Unstable Angina PectorisPhase 4NCT02007187
Danhong Injection in the Treatment of Unstable Angina Pectoris
A Phase 4 study testing Danhong injection and Standard medical care in people with Unstable Angina Pectoris, run by China Academy of Chinese Medical Sciences at 9 sites in China.
Trial summary
The purpose of this study is to determine the efficacy and safety of Danhong injection in the treatment of unstable angina pectoris. Read more about this study
- Who is it for?
- Ages 35 to 75 years
- Conditions the study is for
- Unstable Angina Pectoris
- 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
- 160 participants
- Where
- 9 sitesChina
- Study dates
- Dec 2013to Nov 2017
- 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 35 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Female or male inpatients.
- Age: 35 - 75 years.
- Patients with clinical diagnosis of unstable stable angina according to China Guideline for the diagnosis and treatment of unstable angina (UA) and non-ST-elevation myocardial infarction (NSTEMI) (2007) issued by Chinese Society of Cardiology of Chinese Medical Association, including one of the following conditions.
- Clinical diagnosis of "Xueyu Zheng" (Blood Stasis Syndrome) as the scores of Chinese medicine symptoms scales of "Xueyu Zheng" in UA ≥ 15. The Chinese medicine symptoms scales of "Xueyu Zheng" is a 6-item questionnaire including the symtoms 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.
- Patient is willing to participate voluntarily and to sign a written patient informed consent.
Who cannot join
- Patients with severe heart failure (EF<35%);
- Patients with history of infection, fever, trauma, surgery(exclude PCI) and inflammation in the past month;
- Patients with active tuberculosis or rheumatological disorders;
- Patients with renal dysfunction (Male: CCr>2.5mg/dl; Female: CCr>2.0mg/dl);
- Patients with liver dysfunction (any value of serum aminotransferase more than triple normal value);
- Patients with history of hematopoietic system diseases;
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- Patients with mental disorder;
- Patients with history of drug-induced bleeding or history of bleeding caused by warfarin;
- Patients with malignant tumor;
- Patients with history of organ transplant;
- Woman with pregnancy, lactation or positive result of pregnancy test;
- Patients who is participating in other trials or has been participated in other trials in recent 3 months;
- Patients who were unable to participate in the study as judged by investigator.
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
China9 sites
Xuanwu Hospital
Beijing, Beijing Municipality, 100053
Dongzhimen Hospital affiliated to Beijing University of Chinese Medicine
Beijing, Beijing Municipality, 100700
The Affiliated Hospital to Changchun University of Chinese Medicine
Changchun, Jilin, 130021
The First Hospital of Changsha
Changsha, Hunan, 410005
The First Affiliated Hospital of Guangzhou University of Chinese Medicine
Guangzhou, Guangdong, 510405
The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine
Harbin, Heilongjiang, 150040
Hospital 463 of P.L.A.
Shenyang, Liaoning, 110046
First Teaching Hospital of Tianjin University of T.C.M.
Tianjin, Tianjin Municipality, 300193
Zhengzhou No.7 People's Hospital
Zhengzhou, Henan, 450006
About this study
Official title: A Randomized, Double-blind, Multicenter, Parallel Controlled Clinical Trial of Danhong Injection in the Treatment of Unstable Angina Pectoris
The purpose of this study is to determine the efficacy and safety of Danhong injection in the treatment of unstable angina pectoris.
- Conditions
- Unstable Angina Pectoris
- Being tested
- Danhong injection, Standard medical care, Placebo
- Keywords
- Unstable Angina Pectoris, Randomized Controlled Trial, Traditional Chinese Medicine
- Medical subject headings
- Angina, Unstable
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 unstable angina (UA) and non-ST-elevation myocardial infarction (NSTEMI) (2007) issued by Chinese Society of Cardiology of Chinese Medical Association
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 group | Role | What they receive |
|---|---|---|
| Danhong injection | Experimental | Based 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 2-3 hours every day for 7 days. Receives: Drug: Danhong injection; Other: Standard medical care |
| Placebo | Placebo comparator | Based 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 2-3 hours every day for 7 days. Receives: Other: Standard medical care; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline of the Quantification score of angina pectoris at Day 7
Quantification score of angina pectoris is a 4-item questionnaire that quantifies the frequency of angina, the duration of angina at every attack, the severity of angina and the use of nitroglycerin in a week. Scores range from 0 to 24; higher scores indicate worse health status.
Measured: Day 7
Secondary outcomes (6)
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
Use of Short-acting Nitrates
Measured: Day 0, Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 28
Change in the electrocardiogram (ECG)
ECG will be done five times every day, when 5-10 min before use of nitrates or Danhong injection, 5-10 min after use of nitrates or Danhong injection, at the time 22:00. If there is an angina attack, an additional ECG should be done when the angina attacks.
Measured: Day 0, Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 28
The proportion of patients who are undergoing PCI
Measured: Day 7, Day 28
Change in Seattle Angina Questionnaire
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 0, Day 28
Incidence of adverse events (including serious adverse events) in 28 days
Measured: 28 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Dec 2013 (estimated)
- Study startDec 2013
- Primary completionAug 2017
- Study completionNov 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Unstable Angina PectorisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 160 participants (actual)
Sponsor and investigators
- Lead sponsor
- China Academy of Chinese Medical Sciences
- Sponsor type
- University, hospital or other
- Collaborators
- China Food and Drug Administration
- Responsible party
- Principal investigator, Zhong Wang, China Academy of Chinese Medical Sciences
- Investigators
- Zhong Wang, M.D., Ph.D., Principal investigator, Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical SciencesXian Wang, M.D., Principal investigator, Dongzhimen Hospital, BeijingXiao-xi Du, Professor, Study director, China Food and Drug Administration
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02007187
- Sponsor's protocol ID
- 2011ZX09304-07V1.2
- Status last verified
- Nov 2017
- First submitted
- 5 Dec 2013
- Last updated
- 2 Dec 2017
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Chen L, Fu G, Hua Q, Zhu HY, Deng Y, Wu W, Zhao YJ, Yang XY, Yang BS, Zhou YB, Liu J, Yu YN, Chen BW, Wang X, Wang Z. Efficacy of add-on Danhong injection in patients with unstable angina pectoris: A double-blind, randomized, placebo-controlled, multicenter clinical trial. J Ethnopharmacol. 2022 Feb 10;284:114794. doi: 10.1016/j.jep.2021.114794. Epub 2021 Oct 31.
PubMed 34732357
Study at a glance
From the registry record, last updated by the sponsor on 2 Dec 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Multicenter, Parallel Controlled Clinical Trial of Danhong Injection in the Treatment of Unstable Angina Pectoris
- ClinicalTrials.gov ID
- NCT02007187
- Acronym / sponsor ID
- 2011ZX09304-07V1.2
- Conditions
- Unstable Angina Pectoris
- Keywords
- Unstable Angina Pectoris, Randomized Controlled Trial, Traditional Chinese Medicine
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 160 participants (actual)
- Lead sponsor
- China Academy of Chinese Medical SciencesUniversity, hospital or other
- Collaborators
- China Food and Drug Administration
- Study start
- Dec 2013 (actual)
- Primary completion
- Aug 2017 (actual)
- Study completion
- Nov 2017 (actual)
- First posted
- 10 Dec 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine the efficacy and safety of Danhong injection in the treatment of unstable angina pectoris.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Danhong injection | Experimental | Drug: Danhong injection, Other: Standard medical careBased 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 2-3 hours every day for 7 days. |
| Placebo | Placebo comparator | Other: Standard medical care, Drug: PlaceboBased 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 2-3 hours every day for 7 days. |
Who may qualify
- Ages
- 35 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Female or male inpatients.
- Age: 35 - 75 years.
- Patients with clinical diagnosis of unstable stable angina according to China Guideline for the diagnosis and treatment of unstable angina (UA) and non-ST-elevation myocardial infarction (NSTEMI) (2007) issued by Chinese Society of Cardiology of Chinese Medical Association, including one of the following conditions.
- Clinical diagnosis of "Xueyu Zheng" (Blood Stasis Syndrome) as the scores of Chinese medicine symptoms scales of "Xueyu Zheng" in UA ≥ 15. The Chinese medicine symptoms scales of "Xueyu Zheng" is a 6-item questionnaire including the symtoms 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.
- Patient is willing to participate voluntarily and to sign a written patient informed consent.
Key exclusion criteria (13 listed)
- Patients with severe heart failure (EF<35%);
- Patients with history of infection, fever, trauma, surgery(exclude PCI) and inflammation in the past month;
- Patients with active tuberculosis or rheumatological disorders;
- Patients with renal dysfunction (Male: CCr>2.5mg/dl; Female: CCr>2.0mg/dl);
- Patients with liver dysfunction (any value of serum aminotransferase more than triple normal value);
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Danhong injectionA kind of injection made from two kind of Chinese herbs: salvia miltiorrhiza and safflower | Drug | Danhong injection |
| Standard medical careStandard medical care is in accordance with China Guideline for the diagnosis and treatment of unstable angina (UA) and non-ST-elevation myocardial infarction (NSTEMI) (2007) issued by Chinese Society of Cardiology of Chinese Medical Association | Other | Danhong injection, Placebo |
| Placebo0.9% 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. | Drug | Placebo |
Primary outcome
Change from baseline of the Quantification score of angina pectoris at Day 7
Time frame: Day 7
Quantification score of angina pectoris is a 4-item questionnaire that quantifies the frequency of angina, the duration of angina at every attack, the severity of angina and the use of nitroglycerin in a week. Scores range from 0 to 24; higher scores indicate worse health status.
6 secondary outcomes
Total score of symptoms questionnaire of TCM
Time frame: Day 0, Day 7
Use of Short-acting Nitrates
Time frame: Day 0, Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 28
Change in the electrocardiogram (ECG)
Time frame: Day 0, Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 28
The proportion of patients who are undergoing PCI
Time frame: Day 7, Day 28
Change in Seattle Angina Questionnaire
Time frame: Day 0, Day 28
Incidence of adverse events (including serious adverse events) in 28 days
Time frame: 28 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Dec 2017.
- Derived from this study: PubMed 34732357Chen L, Fu G, Hua Q, Zhu HY, Deng Y, Wu W, Zhao YJ, Yang XY, Yang BS, Zhou YB, Liu J, Yu YN, Chen BW, Wang X, Wang Z. Efficacy of add-on Danhong injection in patients with unstable angina pectoris: A double-blind, randomized, placebo-controlled, multicenter clinical trial. J Ethnopharmacol. 2022 Feb 10;284:114794. doi: 10.1016/j.jep.2021.114794. Epub 2021 Oct 31.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zhong Wang, M.D., Ph.D. principal investigator
Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences
Xian Wang, M.D. principal investigator
Dongzhimen Hospital, Beijing
Xiao-xi Du, Professor study director
China Food and Drug Administration
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Danhong injection and Standard medical care in people with Unstable Angina Pectoris, run by China Academy of Chinese Medical Sciences at 9 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 5 inclusion and 13 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 2 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 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?
Change from baseline of the Quantification score of angina pectoris at Day 7 (time frame: Day 7). 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 NCT02007187, which also lists 1 linked publication.
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 2 Dec 2017.