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Sepsis Induced Myocardial DysfunctionPhase 2YQSIMDNCT06686355

The Treatment of Sepsis Induced Myocardial Dysfunction With Yiqilishui Formula

A Phase 2 study testing Yiqilishui formula in people with Sepsis Induced Myocardial Dysfunction, run by Dongzhimen Hospital, Beijing at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if Chinese medicine - Yiqilishui formula works to treat sepsis-induced myocardial dysfunction (SIMD). It will also learn about the safety of Yiqilishui formula. Read more about this study

Who is it for?
Ages 50 to 85 years
Conditions the study is for
Sepsis Induced Myocardial Dysfunction
What is being tested?
Yiqilishui formula
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
1 siteChina
Study dates
20 Nov 2024to 31 Dec 2026
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 50 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients hospitalized in the ICU of Tongzhou Traditional Chinese Medicine Hospital and Dongzhimen Hospital of Beijing University of Chinese Medicine between January 2024 and December 2026.
  • Patients diagnosed with SIMD and qi deficiency and water flooding syndrome.
  • Aged 50 to 85 years.
  • SOFA score: 2 to 12 points.
  • Diagnosis of SIMD within 24 hours.
  • Signed informed consent by the patient or their family.

Who cannot join

  • Subjects diagnosed with acute coronary syndrome.
  • Subjects with heart failure caused by cardiomyopathies such as hypertrophic cardiomyopathy, dilated cardiomyopathy, myocardial amyloidosis, diabetic cardiomyopathy, or hypothyroid cardiomyopathy.
  • Subjects with heart failure caused by structural heart abnormalities, arrhythmias, pulmonary heart disease, or cardiorenal syndrome.
  • Subjects with severe primary diseases affecting survival, including uncontrolled, unresectable metastatic malignant tumors, hematologic diseases, and HIV.
  • Subjects with liver or kidney dysfunction, with an individual SOFA score of ≥3 for liver or kidney function.
  • Subjects who have used immunosuppressants continuously in the last 6 months or have undergone organ transplantation.
Show all 12Show fewer
  • Subjects who have used corticosteroids (equivalent to methylprednisolone ≥20mg/day) continuously within 7 days prior to enrollment.
  • Subjects who have used Chinese herbal medicines or Chinese patent medicine replenishing qi, activating blood circulation and facilitating diuresis within 14 days prior to enrollment.
  • Subjects deemed unable to take decoctions by clinicians.
  • Pregnant or breastfeeding women.
  • Subjects who have participated in other clinical trials within the last 30 days.
  • Subjects deemed unable to complete or unsuitable for this study by the researchers (e.g., expected death within 48 hours or refusal of active treatment).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine

    Beijing, 100007

    Guoxia Zhang, 86-84013192, 2721064904@qq.com

    Recruiting

Other trials in China

About this study

Official title: Double-blind Randomized Parallel Contrast Clinical Study of Yiqilishui Formula on Sepsis Induced Myocardial Dysfunction

The goal of this clinical trial is to learn if Chinese medicine - Yiqilishui formula works to treat sepsis-induced myocardial dysfunction (SIMD). It will also learn about the safety of Yiqilishui formula. The main questions it aims to answer are:

  • Compared with conventional western traetment alone, can supplementing conventional Western treatment with Yiqilishui formula better improve the heart function and reduce mortality of participants with SIMD?
  • What medical problems do participants have when taking Yiqilishui formula? Researchers will compare Yiqilishui formula to a placebo (a look-alike substance that contains no drug) to see if Yiqilishui formula works to treat SIMD.
Read more

Participants will:

  • Take Yiqilishui formula granules or placebo twice daily for 7 days, while receiving standard conventional Western treatment.
  • Undergo blood drawing, electrocardiogram and transthoracic echocardiography at enrollment, on the 3rd day, the 7th day, and the 14th day after enrollment.
Read the detailed description

Sepsis-induced myocardial dysfunction (SIMD) is characterized by high morbidity and mortality rates and remains a challenging issue in the field of critical care that has not yet been resolved. The main pathogenesis involves deficiency of Qi with water overflow and blood stasis and toxin blocking the channels. The use of a Qi-invigorating and diuretic formula has the effect of invigorating Qi, promoting diuresis, and detoxifying and unblocking the channels. This study employed a two-center prospective parallel randomized double-blind controlled trial, selecting a total of 80 SIMD subjects from the ICU of Tongzhou District Traditional Chinese Medicine Hospital and the ICU of Dongzhimen Hospital of Beijing University of Chinese Medicine, who met the inclusion and exclusion criteria. The subjects were randomly and evenly divided into a treatment group and a control group. Both groups received basic SIMD treatment, with the treatment group additionally receiving the oral or nasogastric administration of a granule preparation of Yiqilishui formula, and the control group receiving a placebo orally or nasogastrically. The intervention period was 7 days, with a follow-up period of 28 days. The primary efficacy indicators compared between the two groups were BNP and NT-proBNP, and the secondary efficacy indicators were echocardiography, myocardial injury markers, inflammatory markers, critical illness severity scores, ICU length of stay and costs, and 28-day survival rate. The study aimed to evaluate the clinical efficacy and safety of the Yiqilishui formula for SIMD.

Being tested
Yiqilishui formula, Placebo
Keywords
sepsis, myocardial dysfunction, SIMD, Yiqilishui formula, Double-blind randomized, clinical study
Medical subject headings
Sepsis

What participants receive

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

  • Yiqilishui formulaDrug

    Astragalus Root 30g, Angelica sinensis 30g, Honeysuckle Flower 30g, Capillary Artemisia Herb 15g, Giant Knotweed Rhizome 15g, Lepidium Seed 30g, Sichuan Lovage Rhizome 15g, Salvia Root 15g, Jujube Fruit 15g;

  • PlaceboOther

    5% Yiqilishui Granules + 95% Dextrin;

Study groups in NCT06686355
Study groupRoleWhat they receive
Yiqilishui groupExperimentalConventional Western medicine treatment + oral or nasogastric administration of Yiqilishui formula granules, twice daily;
Receives: Drug: Yiqilishui formula
placebo groupSham comparatorConventional Western medicine treatment + oral or nasal feeding of Yiqilishui formula placebo , twice daily.
Receives: Other: Placebo

What is being measured

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

  1. BNP(B-type natriuretic peptide) decline rate

    Blood samples were taken from the median cubital vein of the subjects at enrollment, on the 3rd day, the 7th day, and the 14th day to measure the BNP levels in the subjects' venous blood, calculate the patient's BNP decline rate, assess the severity of heart failure in the subjects, and predict their prognosis.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

Secondary outcomes (19)
  1. The levels of cTnI

    Cardiac injury markers-Blood samples from the median cubital vein of the subjects were taken at enrollment, on the 3rd day, the 7th day, and the 14th day to detect the levels of cardiac troponin I (cTnI)

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  2. The levels of CK-MB

    Cardiac injury markers-Blood samples from the median cubital vein of the subjects were taken at enrollment, on the 3rd day, the 7th day, and the 14th day to detect the levels of creatine kinase MB isoenzyme

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  3. Concentration of H-FABP

    Cardiac injury markers-Blood samples from the median cubital vein of the subjects were taken at enrollment, on the 3rd day, the 7th day, and the 14th day to detect the levels of heart-type fatty acid-binding protein

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  4. Tei index

    At the time of subject enrollment, on the 3rd day, 7th day, and 14th day, Tei index were measured using transthoracic echocardiography to evaluate the subjects' cardiac function and structure.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  5. MEE

    At the time of subject enrollment, on the 3rd day, 7th day, and 14th day, myocardial energy expenditure

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  6. LVMI

    At the time of subject enrollment, on the 3rd day, 7th day, and 14th day, left ventricular mass index (LVMI) were measured using transthoracic echocardiography to evaluate the subjects' cardiac function and structure.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  7. The levels of WBC

    Blood is drawn from the median cubital vein of the subjects at enrollment, on the 3rd day, the 7th day, and the 14th day. The levels of white blood cells (WBC) in the subjects' venous blood is detected.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  8. The percentage of NE%

    Blood is drawn from the median cubital vein of the subjects at enrollment, on the 3rd day, the 7th day, and the 14th day. The percentage of neutrophils (NE%) in the subjects' venous blood is detected.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  9. The levels of CRP

    Blood is drawn from the median cubital vein of the subjects at enrollment, on the 3rd day, the 7th day, and the 14th day. The levels of C-reactive protein (CRP) in the subjects' venous blood is detected.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  10. The levels of PCT

    Blood is drawn from the median cubital vein of the subjects at enrollment, on the 3rd day, the 7th day, and the 14th day. The levels of procalcitonin (PCT) in the subjects' venous blood is detected.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  11. Concentration of IL-6

    The supernatant serum is obtained by centrifugation, and the levels of interleukin-6 (IL-6) is measured by ELISA.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  12. Concentration of TNF-α

    The supernatant serum is obtained by centrifugation, and the levels of tumor necrosis factor-α (TNF-α) is measured by ELISA.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  13. Concentration of ROS

    The supernatant serum is obtained by centrifugation, and reactive oxygen species (ROS)is measured by ELISA.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  14. Concentration of ATP

    The supernatant serum is obtained by centrifugation, and the levels of ATP content in the subjects' serum is measured by ELISA.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  15. Platelet aggregation rate

    At enrollment, D3, D7, and D14, venous blood from patients is collected, platelet-rich plasma is prepared using differential centrifugation, and the platelet aggregation rate is determined by optical turbidimetry.

    Measured: At enrollment, on the 3rd day, the 7th day, and the 14th day

  16. SOFA score

    Sequential Organ Failure Assessment (SOFA score) is performed at the time of enrollment, on the 7th day, and on the 14th day. The SOFA score includes six systems: respiratory, circulation, liver, coagulation, kidney and central nervous system. Each system is scored according to different variables, with a score of 0 to 4 points, and a total score of 0 to 24 points. The higher the score, the worse the outcome.

    Measured: At enrollment, the 7th day, and the 14th day

  17. Apache II score

    Acute Physiology and Chronic Health Evaluation (Apache II score) is performed at the time of enrollment, on the 7th day, and on the 14th day. The Apache II score is scored from 0 to 71, and the higher the score, the worse the outcome.

    Measured: At enrollment, the 7th day, and the 14th day

  18. ICU length of stay;

    ICU length of stay,up to 100 weeks.

    Measured: From the date the participant is transferred to the ICU to the date he or she is finally transferred out of the ICU, assessed up to 100 weeks.

  19. Outcome indicator

    28-day mortality rate

    Measured: 28th day

Timeline

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

  1. First posted13 Nov 2024
  2. Study start20 Nov 2024
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Inclusion criteria: 1. Patients hospitalized in the ICU of Beijing Tongzhou Traditional Chinese Medicine Hospital and the ICU of Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine from January 2024 to December 2026. 2. Meeting the diagnostic criteria for Qi deficiency and water overflow syndrome of septic cardiomyopathy. 3. Age ≥50 and ≤85 years old; 4. SOFA score: 2 to 12 points; 5. Diagnosis of septic cardiomyopathy within 24 hours; 6. Patient or family member has signed the informed consent form.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06686355
Sponsor's protocol ID
DongzhimenH
Acronym
YQSIMD
Status last verified
Mar 2026
First submitted
9 Oct 2024
Last updated
30 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Yiqilishui formula in people with Sepsis Induced Myocardial Dysfunction, run by Dongzhimen Hospital, Beijing at 1 site 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 12 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: looking for participants now, as of the sponsor's last update on 30 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Guoxia Zhang (+86-010-84013192, 2721064904@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

BNP(B-type natriuretic peptide) decline rate (time frame: At enrollment, on the 3rd day, the 7th day, and the 14th day). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 30 Mar 2026.

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