Cerebrolysin REGistry Study in Stroke - a High-quality Observational Study of Comparative Effectiveness

Completed

• Conditions: Acute Ischemic Stroke
• Interventions: Drug: Cerebrolysin

• Registration Number: NCT03480698
• Lead Sponsor: Ever Neuro Pharma GmbH

Brief Summary

This study investigates the clinical practices, safety and effectiveness of Cerebrolysin in routine treatment of patients with moderate to severe neurological deficits after acute ischemic stroke.

Detailed Description

Patients registered: Acute Ischemic Stroke patients with moderate to severe neurological deficits

All patients receive acute stroke care according to local treatment standards, not amended or influenced by the study:

Cerebrolysin Group:

Patients who are treated with Cerebrolysin; dosage, frequency and duration follows local clinical practice in accordance with terms of the local marketing authorization

Control group:

Patients who are not treated with Cerebrolysin

Observation criteria:

* Signed Informed Consent

* Clinical diagnosis of acute ischemic stroke confirmed by imaging

* Moderate to severe neurological deficits with NIH Stroke Scale (NIHSS) 8 to 15, both inclusive

* No prior stroke

* No prior disability

* Patient's independence prior to stroke onset (pre-morbid mRS of 0 or 1)

* Reasonable expectation of successful follow-up (max. 100 days)

The study follows the recommendations of the Principles for Good Research on Comparative Effectiveness (GRACE).

In order to comply with recent calls for high-quality non-interventional comparative effectiveness research, a risk-based centralized statistical approach to monitoring is introduced in combination with targeted on-site monitoring for ongoing surveillance of study conduct, thus ensuring highest standards of data quality and integrity according to the most recent requirements of the ICH E6 Guideline for Good Clinical Practice (GCP, Amendment R2, July 2015), the FDA Guidance for Industry on a Risk-based Approach to Monitoring, and the EMA reflection-paper on risk-based quality management in clinical trials.

Study Timeline

• Study First Submitted: 2018-03-22
• Study First Submitted QC: 2018-03-28
• Study First Posted: 2018-03-29
• Study Start: 2018-04-24
• Primary Completion: 2024-04-30
• Study Completion: 2024-07-15
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-24
• Last Update Posted: 2025-02-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1851

Inclusion Criteria

• Signed Informed Consent
• Clinical diagnosis of acute ischemic stroke confirmed by imaging
• Moderate to severe neurological deficits with NIH Stroke Scale (NIHSS) 8 to 15, both inclusive
• No prior stroke
• No prior disability
• Patient's independence prior to stroke onset (pre-morbid mRS of 0 or 1)
• Reasonable expectation of successful follow-up (max. 100 days)

Exclusion Criteria

• none

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Cerebrolysin and standard stroke care	Cerebrolysin	-

Primary Outcome Measures

Name	Time	Method
Ordinal modified Rankin Scale (mRS) at 3 months after stroke onset	3 months	The modified Rankin Scale scale is used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke. The scale runs from 0-6, running from perfect health without symptoms to death.

Secondary Outcome Measures

Name	Time	Method
Proportion of patients with excellent recovery (mRS score 0-1) at 3 months after stroke onset	3 months	The modified Rankin Scale scale is used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke. The scale runs from 0-6, running from perfect health without symptoms to death.
Ordinal modified Rankin Scale (mRS) at 21 days after stroke onset	21 days	The modified Rankin Scale scale is used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke. The scale runs from 0-6, running from perfect health without symptoms to death.
Ordinal NIH Stroke Scale (NIHSS) at 21 days and 3 months after stroke onset	Day 21 and 3 months	The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS) is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment. The individual scores from each item are summed in order to calculate a patient's total NIHSS score. The maximum possible score is 42, with the minimum score being a 0.
Ordinal MoCA at 3 months after stroke	3 months	The Montreal Cognitive Assessment (MoCA) is a widely used screening assessment for detecting cognitive impairment. The MoCA test is a one-page 30-point test administered in approximately 10 minutes. MoCA scores range between 0 and 30. A score of 26 or over is considered to be normal.
Proportion of patients with functional independence (mRS score 0-2) at 3 months after stroke onset	3 months	The modified Rankin Scale scale is used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke. The scale runs from 0-6, running from perfect health without symptoms to death.

Trial Locations

Locations (8)

Krankenhaus der Barmherzigen Brüder Eisenstadt; 🇦🇹 Eisenstadt, Austria

CDK Salzburg, Universitätsklinik für Neurologie; 🇦🇹 Salzburg, Austria

Universitätsklinik Innsbruck; 🇦🇹 Innsbruck, Austria

Kepler Universitätsklinikum; 🇦🇹 Linz, Austria

UK Tulln; 🇦🇹 Tulln, Austria

Landesklinikum Amstetten; 🇦🇹 Amstetten, Austria

UK St. Pölten; 🇦🇹 St. Pölten, Austria

LK Wiener Neustadt; 🇦🇹 Wiener Neustadt, Austria