Efficacy and Safety of Wen Xin Granules for the Treatment of Unstable Angina Pectoris

NCT ID: NCT04661709

Last Updated: 2021-01-25

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

502 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2023-06-01

Brief Summary

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This is a double-blind, randomized placebo-controlled trial which aims to evaluate the efficacy and safety of Wen Xin granule in patients with unstable angina pectoris.

Detailed Description

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Coronary heart disease has remained the leading cause of death worldwide over the past decades. Unstable angina is a clinical syndrome intermediate in severity between stable angina and acute myocardial infarction with high morbidity and mortality. Standard drug therapy and invasive revascularization are effective in decreasing progression to infarction, reducing symptoms and multiple hospitalizations, in most cases without a decrease in the long-term mortality rate. However, there are still many patients with persistence or recurrence of angina despite standard medical therapy and/or revascularization. Wen Xin granule, as a Chinese herbal medicine has shown great effect in patients with unstable angina in our clinical. However, there is still insufficient evidence on his specific efficacy and safety. Therefor, we'd like to evaluate the efficacy and safety of Wen Xin granule in patients with unstable angina through this multi-center, double-blind, randomized placebo-controlled trial.

Conditions

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Coronary Heart Disease Unstable Angina Chinese Herbal Medicine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
It's a double-blind trial and includes two levels of blinding.

Study Groups

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Wen Xin granule

Patients are given Wen Xin granule by mouth, one dose daily for 2 months \& Conventional western medicine, including Aspirin Enteric-coated Tablets 100mg qd, Clopidogrel Hydrogen Sulfate 75 mg qd, Atorvastatin Calcium 20mg qn, Isosorbide Mononitrate Tab 20 mg bid, Metoprolol Tartrate Tab 25mg, Trimetazidine Dihydrochloride Tablets 20mg tid.

Group Type EXPERIMENTAL

Wen Xin granule

Intervention Type DRUG

one dose daily, two times per day.

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

20 mg tablet, one tablet each night.

Isosorbide Mononitrate Tab 20 MG

Intervention Type DRUG

one tablet, twice daily.

Metoprolol Tartrate Tab 25 MG

Intervention Type DRUG

12.5 mg or 25 mg, two times daily.

Aspirin Enteric-coated Tablets

Intervention Type DRUG

100mg tablet, one tablet daily.

Trimetazidine Dihydrochloride Tablets

Intervention Type DRUG

20 mg tablet, one tablet three times daily.

glyceryl trinitrate

Intervention Type DRUG

be taken when angina pectoris attacks.

WXG placebo

Patients are given Wen Xin granule placebo by mouth, one dose daily for 2 months \& Conventional western medicine, including Aspirin Enteric-coated Tablets 100mg qd, Clopidogrel Hydrogen Sulfate 75 mg qd, Atorvastatin Calcium 20mg qn, Isosorbide Mononitrate Tab 20 mg bid, Metoprolol Tartrate Tab 25mg, Trimetazidine Dihydrochloride Tablets 20mg tid.

Group Type PLACEBO_COMPARATOR

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

20 mg tablet, one tablet each night.

Isosorbide Mononitrate Tab 20 MG

Intervention Type DRUG

one tablet, twice daily.

Metoprolol Tartrate Tab 25 MG

Intervention Type DRUG

12.5 mg or 25 mg, two times daily.

Aspirin Enteric-coated Tablets

Intervention Type DRUG

100mg tablet, one tablet daily.

WXG placebo

Intervention Type DRUG

one dose daily, two times per day.

Trimetazidine Dihydrochloride Tablets

Intervention Type DRUG

20 mg tablet, one tablet three times daily.

glyceryl trinitrate

Intervention Type DRUG

be taken when angina pectoris attacks.

Interventions

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Wen Xin granule

one dose daily, two times per day.

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

20 mg tablet, one tablet each night.

Intervention Type DRUG

Isosorbide Mononitrate Tab 20 MG

one tablet, twice daily.

Intervention Type DRUG

Metoprolol Tartrate Tab 25 MG

12.5 mg or 25 mg, two times daily.

Intervention Type DRUG

Aspirin Enteric-coated Tablets

100mg tablet, one tablet daily.

Intervention Type DRUG

WXG placebo

one dose daily, two times per day.

Intervention Type DRUG

Trimetazidine Dihydrochloride Tablets

20 mg tablet, one tablet three times daily.

Intervention Type DRUG

glyceryl trinitrate

be taken when angina pectoris attacks.

Intervention Type DRUG

Other Intervention Names

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WXG

Eligibility Criteria

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Inclusion Criteria

* aged between 35 and 75 years of age;
* diagnosed with CAD through coronary arteriography, clinically diagnosed with UAP in low or medium risk;
* belong to Yang deficiency and blood stasis syndrome according to TCM, and give written informed consent.
* For the diagnostic criteria of UAP, the investigators will refer to 2014 AHA/ACC Guidelines for the Diagnosis and Management of Non-ST-Elevation Acute Coronary Syndromes.
* For the TCM diagnostic criteria, the investigators will refer to Guidelines for Clinical Research into New Traditional Chinese Medicine Drugs for Chest Obstruction (2002 edition).

Exclusion Criteria

* chest pain caused by congenital heart diseases, valvular heart disease, severe neurosis, or arrhythmia
* with New York Heart Association class III or IV heart failure, in acute phase of cerebral infarction;
* with uncontrolled hypertension (systolic blood pressure \>160 mmHg and/or diastolic blood pressure \>95 mmHg in the resting state)
* with uncontrolled hyperglycemia or diabetic complications, with mental and neurological abnormalities or dysgnosia;
* female patients in pregnancy or lactation;
* by participating in other clinical trials.
Minimum Eligible Age

35 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Special Project of National Traditional Chinese Medicine Clinical Research Base of State Administration of Traditional Chinese Medicine

UNKNOWN

Sponsor Role collaborator

National Natural Science Foundation of China

OTHER_GOV

Sponsor Role collaborator

Guang'anmen Hospital of China Academy of Chinese Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Jun Li

Director of cardiovascular department of Guang'anmen Hospital.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jun Li, M.D.

Role: STUDY_DIRECTOR

Guang'anmen Hospital of China Academy of Chinese Medical Sciences

Central Contacts

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Jun Li, M.D.

Role: CONTACT

+86 13051458913

References

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Niccoli G, Montone RA, Lanza GA, Crea F. Angina after percutaneous coronary intervention: The need for precision medicine. Int J Cardiol. 2017 Dec 1;248:14-19. doi: 10.1016/j.ijcard.2017.07.105. Epub 2017 Aug 12.

Reference Type BACKGROUND
PMID: 28807510 (View on PubMed)

Ambrose JA, Dangas G. Unstable angina: current concepts of pathogenesis and treatment. Arch Intern Med. 2000 Jan 10;160(1):25-37. doi: 10.1001/archinte.160.1.25.

Reference Type BACKGROUND
PMID: 10632302 (View on PubMed)

Smith JN, Negrelli JM, Manek MB, Hawes EM, Viera AJ. Diagnosis and management of acute coronary syndrome: an evidence-based update. J Am Board Fam Med. 2015 Mar-Apr;28(2):283-93. doi: 10.3122/jabfm.2015.02.140189.

Reference Type BACKGROUND
PMID: 25748771 (View on PubMed)

Jiang M, Zhang C, Zheng G, Guo H, Li L, Yang J, Lu C, Jia W, Lu A. Traditional chinese medicine zheng in the era of evidence-based medicine: a literature analysis. Evid Based Complement Alternat Med. 2012;2012:409568. doi: 10.1155/2012/409568. Epub 2012 Jun 6.

Reference Type RESULT
PMID: 22719784 (View on PubMed)

Zhang HJ, Wang ZX. Yin-yang and Zheng: Exported from Chinese medicine. Chin J Integr Med. 2014 Apr;20(4):250-5. doi: 10.1007/s11655-014-1777-z. Epub 2014 Apr 3.

Reference Type RESULT
PMID: 26972437 (View on PubMed)

Tian PP, Wu QJ, Li J, Chen HW, Wu J, Deng YW, Xie ZC, Zhao W, Tan YQ. Efficacy and safety of Chinese herbal medicine Wen Xin granules for the treatment of unstable angina pectoris with Yang deficiency and blood stasis syndrome: study protocol for a randomized controlled trial. Trials. 2021 Nov 13;22(1):798. doi: 10.1186/s13063-021-05771-y.

Reference Type DERIVED
PMID: 34774099 (View on PubMed)

Other Identifiers

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Wenxin granule-20201122

Identifier Type: -

Identifier Source: org_study_id

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