Evidence map›Paper›PMID 29483383›Full record

Trial reportChinese medical journal2018

A Multicenter, Randomized, Double-Blind, and Placebo-Controlled Study of the Effects of Tongxinluo Capsules in Acute Coronary Syndrome Patients with High On-Treatment Platelet Reactivity.

Lei Zhang, Yi Li, Bai-Song Yang, Lu Li, Xiao-Zeng Wang, Mei-Ling Ge, Quan-Min Jing, Ying-Yan Ma, Geng Wang, Hai-Wei Liu and 4 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Chinese medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Molecular basis of acute coronary syndrome.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022
    Review
  5. Review
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Lei ZhangDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Yi LiDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Bai-Song YangDepartment of Cardiology, People's Liberation Army 463 Hospital, Shenyang, Liaoning 110000, China.
Lu LiDepartment of Cardiology, Shenzhou Hospital Affiliated to Shenyang Medical College, Shenyang, Liaoning 110000, China.
Xiao-Zeng WangDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Mei-Ling GeDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Quan-Min JingDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Ying-Yan MaDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Geng WangDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Hai-Wei LiuDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Xin ZhaoDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Bin WangDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Kai XuDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
Ya-Ling HanDepartment of Cardiology, General Hospital of Shenyang Military Region, Shenyang, Liaoning 110016, China.
General Hospital of Shenyang Military Region · CNHospital 463 People's Liberation Army · CNShenyang Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh platelet reactivity (HPR) during clopidogrel treatment predicts postpercutaneous coronary intervention (PCI) ischemic events strongly and independently. Tongxinluo capsules (TCs) are a traditional Chinese medicine formulation used as antiplatelet treatment. However, its efficacy against HPR is not known. The aim of the present study was to evaluate the effects of TCs in acute coronary syndrome (ACS) patients with HPR.

methodsThis multicenter, randomized, double-blind, placebo-controlled study prospectively analyzed 136 ACS patients with HPR who underwent PCI. The patients were enrolled from November 2013 to May 2014 and randomized to receive placebo or TCs in addition to standard dual antiplatelet therapy (DAPT) with aspirin and clopidogrel. The primary end points were the prevalence of HPR at 30 days and the mean change in P2Y

resultsBoth groups had a significantly reduced prevalence of HPR at 30 days versus baseline, but the TC group, compared with the placebo group, had greater reduction (15.8% vs. 24.8%, P = 0.013), especially among patients with one cytochrome P450 2C19 loss of function (LOF) allele (χ

conclusionsIn addition to standard DAPT with aspirin and clopidogrel, TCs further reduce PRU and hsCRP levels, especially in patients carrying only one LOF allele. The data suggest that TCs could be used in combination therapy for ACS patients with HPR undergoing PCI.

Indexed as

Acute Coronary SyndromeAgedAspirinBlood PlateletsCapsulesClopidogrelDouble-Blind MethodDrugs, Chinese HerbalFemaleHumansMaleMiddle AgedPercutaneous Coronary InterventionPlatelet AggregationPlatelet Aggregation InhibitorsTiclopidineAspirinCapsulesClopidogrelDrugs, Chinese HerbalPlatelet Aggregation InhibitorsTiclopidinetongxinluoAcute Coronary SyndromePlatelet Function TestingRandomized Controlled TrialTraditional Chinese Medicine

Identifiers

PMID29483383
PMCPMC5850665
OpenAlexW2794191125

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.