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临床试验/NCT00604630
NCT00604630已完成2 期

German Multicenter EPO Stroke Trial (Phase II/III)

Max-Planck-Institute of Experimental Medicine9 个研究点 分布在 1 个国家目标入组 522 人开始时间: 2003年1月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
522
试验地点
9
主要终点
Neurological/functional outcome as measured by the Barthel Index (BI)

研究概览

简要总结

The purpose of this randomized, double-blind, placebo-controlled multicenter study is to determine in a cohort of 506 patients with acute ischemic stroke in the middle cerebral artery territory, the effect of a three-day high-dose, intravenous erythropoietin treatment on functional outcome up to a follow-up of 90 days.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Ischemic stroke in the middle cerebral artery territory
  • Clearly defined time of onset
  • Confirmed by MRI (DWI, Flair)
  • NIH Stroke Scale ≥ 5
  • Age > 18 years
  • Treatment within 6h after onset of symptoms
  • Informed consent by patient, relatives or independent physician
  • Life expectancy > 90 days

排除标准

  • Coma or precoma (level of consciousness ≥ 2 in NIH Stroke Scale)
  • Previous stroke within the same territory
  • Intracranial or subarachnoidal hemorrhage
  • Traumatic brain injury or brain operation within the last 4 weeks
  • Neoplasia, septic embolism, infectious endocarditis
  • MRI contraindications
  • Renal failure (i.e. dependent on dialysis)
  • Known malignant/life-threatening disease
  • Known myeloproliferative disorder, polycythemia
  • Known allergy or antibodies against erythropoietin
  • Participation in other intervention trials
  • Pregnancy

研究组 & 干预措施

placebo

Placebo Comparator

50ml 0.9% NaCL

干预措施: 0.9% NaCl (Drug)

verum

Active Comparator

erythropoietin alfa 40,000 IU iv in 50ml 0.9% NaCl

干预措施: recombinant human erythropoietin alfa (Drug)

结局指标

主要结局

Neurological/functional outcome as measured by the Barthel Index (BI)

时间窗: day 90

次要结局

  • Modified Rankin Scale (mRS) responder(day 90)
  • Barthel Index (BI)(day 30)
  • mRS(day30, day 90)
  • NIH Stroke Scale(day 1, 3, 7, 30, 90)
  • Proportion of subjects with minimal disability (mRS 0-1)(day 30, day 90)
  • All-cause mortality(day 90)
  • Mortality directly related to stroke(day 90)
  • Proportion of subjects with BI >= 95(day 30, day 90)
  • Proportion of subjects with BI=100(day 30, day 90)
  • Proportion of subjects with neurological recovery(day 3, 7, 30, 90)
  • Distribution of mRS scores(day 30, day 90)
  • Distribution of BI scores(day 30, day 90)
  • Distribution of NIH Stroke Scale scores(day 30, day 90)
  • Serum level of glial damage markers S100B and GFAP(day 1, 2, 3, 4, 7)
  • Lesion size (MRI DWI, flair)(day 1, day 7)
  • Overall survival(day 90)
  • Late recovery index (BI day 90 versus BI day 30)(day 30 to day 90)

研究者

发起方
Max-Planck-Institute of Experimental Medicine
申办方类型
Other

研究点 (9)

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