The Effect of Danzhu Fuyuan Granule as Adjunctive Therapy for Chronic Stable Angina, Vascular Dementia and Idiopathic Membranous Nephropathy: A Bayesian Basket Trial

NCT ID: NCT04498962

Last Updated: 2020-08-05

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

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-31

Study Completion Date

2021-12-01

Brief Summary

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This study is designed as a bayesian basket trial , which aims to evaluate the efficacy of Danzhu Fuyuan Granule in patients with Chronic Stable Angina, Vascular Dementia and Idiopathic Membranous Nephropathy

Detailed Description

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Conditions

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Chronic Stable Angina Vascular Dementia Idiopathic Membranous Nephropathy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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chronic stable angina

Experimental: the patient who have the syndrome of intermingled phlegm and blood stasis with chronic stable angina will be treated by Danzhu Fuyuan Granule in addtion to routine care

Group Type EXPERIMENTAL

Danzhu Fuyuan Granule

Intervention Type DRUG

Danzhu Fuyuan Granules,2 times / day, 1 bag / time, one time in the morning and one time in the evening. It is recommended to add the same amount of boiling water as the particles to soak for 30 seconds, and then add 5 times boiling water to dissolve until completely dissolved.The treatment cycle of each arm: 8 weeks for Chronic Stable Angina, 6 months for Vascular Dementia and 6 months for Idiopathic Membranous Nephropathy.

Vascular Dementia

Experimental: the patient who have the syndrome of intermingled phlegm and blood stasis with Vascular Dementia will be treated by Danzhu Fuyuan Granule in addtion to routine care

Group Type EXPERIMENTAL

Danzhu Fuyuan Granule

Intervention Type DRUG

Danzhu Fuyuan Granules,2 times / day, 1 bag / time, one time in the morning and one time in the evening. It is recommended to add the same amount of boiling water as the particles to soak for 30 seconds, and then add 5 times boiling water to dissolve until completely dissolved.The treatment cycle of each arm: 8 weeks for Chronic Stable Angina, 6 months for Vascular Dementia and 6 months for Idiopathic Membranous Nephropathy.

Idiopathic Membranous Nephropathy

Experimental: the patient who have the syndrome of intermingled phlegm and blood stasis with Idiopathic Membranous Nephropathy will be treated by Danzhu Fuyuan Granule in addtion to routine care

Group Type EXPERIMENTAL

Danzhu Fuyuan Granule

Intervention Type DRUG

Danzhu Fuyuan Granules,2 times / day, 1 bag / time, one time in the morning and one time in the evening. It is recommended to add the same amount of boiling water as the particles to soak for 30 seconds, and then add 5 times boiling water to dissolve until completely dissolved.The treatment cycle of each arm: 8 weeks for Chronic Stable Angina, 6 months for Vascular Dementia and 6 months for Idiopathic Membranous Nephropathy.

Healthy population

Comparator: Healthy population with no treatment

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Danzhu Fuyuan Granule

Danzhu Fuyuan Granules,2 times / day, 1 bag / time, one time in the morning and one time in the evening. It is recommended to add the same amount of boiling water as the particles to soak for 30 seconds, and then add 5 times boiling water to dissolve until completely dissolved.The treatment cycle of each arm: 8 weeks for Chronic Stable Angina, 6 months for Vascular Dementia and 6 months for Idiopathic Membranous Nephropathy.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patient must be between the ages of 40 and 70 years
2. Evidence of coronary artery disease that consists of a well-documented medical history (over 3 months prior to the enrollment) of myocardial infarction or significant coronary artery disease with noninvasive or angiographic confirmation.
3. Patient must match the diagnostic criteria for chronic stable angina set by Chinese Medical Association;
4. The number of angina pectoris attacked in the past 3 months was more than 2 times per week
5. Class I or Class II, Grading of Angina Pectoris by the Canadian Cardiovascular Society Classification System
6. Patients who met the clinical diagnostic criteria for Syndrome of intermingled phlegm and blood stasis with chronic stable angina;
7. The results of Treadmill Exercise Test were positive;
8. All other Traditional Chinese Medicine interventions (including decoction, granule, proprietary Chinese medicine, acupuncture, etc.) should be stopped for 2 weeks or more;
9. They signed the consent form voluntarily and agreed to participate in the research.


1. The age of the subjects was 35-85 years old;
2. It was in accordance with the diagnostic standard of Western medicine for vascular dementia;
3. It is in accordance with the diagnostic standard of TCM phlegm and blood stasis syndrome of vascular dementia;
4. They signed informed consent and volunteered to participate in the study;
5. The patients are expected to follow up within half a year.


1. The pathological diagnosis of renal biopsy was membranous nephropathy;
2. The syndrome of TCM is phlegm and blood stasis;
3. The urinary protein was more than 1G / D and \< 8g / d;
4. Blood pressure can be effectively controlled at ≤ 140 / 90mmHg;
5. eGFR≥45ml/min;
6. The age ranged from 18 to 70 years old;
7. Sign informed consent.

Exclusion Criteria

1. patients who are diagnosed with acute coronary syndrome (including acute myocardial infarction or unstable angina pectoris) occurred within 2 months before enrollment, or had undergone revascularization within 3 months before enrollment, or planned to undergo revascularization during the study period;
2. Patients who are unable to complete Treadmill Exercise Test for various reasons, including absolute and relative contraindications;
3. Severe primary diseases such as respiratory, blood system or malignant tumor, or known renal insufficiency (serum creatinine (CR) \> 221 umol /L in male, or 177 umol / L in female);
4. Patients with epilepsy who had bleeding tendency, history of cerebral hemorrhage, or needed anticonvulsant therapy;
5. Patients with active liver disease, or accompanied with unexplained continuous increase of serum transaminase, or the detection value of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) is more than twice the upper limit of normal reference value;
6. Pregnancy or lactation;
7. patients can't stopped taking long-acting nitrates during the clinical trial;
8. undergoing other clinical trials;
9. There was a history of alcoholism or drug dependence in the past two years;
10. Other situations that the research physician thinks are not suitable to participate in this trial include but are not limited to: the subjects cannot follow the research protocol, which will bring potential safety hazards to the subjects, etc.

Eligibility Criteria for Vascular Dementia group


1. Early memory impairment with progressive deterioration, early prominent features of Parkinson's disease, and primary nervous system diseases (such as multiple sclerosis, encephalitis, etc.);
2. There was no vascular lesion in neuroimaging examination;
3. Other diseases that can explain cognitive impairment, such as brain tumor, multiple sclerosis, encephalitis, depression, poisoning, and systemic diseases and metabolic abnormalities that significantly affect cognitive function;
4. Severe heart, brain, liver and hematopoiesis diseases, or other serious diseases affecting their survival;
5. Drug or alcohol abuse / dependence within 3 months before participating in the trial;
6. Pregnant and lactating women;
7. Patients with severe mental disorders (perception disorders, thinking disorders);
8. For known renal insufficiency, serum creatinine (CR) was higher than 221 umol/L in male and 177 umol/L in female;
9. Patients with known liver dysfunction, alanine aminotransferase (ALT) \> 3 times of normal value or with cirrhosis;
10. The researchers believe that there are other situations that are not suitable for participating in this study.

Eligibility Criteria for Idiopathic Membranous Nephropathy group


1. All kinds of secondary membranous nephropathy;
2. Those who are taking hormone and / or immunosuppressive therapy;
3. Women with pregnancy planning, pregnancy and lactation;
4. Severe heart, brain, liver and hematopoiesis diseases, or other serious diseases affecting their survival;
5. Participants in other clinical trials in recent 3 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Jingqing Hu

OTHER

Sponsor Role lead

Responsible Party

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Jingqing Hu

Director of Institute of Basic Theory of Traditional Chinese Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Xiyuan hospital, China Academy of Chinese Medical Sciences

Beijing, Beijing Municipality, China

Site Status

Fujian Provincial People's Hospital

Fuzhou, Fujian, China

Site Status

The First Affiliated Hospital of Henan University of traditional Chinese Medicine

Zhengzhou, Henan, China

Site Status

Hubei Provincial Hospital of Traditional Chinese Medicine

Wuhan, Hubei, China

Site Status

Yichang Hospital of Traditional Chinese Medicine

Wuhan, Hubei, China

Site Status

Affiliated Hospital of Jiangxi University of traditional Chinese Medicine

Nanchang, Jiangxi, China

Site Status

The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

Tianjin, Tianjin Municipality, China

Site Status

Countries

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China

Central Contacts

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Xu Weiming, Doctor

Role: CONTACT

86-1064089029

Facility Contacts

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Yu Renhuan, Doctor

Role: primary

+86-13611196162

Zhang Songfeng, Doctor

Role: primary

+86-13400561224

Duan Fei, Doctor

Role: primary

+86-18638601093

Shi Heyuan, Doctor

Role: primary

+86-13971278693

Zhou Gang

Role: primary

+86-139865793257

Liu Zhongyong, Doctor

Role: primary

+86-1064089029

Zhao Yingqiang, Doctor

Role: primary

13920089969

Other Identifiers

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2019YFC1708500

Identifier Type: -

Identifier Source: org_study_id

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