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PGE1 Improves Coronary Microcirculation Dysfunction in Patients With CAD and Diabetes

A Randomized, Open-label Single-center Trial of Lipo-prostaglandin E1 Improves Coronary Microcirculation Dysfunction in Patients With Ischemic Heart Disease Combine With Diabetes Mellitus

Status
UNKNOWN
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03159559
Enrollment
60
Registered
2017-05-18
Start date
2017-01-31
Completion date
2018-03-31
Last updated
2017-05-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Coronary Microvascular Perfusion in Patients With Ischemic Heart Disease

Brief summary

This study is undertaken to determine if intravenous Lipo-PGE1 therapy would improve coronary microvascular perfusion in patients with ischemic heart disease by CMRI.

Interventions

Patients received conventional therapy plus Lipo-PGE1 10μg once daily intravenous injection for 7 days

Sponsors

Tongji Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
35 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

1. Patients giving written consent after being provided with sufficient explanation about participation in this clinical trial 2. Patients aged between 35-70, no limitation on gender 3. Patients with significant CAD and no need to PCI: 50%-70% luminal stenosis as determined by diagnostic coronary angiography, and left main coronary artery stenosis less than 50%; no history of revascularization procedures before 4. MPRI\<2.0 5. Type 2 DM patients with glycosylated hemoglobin levels\>7% 6. All patients were PGE1-naive, defined as receiving no PGE1 therapy for more than 7 days during the previous 12 months 7. Hypertension remained stable for last 3 months, patients with controlled BP level: SBP\<160mmHg and DBP\<95mmHg

Exclusion criteria

1. Patients with a history of allergic to PGE1 or a history of prior PGE1 treatment. 2. History of revascularization procedures before: PCI or CABG 3. Patients with implanted pacemaker or ICD, ventricular assist device and intra-aortic balloon counter pulsation pump 4. Patients who have experienced myocardial infarction 5. Patients with serious systolic left ventricular function failure: echocardiography EF\<25% 6. Claustrophobia 7. Patients who used Insulin pumps 8. SBP\<90mmHg 9. Chronic renal function failure: creatinine level \>2.5mg/dl or 221umol/l 10. Patients with serious or frequent arrhythmia ,atrial fibrillation、frequent ventricular premature contraction、sick sinus syndrome, second- or third degree atrioventricular block 11. Prior non-cardiac illness with estimated life expectancy \<2-yrs 12. Women who are pregnant, lactation,or maybe pregnant in the study period 13. Unable to give informed consent

Design outcomes

Primary

MeasureTime frame
myocardial perfusion reserve index (MPRI)1 week

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026