Curative Effect Evaluation of Shexiang Baoxin Pill on Coronary Artery Disease Not Amenable to Revascularization

NCT ID: NCT03072121

Last Updated: 2017-04-04

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

440 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-30

Study Completion Date

2019-02-28

Brief Summary

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The purpose of this study is to determine whether Shexiang Baoxin Pill is effective in the treatment of coronary artery disease not amenable to revascularization on the basis of western medicine therapy.

Detailed Description

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The western medicine treatment for CAD not amenable to revascularization is limited. Shexiang Baoxin Pill, a kind of Chinese patent medicine has been used for treating coronary artery disease in clinical practice in China for many years.

Shexiang baoxin pill(SBP) is applicable to "Qi deficiency and blood stasis syndrome" in traditional Chinese medicine. Recent experimental research has indicated that SBP can improve myocardial ischemia and promote therapeutic angiogenesis.

Conditions

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Coronary Artery Disease(CAD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Shexiang baoxin pill

Shexiang baoxin 22.5mg pill by mouth,2 pills three times daily for 6 months \& Conventional western medicine (including Aspirin Enteric-coated Tablets, Clopidogrel Hydrogen Sulfate 75 MG Oral Tablet, Atorvastatin Calcium, Isosorbide Mononitrate Tab 20 MG, Metoprolol Tartrate Tab 25 MG, Trimetazidine Dihydrochloride Tablets)

Group Type EXPERIMENTAL

Shexiang Baoxin pill

Intervention Type DRUG

Conventional western medicine \& shexiang baoxin pill

Aspirin Enteric-coated Tablets

Intervention Type DRUG

100mg tablet, one tablet daily.

Clopidogrel Hydrogen Sulfate 75 MG Oral Tablet

Intervention Type DRUG

one tablet daily. (for patients who can't use aspirin)

Atorvastatin Calcium

Intervention Type DRUG

10 mg tablet, two tablets each night.

Isosorbide Mononitrate Tab 20 MG

Intervention Type DRUG

1 tablet two times daily.

Metoprolol Tartrate Tab 25 MG

Intervention Type DRUG

12.5 mg or 25 mg two times daily.

Trimetazidine Dihydrochloride Tablets

Intervention Type DRUG

20 mg tablet, one tablet three times daily.

SBP placebo

Placebo shexiang baoxin 22.5mg pill by mouth,2 pills three times daily for 6 months \& Conventional western medicine (including Aspirin Enteric-coated Tablets, Clopidogrel Hydrogen Sulfate 75 MG Oral Tablet, Atorvastatin Calcium, Isosorbide Mononitrate Tab 20 MG, Metoprolol Tartrate Tab 25 MG, Trimetazidine Dihydrochloride Tablets)

Group Type PLACEBO_COMPARATOR

SBP placebo

Intervention Type DRUG

Conventional western medicine \& placebo (for shexiang baoxin pill)

Aspirin Enteric-coated Tablets

Intervention Type DRUG

100mg tablet, one tablet daily.

Clopidogrel Hydrogen Sulfate 75 MG Oral Tablet

Intervention Type DRUG

one tablet daily. (for patients who can't use aspirin)

Atorvastatin Calcium

Intervention Type DRUG

10 mg tablet, two tablets each night.

Isosorbide Mononitrate Tab 20 MG

Intervention Type DRUG

1 tablet two times daily.

Metoprolol Tartrate Tab 25 MG

Intervention Type DRUG

12.5 mg or 25 mg two times daily.

Trimetazidine Dihydrochloride Tablets

Intervention Type DRUG

20 mg tablet, one tablet three times daily.

Interventions

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Shexiang Baoxin pill

Conventional western medicine \& shexiang baoxin pill

Intervention Type DRUG

SBP placebo

Conventional western medicine \& placebo (for shexiang baoxin pill)

Intervention Type DRUG

Aspirin Enteric-coated Tablets

100mg tablet, one tablet daily.

Intervention Type DRUG

Clopidogrel Hydrogen Sulfate 75 MG Oral Tablet

one tablet daily. (for patients who can't use aspirin)

Intervention Type DRUG

Atorvastatin Calcium

10 mg tablet, two tablets each night.

Intervention Type DRUG

Isosorbide Mononitrate Tab 20 MG

1 tablet two times daily.

Intervention Type DRUG

Metoprolol Tartrate Tab 25 MG

12.5 mg or 25 mg two times daily.

Intervention Type DRUG

Trimetazidine Dihydrochloride Tablets

20 mg tablet, one tablet three times daily.

Intervention Type DRUG

Other Intervention Names

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SBP Plavix Lipitor Xinkang Metoprolol Vasorel

Eligibility Criteria

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Inclusion Criteria

* Participants are aged between 45 and 75 years, diagnosed with sever CAD through coronary arteriography which shows that the left main coronary artery and three-vessel have sever diffuse stenosis, calcification or vascular ectasia, be in accordance with Traditional Chinese Medicine syndrome of "Qi deficiency and blood stasis syndrome" or "phlegm and stasis mu-tual obstruction syndrome".

Exclusion Criteria

* Patients with severe valvular disease, congenital cardiomyopathy decompensation
* Patients with CAD complicated with severe multiple organ disease such as severe heart failure, severe lung, liver or renal dysfunction, peptic ulcer in active stage, or intracranial hemorrhage
* Patients that use high-dose steroids due to connective tissue disease
* Patients with serious infections
* Patients with malignant tumor
* Patients with hematopoietic diseases
* Pregnant or lactating women.
Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Hutchison Pharmaceuticals Limited

INDUSTRY

Sponsor Role collaborator

Jun Li

OTHER

Sponsor Role lead

Responsible Party

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Jun Li

Director of Cardiology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jie Wang, MD

Role: STUDY_DIRECTOR

Guang'anmen Hospital of China Academy of Chinese Medical Sciences

Central Contacts

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Jun Li, MD

Role: CONTACT

+86 13051458913

Panpan Tian

Role: CONTACT

+86 15652388175

References

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Zhao D. [Why dentists need to learn the epidemiological status and prevention strategy of coronary heart disease in China]. Zhonghua Kou Qiang Yi Xue Za Zhi. 2016 Jul;51(7):385-6. doi: 10.3760/cma.j.issn.1002-0098.2016.07.001. Chinese.

Reference Type RESULT
PMID: 27480425 (View on PubMed)

Zhu H, Luo XP, Wang LJ. [Evaluation on clinical effect of long-term shexiang baoxin pill administration for treatment of coronary heart disease]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 May;30(5):474-7. Chinese.

Reference Type RESULT
PMID: 20681275 (View on PubMed)

Zhou Z, Shen W, Yu L, Xu C, Wu Q. A Chinese patent medicine, Shexiang Baoxin Pill, for Non-ST-elevation acute coronary syndromes: A systematic review. J Ethnopharmacol. 2016 Dec 24;194:1130-1139. doi: 10.1016/j.jep.2016.11.024. Epub 2016 Nov 12.

Reference Type RESULT
PMID: 27847338 (View on PubMed)

Williams B, Menon M, Satran D, Hayward D, Hodges JS, Burke MN, Johnson RK, Poulose AK, Traverse JH, Henry TD. Patients with coronary artery disease not amenable to traditional revascularization: prevalence and 3-year mortality. Catheter Cardiovasc Interv. 2010 May 1;75(6):886-91. doi: 10.1002/ccd.22431.

Reference Type RESULT
PMID: 20432394 (View on PubMed)

Gupta S, Pressman GS, Morris DL, Figueredo VM. Distribution of left ventricular ejection fraction in angina patients with severe coronary artery disease not amenable to revascularization. Coron Artery Dis. 2010 Aug;21(5):278-80. doi: 10.1097/MCA.0b013e32833bdf53.

Reference Type RESULT
PMID: 20531008 (View on PubMed)

Chan AW, Tetzlaff JM, Gotzsche PC, Altman DG, Mann H, Berlin JA, Dickersin K, Hrobjartsson A, Schulz KF, Parulekar WR, Krleza-Jeric K, Laupacis A, Moher D. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ. 2013 Jan 8;346:e7586. doi: 10.1136/bmj.e7586.

Reference Type RESULT
PMID: 23303884 (View on PubMed)

Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Int J Surg. 2011;9(8):672-7. doi: 10.1016/j.ijsu.2011.09.004. Epub 2011 Oct 13. No abstract available.

Reference Type RESULT
PMID: 22019563 (View on PubMed)

Tian PP, Li J, Gao J, Li Y. Efficacy and safety of the Shexiang Baoxin Pill for the treatment of coronary artery disease not amenable to revascularisation: study protocol for a randomised, placebo-controlled, double-blinded trial. BMJ Open. 2018 Feb 14;8(2):e018052. doi: 10.1136/bmjopen-2017-018052.

Reference Type DERIVED
PMID: 29444778 (View on PubMed)

Other Identifiers

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SBP-2016

Identifier Type: -

Identifier Source: org_study_id

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