Related Experiment Video
Updated: Feb 21, 2026

Network Pharmacology and Validation of the Antidepressant Mechanisms of Qiangzhifang in a Chronic Restraint Stress-induced Depression Rat Model
Published on: June 6, 2025
Safety and efficacy of Qishen granules in patients with chronic heart failure: study protocol for a randomized
Jinping Wang1, Jun Shi1,2, Jiawei Wei1
1Beijing University of Chinese Medicine, Bei San Huan Dong Lu, Chao Yang District, Beijing, 100029, China.
Insights
Qishen granules (QSG) may reduce NT-proBNP levels in chronic heart failure (CHF) patients. This clinical trial will assess the efficacy and safety of QSG as a complementary treatment for CHF.
Area of Science:
- Cardiology
- Traditional Chinese Medicine
- Clinical Pharmacology
Background:
- Chronic heart failure (CHF) poses a significant public health challenge with high hospitalization and mortality rates.
- Qishen granules (QSG), a traditional Chinese medicine formula, is used for CHF, with animal studies showing efficacy.
- No standard clinical trials have yet confirmed QSG's effectiveness in humans.
Purpose of the Study:
- To evaluate the efficacy and safety of Qishen granules (QSG) in treating chronic heart failure (CHF).
- To determine if QSG can reduce NT-proBNP levels in CHF patients.
- To provide high-quality evidence for the clinical application of QSG.
Main Methods:
- A randomized, placebo-controlled, multi-center, double-blind trial involving 200 CHF patients.
- Patients will receive either QSG or placebo granules twice daily for 12 weeks.
- Primary outcome: >30% decrease in NT-proBNP levels; secondary outcomes include cardiac events, NYHA class, 6MWT, LVEF, quality of life, and TCM syndrome scores.
Main Results:
- The study aims to compare the reduction in NT-proBNP levels between the QSG and placebo groups.
- Secondary outcome analysis will assess various clinical and functional parameters related to heart failure.
- Safety and tolerability of QSG will be evaluated throughout the trial.
Conclusions:
- QSG may offer additional NT-proBNP reduction when used with standard CHF treatments.
- This trial is expected to provide robust evidence on QSG's efficacy and safety in CHF.
- Findings will inform the clinical use of QSG for chronic heart failure management.
Background:
Chronic heart failure (CHF), the final stage of various cardiovascular diseases, is a major public health problem resulting in significant hospitalization rates, mortality, and huge health care costs despite advances in the treatment and management of heart failure and heart failure-related risk factors. Qishen granules (QSG), a Chinese herbal formula, is widely used by traditional Chinese medicine (TCM) practitioners to treat CHF. Several animal experimental studies have showed that QSG can significantly relieve the heart failure symptoms in CHF rat models. However, there is as yet no standard clinical trial to confirm this. Thus, the investigators are conducting this study to evaluate the efficacy and safety of QSG in a large, and varied population.
Methods/Design:
This study is designed as a randomized, placebo-controlled, multi-center, double-blind clinical trial with parallel groups. A total of 200 patients with CHF will be recruited and randomly allocated to either the QSG treatment group or the placebo group (in a 1:1 ratio). The patients will receive QSG or placebo granules twice a day for 12 weeks. The primary outcome is the proportion of patients in the QSG group, compared with the placebo group, demonstrating a more than 30% decrease in NT-proBNP level during 12 weeks of treatment. The secondary outcomes consist of composite cardiac events, New York Heart Association functional classification, 6-minute walking distance, left ventricular ejection fraction, patient quality of life, and the TCM syndrome integral scale.
Discussion:
On a background of standard treatment, QSG may further reduce the levels of NT-proBNP. This trial will provide high-quality evidence on the efficacy and safety of QSG in treating CHF, thus providing reference for clinical application of QSG.
Trial Registration:
Clinical Trials.gov: NCT03027375 . Registered on 16 January 2017.
Related Concept Videos
Heart Failure V: Medical Management
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Heart Failure Drugs: Inotropic Agents
Heart Failure VI: Adjunct Therapies
Heart Failure Drugs: Diuretics
Heart Failure Drugs: β-Blockers
