Evidence map›Paper›PMID 39196518›Full record

Trial reportCurrent medical science2024

Qiliqiangxin Alleviates Imbalance of Inflammatory Cytokines in Patients with Dilated Cardiomyopathy: A Randomized Controlled Trial.

Yu-Hua Liao, Jing Yuan, Xue-Juan Jin, Ying-Zhen Yang, Zhao-Hui Wang, Miao Yu, Gang Tian, De-Chao Zhao, Bin Li, Wei-Feng Wu and 6 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Current medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. 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

16 authors.

Yu-Hua Liao *Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. liaoyh27@163.com.
Jing Yuan *Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. yhelen13@163.com.
Xue-Juan JinDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai, 200000, China.
Ying-Zhen YangDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai, 200000, China.
Zhao-Hui WangDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Miao YuDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Gang TianDepartment of Cardiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.
De-Chao ZhaoDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, China.
Bin LiDepartment of Cardiology, Xiangyang Central Hospital, Xiangyang, 441021, China.
Wei-Feng WuDepartment of Cardiology, The First Affiliated Hospital of Guangxi Medical University, Nanling, 530021, China.
Rui-Zhen ChenDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai, 200000, China.
Hong-Yan HanDepartment of Cardiology, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, 430064, China.
Dongjie XuDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Jin WeiDepartment of Cardiology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Hai-Tao YuanDepartment of Cardiology, Shandong Provincial People's Hospital, Jinan, 250021, China.
Chinese Myocarditis & Cardiomyopathy Cooperation Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveQiliqiangxin (QLQX) capsule- a traditional Chinese medicine used for treating heart failure (HF), can modulate inflammatory cytokines in rats with myocardial infarction. However, its immune-regulating effect on dilated cardiomyopathy (DCM) remains unknown. The aim of this study was to investigate whether QLQX has a unique regulatory role in the imbalance of pro- and anti-inflammatory cytokines in patients with DCM.

methodsThe QLQX-DCM is a randomized- double-blind trial conducted at 24 tertiary hospitals in China. A total of 345 patients with newly diagnosed virus-induced DCM were randomly assigned to receive QLQX capsules or placebo while receiving optimal medical therapy for HF. The primary endpoints were changes in plasma inflammatory cytokines and improvements in left ventricular ejection fraction (LVEF) and left ventricular end-diastolic diameter (LVEDd) over the 12-month treatment.

resultsAt the 12-month follow-up, the levels of IFN-γ, IL-17, TNF-α, and IL-4 decreased significantly, while the level of IL-10 increased in both groups compared with baselines (all P<0.0001). Furthermore-these changes, coupled with improvements in LVEF, NT-proBNP and New York Heart Association (NYHA) functional classification, excluding the LVEDd in the QLQX group, were greater than those in the placebo group (all P<0.001). Additionally, compared with placebo, QLQX treatment also reduced all-cause mortality and rehospitalization rates by 2.17% and 2.28%, respectively, but the difference was not statistically significant.

conclusionQLQX has the potential to alleviate the imbalance of inflammatory cytokines in patients with DCM, potentially leading to further improvements in cardiac function when combined with anti-HF standard medications.

Indexed as

Cardiomyopathy, DilatedCytokinesDrugs, Chinese HerbalAdultDouble-Blind MethodFemaleHumansInterferon-gammaInterleukin-10Interleukin-17Interleukin-4MaleMiddle AgedStroke VolumeTumor Necrosis Factor-alphaVentricular Function, LeftCytokinesDrugs, Chinese HerbalInterferon-gammaInterleukin-10Interleukin-17Interleukin-4qiliqiangxinTumor Necrosis Factor-alphacardiac functiondilated cardiomyopathyinflammatory cytokinesQiliqiangxin capsulerandomized controlled trial

Identifiers

What Socratic holds

Textmetadata
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.