Evidence mapPaperPMID 41735255Full record

Trial reportSignal transduction and targeted therapy2026

Coronary atherosclerotic plaque intervention with Tongxinluo capsule (TXL-CAP): a multicenter, randomized, double-blind and placebo-controlled study.

Mei Ni, Yun Ti, Huai Yu, Meng Zhang, Yan Qi, Dayue Darrel Duan, Qiang Xie, Zheng Ji, Ranzun Zhao, Yujie Zhou and 11 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Signal transduction and targeted therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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

1 citing paper in PubMed.

  1. Review
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

21 authors.

Mei Ni *State Key Laboratory for Innovation and Transformation of Luobing Theory; Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province; Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Yun Ti *State Key Laboratory for Innovation and Transformation of Luobing Theory; Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province; Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Huai Yu *Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Meng ZhangState Key Laboratory for Innovation and Transformation of Luobing Theory; Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province; Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Yan QiState Key Laboratory for Innovation and Transformation of Luobing Theory; Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province; Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Dayue Darrel DuanThe Academy of Phenomics of Traditional Chinese Medicine, School of Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Qiang XieDepartment of Cardiology, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Zheng JiDepartment of Cardiology, Tangshan Workers' Hospital, Tangshan, China.
Ranzun ZhaoDepartment of Cardiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yujie ZhouDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Shaoliang ChenDepartment of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Lin WangDepartment of Cardiology, The First Hospital of Jilin University, Changchun, China.
Yaojun ZhangDepartment of Cardiology, Third People's Hospital of Xuzhou, Xuzhou, China.
Jincheng GuoDepartment of Cardiology, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Yuquan HeDepartment of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, China.
Chen YaoDepartment of Biostatistics, Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China.
Peili BuState Key Laboratory for Innovation and Transformation of Luobing Theory; Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province; Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China. bupeili@sdu.edu.cn.
Bo YuDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China. yubodr@163.com.
Yun ZhangState Key Laboratory for Innovation and Transformation of Luobing Theory; Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province; Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China. zhangyun@sdu.edu.cn.ORCID http://orcid.org/0000-0003-4432-6144
Cheng ZhangState Key Laboratory for Innovation and Transformation of Luobing Theory; Key Laboratory of Cardiovascular Remodeling and Function Research of MOE, NHC, CAMS and Shandong Province; Department of Cardiology, Qilu Hospital of Shandong University, Jinan, China. zhangc@sdu.edu.cn.ORCID http://orcid.org/0000-0003-3672-6543
TXL-CAP Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical evidence of traditional Chinese medicine Tongxinluo capsule therapy on coronary plaque vulnerability is lacking. To investigate whether Tongxinluo may increase coronary plaque stability in patients admitted with acute coronary syndrome based on statin therapy, the TXL-CAP study, a multicenter, randomized, double-blind clinical trial, was conducted. Patients who had a coronary thin-cap lipid-rich plaque detected by optical coherence tomography (OCT) were randomized 1:1 to either Tongxinluo or placebo treatment for 12 months on the basis of guideline-directed treatment. The primary endpoint was the difference in the minimum fibrous cap thickness of the OCT-assessed lesions between Tongxinluo and placebo groups in patients at the end of 12 months. A total of 220 patients were finally recruited and randomized. For the primary endpoint, the minimum fibrous cap thickness did not differ between the two groups at baseline but increased in the Tongxinluo group relative to the placebo group at the 12-month follow-up (115.0 μm vs. 80.0 μm, P < 0.001). The increase in the minimum fibrous cap thickness (61.2 μm vs. 33.7 μm, P = 0.002) and the decrease in the maximum lipid arc (-38.4° vs. -8.1°, P = 0.007) were greater in the Tongxinluo group than in the placebo group. The Tongxinluo group showed improvement in both the Seattle Angina Questionnaire score and the Canadian Cardiovascular Society grading of angina pectoris compared to the placebo group. In conclusion, on the basis of statins, Tongxinluo increased fibrous cap thickness, reduced the lipid arc of coronary thin-cap lipid-rich plaques, and improved angina symptoms without lowering cardiovascular events at the 12-month follow-up in patients with acute coronary syndrome. ( http://www.chictr.org.cn , ID: ChiCTR1900025842).

Indexed as

Acute Coronary SyndromeDrugs, Chinese HerbalPlaque, AtheroscleroticAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedTomography, Optical CoherenceDrugs, Chinese Herbaltongxinluo

Identifiers

PMID41735255
PMCPMC12932843

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.