DiabetesFUTURENCT05459519
Effects of Dengzhanxixin Capsule on Platelet Function in Individuals at High Risk for Cardiovascular Disease
A study of Diabetes and Hypertension, run by China National Center for Cardiovascular Diseases at 1 site in China.
Trial summary
The main objective of this clinical trial is to evaluate whether the antiplatelet efficacy of the Dengzhanxixin capsule is better than that of placebo in individuals at high-risk for atherosclerotic cardiovascular disease (ASCVD). Read more about this study
- Who is it for?
- Ages 40 to 70 yearsHealthy volunteers can take part
- Conditions the study is for
- Diabetes, Hypertension, Hypercholesterolemia
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 165 participants
- Where
- 1 siteChina
- Study dates
- 20 Jul 2022to 31 Dec 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 70 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- The following three conditions must be met at the same time:
- Age > 40 years, < 70 years
- Meet any of the following conditions:
- Diabetes
- LDL-C ≥ 4.9 mmol/L or TC ≥ 7.2 mmol/L
- Hypertension; 1.8 mmol/L ≤ LDL-C < 2.6 mmol/L or 3.1 mmol/L ≤ TC < 4.1 mmol/L; 3 risk factors (including smoking, HDL-C < 1.0 mmol/L, ≥ 45 years for male or ≥ 55 years for female)
- Hypertension; 2.6mmol/L ≤ LDL-C < 4.9mmol/L or 4.1mmol/L ≤ TC < 7.2mmol/L; with 2 or more risk factors (same risk factors as above)
- Sign the informed consent
Who cannot join
- Those who meet any of the following conditions are not eligible:
- Diagnosed ASCVD, such as coronary heart disease, stroke and peripheral vascular disease
- Past history of heart failure
- History of symptomatic non-traumatic intracerebral hemorrhage at any time
- History of gastrointestinal bleeding within the past 3 months or history of major surgery within 30 days
- Need to use anticoagulation, antiplatelet or frequent use of non-steroidal anti-inflammatory drugs
Show all 19Show fewer
- Have used Dengzhanxixin or preparations containing Dengzhanxixin in the past 1 month
- Have clear adverse reactions to Dengzhanxixin in the past
- Active liver disease, or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels > 2 times the upper limit of normal (ULN)
- Chronic kidney disease, or estimated glomerular filtration rate (eGFR) <60ml/(min×1.73m2)
- Pregnant or planning to become pregnant, or breastfeeding
- Malignant tumors, or other serious diseases with an expected survival period of less than 1 year
- Mental disorders or communication disorders, cognitive dysfunction, or other serious diseases that may affect participation in the study
- Have participated in or are participating in other clinical trials in the past 1 month
- Known poor adherence to study follow-up or study medication
- Acute stage of disease: acute fever, acute pancreatitis, etc.
- In addition, subjects will be excluded from the randomization clinic if they have any of the following situations:
- Failure to complete the lead-in treatment
- The occurrence of placebo-related adverse reactions
Trial locations and contacts
1 site in 1 country.
Xin Zheng, Ph.D contact
Xiaofang Yan, M.S contact
China1 site, 1 recruiting
- Recruiting
Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen
Shenzhen, ShenZhen
Xin Zheng
About this study
Official title: Effects of Dengzhanxixin Capsule on Platelet Function in Individuals at High Risk for Cardiovascular Disease (FUTURE): a Multi-center, Double-blinded, Randomized, Placebo-controlled Trial
The main objective of this clinical trial is to evaluate whether the antiplatelet efficacy of the Dengzhanxixin capsule is better than that of placebo in individuals at high-risk for atherosclerotic cardiovascular disease (ASCVD).
Read the detailed description
Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of cardiovascular death, and one out of every ten people aged 35-75 in China is at high risk for ASCVD. Platelet activation is an important mechanism for the development of atherosclerosis. Antiplatelet therapy is important in preventing ASCVD.
Dengzhanxixin capsule is an over-the-counter Chinese traditional medicine; currently, it is mainly used for the adjuvant treatment of ischemic stroke and coronary heart disease. A study of 3143 patients with ischemic stroke found that the addition of Dengzhanshengmai capsules to the standard treatment could further reduce the risk of recurrent stroke and was well tolerated without increased risk of bleeding. Animal experiments also observed that Dengzhanxixin capsules had a clear antiplatelet effect. However, the antiplatelet function of Dengzhanxixin capsules in humans is still unclear. In addition, Dengzhanxixin capsules also have potential anti-inflammatory, lipid-lowering, anticoagulant, and antihypertensive effects.
The main objective of this study is to evaluate the antiplatelet efficacy and safety of Dengzhanxixin capsules in individuals at high-risk for ASCVD. The plan of the study is to recruit 165 subjects and the follow up is to be 10 weeks. This study has been approved by the Ethics Committee of Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen.
- Conditions
- Diabetes, Hypertension, Hypercholesterolemia
- Being tested
- Dengzhanxixin Capsule plus Placebo Capsule, Placebo
- Keywords
- dengzhanxixin capsule; platelet function; primary prevention
- Medical subject headings
- Diabetes Mellitus, Hypertension, Hypercholesterolemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dengzhanxixin Capsule plus Placebo CapsuleDrug
Dengzhanxixin Capsule, 0.54g (3 capsules) each time, twice daily; placebo, 1 capsule, twice daily
PlaceboDrug
Placebo, 4 capsules each time, twice daily
Dengzhanxixin Capsule plus Placebo CapsuleDrug
Dengzhanxixin Capsule, 0.72g (4 capsules) each time, once daily; placebo, 4 capsules, once daily
| Study group | Role | What they receive |
|---|---|---|
| Intervention group A | Experimental | Dengzhanxixin Capsules plus Placebo Capsules Receives: Drug: Dengzhanxixin Capsule plus Placebo Capsule |
| Intervention group B | Experimental | Dengzhanxixin Capsules plus Placebo Capsules Receives: Drug: Dengzhanxixin Capsule plus Placebo Capsule |
| Control group | Placebo comparator | Placebo Capsules Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in rate of platelet aggregation
inhibition of adenosine diphosphate (ADP)-induced platelet aggregation as measured by optical aggregometry at week 8.
Measured: "Day 0", "Week 8"
Secondary outcomes (9)
Changes in rate of platelet aggregation
- inhibition of arachidonic acid (AA) and collagen (COLL) -induced platelet aggregation measured by optical aggregometry at week 8.
- inhibition of ADP, AA and COLL -induced platelet aggregation measured by optical aggregometry at week 4.
- At 4 weeks and 8 weeks from baseline, compare the differences of platelet P2Y12 response units (PRU) and aspirin response units (ARU)
- At 4 weeks and 8 weeks of treatment, compare the differences of P-selectin.
Measured: "Day 0","Week 4","Week 8"
Changes in blood pressure
Changes in systolic blood pressure (mmHg) and diastolic blood pressure (mmHg) at 4 and 8 weeks of treatment compared with baseline
Measured: "Day 0","Week 4","Week 8"
Changes in serum lipid profile
changes in total cholesterol (mg/dL) , low-density lipoprotein cholesterol ester (mg/dL) , high-density lipoprotein cholesterol ester (mg/dL) , triglyceride (mg/dL) and lipoprotein(a) (mg/dL) at 4 and 8 weeks of treatment compared with baseline
Measured: "Day 0","Week 4","Week 8"
Changes in coagulation profile
changes in prothrombin time (s), activated partial thromboplastin time (s), and thrombin time (s) at 4 and 8 weeks of treatment compared with baseline
Measured: "Day 0","Week 4","Week 8"
Changes in fibrinogen
changes in fibrinogen (g/L) at 4 and 8 weeks of treatment compared with baseline
Measured: "Day 0","Week 4","Week 8"
Changes in hs-CRP
changes in high-sensitivity C-reactive protein (mg/dL) at 4 and 8 weeks of treatment compared with baseline
Measured: "Day 0","Week 4","Week 8"
Changes in IL-6
changes in interleukin-6 (pg/mL) at 4 and 8 weeks of treatment compared with baseline
Measured: "Day 0","Week 4","Week 8"
Changes in HbA1c(%)
Changes in HbA1c at 8 weeks of treatment compared with baseline
Measured: "Day 0", "Week 8"
Number of Participants with safety endpoint
- Liver-relate indicators:
- ALT ≥ 5 times ULN, or
- ALT ≥ 3 times ULN + bilirubin ≥ 2 times ULN (3) Kidney-related indicators:
- Serum creatinine increased by ≥50% from baseline, or b. Change in eGFR from baseline (4) Serious adverse events (5) Other adverse events related to the study drug (6) Drug discontinuation due to any reason
Measured: through study completion, an average of 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jul 2022
- Study start20 Jul 2022
- Primary completion31 Dec 2023 (estimated)
- Study completion31 Dec 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for DiabetesStudies of the same condition, open and under way.
- More trials run by China National Center for Cardiovascular DiseasesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 165 participants (estimated)
Sponsor and investigators
- Sponsor type
- Other government
- Collaborators
- Chinese Academy of Medical Sciences, Fuwai Hospital
- Responsible party
- Sponsor
- Investigators
- Xin Zheng, Ph.D, Principal investigator, Chinese Academy of Medical Sciences, Fuwai HospitalJing Li, Ph.D, Principal investigator, Chinese Academy of Medical Sciences, Fuwai Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05459519
- Sponsor's protocol ID
- SFLX2022004
- Acronym
- FUTURE
- Status last verified
- Jul 2023
- First submitted
- 26 Jun 2022
- Last updated
- 25 Jul 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Dengzhanxixin Capsule on Platelet Function in Individuals at High Risk for Cardiovascular Disease (FUTURE): a Multi-center, Double-blinded, Randomized, Placebo-controlled Trial
- ClinicalTrials.gov ID
- NCT05459519
- Acronym / sponsor ID
- FUTURE / SFLX2022004
- Conditions
- Diabetes, Hypertension, Hypercholesterolemia
- Keywords
- dengzhanxixin capsule; platelet function; primary prevention
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 165 participants (estimated)
- Lead sponsor
- China National Center for Cardiovascular DiseasesOther government
- Collaborators
- Chinese Academy of Medical Sciences, Fuwai Hospital
- Study start
- 20 Jul 2022 (actual)
- Primary completion
- 31 Dec 2023 (estimated)
- Study completion
- 31 Dec 2023 (estimated)
- First posted
- 15 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of this clinical trial is to evaluate whether the antiplatelet efficacy of the Dengzhanxixin capsule is better than that of placebo in individuals at high-risk for atherosclerotic cardiovascular disease (ASCVD).
Detailed description
Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of cardiovascular death, and one out of every ten people aged 35-75 in China is at high risk for ASCVD. Platelet activation is an important mechanism for the development of atherosclerosis. Antiplatelet therapy is important in preventing ASCVD.
Dengzhanxixin capsule is an over-the-counter Chinese traditional medicine; currently, it is mainly used for the adjuvant treatment of ischemic stroke and coronary heart disease. A study of 3143 patients with ischemic stroke found that the addition of Dengzhanshengmai capsules to the standard treatment could further reduce the risk of recurrent stroke and was well tolerated without increased risk of bleeding. Animal experiments also observed that Dengzhanxixin capsules had a clear antiplatelet effect. However, the antiplatelet function of Dengzhanxixin capsules in humans is still unclear. In addition, Dengzhanxixin capsules also have potential anti-inflammatory, lipid-lowering, anticoagulant, and antihypertensive effects.
The main objective of this study is to evaluate the antiplatelet efficacy and safety of Dengzhanxixin capsules in individuals at high-risk for ASCVD. The plan of the study is to recruit 165 subjects and the follow up is to be 10 weeks. This study has been approved by the Ethics Committee of Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Intervention group A | Experimental | Drug: Dengzhanxixin Capsule plus Placebo CapsuleDengzhanxixin Capsules plus Placebo Capsules |
| Intervention group B | Experimental | Drug: Dengzhanxixin Capsule plus Placebo CapsuleDengzhanxixin Capsules plus Placebo Capsules |
| Control group | Placebo comparator | Drug: PlaceboPlacebo Capsules |
Who may qualify
- Ages
- 40 to 70 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Age > 40 years, < 70 years
- Meet any of the following conditions:
- Sign the informed consent
Key exclusion criteria (19 listed)
- Diagnosed ASCVD, such as coronary heart disease, stroke and peripheral vascular disease
- Past history of heart failure
- History of symptomatic non-traumatic intracerebral hemorrhage at any time
- History of gastrointestinal bleeding within the past 3 months or history of major surgery within 30 days
- Need to use anticoagulation, antiplatelet or frequent use of non-steroidal anti-inflammatory drugs
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dengzhanxixin Capsule plus Placebo CapsuleDengzhanxixin Capsule, 0.54g (3 capsules) each time, twice daily; placebo, 1 capsule, twice daily | Drug | Intervention group A |
| PlaceboPlacebo, 4 capsules each time, twice daily | Drug | Control group |
| Dengzhanxixin Capsule plus Placebo CapsuleDengzhanxixin Capsule, 0.72g (4 capsules) each time, once daily; placebo, 4 capsules, once daily | Drug | Intervention group B |
Primary outcome
Changes in rate of platelet aggregation
Time frame: "Day 0", "Week 8"
inhibition of adenosine diphosphate (ADP)-induced platelet aggregation as measured by optical aggregometry at week 8.
9 secondary outcomes
Changes in rate of platelet aggregation
Time frame: "Day 0","Week 4","Week 8"
Changes in blood pressure
Time frame: "Day 0","Week 4","Week 8"
Changes in serum lipid profile
Time frame: "Day 0","Week 4","Week 8"
Changes in coagulation profile
Time frame: "Day 0","Week 4","Week 8"
Changes in fibrinogen
Time frame: "Day 0","Week 4","Week 8"
Changes in hs-CRP
Time frame: "Day 0","Week 4","Week 8"
Changes in IL-6
Time frame: "Day 0","Week 4","Week 8"
Changes in HbA1c(%)
Time frame: "Day 0", "Week 8"
Number of Participants with safety endpoint
Time frame: through study completion, an average of 8 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jul 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Xin Zheng, Ph.D contact
Xiaofang Yan, M.S contact
Xin Zheng, Ph.D principal investigator
Chinese Academy of Medical Sciences, Fuwai Hospital
Jing Li, Ph.D principal investigator
Chinese Academy of Medical Sciences, Fuwai Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study of Diabetes and Hypertension, run by China National Center for Cardiovascular Diseases at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 25 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Xin Zheng, Ph.D (xin.zheng@fwoxford.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes in rate of platelet aggregation (time frame: "Day 0", "Week 8"). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jul 2023.