Qu-shi-hua-tan decoction's efficacy and safety for patients with angina following coronary revascularization: a randomized, double-blind, placebo-controlled trial study protocol

IntroductionThe Qu-shi-hua-tan decoction (QSHTD), formulated by academician Chen Keji, is an empirical decoction for coronary heart disease (CHD). We conducted a randomized controlled trial to assess the effectiveness and safety of QSHTD in managing angina after coronary revascularization (AACR) in...

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Main Authors: Wenjing Xu, Jingwei Wen, Xijiu Li, Xiaoqing Li, Yan Zhang, Weihui Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1512385/full
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author Wenjing Xu
Jingwei Wen
Xijiu Li
Xiaoqing Li
Yan Zhang
Weihui Lu
Weihui Lu
Weihui Lu
Weihui Lu
author_facet Wenjing Xu
Jingwei Wen
Xijiu Li
Xiaoqing Li
Yan Zhang
Weihui Lu
Weihui Lu
Weihui Lu
Weihui Lu
author_sort Wenjing Xu
collection DOAJ
description IntroductionThe Qu-shi-hua-tan decoction (QSHTD), formulated by academician Chen Keji, is an empirical decoction for coronary heart disease (CHD). We conducted a randomized controlled trial to assess the effectiveness and safety of QSHTD in managing angina after coronary revascularization (AACR) in CHD patients.Methods and designThis double-blind randomized controlled trial will be conducted at Guangdong Provincial Hospital of Traditional Chinese Medicine. We will allocate 98 qualified participants to either the experimental or control group in a 1:1 ratio through random selection. The experimental group will be given standard care along with QSHTD, whereas the control group will receive standard care and a placebo. The study will span 26 weeks, consisting of a 2-week initial phase, a 12-week intervention phase, and a 12-week monitoring phase. The main outcome measure will be myocardial blood flow (MBF) assessed using adenosine stress real-time myocardial perfusion echocardiography (RTMPE). The secondary outcomes will be Canadian Cardiovascular Sociation Classification, Seattle Angina Questionnaire, Traditional Chinese Medicine (TCM) symptom evaluation; and major adverse cardiac events (MACE).DiscussionThis study seeks to deliver compelling proof of the superior methodological and reporting standards of QSHTD's effectiveness and safety within AACR treatment. Clinical Trial RegistrationChinese Clinical Trial Registration Center [www.chictr.org.cn]. The trial was registered on November 26, 2020 [ChiCTR2000040270].
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publisher Frontiers Media S.A.
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spelling doaj-art-93853d31213f4e1ca319299c39dd905d2025-08-20T03:53:39ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-04-011210.3389/fcvm.2025.15123851512385Qu-shi-hua-tan decoction's efficacy and safety for patients with angina following coronary revascularization: a randomized, double-blind, placebo-controlled trial study protocolWenjing Xu0Jingwei Wen1Xijiu Li2Xiaoqing Li3Yan Zhang4Weihui Lu5Weihui Lu6Weihui Lu7Weihui Lu8The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaState Key Laboratory of Traditional Chinese Medicine Syndrome, Guangdong Provincial Hospital of Chinese MedicineGuangzhou University of Chinese Medicine, Guangzhou, ChinaChinese Medicine Guangdong Laboratory, Guangzhou, Guangdong, ChinaIntroductionThe Qu-shi-hua-tan decoction (QSHTD), formulated by academician Chen Keji, is an empirical decoction for coronary heart disease (CHD). We conducted a randomized controlled trial to assess the effectiveness and safety of QSHTD in managing angina after coronary revascularization (AACR) in CHD patients.Methods and designThis double-blind randomized controlled trial will be conducted at Guangdong Provincial Hospital of Traditional Chinese Medicine. We will allocate 98 qualified participants to either the experimental or control group in a 1:1 ratio through random selection. The experimental group will be given standard care along with QSHTD, whereas the control group will receive standard care and a placebo. The study will span 26 weeks, consisting of a 2-week initial phase, a 12-week intervention phase, and a 12-week monitoring phase. The main outcome measure will be myocardial blood flow (MBF) assessed using adenosine stress real-time myocardial perfusion echocardiography (RTMPE). The secondary outcomes will be Canadian Cardiovascular Sociation Classification, Seattle Angina Questionnaire, Traditional Chinese Medicine (TCM) symptom evaluation; and major adverse cardiac events (MACE).DiscussionThis study seeks to deliver compelling proof of the superior methodological and reporting standards of QSHTD's effectiveness and safety within AACR treatment. Clinical Trial RegistrationChinese Clinical Trial Registration Center [www.chictr.org.cn]. The trial was registered on November 26, 2020 [ChiCTR2000040270].https://www.frontiersin.org/articles/10.3389/fcvm.2025.1512385/fullprotocolrandomized controlled trialTraditional Chinese Medicinecoronary heart diseasequ-shi-hua-tan decoction
spellingShingle Wenjing Xu
Jingwei Wen
Xijiu Li
Xiaoqing Li
Yan Zhang
Weihui Lu
Weihui Lu
Weihui Lu
Weihui Lu
Qu-shi-hua-tan decoction's efficacy and safety for patients with angina following coronary revascularization: a randomized, double-blind, placebo-controlled trial study protocol
Frontiers in Cardiovascular Medicine
protocol
randomized controlled trial
Traditional Chinese Medicine
coronary heart disease
qu-shi-hua-tan decoction
title Qu-shi-hua-tan decoction's efficacy and safety for patients with angina following coronary revascularization: a randomized, double-blind, placebo-controlled trial study protocol
title_full Qu-shi-hua-tan decoction's efficacy and safety for patients with angina following coronary revascularization: a randomized, double-blind, placebo-controlled trial study protocol
title_fullStr Qu-shi-hua-tan decoction's efficacy and safety for patients with angina following coronary revascularization: a randomized, double-blind, placebo-controlled trial study protocol
title_full_unstemmed Qu-shi-hua-tan decoction's efficacy and safety for patients with angina following coronary revascularization: a randomized, double-blind, placebo-controlled trial study protocol
title_short Qu-shi-hua-tan decoction's efficacy and safety for patients with angina following coronary revascularization: a randomized, double-blind, placebo-controlled trial study protocol
title_sort qu shi hua tan decoction s efficacy and safety for patients with angina following coronary revascularization a randomized double blind placebo controlled trial study protocol
topic protocol
randomized controlled trial
Traditional Chinese Medicine
coronary heart disease
qu-shi-hua-tan decoction
url https://www.frontiersin.org/articles/10.3389/fcvm.2025.1512385/full
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