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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
162
allopurinol sustained-release capsules (0.25g), once a day, one pill at a time
placebo sustained-release capsules, once a day, one pill at a time
Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
low attenuation plaque volume
Changes of low attenuation plaque volume measured by coronary CTA
Time frame: 12 months
total plaque volume
Changes of total plaque volume measured by coronary CTA
Time frame: 12 months
restructure index
Changes of restructure index measured by coronary CTA
Time frame: 12 months
inflammatory factors hsCRP
Changes of inflammatory factors hsCRP in plasma
Time frame: 12 months
All-cause mortality
All-cause mortality
Time frame: 12 months
Readmission rate of acute coronary syndrome
Readmission rate of acute coronary syndrome
Time frame: 12 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.