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Effect of Xinyue capsules on patients with coronary heart disease after percutaneous coronary intervention: study
Ming Guo1, Ming-Jie Zi1, Rui-Xi Xi1,2
1Cardiovascular Diseases Center, Xiyuan Hospital, China Academy of Chinese Medical Sciences, 1 Xiyuan Caochang, Haidian District, Beijing, 100091, China.
Insights
This clinical trial investigates Xinyue capsules for coronary heart disease (CHD) patients post-percutaneous coronary intervention (PCI). It assesses if this Chinese herbal medicine reduces major adverse cardiovascular events, offering new treatment evidence.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Integrative Medicine
Background:
- High risk of cardiovascular events persists in coronary heart disease (CHD) patients after percutaneous coronary intervention (PCI).
- Panax quinquefolius saponin, a key component of Xinyue capsule, is traditionally used for CHD.
- Xinyue capsule's efficacy and safety in this patient group require rigorous evaluation.
Purpose of the Study:
- To evaluate the efficacy and safety of Xinyue capsules in patients with CHD following PCI.
- To determine the impact of Xinyue capsules on major adverse cardiovascular events.
- To provide evidence for Chinese herbal medicine in managing post-PCI CHD.
Main Methods:
- Multicenter, placebo-controlled, double-blind, randomized clinical trial.
- 1100 participants randomized to Xinyue capsules or placebo with conventional treatment for 24 weeks.
- Primary outcome: time to first major adverse cardiovascular event; secondary outcomes: stroke, embolism, vascular events, and all-cause death.
Main Results:
- Primary outcome data on major adverse cardiovascular events will be analyzed.
- Secondary outcome data on specific cardiovascular events and mortality will be assessed.
- Adverse events will be monitored throughout the 48-week follow-up period.
Conclusions:
- The study aims to provide critical evidence on the role of Xinyue capsules in managing CHD patients post-PCI.
- Results will inform the use of Chinese herbal medicine in cardiovascular care.
- The trial's findings will contribute to understanding novel therapeutic strategies for post-procedural cardiovascular risk.
Background:
The risk of cardiovascular events remains high in patients with coronary heart disease (CHD) after successful percutaneous coronary intervention (PCI). Panax quinquefolius saponin, a major component of Xinyue capsule, has been used to treat patients with CHD. The aim of this study is to evaluate the efficacy and safety of Xinyue capsules in patients with CHD after PCI.
Methods/Design:
This study is a multicenter, placebo-controlled, double-blind, randomized controlled clinical trial. A total of 1100 participants are randomly allocated to two groups: the intervention group and a placebo group. The intervention group receives Xinyue capsules plus conventional treatment, and the placebo group receives placebo capsules plus conventional treatment. The patients receive either Xinyue or placebo capsules three times daily (1.8 g/day) for up to 24 weeks. The primary outcome measure is the time from randomization to the first occurrence of major adverse cardiovascular events. The secondary outcome measure is the time from randomization to the first occurrence of stroke, pulmonary embolism, and peripheral vascular events, as well as death due to any cause. All outcome measures will be assessed at 12, 24, 36, and 48 weeks after randomization. Adverse events will be monitored during the trial.
Discussion:
The aim of this study is to evaluate the effects of Xinyue capsules on patients with CHD after interventional treatment. The results of this trial will provide critical evidence regarding Chinese herbal medicine treatment for CHD.
Trial Registration:
Chinese Clinical Trials Registry identifier ChiCTR-IPR-14005475. Registered on 10 November 2014.
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