Study of Enahnced External Counterpulsation to Treat Coronary Heart Disease (PROBE-EECP)
A Prospective,Randomized,Open-labeled,and Blind Endpoint Study of Enhanced External Counterpulsation for Patients With Coronary Heart Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Yan Zhang, M.D.
- Phone Number: +86-137-1123-4160
- Email: zhangyan1233456@163.com
Study Contact Backup
- Name: Qiang Xie, M.D.
- Phone Number: +86-138-0273-9667
- Email: qiangxie2010@sohu.com
Study Locations
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-
Guangdong
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Guangzhou, Guangdong, China, 510080
- Recruiting
- The 1st Affiliated Hospital of Sun Yat-sen University
-
Contact:
- Gui-fu Wu, M.D. & Ph.D.
- Phone Number: +86-135-7001-0112
- Email: eecpchina@yahoo.com.cn
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Contact:
- Da-ya Yang, M.D.
- Phone Number: +86-135-7056-7490
- Email: y2kchocolate@163.com
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Principal Investigator:
- Zhi-min Du, M.D.
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Guangzhou, Guangdong, China, 510080
- Recruiting
- The 2nd Affiliated Hospital of Sun Yat-sen University
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Contact:
- Jing-feng Wang, M.D.
- Phone Number: +86-136-0289-0860
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Contact:
- Ru-qiong Nie, M.D.
- Phone Number: +86-136-0047-9016
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Guangzhou, Guangdong, China, 510080
- Recruiting
- The 3rd affiliated hospital of Sun Yat-sen University
-
Contact:
- Lin Chen, M.D.
- Phone Number: +86-138-0251-8615
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Contact:
- Xiao-xian Qian, M.D.
- Phone Number: +86-137-1926-1500
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Zhuhai, Guangdong, China, 519000
- Recruiting
- The 5th Affiliated Hospital of Sun Yat-sen University
-
Contact:
- Jian Peng, M.D.
- Phone Number: +86-136-0036-1608
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- at least one coronary lesion of more than 50% stenosis shown by angiography
- history of acute myocardial infarction(at least one month before)
- history of prior revascularization (Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting)
- typical angina episodes with evidence of myocardial ischemia
- Signed informed consent
Exclusion Criteria:
- Obvious aortic insufficiency, aortic aneurysm, aortic dissection
- Coronary fistula or severe coronary aneurysm
- Symptomatic Congestive heart failure
- Valvular heart disease, congenital heart diseases, cardiomyopathies
- Cerebral hemorrhage within six months, bleeding disorders or identified bleeding tendency;
- Lower limb infection, phlebitis, varicosity, deep venous thrombosis;
- Progressive malignancies or diseases with poor prognosis;
- uncontrolled hypertension, defined as SBP≥180mmHg or DBP≥110mmHg
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Enhanced External Counterpulsation
Treatment of Enhanced External Counterpulsation (EECP) with a prespecified protocol on top of guideline-driven standard medical therapy.
|
Treatment of enhanced external counterpulsation (EECP) with a prespecified protocol on top of a guideline-driven standard medical therapy.
EECP Protocol is defined as a standard session of a total of 36 hours of EECP treatment, given one hour per day, six days per week.
The same session is thereafter repeated at least once every year.
|
|
Active Comparator: Control
Guideline-driven standard medical therapy.
|
Standard management, both pharmacological and non-pharmacological, given according to current practice guidelines at the discretion of clinicians
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
composite endpoint of rate of all-cause mortality, revascularization, rehospitalization and acute myocardial infarction
Time Frame: up to 5 years
|
up to 5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
vascular endothelial function
Time Frame: up to 5 years
|
measurment of flexibility of peripheral artery and flow-mediated dilatation (FMD)
|
up to 5 years
|
|
cardiac structure and exercise tolerance
Time Frame: up to 5 years
|
cardiac chamber diameter, left ventricular wall thickness, ejection fraction, and etc., as deternmined by echocardiographic examination; exercise tolerance, as determined by Treadmill's Test
|
up to 5 years
|
|
new-onset diabetes
Time Frame: up to 5 years
|
fasting, postprandial and random plasma glucose levels; glycosylated hemoglobin A1c (GHbA1c)
|
up to 5 years
|
|
atherosclerosis
Time Frame: up to 5 years
|
peripheral artery: plaque of common carotid artery, carotid intima-media Thickness, systolic and diastolic blood pressure (SBP & DBP)
|
up to 5 years
|
|
24-hour urinary protein
Time Frame: up to 5 years
|
24-hour urinary protein/albumin by urinalysis
|
up to 5 years
|
|
all-cause mortality
Time Frame: up to 5 years
|
up to 5 years
|
|
|
revascularization rate
Time Frame: up to 5 years
|
up to 5 years
|
|
|
rehospitalization rate
Time Frame: up to 5 years
|
up to 5 years
|
|
|
rate of acute myocardial infarction
Time Frame: up to 5 years
|
up to 5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Zhi-min Du, M.D., The 1st Affiliated Hospital of Sun Yat-sen University
- Study Director: Gui-fu Wu, M.D. & Ph.D., The 1st Affiliated Hospital of Sun Yat-sen University
Publications and helpful links
General Publications
- Loh PH, Cleland JG, Louis AA, Kennard ED, Cook JF, Caplin JL, Barsness GW, Lawson WE, Soran OZ, Michaels AD. Enhanced external counterpulsation in the treatment of chronic refractory angina: a long-term follow-up outcome from the International Enhanced External Counterpulsation Patient Registry. Clin Cardiol. 2008 Apr;31(4):159-64. doi: 10.1002/clc.20117.
- Kitsou V, Xanthos T, Roberts R, Karlis GM, Padadimitriou L. Enhanced external counterpulsation: mechanisms of action and clinical applications. Acta Cardiol. 2010 Apr;65(2):239-47. doi: 10.2143/AC.65.2.2047060.
- Manchanda A, Soran O. Enhanced external counterpulsation and future directions: step beyond medical management for patients with angina and heart failure. J Am Coll Cardiol. 2007 Oct 16;50(16):1523-31. doi: 10.1016/j.jacc.2007.07.024. Epub 2007 Oct 1. Erratum In: J Am Coll Cardiol. 2007 Dec 18;50(25):2441.
- Michaels AD, McCullough PA, Soran OZ, Lawson WE, Barsness GW, Henry TD, Linnemeier G, Ochoa A, Kelsey SF, Kennard ED. Primer: practical approach to the selection of patients for and application of EECP. Nat Clin Pract Cardiovasc Med. 2006 Nov;3(11):623-32. doi: 10.1038/ncpcardio0691.
- Cohn PF. Enhanced external counterpulsation for the treatment of angina pectoris. Prog Cardiovasc Dis. 2006 Sep-Oct;49(2):88-97. doi: 10.1016/j.pcad.2006.04.001.
- O'Rourke MF, Hashimoto J. Enhanced external counterpulsation why the benefit? J Am Coll Cardiol. 2006 Sep 19;48(6):1215-6. doi: 10.1016/j.jacc.2006.06.036. Epub 2006 Aug 28. No abstract available.
- Michaels AD, Raisinghani A, Soran O, de Lame PA, Lemaire ML, Kligfield P, Watson DD, Conti CR, Beller G. The effects of enhanced external counterpulsation on myocardial perfusion in patients with stable angina: a multicenter radionuclide study. Am Heart J. 2005 Nov;150(5):1066-73. doi: 10.1016/j.ahj.2005.01.054.
- Arora RR, Chou TM, Jain D, Fleishman B, Crawford L, McKiernan T, Nesto R, Ferrans CE, Keller S. Effects of enhanced external counterpulsation on Health-Related Quality of Life continue 12 months after treatment: a substudy of the Multicenter Study of Enhanced External Counterpulsation. J Investig Med. 2002 Jan;50(1):25-32. doi: 10.2310/6650.2002.33514.
- Arora RR, Chou TM, Jain D, Fleishman B, Crawford L, McKiernan T, Nesto RW. The multicenter study of enhanced external counterpulsation (MUST-EECP): effect of EECP on exercise-induced myocardial ischemia and anginal episodes. J Am Coll Cardiol. 1999 Jun;33(7):1833-40. doi: 10.1016/s0735-1097(99)00140-0.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SYSU-5010-2008
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