Effectiveness and safety of Guipi Mixture for the treatment of premature ventricular contractions (heart-spleen deficiency syndrome): study protocol for a randomized, double-blind, placebo-controlled, multicentre trial - Scorecard - MDSpire

Effectiveness and safety of Guipi Mixture for the treatment of premature ventricular contractions (heart-spleen deficiency syndrome): study protocol for a randomized, double-blind, placebo-controlled, multicentre trial

  • By

  • Yonghao Li

  • Yutong Wang

  • Ruikang Liu

  • Xuanchun Huang

  • Shiyi Tao

  • FuYuan Zhang

  • Jun Li

  • JingRun Cui

  • June 11, 2026

  • 0 min

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Clinical Scorecard: Efficacy and Safety of Guipi Mixture in Treating Premature Ventricular Contractions Associated with Heart-Spleen Deficiency Syndrome: A Protocol for a Randomized, Double-Blind, Placebo-Controlled Multicenter Trial

At a Glance

CategoryDetail
ConditionPremature Ventricular Contractions (PVCs)
Key MechanismsCombination of Guipi Mixture and metoprolol targeting heart-spleen deficiency syndrome.
Target PopulationPatients with PVCs associated with heart-spleen deficiency syndrome.
Care SettingMulticenter trial across 18 hospitals in China.

Key Highlights

  • PVCs are common arrhythmias that can lead to serious cardiovascular risks.
  • Current treatments include pharmacotherapy and catheter ablation.
  • Guipi Mixture is a TCM preparation aimed at treating heart-spleen deficiency syndrome.
  • The study evaluates the efficacy and safety of Guipi Mixture combined with metoprolol.
  • Primary outcome is the change in 24-hour PVC count measured by ambulatory ECG.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis of PVCs based on clinical evaluation and ECG findings.

Management

  • Use of metoprolol and other pharmacotherapies as first-line treatments.

Monitoring & Follow-up

  • Monitoring of PVC counts and patient-reported outcomes during the trial.

Risks

  • Potential long-term cardiovascular adverse effects from conventional pharmacotherapy.

Patient & Prescribing Data

200 eligible subjects with PVCs.

Combination therapy of Guipi Mixture and metoprolol may enhance treatment efficacy.

Clinical Best Practices

  • Adopt a holistic approach in treating PVCs, considering both TCM and Western medicine.
  • Monitor patients for adverse effects during treatment.

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