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The therapeutic effect of autologous peripheral blood-derived stem cell therapy on acute brain infarcts

Recruiting
Conditions
Patients with acute ischemic stroke and stationary condition in the convalescent phase
Circulatory System
Acute ischemic stroke
Registration Number
ISRCTN15677760
Lead Sponsor
Chang Gung Memorial Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
116
Inclusion Criteria

1. Suffer from acute ischemic stroke within 14 ± 7 days
2. Evidence of brain ischemia on nuclear medicine examination
3. NIHSS score between 8 and 21
4. Already on standard medical therapy based upon stroke guideline, e.g., antiplatelet, antihypertensive, and statin.

Exclusion Criteria

1. Age less than 45 years old or more than 80 years old
2. Patients received t-PA and anticoagulation
3. Non-middle cerebral artery territory stroke or hemorrhagic stroke
4. Pregnant women
5. Patients with active infectious disease or autoimmune disorder
6. Myocardial infarction (MI) within 3 months
7. Severe aortic stenosis or mitral stenosis
8. Congestive heart failure, New York Heart Association functional class IV
9. Malignancy or other severe disease with life span less than one year
10. Chronic kidney disease with CCr<20ml/min and end stage renal disease
11. Join other clinical trials
12. Patients cannot receive regular follow-up
13. Other brain disease (tumor, degenerative disease, infective disease)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Events of all-cause mortality and recurrent ischemic stroke are recorded at 90 days and 1 year
Secondary Outcome Measures
NameTimeMethod
1. Post-therapy 90-day combined endpoint of recurrent stroke or death<br>2. Post-therapy disability is evaluated with modified Rankin Scale score and Barthel Index; WAIS-III and CASI National Institutes of Health Stroke Scale (NIHSS) within 1, 3, and 30 days (±14 days) and 90 days (±14 days):<br>3. Post-therapy brain reperfusion status is measured by using brain Magnetic resonance imaging [Arterial Spin Labeling (ASL) and Dynamic Contrast Enhancement] at 24-72 hours and 90 days (±14 days) <br>4. Post-therapy brain perfusion defect evaluation is measured using radionuclear medicine image [brain Tc-99m scan] 24-72 hours and 90 days (±14 days) <br>5. Any adverse events are recorded within 5 years post-therapy
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