MedPath

Administration of Celecoxib for Treatment of Intracerebral Hemorrhage : A Pilot Study

Not Applicable
Completed
Conditions
Intracerebral Hemorrhage
Interventions
Registration Number
NCT00526214
Lead Sponsor
Seoul National University Hospital
Brief Summary

Primary:

Change of volume of perihematomal edema as assessed by brain CT.

Secondary:

The change of ICH volume between the initial and the follow-up CT scans The neurological status at 90 day using E-GOS and mRS. The cumulative incidence of major and minor adverse events that occurred during and after hospitalization until the end of the study

Detailed Description

1. INCLUSION/EXCLUSION CRITERIA

1. Inclusion Criteria

* Spontaneous intracerebral hemorrhage was documented by CT scanning within 24 hours of the onset of symptoms

* Supratentorial location of hemorrhage

* Older than 17 yrs

* Informed consent before study

2. Exclusion Criteria

* Planned surgical evacuation of hematoma within 24hrs

* Secondary ICH such as trauma or aneurysmal rupture

* Taking anticoagulation previously

* Pregnancy,known allergy to celecoxib, severe liver or kidney disease, or poor performance state were excluded

* Other physical condition, making the patient difficult to participate in this study (decided by the neurologist or the physician).

2. OTHER THERAPY

-No limitation of other medications except NSAIDs, anticoagulation and antiplatelet agent because of aggravating the symptoms

3. STUDY DESIGN Multicenter, prospective randomized, comparative open with blinded endpoints (PROBE) trial to assess the safety and effectiveness of administration of celecoxib for 14 days in patients with intracerebral hemorrhage

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  1. Spontaneous intracerebral hemorrhage was documented by CT scanning within 24 hours of the onset of symptoms
  2. Supratentorial location of hemorrhage
  3. Older than 17 yrs
Exclusion Criteria
  1. Planned surgical evacuation of hematoma within 24hrs
  2. Secondary ICH due to trauma or aneurismal rupture or etc
  3. Taking antithrombotics or other NSAIDs previously
  4. Pregnancy
  5. Other physical condition, making the patient difficult to participate the study (decided by the neurologist or the physician).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2celecoxib medicationIn the intervention group, patients will take celecoxib.
Primary Outcome Measures
NameTimeMethod
Change of volume of perihematomal edema as assessed by brain CTat 1st day of admission and repeated at 7th±1 day

Brain CT scanning for measurement of volumes of ICH and perihematomal edema was performed at 1st day of admission and repeated at 7th±1 day. Considering some possible errors in measurement of edema volume, at follow-up CT scan, the decrease more than 20% from the initial edema volume was coded as "decreased" edema volume; the increase more than 20% was coded as "increased"; the change between -20% and 20% was coded as "unchanged".

Secondary Outcome Measures
NameTimeMethod
Change of ICH volume between the initial and the follow-up CT scansDay1, Day 7

Change of ICH volume between the initial and the follow-up CT scans. In this analysis, the 20% criterion was applied as mentioned in the edema analysis

Major and minor adverse eventsanytime for 3 months

the cumulative incidence of major and minor adverse events that occurred during and after hospitalization until the end of the study

The neurological status at 90 day using E-GOS and mRS90 days after onset.

The secondary endpoints were neurological status at 90 day using E-GOS and mRS. Good outcome was defined as 6 or more in E-GOS score, and 2 or less in mRS score.

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

© Copyright 2025. All Rights Reserved by MedPath