Table 1.
Clinical trials for evaluating the efficacy of antioxidant based pharmacotherapy in preventing the oxidative stress mediated myocardial tissue damage in cardiovascular diseases.
Drug | Number of subjects | Trial type | Key findings | Reference |
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N-acetylcysteine (NAC) | 98 | Double-blind, randomized clinical trial | NAC prevented early remodeling by reducing the level of MMP-2 and MMP-9 | [121] |
52 | Randomized clinical trial | NAC decreased pump-induced oxidative stress during cardiopulmonary bypass | [28] | |
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Resveratrol | 75 | Triple-blinded, randomized, parallel, dose-response, and placebo-controlled trial | Resveratrol-rich grape supplement improved the inflammatory and fibrinolytic status in patients who were on statins for primary prevention of CVD | [122] |
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Rapeseeds | 59 | Randomized, double-blind, controlled, and crossover study | Intake of a stabilized rapeseed oil enriched in cardioprotective micronutrients prevented the risk of cardiovascular diseases by improving the cholesterol profile and reducing LDL oxidation | [123] |
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Flavonoids-epicatechin and quercetin | 37 | Randomized, double-blind, placebo-controlled, and crossover trial | Epicatechin contributed to the cardioprotective effects of cocoa and tea by improving insulin resistance | [124] |
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Pravastatin | 10 | Randomized clinical trial | Oral pravastatin reloading before nonemergent coronary artery bypass grafting (CABG) significantly attenuated postoperative inflammation and systemic NO/iNOS concentrations and reduced the myocardial injury | [125] |
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Magnesium | 52 | Randomized clinical trial | The extensive treatment of the patients with magnesium influences the cellular response to ischemia and thus induces cardioprotection against oxidative stress | [126] |
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Coenzyme Q10 | 51 | Randomized clinical trial | Coenzyme Q10 supplementation at 300 mg/day significantly enhances antioxidant enzymes activities and lowers inflammation in patients who have coronary artery disease during statin therapy | [127] |
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Silymarin | 102 | Randomized trial | The anti-inflammatory and antioxidant effects of silymarin treatment provided protection against reperfusion injury and inflammation after CABG surgery | [128] |