Efficacy and Safety Trials of Yangxinshi Tablets in the Treatment of Patients With Coronary Heart Disease Complicated by Cardiac Dysfunction

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age40-80
SponsorSPH Qingdao Growful Pharmacetical Co.,Ltd

About this trial

A randomized controlled trial was conducted to evaluate the efficacy and safety of Yangxinshi tablets in improving the condition of patients with coronary heart disease complicated by cardiac dysfunction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

For inpatients diagnosed with coronary heart disease (including acute coronary syndrome and chronic coronary syndrome), it is up to the doctor to decide whether to undergo revascularization and what kind of revascularization to use.

Patients aged between 40 and 80 years (inclusive), regardless of sex;

Patients with NYHA cardiac function classes II-IV;

Patients with NT-proBNP > 125 pg/mL (or BNP>35 pg/mL);

Disqualifiers

Patients with STEMI within 3 days;

Patients at extremely high risk of NSTEMI (hemodynamic instability, cardiogenic shock, new-onset heart failure or aggravated heart failure, severe ventricular arrhythmia)

Patients with acute myocardial infarction complicated with cardiogenic shock, mechanical complications, respiratory failure and other multiple organ failure;

Patients with severe liver dysfunction (transaminase levels more than three times the upper limit of normal), renal insufficiency (eGFR < 30mL/min/1.73m2), acute infectious diseases, and mental disorders;以上翻译结果来自有道神经网络翻译(YNMT)· 通用场景

Trial design

Design model

Parallel

Treatments tested in this trial

  • Yangxinshi tablet

    Drug

    Basic treatment: All patients received a conventional treatment regimen, including outcome-improving drugs (aspirin, P2Y12 receptor inhibitor、β-blockers, statins, ARNI /ACEI/ARB, SGLT2i, and MRA) and symptom-relieving drugs (nitrates, calcium antagonists, and loop diuretic). Trial drug: Yangxinshi tablets, 3 tablets/3 times a day, taken orally

  • Blank control

    Drug

    Basic treatment: All patients received a conventional treatment regimen, including outcome-improving drugs (aspirin, P2Y12 receptor inhibitor、β-blockers, statins, ARNI /ACEI/ARB, SGLT2i, and MRA) and symptom-relieving drugs (nitrates, calcium antagonists, and loop diuretic). Trial drug: Blank control

Treatment groups

2,708 Participants
are divided into 2 treatment groups
Group A: Trial groupExperimental treatment 1 intervention
Group B: Control groupSham comparator 1 intervention

Trial outcomes

Primary outcomes

1

The composite endpoint was ischemic events or heart failure-related clinical events

All-cause death, ischemia-driven revascularization, stroke, MI, and readmission due to aggravated ACS or heart failure

Time frame
Through study completion, an average of 3 years

Secondary outcomes

1

Ischemic composite endpoint events

Cardiovascular and cerebrovascular death, MI, ischemia-driven revascularization, stroke, and readmission due to ACS

Time frame
Through study completion, an average of 3 years
2

Heart failure-related clinical events

Readmission due to aggravated heart failure or all-cause death

Time frame
Through study completion, an average of 3 years
3

Cardiovascular and cerebrovascular deaths

Occurrence of cardiovascular and cerebrovascular deaths

Time frame
Through study completion, an average of 3 years
4

All-cause death

Occurrence of all-cause death

Time frame
Through study completion, an average of 3 years

Other outcomes

1

Heart rate

Unit: beats /minute

Time frame
After 24 and 48 weeks of treatment
2

Blood pressure

Systolic and diastolic,unit: mmHg

Time frame
After 24 and 48 weeks of treatment
3

12-lead Electrocardiogram (ECG)

12-lead ECG consists of Ⅰ、Ⅱ、Ⅲ、aVR、aVL、aVF、V1、V2、V3、V4、V5、V6.ECG consists of P wave, PR interval, QRS complex, ST segment, and T wave.

Time frame
After 24 and 48 weeks of treatment
4

White blood cell (WBC) count

Normal value: 4-10, unit: 109/L.Check at 24 and 48 weeks to see if it is within the normal range.

Time frame
After 24 and 48 weeks of treatment

Sponsors and contacts

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