CClinicalTrials.gg
Status unknownNCT04270071Updated Nov 13, 2020

Efficacy and Safety of Yangxin Shengmai Granules for the Treatment of Stable Angina Pectoris

A Phase 4 interventional study of Yangxin Shengmai and Yangxin Shengmai placebo in Coronary Heart Disease and Stable Angina, sponsored by Guang'anmen Hospital of China Academy of Chinese Medical Sciences. Status unknown. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-11-13.

Sponsored by Guang'anmen Hospital of China Academy of Chinese Medical Sciences · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Nov 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
40 Years to 75 Years
Sex
All
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Study summary

This study is a randomized, double-blind, placebo-controlled, parallel clinical trial in Chinese population with stable angina pectoris. The purpose is to determine the efficacy and safety of Yangxin Shengmai Granules in the treatment of stable angina pectoris.

Read the detailed description

Yangxin Shengmai granules is a Chinese patent medicine composed of ginseng, Ophiopogon japonicus, Salvia miltiorrhiza, Schisandra chinensis, etc. It is used for the treatment of chest pain caused by Qi-yin deficiency and blood stasis in traditional Chinese medicine. The symptoms include chest tightness, chest pain, palpitation, shortness of breath, fatigue, dry mouth and dry throat. Clinical applications suggested that Yangxin Shengmai granules were safe and effective in the treatment of coronary heart disease. However, high-quality clinical trials are still needed to further confirm, so as to provide theoretical basis for the treatment of stable angina pectoris with traditional Chinese medicine.

The study is designed to determine the efficacy and safety of Yangxin Shengmai Granules in the treatment of stable angina pectoris.

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Conditions studied

  • Coronary Heart Disease
  • Stable Angina

Keywords

  • Yangxinshengmai granules
  • Stable angina pectoris
  • Coronary heart disease
  • Randomized controlled trial
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In context

Heart Diseases

3,639 studies on the registry are indexed under Heart Diseases; 461 are open to participants now.

This study's planned enrollment of 80 is below the median of 100 across 1,778 interventional studies indexed under Heart Diseases.

Browse Heart Diseases studies →

Lead sponsor

Guang'anmen Hospital of China Academy of Chinese Medical Sciences is the lead sponsor of 133 studies on the registry; 36 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants are aged between 40 and 75 years.
  • Meet the diagnostic criteria of stable angina pectoris.
  • Meet Chinese medicine syndrome differentiation of Qi-yin deficiency and blood stasis syndrome.
  • Voluntarily participate and sign informed consent.

Exclusion criteria

Exclusion Criteria:

  • Patients were diagnosed as acute myocardial infarction, unstable angina, stable exertion angina and other heart diseases.
  • Patients with poor control of hypertension and diabetes, severe cardiopulmonary insufficiency, severe arrhythmia (rapid atrial fibrillation, atrial flutter, paroxysmal ventricular tachycardia, etc.), with a history of heart pacemaker or cerebrovascular disease within one year.
  • Any of the following disease history or evidence was found in the screening period: severe cardiovascular or cerebrovascular diseases; active, recurrent peptic ulcer or other bleeding risk diseases; other serious diseases of digestive system; combined with malignant tumor, blood system disease, serious or progressive diseases of the other system; combined with mental diseases.
  • Before screening, any laboratory inspection index meets the following standards: The results showed that Glutamic aspartate transaminase (AST) or alanine aminotransferase (ALT) were more than 1.5 times of the upper limit of normal value and serum creatinine (Cr) was more than 1.2 times of the upper limit of normal value.
  • With a history of alcohol and drug abuse.
  • Pregnant or lactating women.
  • Patients who have participated in clinical trials of other drugs within 3 months before enrollment.
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Yangxin Shengmai Granules

    Patients were given Yangxin Shengmai granules orally 14g (1 bag) each time, 3 times daily for 4 weeks. And nitroglycerin tablets are used when angina attack. For patients who have used drugs such as aspirin, angiotensin-converting enzyme inhibitor, lipid-lowering drugs to treat coronary heart disease before inclusion, they can continue to use the original varieties and doses, without dose adjustment.

    Drug: Yangxin Shengmai · Drug: nitroglycerin tablets

  • Placebo comparator
    Placebo

    Patients were given Yangxin Shengmai granules simulation orally 14g (1 bag) each time, 3 times daily for 4 weeks. And nitroglycerin tablets are used when angina attack. For patients who have used drugs such as aspirin, angiotensin-converting enzyme inhibitor, lipid-lowering drugs to treat coronary heart disease before inclusion, they can continue to use the original varieties and doses, without dose adjustment.

    Drug: Yangxin Shengmai placebo · Drug: nitroglycerin tablets

Interventions

  • DrugYangxin Shengmai

    Yangxin Shengmai Granules

    Also known as: YXSM

  • DrugYangxin Shengmai placebo

    Yangxin Shengmai placebo have an identical appearance and scent as the active treatment granules.

    Also known as: YXSM placebo

  • Drugnitroglycerin tablets

    Be used when angina attack

06

What researchers measure

Primary outcomes

  1. Stopping or reducing rate of the nitroglycerin tablets

    Number of nitroglycerin tablets used before medication - number of nitroglycerin tablets used after medication) / number of nitroglycerin tablets used before medication × 100%

    Time frame: Four weeks after treatment

Secondary outcomes

  1. Changes of angina symptom score

    The angina symptom score regroups three items: degree of the frequency, duration and severity of angina attacks. The score of each item is 0,2,4,6. And higher scores mean a worse outcome.

    Time frame: Two and four weeks after treatment

  2. Patient-reported outcomes in coronary heart disease

    Through clinical outcome evaluation scale for patients with coronary heart disease with angina pectoris

    Time frame: Two and four weeks after treatment

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Liu S, Tian G, Chen J, Zhang X, Wu A, Li M, Sun Y, Liu B, Xing Y, Shang H. Traditional Chinese Medicine for Bradyarrhythmia: Evidence and Potential Mechanisms. Front Pharmacol. 2018 Apr 9;9:324. doi: 10.3389/fphar.2018.00324. eCollection 2018. PubMed 29686614 ↗
  • Walters MA. Management of Chronic Stable Angina. Crit Care Nurs Clin North Am. 2017 Dec;29(4):487-493. doi: 10.1016/j.cnc.2017.08.008. Epub 2017 Sep 29. PubMed 29107310 ↗
  • Kallistratos MS, Poulimenos LE, Manolis AJ. Beta blockers, calcium channel blockers, and long-acting nitrates for patients with stable angina and low blood pressure levels: should this recommendation be reconsidered? Eur Heart J. 2020 Jan 14;41(3):479. doi: 10.1093/eurheartj/ehz900. No abstract available. PubMed 31883335 ↗
  • Chen M, Men L, Wu H, Zhong G, Ou L, Li T, Guo Y, Lin H, Zhang J, Wang D, Zhang Z. A systematic review of the effectiveness and safety of Chinese herbal medicine formula Gualou Xiebai Banxia (GLXBBX) decoction for the treatment of stable angina pectoris. Medicine (Baltimore). 2019 Dec;98(51):e18375. doi: 10.1097/MD.0000000000018375. PubMed 31860998 ↗
  • Li Y, Zhang L, Lv S, Wang X, Zhang J, Tian X, Zhang Y, Chen B, Liu D, Yang J, Dong P, Xu Y, Song Y, Shi J, Li L, Wang X, Han Y. Efficacy and safety of oral Guanxinshutong capsules in patients with stable angina pectoris in China: a prospective, multicenter, double-blind, placebo-controlled, randomized clinical trial. BMC Complement Altern Med. 2019 Dec 11;19(1):363. doi: 10.1186/s12906-019-2778-z. PubMed 31829173 ↗
  • Surveillance report 2016 - Stable angina: management (2011) NICE guideline CG126 [Internet]. London: National Institute for Health and Care Excellence (NICE); 2016 Apr 3. No abstract available. Available from http://www.ncbi.nlm.nih.gov/books/NBK551066/ PubMed 31855330 ↗
  • Yang X, He T, Han S, Zhang X, Sun Y, Xing Y, Shang H. The Role of Traditional Chinese Medicine in the Regulation of Oxidative Stress in Treating Coronary Heart Disease. Oxid Med Cell Longev. 2019 Feb 24;2019:3231424. doi: 10.1155/2019/3231424. eCollection 2019. PubMed 30918578 ↗
  • Gong P, Li Y, Yao C, Guo H, Hwang H, Liu X, Xu Y, Wang X. Traditional Chinese Medicine on the Treatment of Coronary Heart Disease in Recent 20 Years. J Altern Complement Med. 2017 Sep;23(9):659-666. doi: 10.1089/acm.2016.0420. Epub 2017 May 12. PubMed 28497986 ↗
  • Li GH, Jiang HY, Xie YM, Jiang JJ, Yang W, Zhao W, Zhuang Y, Wang YY. [Analysis of traditional Chinese medicine syndrome, traditional Chinese medicine and western medicine in 84 697 patients with coronary heart disease based on big data]. Zhongguo Zhong Yao Za Zhi. 2014 Sep;39(18):3462-8. Chinese. PubMed 25532378 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04270071
Lead sponsor
Guang'anmen Hospital of China Academy of Chinese Medical Sciences
Responsible party
Jun Li (Chief physician, Guang'anmen Hospital of China Academy of Chinese Medical Sciences) — Principal investigator
First posted
Feb 17, 2020
Start date
Dec 2020 (estimated)
Primary completion
Oct 2021 (estimated)
Completion
Dec 2021 (estimated)
Last update
Nov 13, 2020

Study contacts

Jun Li, MD
Contact
gamyylj@163.com
+86 13051458913
Jun Li, MD
study director · Guang'anmen Hospital of China Academy of Chinese Medical Sciences

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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