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Chronic Stable AnginaPhase 4NCT01681316

Danhong Injection in the Treatment of Chronic Stable Angina

A Phase 4 study testing Danhong injection and Standard medical care in people with Chronic Stable Angina, run by China Academy of Chinese Medical Sciences at 31 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the effect of Danhong Injection on the relief of angina with the use of the Seattle Angina Questionnaire among patients with stable angina patients Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Chronic Stable Angina
What is being tested?
Danhong injection and Standard medical care
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
920 participants
Where
31 sitesChina
Study dates
Dec 2012to Oct 2016
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female or male inpatients.
  • Age: 18 - 70 years.
  • Patients with clinical diagnosis of chronic stable angina and must meet one of the following conditions:1)Patients who have a history of myocardial infarction and ST-T changes;2)Stenosis of more than 50% in at least one major epicardial coronary artery shown by Coronary Angiograph or CT Angiography; 3)Patients with coronary heart disease were determined by radionuclide angiocardiography.
  • Clinical diagnosis of "Xueyu Zheng" (Blood Stasis Syndrome) as the scores of Chinese medicine symptoms scales of "Xueyu Zheng" in angina ≥ 15. The Chinese medicine symptoms scales of "Xueyu Zheng" is defined as following (1)chest pain-10, (2)chest distress-10, (3) palpitation-5, (4)purple or dark lip-5, (5) purple or dark tongue-5, (6) unsmooth pulse-5.
  • Patients with moderate angina pectoris (The definition of "moderate angina pectoris " is in accordance with the Canadian Cardiovascular Society (CCS) grading of angina pectoris,which be classified to II or III.
  • Patient is willing to participate voluntarily and to sign a written patient informed consent.

Who cannot join

  • Woman with pregnancy, lactation or positive result of pregnancy test, or woman who is under menstrual period.
  • Woman who disagree with contraception during treatment period
  • Patients with severe complications that would make the condition more complicated assessed by the investigator, including liver or renal dysfunction, severe cardiopulmonary dysfunction, pulmonary hypertension, chronic obstructive pulmonary disease, a history of epilepsy or cerebral hemorrhage .
  • Patients who were angina-free during the run-in period without taking any drug.
  • Patients with myocardial infarction or Canadian Cardiovascular Society (CCS) grading of angina pectoris class IV within the preceding 3 months
  • Patients with chest pain caused by other disease (e.g., acute myocardial infarction,severe neurosis,menopausal syndrome,hyperthyroidism).
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  • Patients with history of drug-induced bleeding or history of bleeding caused by warfarin.
  • Patients with history of hematopoietic system diseases.
  • Patients who had surgery within the past 4 weeks and have hemorrhagic tendency.
  • Patients who is participating in other trials or has been participated in other trials in recent 3 months.
  • Patients with history of allergy or suspected allergic to the drug.
  • Patients who were suspected addicted into alcohol or drug abuse in the past 2 years.
  • Patients with mental disorder.
  • Patients who were unable to participate in the study as judged by investigator.
  • Patients who were family members or relatives of the research center staffs.

Trial locations and contacts

31 sites in 1 country.

31 sites in 1 country

China31 sites
  • Guang'anmen Hospital, China Academy of Chinese Medical Sciences

    Beijing, Beijing Municipality, 100053

  • Xuan Wu Hospital Affiliated to Capital Medical University

    Beijing, Beijing Municipality, 100053

  • Dongfang Hospital

    Beijing, Beijing Municipality, 100078

  • Peking University Third Hospital

    Beijing, Beijing Municipality, 100191

  • Chinese PLA General Hospital(301 Hospital)

    Beijing, Beijing Municipality, 100853

  • Jilin Province People's Hospital

    Changchun, Jilin, 130021

  • The Affiliated Hospital to Changchun University of Chinese Medicine

    Changchun, Jilin, 130021

  • Changsha Central Hospital

    Changsha, Hunan, 410004

  • The First Hospital of Changsha

    Changsha, Hunan, 410005

  • The Second Affiliated Hospital to Hunan University of Chinese Medicine

    Changsha, Hunan, 410005

  • Chengdu Sencond People's Hospital

    Chengdu, Sichuan, 610017

  • Chongqing Traditional Chinese Medicine Hopital

    Chongqing, Chongqing Municipality, 400011

  • The Third People's Hospital of Chongqing

    Chongqing, Chongqing Municipality, 400014

  • Affiliated Zhongshan Hospital of Dalian University

    Dalian, Liaoning, 116001

  • Xin Hua Hospital of Zhejiang Province

    Hangzhou, Zhejiang, 310005

  • The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine

    Harbin, Heilongjiang, 150009

  • The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine

    Harbin, Heilongjiang, 150040

  • Shanghai Tongji Hospital

    Shanghai, Shanghai Municipality, 200065

  • Shanghai Municipal Hospital of Traditional Chinese Medicine

    Shanghai, Shanghai Municipality, 200071

  • Shanghai Tenth People's Hospital

    Shanghai, Shanghai Municipality, 200072

  • The First Affiliated Hospital to Shanxi Medical University

    Taiyuan, Shanxi, 030001

  • Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine

    Tianjin, Tianjin Municipality, 300150

  • Zhongnan Hospital of Wuhan University

    Wuhan, Hubei, 430030

  • Renmin Hospital of Wuhan University

    Wuhan, Hubei, 430060

  • Hubei Provincial Hospital of T.C.M.

    Wuhan, Hubei, 430061

  • Xi'an City Hospital of T.C.M.

    Xi’an, Shanxi, 710001

  • Shanxi Province Hosptial of T.C.M.

    Xi’an, Shanxi, 710003

  • Shanxi Provincial People's Hospital

    Xi’an, Shanxi, 710068

  • Affiliated Hospital of Shanxi University of Chinese Medicine

    Xianyang, Shanxi, 712000

  • The First Affiliated Hospital of Henan University of T.C.M.

    Zhengzhou, Henan, 450000

  • People's Hospital of Zhengzhou

    Zhengzhou, Henan, 450053

Other trials in China

About this study

Official title: A Randomized, Multi-center, Double-blind, Placebo-controlled Trial of Danhong Injection in the Treatment of Chronic Stable Angina

The purpose of this study is to evaluate the effect of Danhong Injection on the relief of angina with the use of the Seattle Angina Questionnaire among patients with stable angina patients

Being tested
Danhong injection, Standard medical care, Placebo
Keywords
Chronic Stable Angina, Randomized Controlled Trial, Traditional Chinese Medicine
Medical subject headings
Angina, Stable

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Danhong injectionDrug

    A kind of injection made from two kind of Chinese herbs: salvia miltiorrhiza and safflower

  • Standard medical careOther

    Standard medical care is in accordance with China Guideline for the diagnosis and treatment of Chronic Stable Angina (2007).

  • PlaceboDrug

    0.9% saline added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion.

Study groups in NCT01681316
Study groupRoleWhat they receive
Danhong injectionExperimentalBased on the standard medical care, 40ml of Danhong injection, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.
Receives: Drug: Danhong injection; Other: Standard medical care
PlaceboPlacebo comparatorBased on the standard medical care, placebo was 40ml of 0.9% saline, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.
Receives: Other: Standard medical care; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The proportion of patients in each treatment group who had clinically significant change as defined by the angina-frequency score on the Seattle Angina Questionnaire at day 30

    Seattle Angina Questionnaire, a 19-item questionnaire that quantifies physical limitations due to angina, any recent change in the severity of angina, the frequency of angina, satisfaction with treatment, and quality of life. Scores range from 0 to 100; higher scores indicate better health status.With a score of 20 or more on the angina-frequency scale indicating that the patient was clinically significant change.

    Measured: Day 30

Secondary outcomes (12)
  1. Total score of symptoms questionnaire of TCM

    The symptoms questionnaire of TCM consists of 6 symptoms that described in traditional Chinese medicine, including chest pain, chest distress, palpitation, dark-purple lip, dark-purple tongue and unsmooth pulse. Each symptom was assessed by the Visual Analogue Scale(VAS),where a higher score meant higher severity.

    Measured: Day 0, Day 7, Day 14, Day 30, Day 60, Day 90

  2. The proportion of patients in each treatment group who had clinically significant changes in the other four Seattle Angina Questionnaire scales (The physical limitation, angina stability, treatment satisfaction, and quality of life)

    We defined clinical significant changes as a difference of 8 points or more on the physical-limitation scale, 25 or more on the angina-stability scale, 12 or more on the treatment-satisfaction scale, or 16 or more on the quality-of-life scale.

    Measured: Day 0, Day 7, Day 14, Day 30, Day 60, Day 90

  3. The frequency of anginal attack every week

    The frequency of anginal attack was recorded by the patients with the use of the diary cards which will be collected from the run-in period (Day -7) to the end of follow-up (Day 90).

    Measured: Day-7 (if exist), Day 0, Day 7, Day 14, Day 30, Day 60, Day 90

  4. Canadian Cardiovascular Society (CCS) grading of angina pectoris

    Measured: Day 0, Day 7, Day 14, Day 30, Day 60, Day 90

  5. Consumption of Short-acting Nitrates

    Measured: Day -7( if exist), Day 0, Day 7, Day 14, Day 30, Day 60, Day 90

  6. Change in the electrocardiogram (EKG)

    Measured: Day 0, Day 7, Day 14, Day 30, Day 60, Day 90

  7. Changes in the Serum Lipid, the high-sensitivity C-Reactive Protein(hs-CRP) and the Platelet Aggregation Rate

    Measured: Day 0, Day 14

  8. Incidence of new-onset major vascular events in 90 days

    Major adverse vascular events include ischemic stroke, hemorrhagic stroke, TIA, myocardial infarction and vascular-related death.

    Measured: Day 90

  9. Overall mortality in 90 days

    Measured: Day 90

  10. Incidence of severe hemorrhages in 90 days

    The definition of "Severe hemorrhages" is in accordance with the GUSTO bleeding criteria, including fatal intracranial hemorrhage (ICH), symptomatic intracerebral hemorrhage (sICH) or which could result in substantial hemodynamic compromise requiring treatment.

    Measured: Day 90

  11. Incidence of moderate hemorrhages in 90 days

    The definition of "moderate hemorrhages" is in accordance with the GUSTO bleeding criteria, which requires blood transfusion but not results in hemodynamic compromise.

    Measured: Day 90

  12. Documentation of adverse events (AEs) and serious AEs

    Measured: 90 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Sep 2012 (estimated)
  2. Study startDec 2012
  3. Primary completionOct 2016
  4. Study completionOct 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
920 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01681316
Sponsor's protocol ID
DH20120703
Status last verified
Oct 2016
First submitted
5 Sep 2012
Last updated
12 Oct 2016
Results posted
No
Data monitoring committee
Yes

Publications

  • Guan S, Yu YN, Li B, Gu H, Chen L, Wang N, Wang B, Liu X, Liu J, Wang Z. Discovery of Drug-Responsive Phenomic Alteration-Related Driver Genes in the Treatment of Coronary Heart Disease. Pharmgenomics Pers Med. 2023 Mar 15;16:201-217. doi: 10.2147/PGPM.S398522. eCollection 2023.

    PubMed 36945217
  • Liu J, Li DD, Dong W, Liu YQ, Wu Y, Tang DX, Zhang FC, Qiu M, Hua Q, He JY, Li J, Du B, Du TH, Niu LL, Jiang XJ, Cui B, Chen JB, Wang YG, Wang HR, Yu Q, He J, Mao YL, Bin XF, Deng Y, Tian YD, Han QH, Liu DJ, Duan LQ, Zhao MJ, Zhang CY, Dai HY, Li ZH, Xiao Y, Hu YZ, Huang XY, Xing K, Jiang X, Liu CF, An J, Li FC, Tao T, Jiang JF, Yang Y, Dong YR, Zhang L, Fu G, Li Y, Huang SW, Dou LP, Sun LJ, Zhao YQ, Li J, Xia Y, Liu J, Liu F, He WJ, Li Y, Tan JC, Lin Y, Zhou YB, Yang JF, Ma GQ, Chen HJ, Liu HP, Liu ZW, Liu JX, Luo XJ, Bin XH, Yu YN, Dang HX, Li B, Teng F, Qiao WM, Zhu XL, Chen BW, Chen QG, Shen CT, Wang YY, Chen YD, Wang Z. Detection of an anti-angina therapeutic module in the effective population treated by a multi-target drug Danhong injection: a randomized trial. Signal Transduct Target Ther. 2021 Sep 1;6(1):329. doi: 10.1038/s41392-021-00741-x.

    PubMed 34471087
  • Wang PQ, Li DD, Dong W, Liu J, Yu YN, Shen CT, Chen QG, Chen BW, Chen YD, Wang Z. Danhong injection in the treatment of chronic stable angina: study protocol for a randomized controlled trial. Trials. 2015 Oct 21;16:474. doi: 10.1186/s13063-015-0998-1.

    PubMed 26489511

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Danhong injection and Standard medical care in people with Chronic Stable Angina, run by China Academy of Chinese Medical Sciences at 31 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The proportion of patients in each treatment group who had clinically significant change as defined by the angina-frequency score on the Seattle Angina Questionnaire at day 30 (time frame: Day 30). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01681316, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Oct 2016.

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