MedPath

Astragalus Membranaceus on Aneurysmal Subarachnoid Hemorrhage

Phase 2
Conditions
Aneurysmal Subarachnoid Hemorrhage
Interventions
Drug: Astragalus Membranaceus
Drug: Placebo
Registration Number
NCT03271697
Lead Sponsor
China Medical University Hospital
Brief Summary

This research is trying to see if AM can enhance the clinical prognosis for spontaneous aneurysm ruptured subarachnoid hemorrhage patients.

Detailed Description

Astragalus membranaceus (AM, Huang-Chi) is a Chinese herb used extensively in China as a traditional treatment to treat stroke for a long time, and a number of studies have shown that AM can reduce cerebral infarction area and has anti-oxidation activity. Our previous studies have demonstrated enhanced recovery of neurologic function in patients with acute hemorrhagic stroke who received AM. It is hypothesized that AM either reduces inflammatory response or reduces perihematomal edema.

Subarachnoid hemorrhage secondary to rupture of a cerebral aneurysm is a medical condition associated with a high morbidity and mortality; approximately 10-15% of patients die before reaching medical care, and overall mortality is approximately 45%. Of those that survive, 30% suffer permanent disability graded as moderate to severe, and two-thirds of survivors never return to the same quality of life as they had prior to their hemorrhage. A large number of patients (30-70%) who are able to make it to the hospital and have successful treatment of their aneurysm will develop delayed cerebral vasospasm that is related to the blood clot from their initial aneurysm rupture. Of patients that survive their initial aneurysm rupture, vasospasm results in an additional 7% mortality and another 7% of severe disabilities secondary to ischemic strokes from severe spasm of cerebral arteries.

This research is trying to see if AM can enhance the clinical prognosis for spontaneous aneurysm ruptured subarachnoid hemorrhage patients. All procedures done as a part of this study are standard hospital care procedures done to treat aneurysmal subarachnoid hemorrhage according to the AHA/ASA guideline.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Patients who admitted to the hospital within 24 hours of onset of aneurysmal subarachnoid hemorrhage (SAH) stroke
  • Subarachnoid hemorrhage documented on head CT
  • Hunt Hess Grade 1-4
  • Both Male and Female
  • Age more than 20 and less than 80 years older
  • Informed consent obtained from a patient or legal representative before enrollment
Exclusion Criteria
  • Traumatic or mycotic aneurysms
  • Complication of serious heart or hepatic disease or infection or renal failure
  • Malignant tumor
  • Patients judged to be inappropriate by physician in charge
  • Pregnant / breast feeding women
  • Patients have enrolled or have not yet completed other investigational drug trials within 1 month before screening
  • Ever stroke, and mRS≧3

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AM groupAstragalus MembranaceusTreatment group will accept Astragalus Membranaceus(AM) t.i.w treatment for 14 days from second day of admission, in addition to standard ordinary treatment.
Placebo groupPlaceboControl group will accept placebo t.i.w treatment for 14 days from the second day of admission, in addition to standard ordinary treatment.
Primary Outcome Measures
NameTimeMethod
Clinical symptom90 days post discharge following AM treatment for aneurysmal subarachnoid hemorrhage

evaluating recovery scale percentage at 90 days post discharge following AM treatment for aneurysmal subarachnoid hemorrhage

Secondary Outcome Measures
NameTimeMethod
IL-614 days post discharge following AM treatment for aneurysmal subarachnoid hemorrhage

Interleukin 6, IL-6 in blood and cerebrospinal fluid

IL-1β14 days post discharge following AM treatment for aneurysmal subarachnoid hemorrhage

Interleukin 1β, IL-1β in blood and cerebrospinal fluid

TNF-α14 days post discharge following AM treatment for aneurysmal subarachnoid hemorrhage

Tumor Necrosis Factor-α, TNF-α in blood and cerebrospinal fluid

S100-β14 days post discharge following AM treatment for aneurysmal subarachnoid hemorrhage

S100-β in blood and cerebrospinal fluid

© Copyright 2025. All Rights Reserved by MedPath