Evidence map›Paper›PMID 30872737›Full record

Trial reportScientific reports2019

Carotid artery plaque intervention with Tongxinluo capsule (CAPITAL): A multicenter randomized double-blind parallel-group placebo-controlled study.

Mei Zhang, Yan Liu, Mingjun Xu, Lei Zhang, Yan Liu, Xiaoling Liu, Yuxia Zhao, Fang Zhu, Rui Xu, Zhihong Ou and 9 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 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

35 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  4. Chinese patent medicine for atherosclerosis: a systematic review and Meta-analysis of randomized controlled trials.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2024
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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

19 authors.

Mei ZhangDepartment of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Yan LiuDepartment of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Mingjun XuDepartment of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Lei ZhangDepartment of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Yan LiuDepartment of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Xiaoling LiuDepartment of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Yuxia ZhaoDepartment of Cardiology, Qilu Hospital of Shandong University, Jinan, China.
Fang ZhuDepartment of Cardiology, People's Hospital of Liaoning Province, Shen Yang, China.
Rui XuDepartment of Cardiology, Shandong Provincial Qianfoshan Hospital, Jinan, China.
Zhihong OuDepartment of Cardiology, People's Hospital of Linyi City, Lin Yi, China.
Ying WangDepartment of Cardiology, Second Affiliated Hospital of Shandong Traditional Chinese Medicine University, Jinan, China.
Qigong LiuDepartment of Cardiology, Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Shuping MaDepartment of Cardiology, Hebei Provincial People's Hospital, Shi Jiazhuang, China.
Tian WangDepartment of Cardiology, Traffic Hospital of Shandong Province, Jinan, China.
Maolin HeDepartment of Cardiology, Beijing Shijitan Hospital, Beijing, China.
Qinghua LuDepartment of Cardiology, Second Affiliated Hospital of Shandong University, Jinan, China.
Honghua LiDepartment of Cardiology, Wuhan General Hospital of Guangzhou Military Region, Wuhan, China.
Jihan HuangCenter for Drug Clinical Research, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Yun ZhangDepartment of Cardiology, Qilu Hospital of Shandong University, Jinan, China. zhangyun@sdu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To determine whether the traditional Chinese medicine Tongxinluo (TXL) is efficacious at retarding the progression of carotid atherosclerotic lesions, a total of 1,212 patients with a focal intima-media thickness (IMT) of ≥1.2 mm of the carotid arteries received TXL or placebo capsules in addition to current routine therapy. The primary outcome was between-group differences in annualized change in mean IMT of 12 sites of bilateral carotid arteries over 24 months. The secondary outcomes were between-group differences in plaque area, vascular remodeling index (RI), serum levels of lipids and high-sensitivity C-reactive protein, and a composite of first major cardiovascular events. The results showed that the annualized change in mean IMT in the TXL and placebo groups was -0.00095 (95% CI, -0.00330 to 0.00141) mm and 0.01312 (95% CI, 0.01076 to 0.01548) mm, respectively, with a difference between the two groups of -0.01407 (95% CI, -0.01740 to -0.01073) mm (P < 0.001). Compared with placebo, TXL treatment significantly reduced the change from baseline in the plaque area and RI, as well as the first major cardiovascular events. In conclusion, TXL retarded the progression of mean IMT, plaque area and vascular remodeling of the carotid artery with a good safety profile.

Indexed as

Carotid Intima-Media ThicknessCarotid ArteriesCohort StudiesDisease ProgressionDouble-Blind MethodDrugs, Chinese HerbalFemaleHumansLipidsMaleMiddle AgedPlaque, AtheroscleroticVascular RemodelingDrugs, Chinese HerbalLipidstongxinluo

Identifiers

PMID30872737
PMCPMC6418108

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.