ClinicalTrials.gg
Enrolling by invitationNCT06908473TORCH-metUpdated Jun 13, 2025

Tongmai Jiangtang Capsule for Cardiovascular Clinical Outcomes in High-Risk Metabolic Syndrome Patients

A Phase 3 interventional study of Participants will receive Tongmai Jiangtang Capsule (TJC) in addition to standard treatment. and A placebo capsule that is identical in appearance, size, color, formulation, weight, taste, and smell to TJC in Metabolic Syndrome, Cardiovascular Disease (CKD) and Cerebrovascular Disease, sponsored by Guangdong Provincial Hospital of Traditional Chinese Medicine. Enrolling by invitation at 1 site in China. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-06-13.

Sponsored by Guangdong Provincial Hospital of Traditional Chinese Medicine · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
530
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

  1. Conduct a large-sample, multicenter, superiority, double-blind, randomized controlled clinical trial to verify the efficacy of TJC in reducing the risk of cardiovascular and cerebrovascular events in patients with metabolic syndrome at high cardiovascular and cerebrovascular risk (HCR-MS).
  2. Further construct an evaluation system for the long-term cardiovascular and cerebrovascular benefits of traditional Chinese medicine in regulating glucose and lipid metabolism through the evaluative study of the cardiovascular and cerebrovascular benefits of TJC.
02

Conditions studied

  • Metabolic Syndrome
  • Cardiovascular Disease (CKD)
  • Cerebrovascular Disease
  • Qi Deficiency and Blood Stasis

Keywords

  • Metabolic Syndrome
  • High Cardiovascular and Cerebrovascular Risk Metabolic Syndrome, HCR-MS
  • Qi-Deficiency and Blood Stasis Syndrome
  • Tongmai Jiangtang Capsule
03

In context

Metabolic Syndrome

2,116 studies on the registry are indexed under Metabolic Syndrome; 347 are open to participants now.

This study's planned enrollment of 530 is above the median of 60 across 1,572 interventional studies indexed under Metabolic Syndrome.

Browse Metabolic Syndrome studies →

Lead sponsor

Guangdong Provincial Hospital of Traditional Chinese Medicine is the lead sponsor of 42 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age: Participants must be aged ≥65 years.
  • Participants must meet the diagnostic criteria for metabolic syndrome according to the 2020 Chinese Type 2 Diabetes Prevention Guidelines, which includes at least three of the following criteria:①Central obesity: Waist circumference ≥90 cm for men, ≥85 cm for women.②Hyperglycemia: Fasting blood glucose ≥6.1 mmol/L or 2-hour post-load glucose ≥7.8 mmol/L, or a confirmed diagnosis of diabetes with ongoing treatment.③Hypertension: Blood pressure ≥130/85 mmHg or a confirmed diagnosis of hypertension with ongoing treatment.④Elevated triglycerides (TG): ⑤Fasting TG ≥1.70 mmol/L.

Low HDL cholesterol: Fasting HDL-C \<1.04 mmol/L.

  • Participants must meet the criteria for "Qi-deficiency and Blood Stasis" syndrome, which includes specific symptoms and signs such as fatigue, shortness of breath, stabbing pain, ecchymosis, and a tongue with purple discoloration or petechiae.
  • High Cardiovascular Risk: Participants must have at least one of the following:

    • History of myocardial infarction.

      • History of stroke or . ③History of coronary, carotid, or peripheral artery revascularization.

        • Coronary, carotid, or lower limb artery stenosis >50%. ⑤Positive exercise stress test or documented symptomatic coronary heart disease, or unstable angina with changes.

          • Chronic heart failure ( Class II-III). ⑦Chronic kidney disease ( \<60 ml/min/1.73m²).

Exclusion criteria

Exclusion Criteria:

  • Secondary Abnormalities: Secondary abnormalities in lipids, blood pressure, or blood glucose.
  • Type 1 Diabetes: Participants with Type 1 diabetes mellitus.
  • Special Populations: Pregnant or breastfeeding individuals, or those with a history of allergy to the study medication.
  • Recent Acute Events: Acute coronary or cerebrovascular events within the past 14 days.
  • Upcoming Revascularization: Planned coronary, carotid, or peripheral artery revascularization.
  • Severe Heart Failure: Chronic heart failure ( Class IV).
  • End-Stage Liver Disease: Participants with end-stage liver disease.
  • Solid Organ Transplantation: History of solid organ transplantation or awaiting solid organ transplantation.
  • Malignant Tumors: Participants with a history of malignant tumors.
  • Other Serious Conditions: Any other serious medical conditions that may interfere with the study or pose a risk to the participant.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
530 participants (estimated)

Study arms

  • Experimental
    Experimental Group (Tongmai Jiangtang Capsule Group)

    Participants in this Arm will receive Tongmai Jiangtang Capsule (TJC) in addition to standard treatment. Dosage: Three capsules, three times daily (tid), taken orally. Duration: The intervention period is 26 weeks, followed by a 26-week follow-up. Objective: This Arm aims to evaluate the efficacy of TJC in reducing cardiovascular and cerebrovascular event risks in patients with metabolic syndrome at high cardiovascular risk (HCR-MS). Participants will adhere to the study protocol, attending regular visits and examinations to assess efficacy and safety.

    Drug: Participants will receive Tongmai Jiangtang Capsule (TJC) in addition to standard treatment.

  • Placebo comparator
    Control Group (Placebo Group)

    Participants in this Arm will receive a placebo capsule that is identical in appearance, size, color, formulation, weight, taste, and smell to TJC, in addition to standard treatment. Dosage: Three placebo capsules, three times daily (tid), taken orally. Duration: The intervention period is 26 weeks, followed by a 26-week follow-up. Objective: This Arm serves as a control to compare the efficacy of TJC against a placebo. Participants will adhere to the study protocol, attending regular visits and examinations to assess the efficacy and safety of the placebo.

    Drug: A placebo capsule that is identical in appearance, size, color, formulation, weight, taste, and smell to TJC

Interventions

  • DrugParticipants will receive Tongmai Jiangtang Capsule (TJC) in addition to standard treatment.

    Intervention Agent: The study employs Tongmai Jiangtang Capsule (TJC), a traditional Chinese medicine compound formulated based on TCM theory. It has the functions of Nourishing Yin, clearing heat and activating blood circulation, and can comprehensively regulate glucose and lipid metabolism as well as improve cardiovascular and cerebrovascular functions. Intervention Population: The study focuses on patients with metabolic syndrome at high cardiovascular and cerebrovascular risk (HCR-MS) who meet the TCM criteria for "Qi-deficiency and Blood Stasis syndrome," reflecting personalized and precision intervention. Intervention Design: A long-term study design with 26 weeks of intervention followed by 26 weeks of follow-up is adopted to comprehensively assess the short-term efficacy and long-term cardiovascular benefits of TJC. Control Design: The study employs a double-blind, randomized, placebo-controlled method.

  • DrugA placebo capsule that is identical in appearance, size, color, formulation, weight, taste, and smell to TJC

    Participants in this Arm will receive a placebo capsule that is identical in appearance, size, color, formulation, weight, taste, and smell to TJC, in addition to standard treatment.

06

What researchers measure

Primary outcomes

  1. Cardiovascular death

    sudden cardiac death or death due to myocardial infarction, heart failure, stroke, or other cardiovascular causes.

    Time frame: From enrollment to the next 52 weeks

  2. Non-fatal myocardial infarction

    Including spontaneous, STEMI, NSTEMI, PCI-related, CABG-related, and silent acute myocardial infarction

    Time frame: From enrollment to the next 52 weeks

  3. Non-fatal stroke

    Meet any one of the following criteria: * Acute neurological dysfunction documented by CT/MRI, attributable to vascular causes with other etiologies excluded; ② Transient ischemic attack (TIA) lasting \<24 hours; ③ Microhemorrhage: Round hypointense lesions \<5-10 mm on MRI.

    Time frame: From enrollment to the next 52 weeks

Secondary outcomes

  1. Composite cardiovascular outcomes

    death from cardiovascular causes, non-fatal myocardial infarction, non-fatal stroke, coronary revascularization, or hospitalization for unstable angina or heart failure

    Time frame: From enrollment to the next 52 weeks

  2. All-cause mortality

    Any cause of death

    Time frame: From enrollment to the next 52 weeks

  3. Renal and diabetes-related microvascular composite outcomes

    Including renal outcomes or diabetic retinopathy outcomes

    Time frame: From enrollment to the next 52 weeks

  4. blood glucose

    Including fasting plasma glucose (FPG), 2-hour postprandial blood glucose (2h PPG), and glycated hemoglobin (HbA1c).

    Time frame: From enrollment to the next 52 weeks

  5. lipids

    Including total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C).

    Time frame: From enrollment to the next 52 weeks

  6. Blood pressure

    Including systolic blood pressure and systolic blood pressure

    Time frame: From enrollment to the next 52 weeks

  7. BMI

    Body Mass Index

    Time frame: From enrollment to the next 52 weeks

  8. waist-to-hip ratio

    waist-to-hip ratio

    Time frame: From enrollment to the next 52 weeks

  9. HOMA-IR

    HOMA-IR=(Fasting Glucose (mmol/L)×Fasting Insulin (μU/mL))/22.5

    Time frame: From enrollment to the next 52 weeks

  10. Body fat analysis

    Including Body Fat Percentage (BFP) and Visceral Fat Index (VFI)

    Time frame: From enrollment to the next 52 weeks

  11. Vitamin D levels

    Vitamin D levels

    Time frame: From enrollment to the next 52 weeks

  12. Assessment of peripheral vascular status

    Assessment of plaque or stenosis in the common carotid artery

    Time frame: From enrollment to the next 52 weeks

  13. Cardiac function

    Including Cardiac Enzymes, Troponin, BNP, Ejection Fraction (EF), Left Ventricular Myocardial Thickness, and Interventricular Septal Thickness.

    Time frame: From enrollment to the next 52 weeks

  14. Cardiovascular risk indices

    Including the China-PAR Score, Framingham Risk Score, and QRISK3 Score.

    Time frame: From enrollment to the next 52 weeks

  15. Traditional Chinese medicine symptom scores

    Including symptoms related to observation, hearing, questioning, and palpation.

    Time frame: From enrollment to the next 52 weeks

  16. Quality of life scores.

    The Short-From-36 Health Survey, SF-36

    Time frame: From enrollment to the next 52 weeks

  17. Omics analysis

    Including transcriptomics, proteomics, untargeted metabolomics, and microbiome analysis.

    Time frame: From enrollment to the next 52 weeks

07

Study locations

1 site
08

References and documents

Publications

  • Marso SP, Poulter NR, Nissen SE, Nauck MA, Zinman B, Daniels GH, Pocock S, Steinberg WM, Bergenstal RM, Mann JF, Ravn LS, Frandsen KB, Moses AC, Buse JB. Design of the liraglutide effect and action in diabetes: evaluation of cardiovascular outcome results (LEADER) trial. Am Heart J. 2013 Nov;166(5):823-30.e5. doi: 10.1016/j.ahj.2013.07.012. Epub 2013 Oct 2. PubMed 24176437 ↗

Individual participant data

Plan to share: Yes

Supporting information: Study protocol

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06908473
Lead sponsor
Guangdong Provincial Hospital of Traditional Chinese Medicine
Collaborators
TCM hospital of Sichuan Province, Xiyuan Hospital of CACMS, Shanxi Provincial hospital of Chinese Medicine, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine, Yinchuan Brain-Heart Simultaneous Treatment Internet Hospital Co., Ltd
Responsible party
Zhenjie Liu (Doctor, Guangdong Provincial Hospital of Traditional Chinese Medicine) — Principal investigator
First posted
Apr 3, 2025
Start date
Apr 24, 2025
Primary completion
Jul 31, 2028 (estimated)
Completion
Jul 31, 2028 (estimated)
Last update
Jun 13, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion