi deficiency and blood stasis each bag 2 times per day for 28days.

placebo (gummeline)

Subjects were treated with placebo 2 times per day for 28 days according to syndrome differentiation. For example, the syndrome of one patient with chronic heart failure is qi deficiency and blood stasis. He will take drug of qi deficiency and blood stasis 2 times per day for 28 days.

Group Type PLACEBO_COMPARATOR

Placebo (gummeline)

Intervention Type DRUG

Placebo of each syndrome differentiation has the same weight and smell as traditional Chinese medicine of corresponding syndrome differentiation.

1 bag of drug 2 times per day for 28 days according to syndrome differentiation.

For example, the syndrome of one patient is qi deficiency and blood stasis, he will take drugs of qi deficiency and blood stasis each bag 2 times per day for 28 days.

Interventions

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traditional Chinese medicine

1 bag of drug 2 times per day for 28 days according to syndrome differentiation. For example, the syndrome of one patient is qi deficiency and blood stasis, he will take drugs of qi deficiency and blood stasis each bag 2 times per day for 28days.

Intervention Type DRUG

Placebo (gummeline)

Placebo of each syndrome differentiation has the same weight and smell as traditional Chinese medicine of corresponding syndrome differentiation.

1 bag of drug 2 times per day for 28 days according to syndrome differentiation.

For example, the syndrome of one patient is qi deficiency and blood stasis, he will take drugs of qi deficiency and blood stasis each bag 2 times per day for 28 days.

Intervention Type DRUG

Other Intervention Names

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Qi deficiency:huangqi, dangshen Blood stasis: danshen, chishao,taoren, honghua Water retention: zexie, zhuling, cheqianzi, tinglizi Yang deficiency: rougui, zhifuzi Qi deficiency: gummeline Blood stasis: gummeline Water retention: gummeline Yang deficiency: gummeline

Eligibility Criteria

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Inclusion Criteria

* The basic primary heart disease is coronary heart disease ( with diagnosis for coronary heart disease : confirmed by coronary angiography; confirmed by coronary CT; history of acute myocardial infarction; limb-salvage Q wave for ECG; ecg ECG test and radionuclide examination support, etc.); no history of hypertension or taking antihypertensive drugs, with blood pressure under 160/100 mmHg.
* With a history of coronary heart disease, symptoms and signs; with difficult breathing, fatigue and fluid retention (edema); with left ventricular enlargement, end systolic volume of left ventricular increase and left ventricular ejection fraction (LVEF) ≤ 40; with New York Heart Association (NYHA) functional classificationⅡ or Ⅲ.
* Male or female subjects between 40 and 75 years old;

Exclusion Criteria

* Serious valvular heart disease, pericardial disease, cardiomyopathy, congenital heart disease, acute myocardial infarction ( within 4 weeks), cardiac shock, acute myocarditis or serious arrhythmia with the variation of hemodynamics.
* Pulmonary artery hypertension caused by pulmonary heart disease, acute or chronic pulmonary embolism, or stroke within a half year.
* Serious hepatic insufficiency ( the index of liver function being 2 times of normal one), renal insufficiency (Ccr\>20%, Scr\>3mg/dl or 265 μmol/L), diseases of blood system, malignant tumor, diabetes mellitus with serious complications, hyperthyroid or hypothyroid.
* Infection: fever; the numeration of leukocyte being more than 10×109/L, the percentage of neutrophile granulocyte being more than 85%; patchy shadows in X ray of Chest, meeting one of the above three.
* Pregnancy or lactation; mental disease and infectious disease patients.
* Take part in other trials within two months.
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wuhan Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Zhengzhou Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Changchun University of Chinese Medicine

OTHER

Sponsor Role collaborator

Hubei Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Yichang Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Dongzhimen Hospital, Beijing

OTHER

Sponsor Role collaborator

Guang'an Men Hospital Affiliated to China Academy of Chinese Medicine Sciences

UNKNOWN

Sponsor Role collaborator

Beijing University of Chinese Medicine

OTHER

Sponsor Role lead

Responsible Party

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Wei Wang

Vice-President

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wei Wang, Doctor

Role: STUDY_CHAIR

Beijing University of Chinese Medicine

Peng Zhang, Doctor

Role: PRINCIPAL_INVESTIGATOR

Wuhan Hospital of Chinese Medicine

Huihui Zhao, Doctor

Role: STUDY_DIRECTOR

Beijing University of Chinese Medicine

Liangtao Luo, Master

Role: PRINCIPAL_INVESTIGATOR

Beijing University of Chinese Medicine

Locations

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Beijing University of Chinese Medicine

Beijing, Beijing Municipality, China

Site Status

Countries

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China

References

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Gao K, Zhao H, Gao J, Wen B, Jia C, Wang Z, Zhang F, Wang J, Xie H, Wang J, Wang W, Chen J. Mechanism of Chinese Medicine Herbs Effects on Chronic Heart Failure Based on Metabolic Profiling. Front Pharmacol. 2017 Nov 22;8:864. doi: 10.3389/fphar.2017.00864. eCollection 2017.

Reference Type DERIVED
PMID: 29213243 (View on PubMed)

Luo L, Chen J, Guo S, Wang J, Gao K, Zhang P, Chen C, Zhao H, Wang W. Chinese Herbal Medicine in the Treatment of Chronic Heart Failure: Three-Stage Study Protocol for a Randomized Controlled Trial. Evid Based Complement Alternat Med. 2015;2015:927160. doi: 10.1155/2015/927160. Epub 2015 May 18.

Reference Type DERIVED
PMID: 26089951 (View on PubMed)

Other Identifiers

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BUCMlltllt1984

Identifier Type: -

Identifier Source: org_study_id