A Study on Yiyang Huoluo Decoction in the Treatment of Coronary Heart Disease
Clinical and Basic Research on the Treatment of Senile Atherosclerosis and Coronary Heart Disease With Yiyang Huoluo Decoction
The goal of this clinical trial is to learn if Yiyang Huoluo Decoction (a custom Chinese herbal medicine) works safely and effectively to treat coronary heart disease with atherosclerosis in older adults. It also aims to find out how this herbal treatment may affect blood vessel health and repair at a cellular level.
The main questions it aims to answer are:
- Does adding Yiyang Huoluo Decoction to standard Western medical care improve symptoms and heart-related health in older adults with coronary heart disease and atherosclerosis?
- Is Yiyang Huoluo Decoction safe for older adults to take alongside their regular heart medications?
- How does this herbal treatment affect the damaged blood vessels in study participants?
Researchers will compare two groups of participants to see if the combined treatment works better than standard care alone.
Who can take part: Older adults diagnosed with coronary heart disease and atherosclerosis who meet the study's health and eligibility rules.
What participants will do:
- Be split randomly into two groups of 15 people each: one group gets standard Western heart medicine only, and the other gets standard Western heart medicine plus Yiyang Huoluo Decoction (herbal granules)
- Complete the 12-week decoction treatment plan as directed by the research team
- Attend scheduled study visits for health checks, blood tests, heart and blood vessel scans (such as carotid ultrasound and coronary CTA), and symptom reviews
- Provide two small blood samples for research testing (samples will be destroyed after study testing is finished)
- Report any side effects, discomfort, or changes in health to the research team right away
All personal health information collected for this study will be kept private and confidential. Participation is completely voluntary, and participants may quit the study at any time for any reason without losing access to regular medical care.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Liang Xia, Doctor
- Phone Number: 86-15057172609
- Email: 407928215@qq.com
Study Locations
-
-
Zhejiang
-
Huzhou, Zhejiang, China
- Recruiting
- People's Hospital of Anji
-
Contact:
- Xiaoli Lu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
All of the following conditions must be met simultaneously for enrollment:
- ① Meet the diagnostic criteria for stable angina pectoris;
- ② Classified as Grade I to III according to the Canadian Cardiovascular Society (CCS) Angina Grading Scale;
- ③ Meet the diagnostic criteria for chest discomfort syndrome due to yang qi deficiency and decline (a traditional Chinese medicine pattern differentiation);
- ④ Aged between 50 and 75 years old;
- ⑤ Received drug-eluting stent implantation due to severe vascular stenosis (single artery ≥75%, or LM ≥50%) detected by coronary angiography;
- ⑥ Able to actively comply with medical instructions and voluntarily sign the written informed consent form.
Exclusion Criteria:
Participants will be excluded if they meet any of the following conditions:
- ① Diagnosed with acute coronary syndrome (including acute ST-segment elevation myocardial infarction, acute non-ST-segment elevation myocardial infarction, and unstable angina pectoris) after relevant examinations;
- ② Suffer from chest pain caused by non-cardiac diseases other than stable angina pectoris; or have complicated severe hypertension (systolic blood pressure ≥ 180mmHg and/or diastolic blood pressure ≥ 110mmHg), severe cardiopulmonary insufficiency, or malignant tumor;
- ③ Have severe endocrine, hematological or rheumatic immune system diseases, severe hepatic and renal dysfunction, active gastrointestinal bleeding, or mental illness;
- ④ Have an allergic constitution or a history of allergic reactions to traditional Chinese medicine;
- ⑤ Have incomplete major baseline data that may affect the trial results, or have participated in other clinical trials recently.
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: YH group
receive 12-week YH decoction treatment with 36-week conventional western medicine treatment: including antiplatelet drugs, statins, beta-blockers, and ACEI/ARB agents
|
The principal constituents of this decoction include Rehmanniae Radix (dried rehmannia root), Dioscoreae Rhizoma (Chinese yam rhizome), Cornus Officinalis Fructus (Asiatic dogwood fruit), Alismatis Rhizoma (water plantain rhizome), Poria Cocos (Indian bread), Moutan Cortex (moutan bark), Cinnamomi Ramulus (cinnamon twig), Astragali Radix (milk vetch root), Angelicae Sinensis Radix (Chinese angelica root), Pheretima (earthworm), Persicae Semen (peach seed), and Carthami Flos (safflower)
including antiplatelet drugs, statins, beta-blockers, and ACEI/ARB agents
|
|
Other: Control Group
only receive 36-week conventional western medicine treatment: including antiplatelet drugs, statins, beta-blockers, and ACEI/ARB agents
|
including antiplatelet drugs, statins, beta-blockers, and ACEI/ARB agents
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
TCM syndrome scores for chest discomfort due to yang qi deficiency and decline
Time Frame: baseline, 12 weeks, and 36 weeks of treatment
|
TCM Syndrome Rating Scale for Chest Discomfort (Yang Qi Deficiency and Decline) (It includes 8 main symptoms, each scored 0-3, with a total score of 0-24.
Higher scores represent more severe syndromes.)
|
baseline, 12 weeks, and 36 weeks of treatment
|
|
CCS angina pectoris grade
Time Frame: baseline, 12 weeks, 36 weeks of treatment
|
baseline, 12 weeks, 36 weeks of treatment
|
|
|
Incidence of in-stent restenosis
Time Frame: 36-week of treatment
|
detected by coronary angiography
|
36-week of treatment
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in carotid intima-media thickness (IMT)
Time Frame: baseline, 12 weeks, and 36 weeks of treatment
|
detected by carotid ultrasound
|
baseline, 12 weeks, and 36 weeks of treatment
|
|
Total incidence of adverse events (AEs)
Time Frame: during the 36-week treatment period
|
during the 36-week treatment period
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
- 20250050
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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