Heart failure & cardiomyopathies

The traditional Chinese medicine Qiliqiangxin in heart failure with reduced ejection fraction: a randomized, double-blind, placebo-controlled trial

Nat MedPublished Randomised controlled trial

Primary resultResult — go to the resultHazard ratio 0.78 95% CI 0.68–0.90

Authors' conclusion

The results of this trial indicate that QLQX may improve clinical outcomes in patients with HFrEF when added to conventional therapy.

Study context

Population
Patients with heart failure and reduced ejection fraction (HFrEF) (NT-proBNP ≥450 pg ml-1, LVEF ≤40%), 133 hospitals in China
Participants
3,110 patients
Comparison
QLQX vs placebo, alongside standard HF therapy
Primary endpoint
Composite of:
  • Hospitalization for HF
  • CV death
Follow-up
Median 18.3 months
Methodological detailsdouble-blind, placebo-controlled, multicentre
  • Double-blind
  • Placebo-controlled
  • Multicentre

Primary result

As reported in the abstract

Hazard ratio

0.78

95% CI 0.68–0.90

P < 0.001

Events by treatment group

QLQXvs Placebo
HR 0.78 (95% CI 0.68–0.90); P < 0.001

Secondary outcomes

OutcomeQLQXPlaceboHR (95% CI)P value
Hospitalization for HF15.63%19.16%0.76 (0.64–0.90)P = 0.002
CV death13.31%15.95%0.83 (0.68–0.996)P = 0.045
All-cause mortality0.84 (0.70–1.01)P = 0.058

Safety

Adverse events comparable between the groups

Original publication

The traditional Chinese medicine Qiliqiangxin in heart failure with reduced ejection fraction: a randomized, double-blind, placebo-controlled trial. Nat Med. Published 2 August 2024. doi:10.1038/s41591-024-03169-2

Composed by AI from the published abstract and checked against it. How Briefs are made →

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