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The objective of this study is to evaluate the dose-response of three different dose levels of STA-2 (900 mg daily, 1800 mg daily and 2700 mg daily for 42 days) versus placebo in patients with chronic stable angina.
The objective of this study is to evaluate the dose-response of three different dose levels of STA-2 (900 mg daily, 1800 mg daily and 2700 mg daily for 42 days) versus placebo in patients with chronic stable angina.
Treatment Group A:
150 mg STA-2, 2 capsules t.i.d., after meal (900 mg STA-2 total dose per day)
Treatment Group B:
300 mg STA-2, 2 capsules t.i.d., after meal (1800 mg STA-2 total dose per day)
Treatment Group C:
450 mg STA-2, 2 capsules t.i.d., after meal (2700 mg STA-2 total dose per day)
Placebo Group:
Placebo capsule, 2 capsules t.i.d., after meal
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo group | Placebo Comparator | placebo capsule 2# t.i.d./day |
|
| Treatment Group A | Experimental | 150 mg STA-2, 2 capsules t.i.d., after meal (900 mg STA-2 total dose per day) |
|
| Treatment Group B | Experimental | 300 mg STA-2, 2 capsules t.i.d., after meal (1800 mg STA-2 total dose per day) |
|
| Treatment Group C | Experimental | 450 mg STA-2, 2 capsules t.i.d., after meal (2700 mg STA-2 total dose per day) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| green tea polyphenols (STA-2) | Drug | 2 capsules t.i.d., after meal |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Total Exercise Time (Seconds) | the time difference of total exercise time from V2 to V5 compare to placebo | 6 weeks after the first exercise tolerance testing is conducted |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Time to Onset of Angina From Baseline to the Final Visit | 6 weeks | |
| Changes in Time to 1mm ST-segment Depression During ETT From Baseline to Final Visit | 6 weeks | |
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Inclusion Criteria:
Exclusion Criteria:
Subjects with pacemaker rhythm, unstable angina or myocardial infarction within the preceding 3 months;
Subjects with heart failure (New York Heart Association class III or IV), uncorrected valvular or congenital heart disease, subjects who need digoxin or digitalis;
Subjects with any resting EKG abnormalities preventing the interpretation of ischemia as judged by the investigator;
Subjects with COPD requiring bronchodilators;
Subjects with impaired hepatic function (defined as AST or ALT > 2X the upper limit of normal values), or impaired renal function (defined as serum creatinine > 1.5 mg/dL), or diagnosis of any chronic renal/hepatic disease;
Subjects with documented evidence of gastroduodenal ulcer disease, gastrointestinal bleeding or other gastrointestinal disease within the preceding 3 months as judged by investigator;
Subjects who have a history or evidence of a medical condition that would expose them to an undue risk of a significant adverse event or interfere with safety assessments during the course of the trial, including but not limited to hepatic, renal, respiratory, cardiovascular, endocrine, immune, neurological, or hematological disease as determined by the clinical judgment of the investigator;
Subject with any conditions that could interfere the performance of exercise tolerance test as judged by investigator (e.g., knee/ankle arthropathy, Parkinsonism, stoke);
Female subjects of childbearing potential who:
Subject has received any investigational agent within 28 days prior to the first dose of investigational product;
Subjects who have had administered STA-2 in prior clinical trial.
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| Name | Affiliation | Role |
|---|---|---|
| Chuen-Den Tseng, MD, Ph.D | Department of Cardiology National Taiwan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaohsiung Medical University Chung-Ho Memorial Hospital | Kaohsiung | Taiwan | Taiwan | |||
| Chi Mei Medical Center |
In order to ensure the consistency, the difference of total exercise time between V1 and V2 should be less than 20%.
The recruitment period was from Nov. 2010 through Apr. 2012. There are 5 study sites participated in this study, including National Taiwan University Hospita, Chi Mei Medical Center, Taipei Veterans General Hospital, Taipei Medical University-Shuang Ho Hospital and Kaohsiung Medical University Chung-Ho emorial Hospital.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo Group | placebo capsule 2# t.i.d./day |
| FG001 | Treatment Group A | 150 mg STA-2, 2 capsules t.i.d., after meal (900 mg STA-2 total dose per day) |
| FG002 | Treatment Group B | 300 mg STA-2, 2 capsules t.i.d., after meal (1800 mg STA-2 total dose per day) |
| FG003 | Treatment Group C | 450 mg STA-2, 2 capsules t.i.d., after meal (2700 mg STA-2 total dose per day) |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
For subjects without the primary efficacy variable due to early discontinuaton and those with protocol violation were excluded from the analysis group.
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo Group | placebo capsule 2# t.i.d./day |
| BG001 | Treatment Group A | 150 mg STA-2, 2 capsules t.i.d., after meal (900 mg STA-2 total dose per day) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Total Exercise Time (Seconds) | the time difference of total exercise time from V2 to V5 compare to placebo | ITT (intend-to-treat) population will be used for analysis | Posted | Least Squares Mean | Standard Deviation | second | 6 weeks after the first exercise tolerance testing is conducted |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo Group | placebo capsule 2# t.i.d./day |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 12.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastrointestinal haemorrhage | Gastrointestinal disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Melanie Huang | Sinphar Pharmaceutical Co., Ltd. | 886-2-27603688 | 2190 | wthuang@sinphar.com.tw |
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| ID | Term |
|---|---|
| D060050 | Angina, Stable |
| ID | Term |
|---|---|
| D000787 | Angina Pectoris |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D013662 | Tea |
| C037866 | STA 2 |
| ID | Term |
|---|---|
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D001628 | Beverages |
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| Changes in Time to Maximum ST-segment Depression During ETT From Baseline to the Final Visit |
| 6 weeks |
| Changes in Angina Frequency in Subject's Diary From Baseline to All Visits | 6 weeks |
| Change in Consumption of Short-acting Nitrates From Baseline to All Visits | 6 weeks |
| Change in Pharmacological Parameters (Oxidized-LDL), Isoprostane and High-sensitivity Hs-CRP From Baseline to All Visits | 6 weeks |
| Change in Lipid Profiles (HDL-C, LDL-C, Total Cholesterol, Triglyceride) From Baseline to All Visits | 6 weeks |
| Dose-response Relationship of Three Different Dose Levels of STA-2 Versus Placebo Control in Change in Total Exercise Time. | 6 weeks |
| Tainan |
| Taiwan |
| Taiwan |
| National Taiwan University Hospital | Taipei | Taiwan | Taiwan |
| Taipei Medical University-Shuang Ho Hospital | Taipei | Taiwan | Taiwan |
| Taipei Veterans General Hospital | Taipei | Taiwan | Taiwan |
| BG002 | Treatment Group B | 300 mg STA-2, 2 capsules t.i.d., after meal (1800 mg STA-2 total dose per day) |
| BG003 | Treatment Group C | 450 mg STA-2, 2 capsules t.i.d., after meal (2700 mg STA-2 total dose per day) |
| BG004 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
300 mg STA-2, 2 capsules t.i.d., after meal (1800 mg STA-2 total dose per day) |
| OG003 | Treatment Group C | 450 mg STA-2, 2 capsules t.i.d., after meal (2700 mg STA-2 total dose per day) |
|
|
| Secondary | Change in Time to Onset of Angina From Baseline to the Final Visit | Not Posted | 6 weeks |
| Secondary | Changes in Time to 1mm ST-segment Depression During ETT From Baseline to Final Visit | Not Posted | 6 weeks |
| Secondary | Changes in Time to Maximum ST-segment Depression During ETT From Baseline to the Final Visit | Not Posted | 6 weeks |
| Secondary | Changes in Angina Frequency in Subject's Diary From Baseline to All Visits | Not Posted | 6 weeks |
| Secondary | Change in Consumption of Short-acting Nitrates From Baseline to All Visits | Not Posted | 6 weeks |
| Secondary | Change in Pharmacological Parameters (Oxidized-LDL), Isoprostane and High-sensitivity Hs-CRP From Baseline to All Visits | Not Posted | 6 weeks |
| Secondary | Change in Lipid Profiles (HDL-C, LDL-C, Total Cholesterol, Triglyceride) From Baseline to All Visits | Not Posted | 6 weeks |
| Secondary | Dose-response Relationship of Three Different Dose Levels of STA-2 Versus Placebo Control in Change in Total Exercise Time. | Not Posted | 6 weeks |
| 0 |
| 47 |
| 0 |
| 47 |
| EG001 | Treatment Group A | 150 mg STA-2, 2 capsules t.i.d., after meal (900 mg STA-2 total dose per day) | 0 | 45 | 2 | 45 |
| EG002 | Treatment Group B | 300 mg STA-2, 2 capsules t.i.d., after meal (1800 mg STA-2 total dose per day) | 2 | 47 | 2 | 47 |
| EG003 | Treatment Group C | 450 mg STA-2, 2 capsules t.i.d., after meal (2700 mg STA-2 total dose per day) | 1 | 47 | 1 | 47 |
| Coronary artery disease | Cardiac disorders | MedDRA 12.0 | Systematic Assessment |
|
| Angina Pectoris | Cardiac disorders | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA 12.0 | Systematic Assessment |
|
| Hepatitis acute | Hepatobiliary disorders | MedDRA 12.0 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 12.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 12.0 | Systematic Assessment |
|
| pruritus | Skin and subcutaneous tissue disorders |
|
| Insomnia | Psychiatric disorders |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders |
|
| Abdominal pain upper | Gastrointestinal disorders |
|
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| D014652 |
| Vascular Diseases |
| D002637 | Chest Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000066888 |
| Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |