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Cardiovascular Effects of Salvia Miltiorrhiza Extract (Danshen)

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Radboud University

Keywords

Abstract

Rationale: Extracts of the plant Salvia miltiorrhiza (Danshen) have been used as traditional Chinese medicine in the treatment of cardiovascular diseases, such as angina pectoris and myocardial infarction. Several preclinical studies point towards promising effects of Danshen on risk factors of atherosclerotic cardiovascular diseases, such as hyperlipidemia and hypertension.
Objective: Our primary objective is to determine the effect of Salvia miltiorrhiza extract (Danshen) on hyperlipidemia. Secondary objective is to investigate the effect of Danshen on hypertension. Further objectives are to determine its effect on endothelial function, oxidative stress, inflammation, hemostasis and hemorheology, and on insulin sensitivity.

Dates

Last Verified: 12/31/2011
First Submitted: 03/22/2012
Estimated Enrollment Submitted: 03/25/2012
First Posted: 03/26/2012
Last Update Submitted: 05/22/2012
Last Update Posted: 05/23/2012
Actual Study Start Date: 03/31/2012
Estimated Primary Completion Date: 11/30/2012
Estimated Study Completion Date: 02/28/2013

Condition or disease

Dyslipidemias
Hypertension
Vasodilation
Oxidative Stress
Inflammation

Intervention/treatment

Dietary Supplement: Salvia miltiorrhiza extract (Danshen)

Dietary Supplement: placebo

Phase

-

Arm Groups

ArmIntervention/treatment
Experimental: Salvia miltiorrhiza extract (Danshen)
p.o. Salvia miltiorrhiza extract, 1.5 g twice daily for four consecutive weeks
Dietary Supplement: Salvia miltiorrhiza extract (Danshen)
3 capsules of 500 mg Salvia miltiorrhiza extract, twice daily for four consecutive weeks
Placebo Comparator: placebo
p.o. placebo, twice daily
Dietary Supplement: placebo
3 placebo capsules, twice daily for four consecutive weeks

Eligibility Criteria

Ages Eligible for Study 40 Years To 40 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Age: 40-70

- Women:

- postmenopausal, or

- use of contraceptive pill

- Hyperlipidemia:

- elevated level of triglycerides: > 1.7 mmol/L, or

- elevated level of LDL-cholesterol: > 3.5 mmol/L

- Hypertension:

- systolic pressure > 140 mm Hg, or

- diastolic pressure > 90 mm Hg

- Signed informed consent

Exclusion Criteria:

- Alcohol or drug abuse

- History of cardiovascular disease (myocard infarct, angina pectoris, CVA)

- Diabetes mellitus, when treated with insulin

- Pregnancy

- Hyperlipidemia which needs conventional treatment

- elevated level of triglycerides: > 8 mmol/L

- elevated level of LDL-cholesterol: > 5 mmol/L

- Hypertension which needs conventional treatment:

- systolic pressure > 180 mm Hg

- diastolic pressure > 110 mm Hg

- Clinically significant liver disease (3 times the upper normal limit of ALAT,ASAT)

- Clinically significant anemia (male Hb < 6,9 mmol/L, female < 6,25 mmol/L)

- Renal disease defined as MDRD < 60 ml/min/1.73m2

- Participation to any drug-investigation during the previous 90 days

- Use of any herbal product during the previous 30 days

- Concomitant (chronic) use of:

Medicinal products:

- ACE-inhibitors, including a.o. captopril, enalapril, ramipril

- AT1-antagonists, including a.o. losartan, valsartan, irbesartan

- Statins, including a.o. simvastatin, rosuvastatin

- Anticoagulant drugs, including a.o. aspirin

- Calciumantagonists (including a.o. amlodipine, nifedipine, verapamil)

- Use of more than 1 antihypertensive drug

- High-dose antihypertensive medication (above defined daily dose)

- Drugs which are exclusively metabolised by CYP3A4 (Flockhart DA; P450 drug interaction table, including a.o. erythromycin, midazolam, cyclosporine, HIV antivirals)

Food products:

- (Antioxidant) vitamin supplements

- Other herbs, including a.o. St John's wort

- Grapefruit juice

Outcome

Primary Outcome Measures

1. Hyperlipidemia [after 4 weeks of treatment with Danshen]

Blood tests: lipids, in particular LDL-cholesterol.

Secondary Outcome Measures

1. Hypertension [after 4 weeks of treatment with Danshen]

2. Endothelial function [after 4 weeks of treatment with Danshen]

3. Plasma markers of oxidative stress [after 4 weeks of treatment with Danshen]

4. Vascular inflammation and inflammatory activation of adipose tissue [after 4 weeks of treatment with danshen]

5. Hemostasis and hemorheological parameters [after 4 weeks of treatment with Danshen]

6. Insulin sensitivity [after 4 weeks of treatment with Danshen]

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