Coronary Artery Disease
Conditions
Keywords
Coronary Artery Disease, Hydroxychloroquine
Brief summary
The purpose of this study is to evaluate whether treated with hydroxychloroquine could improve therapeutic effect for patients with high-risk coronary artery disease.
Detailed description
This double blind, placebo, randomized controlled trial is going to assess if hydroxychloroquine could improve the high sensitivity C-reaction protein, blood lipid, blood glucose and blood pressure, also whether hydroxychloroquine could affect the secretion of inflammatory cytokines and the M1/M2 phenotype polarization of macrophages in patients with high-risk coronary artery disease.
Interventions
Subjects are treated with oral hydroxychloroquine sulfate tablets 200mg twice daily for 20 weeks. All the interventions are built on the guideline-based secondary prevention of coronary heart disease medications.
Subjects are treated with oral placebo tablets 200mg twice daily for 20 weeks. All the interventions are built on the guideline-based secondary prevention of coronary heart disease medications.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients have been diagnosed coronary artery disease by coronary angiography or CT angiography. * coronary artery disease with hypertension or diabetes or hyperlipidaemia(LDL\>1.8mmol/L) * High sensitivity C-reactive protein \>1mg/L. * On guideline-based secondary prevention of coronary heart disease medications≥1 months. * No use of steroids, antibiotics, immunosuppressors a week before treatment.
Exclusion criteria
* Retinal disease. * Chronic hepatopathy(ALT\>120U/L). * Renal dysfunction (eGFR\<60). * Moderately severe anemia, thrombocytopenia and leukocytopenia. * Other contraindications for hydroxychloroquine. * Active hemorrhage. * Cancer or life expectancy\< a year. * New York Heart Association (NYHA) functional class≥class III, Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting in plan. * Pregnancy and lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| change of fasting high sensitivity C-reactive protein | change from baseline at the 16th week, 39th week, 55th week. |
Secondary
| Measure | Time frame |
|---|---|
| change of fasting blood lipid | change from baseline at the 12th week, 20th week. |
| change of fasting blood glucose | change from baseline at the 12th week, 20th week. |
| change of fasting insulin | change from baseline at the 12th week, 20th week. |
| change of blood pressure | change from baseline at the 12th week, 20th week. |
| change of fasting Interleukin 6 | change from baseline at the 12th week, 20th week. |
| change of fasting tumor necrosis factor | change from baseline at the 12th week, 20th week. |
| change of echocardiogram | change from baseline at the 12th week, 20th week. |
Countries
China