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清达颗粒治疗低-中危 1 级高血压病的随机、对照、双盲临床试验方案

Effects of Qingda granule on patients with grade 1 hypertension at low-medium risk: study protocol for a randomized, controlled, double-blind clinical trial.

机构信息

Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350112, China.

Department of Geriatrics, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.

出版信息

Trials. 2023 Jan 2;24(1):1. doi: 10.1186/s13063-022-07006-0.

Abstract

BACKGROUND

Numerous pre-clinical studies showed that Qingda granule (QDG) was effective in treating hypertension. This study aims to evaluate the efficacy and safety of QDG in reducing blood pressure among patients with grade 1 hypertension at low-medium risk.

METHODS

The study is designed as a randomized, multi-center, double-blinded, non-inferiority clinical trial. Five hundred fifty-two patients with grade 1 hypertension at low-medium risk from 13 hospitals will be recruited and randomly assigned to the QDG group (n = 276, treated with valsartan capsule simulation agent and QDG) or control group (n = 276, treated with valsartan capsule and QDG simulation agent). The treatment period will be 4 weeks and the follow-up period will last 4 weeks after treatment. Primary outcome will be a decreased value of systolic blood pressure and diastolic blood pressure after treatment. And second outcome will include the decreased value of diastolic blood pressure and systolic blood pressure at the end of follow-up, the percentage of participants achieving normal blood pressure at the end of treatment and follow-up, the Hamilton Anxiety Scale and TCM syndrome scores at the end of treatment and follow-up, and levels of hypertensive hormones at end of treatment and follow-up.

DISCUSSION

This study will provide initial evidence regarding the clinical efficacy and safety of QDG in treating grade 1 hypertension at low-medium risk.

TRIAL REGISTRATION

Chinese Clinical Trial Registry ChiCTR2000033890 . Registered on 15 June 2020.

摘要

背景

许多临床前研究表明清达颗粒(QDG)在治疗高血压方面有效。本研究旨在评估 QDG 在降低中低危 1 级高血压患者血压方面的疗效和安全性。

方法

本研究设计为一项随机、多中心、双盲、非劣效性临床试验。将从 13 家医院招募 552 例中低危 1 级高血压患者,随机分为 QDG 组(n=276,给予缬沙坦胶囊模拟剂和 QDG 治疗)和对照组(n=276,给予缬沙坦胶囊和 QDG 模拟剂治疗)。治疗期为 4 周,治疗后随访期为 4 周。主要结局为治疗后收缩压和舒张压降低值。次要结局包括随访期末舒张压和收缩压降低值、治疗和随访期末血压正常的参与者比例、治疗和随访期末汉密尔顿焦虑量表和中医证候评分、治疗和随访期末高血压激素水平。

讨论

本研究将为 QDG 治疗中低危 1 级高血压的临床疗效和安全性提供初步证据。

试验注册

中国临床试验注册中心 ChiCTR2000033890。注册于 2020 年 6 月 15 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c24d/9806902/1b78ac81aaf4/13063_2022_7006_Fig1_HTML.jpg

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