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The pathogenesis of coronary heart disease is closely related to inflammation. IL-1 beta is an effective target for anti-inflammatory treatment of coronary heart disease. Allopurinol is a drug used for treating hyperuricemia and gout for many years. Recently, allopurinol has been proved to inhibit the production of NLRP3 in monocytes and reduce the level of IL-1beta, resulting in the decrease of TNF-alpha, IL-6 and CRP. Thus, in this study, the investigators aim to evaluate the efficacy and safety of allopurinol sustained-release capsules on improving the stability of coronary plaque in patients with acute coronary syndrome treated by conventional standardized therapy by the single-center, prospective, randomized, double-blind and controlled methods, which would provide new strategies for the treatment of coronary heart disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment group | Experimental |
| |
| Control group | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| allopurinol sustained-release capsules | Drug | allopurinol sustained-release capsules (0.25g), once a day, one pill at a time |
|
| Measure | Description | Time Frame |
|---|---|---|
| low attenuation plaque volume | Changes of low attenuation plaque volume measured by coronary CTA | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| total plaque volume | Changes of total plaque volume measured by coronary CTA | 12 months |
| restructure index | Changes of restructure index measured by coronary CTA |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events and serious adverse events | Adverse events and serious adverse events | 12 months |
Inclusion Criteria:
the people who understand and would sign the informed consent voluntarily;
Aged 18 to 80 years old;
hospitalized patients diagnosed as acute coronary syndrome in the past 1 months;
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology | Wuhan | Hubei | 430022 | China |
Revman
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| ID | Term |
|---|---|
| D054058 | Acute Coronary Syndrome |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| placebo capsules | Drug | placebo sustained-release capsules, once a day, one pill at a time |
|
| 12 months |
| inflammatory factors hsCRP | Changes of inflammatory factors hsCRP in plasma | 12 months |
| All-cause mortality | All-cause mortality | 12 months |
| Readmission rate of acute coronary syndrome | Readmission rate of acute coronary syndrome | 12 months |