Clinical Study of Combination Therapy for Angina of Coronary Heart Disease With Aspirin and Salvianolate Injection

NCT ID: NCT02694848

Last Updated: 2016-03-01

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2017-03-31

Brief Summary

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To evaluate the therapeutic evaluation of combination therapy with aspirin and salvianolate injection based on the population pharmacokinetics and TEG.A prospective, multicenter, randomized, controlled clinical trial is used.A total of 120 patients will be recruited and will be divided into three groups,respectively salvianolate injection group,aspirin group and salvianolate injection and aspirin group,and the course of treatment is 10 days.

Detailed Description

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1. Effectiveness evaluation:Primary Outcome Measure:Change of TEG(R time, K time, α angle, MA,CI,TPI).Secondary Outcome Measures: Change of symptom score of the Seattle Angina Questionnaiire(SAQ).Change of ECG abnormalities.Change of score of traditional Chinese medicine(TCM) symptom curative effect rating scale. Change of platelet aggregation measured by light transmittance aggregometry(LTA).Change of serum lipids(TC、TG、HDL-C、LDL-C).Change of fasting blood glucose.Population pharmacokinetics test(the detection of the blood concentration of magnesium lithospermate B and salicylic acid).
2. Safety evaluation:Change of PT,APTT,TT,FIB.Adverse events.Change of basic life sign.Gastrointestinal symptoms.Change of stool routine.Change of routine blood test.Change of urine routine.Change of liver function.Change of renal function.Change of fecal occult blood.
3. Number of participants:120 participants will be divided into three groups, the salvianolate group (n=40), the aspirin group(n=40) and the combination therapy group of salvianolate injection and aspirin(n=40).
4. Interventions:salvianolate injection group: salvianolate injection, intravenously infusion,0.2g/time, once a day; other routine treatment according to the condition of the disease.Aspirin group: aspirin, oral administration method,0.1g/time, once a day; other routine treatment according to the condition of the disease.Salvianolate injection and aspirin group: salvianolate injection, intravenously infusion,0.2g/time, once a day; aspirin, oral administration method,0.1g/time, once a day; other routine treatment according to the condition of the disease.
5. Course of treatment:10 days.

Conditions

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Angina

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Salvianolate injection group

Salvianolate injection,intravenously infusion,0.2g/time,once a day;other routine treatment according to the condition of the disease

Group Type OTHER

Salvianolate injection

Intervention Type DRUG

Traditional Chinese medicine injection,a kind of innovative drugs developed by Shanghai institute of materia medica, Chinese academy of sciences after 13 years of research and development.the content of magnesium acetate was 80%, and the other 20% were magnesium acetate.It has the function of promoting blood circulation,removing blood stasis and blood stasis,and is used for treating coronary heart disease with stable angina pectoris.

Aspirin group

Aspirin,oral administration method,0.1g/time,once a day;other routine treatment according to the condition of the disease

Group Type ACTIVE_COMPARATOR

Aspirin

Intervention Type DRUG

Molecular chemical formula: C9H8O4,molecular structure type: CH3COOC6H4COOH. It has the role of anti thrombosis In vivo, and it can inhibit the release of the platelet reaction, inhibit platelet aggregation, which is related to the reduction of TXA2 generation. Clinically itused to prevent the onset of cardiovascular and cerebrovascular diseases.

Salvianolate injection and aspirin group

Salvianolate injection,intravenously infusion,0.2g/time,once a day;aspirin,oral administration method,0.1g/time,once a day;other routine treatment according to the condition of the disease

Group Type EXPERIMENTAL

Salvianolate injection

Intervention Type DRUG

Traditional Chinese medicine injection,a kind of innovative drugs developed by Shanghai institute of materia medica, Chinese academy of sciences after 13 years of research and development.the content of magnesium acetate was 80%, and the other 20% were magnesium acetate.It has the function of promoting blood circulation,removing blood stasis and blood stasis,and is used for treating coronary heart disease with stable angina pectoris.

Aspirin

Intervention Type DRUG

Molecular chemical formula: C9H8O4,molecular structure type: CH3COOC6H4COOH. It has the role of anti thrombosis In vivo, and it can inhibit the release of the platelet reaction, inhibit platelet aggregation, which is related to the reduction of TXA2 generation. Clinically itused to prevent the onset of cardiovascular and cerebrovascular diseases.

Interventions

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Salvianolate injection

Traditional Chinese medicine injection,a kind of innovative drugs developed by Shanghai institute of materia medica, Chinese academy of sciences after 13 years of research and development.the content of magnesium acetate was 80%, and the other 20% were magnesium acetate.It has the function of promoting blood circulation,removing blood stasis and blood stasis,and is used for treating coronary heart disease with stable angina pectoris.

Intervention Type DRUG

Aspirin

Molecular chemical formula: C9H8O4,molecular structure type: CH3COOC6H4COOH. It has the role of anti thrombosis In vivo, and it can inhibit the release of the platelet reaction, inhibit platelet aggregation, which is related to the reduction of TXA2 generation. Clinically itused to prevent the onset of cardiovascular and cerebrovascular diseases.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient age 35-75 years old
* Grade II diagnostic criteria for chronic stable angina pectoris
* Diagnostic criteria of blood stasis type
* Signed informed consent

Exclusion Criteria

* Drug allergy to the test
* There is a family or personal history of hemorrhagic disease
* Platelet count \< 100 \* nine times square 10/L or \> 450 \*nine times square 10/L
* Hemoglobin \< 90g/L
* ALT, AST higher than the upper limit of 2 times, BUN, Cr higher than the upper limit
* Drugs such as the use of clopidogrel, clopidogrel, Hua Falin or heparin in the last 2 weeks to take blood circulation drugs or other antiplatelet, anticoagulant or non steroidal anti-inflammatory drugs
* Heart failure three degrees, two degrees in patients with heart failure
* A history of trauma or surgery in the past 2 weeks
* Combined coronary heart disease myocardial infarction and cerebral blood vessels, liver, kidney, hematopoietic system severe primary disease, malignant tumor, mental disease patients, as well as hyperthyroidism, cervical spondylosis, stomach and esophageal reflux and other patients with chest pain
* Organ transplantation, AIDS, long-term use of immunosuppressive agents and other immune deficiency
* Pregnant or lactating women
* Other clinical trial participants who are taking part in the evaluation of the results of this study
Minimum Eligible Age

35 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Xiyuan Hospital of China Academy of Chinese Medical Sciences

OTHER

Sponsor Role collaborator

Guang'anmen Hospital of China Academy of Chinese Medical Sciences

OTHER

Sponsor Role collaborator

General Hospital of Beijing PLA Military Region

OTHER

Sponsor Role collaborator

Guangdong Provincial Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

China Academy of Chinese Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Xie Yanming

Director of institute of traditional Chinese medicine (TCM) clinical and basic medical science

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yanming Xie, Study Chair

Role: STUDY_CHAIR

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

Locations

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Xiyuan Hospital of China Academy of Chinese Medical Sciences

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Central Contacts

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Lianxin Wang, doctor

Role: CONTACT

86-13521781839

Junjie Jiang, doctor

Role: CONTACT

86-18910206360

Facility Contacts

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Keji Chen, Academician

Role: primary

86-13521781839

Mei Xue, doctor

Role: backup

86-13581801296

References

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Lyu J, Xue M, Li J, Lyu W, Wen Z, Yao P, Li J, Zhang Y, Gong Y, Xie Y, Chen K, Wang L, Chai Y. Clinical effectiveness and safety of salvia miltiorrhiza depside salt combined with aspirin in patients with stable angina pectoris: A multicenter, pragmatic, randomized controlled trial. Phytomedicine. 2021 Jan;81:153419. doi: 10.1016/j.phymed.2020.153419. Epub 2020 Dec 10.

Reference Type DERIVED
PMID: 33360345 (View on PubMed)

Other Identifiers

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EBM

Identifier Type: -

Identifier Source: org_study_id

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