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A Randomized Controlled Trial: Fuzheng Yangxin Formula for ERAS After CABG (FZYXF-RCT-CABG)

19. august 2026 oppdatert av: Peking University Third Hospital

Randomized Controlled Trial of Fuzheng Yangxin Formula in Enhanced Recovery After Coronary Artery Bypass Grafting

This study aims to evaluate the efficacy and safety of Fuzheng Yangxin Formula (FZYXF) in the treatment of qi-yin deficiency syndrome after coronary artery bypass grafting (CABG), formulate an integrated Chinese and Western medicine rehabilitation protocol, develop special proprietary Chinese medicines for postoperative patients, establish a postoperative rehabilitation database, and promote the standardized application and achievement transformation of integrated Chinese and Western medicine therapy in cardiac surgery.

Studieoversikt

Status

Har ikke rekruttert ennå

Intervensjon / Behandling

Detaljert beskrivelse

This study adopts a randomized controlled trial design. A total of 230 patients presenting with qi-yin deficiency syndrome after coronary artery bypass grafting (CABG) will be enrolled and randomly assigned to the Fuzheng Yangxin Formula (FZYXF) experimental group (115 patients) and the control group (115 patients). The primary outcome is the Seattle Angina Questionnaire (SAQ) score at 7 days after medication. Secondary outcomes include perioperative safety and follow-up health assessments to comprehensively evaluate the therapeutic efficacy and safety.

Studietype

Intervensjonell

Registrering (Antatt)

230

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

  • Navn: Peking University 3rd Hospital cardiac surgery

Studiesteder

      • Beijing, Kina
        • Peking University 3rd hospital
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria:

-Patients who have undergone coronary artery bypass grafting (CABG) and present with postoperative qi-yin deficiency syndrome.

Exclusion Criteria:

  • Patients with hypersensitivity to any components of Fuzheng Yangxin Formula granules.
  • Patients with fever or common cold after surgery.
  • Patients with severe postoperative liver and kidney dysfunction.
  • Patients who receive concurrent valve surgery or other intracardiac operations
  • Patients with end-stage malignant tumors
  • Patients with uncontrolled infection or bleeding
  • Patients with progressive degenerative systemic diseases, such as severe trauma, multiple organ failure and other severe impairment of vital organ function including severely damaged liver function
  • Patients with severe heart failure or cardiogenic shock who cannot tolerate treatment.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Dobbelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: FZYX group
Intervention: Fuzheng Yangxin Formula granules combined with routine postoperative management. The formula consists of Radix Ginseng 20 g, processed Radix Aconiti Lateralis Preparata 10 g (pre-decocted), Radix Astragali 30 g, Radix Ophiopogonis 20 g, Radix Angelicae Sinensis 15 g, Radix Rehmanniae 15 g, Radix Rhodiolae 30 g, Radix Notoginseng powder 6 g (mixed with warm water for oral use). Participants take the granules orally for 7 consecutive days after CABG.
Intervention: Fuzheng Yangxin Formula granules combined with routine postoperative management. The formula consists of Radix Ginseng 20 g, processed Radix Aconiti Lateralis Preparata 10 g (pre-decocted), Radix Astragali 30 g, Radix Ophiopogonis 20 g, Radix Angelicae Sinensis 15 g, Radix Rehmanniae 15 g, Radix Rhodiolae 30 g, Radix Notoginseng powder 6 g (mixed with warm water for oral use). Participants take the granules orally for 7 consecutive days after CABG.
Ingen inngripen: N-FZYX group
Participants receive routine standard postoperative treatment after coronary artery bypass grafting (CABG). No additional experimental herbal interventions will be provided.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Score of physical activity limitation dimension in the Seattle Angina Questionnaire (SAQ) at 7 days after medication
Tidsramme: 7 days after operation
Measured using the Seattle Angina Questionnaire
7 days after operation

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Length of Stay
Tidsramme: Perioperative
The postoperative length of hospital stay
Perioperative
Follow-up Major Adverse Cardiovascular and Cerebrovascular Events (MACCE)
Tidsramme: up to 12 months
The incidence of MACCE, which includes all-cause mortality, repeat bypass surgery or stenting, acute myocardial infarction, and stroke.
up to 12 months
Seattle Angina Questionnaire (SAQ) Scores
Tidsramme: up to 12 months
Evaluation of the patient's health and angina status, including the total score and scores across 5 dimensions: physical limitation, angina stability, angina frequency, treatment satisfaction, and disease perception.
up to 12 months
Incidence of poor wound healing.
Tidsramme: up to 30 days
Assessed by routine postoperative clinical physical examination. A positive event is defined as the presence of any of the following: local wound dehiscence (splitting open), abnormal wound exudate (purulent or serous drainage), or the need for secondary surgical suturing/re-suturing. Number and percentage of participants with poor wound healing (number of events / total participants in group × 100%).
up to 30 days
Perioperative MACCE
Tidsramme: Perioperative
Composite endpoint before discharge, including death, myocardial infarction, stroke, and revascularization
Perioperative
Graft patency
Tidsramme: perioperative
graft patency rate (assessed by angiography),Using the Fitz-Gibbon grading system, grade A and grade B are considered patent.
perioperative
atrial fibrillation incidence
Tidsramme: perioperative
Monitor patients for atrial fibrillation during hospitalization; if it occurs, it is considered positive.
perioperative
Renal failure
Tidsramme: Perioperative
Patients who develop new-onset renal failure after surgery and require dialysis
Perioperative
reintubation
Tidsramme: Perioperative
Reintubation and mechanical ventilation are required during the postoperative hospital stay
Perioperative
length of ICU stay.
Tidsramme: perioperative
length of Intensive Care Unit (ICU) stay.
perioperative

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

10. august 2026

Primær fullføring (Antatt)

30. november 2027

Studiet fullført (Antatt)

1. desember 2028

Datoer for studieregistrering

Først innsendt

4. august 2026

Først innsendt som oppfylte QC-kriteriene

19. august 2026

Først lagt ut (Faktiske)

24. august 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

24. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

19. august 2026

Sist bekreftet

1. juli 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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