A randomised-controlled trial of donepezil for motor recovery in acute stroke - Donepezil trial for motor recovery in acute stroke

Imperial College London0 个研究点目标入组 99,999 人开始时间: 2011年10月26日最近更新: 2020年2月1日

试验速览

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•1. Patients diagnosed with acute stroke diagnosed on clinical and neuroimaging grounds who can enter the trial within the 1st week of stroke onset, and who have new motor dysfunction of an upper limb. Motor impairment should be moderate - severe (<50/66 in UE-FM score).
•2. Age: above 18 years old.
•3. Patients able and willing to partake in motor tests, and to return for follow-up visit at 12 weeks.
•4. Able to understand English.
•Are the trial subjects under 18? no
•Number of subjects for this age range: 0
•F.1.2 Adults (18-64 years) yes
•F.1.2.1 Number of subjects for this age range 50
•F.1.3 Elderly (>=65 years) yes
•F.1.3.1 Number of subjects for this age range 50

•1. Contraindications for donepezil: pregnancy (Female patients of child-bearing potential will be asked if there is any possibility that they might be pregnant. If there is any uncertainty, or a likelihood that they are pregnant, this will qualify as an exclusion criterion); moderate – severe asthma (i.e. regular treatment prescribed for this); bradycardia, syncope, 2nd or 3rd degree heart block, acute or decompensated heart failure; peptic ulcer diagnosed endoscopically and on treatment for this; epilepsy; Parkinson’s disease; end-stage renal failure or creatinine > 300 mcmol/l; genito-urinary tract or gastrointestinal tract obstruction; gastrointestinal tract hemorrhage; myasthenia gravis; on anti-cholinergic therapy for bowel or bladder overactivity
•2. Other: functionally-significant cognitive impairment (i.e. dementia); significant receptive aphasia (i.e. such that cannot understand purpose or details of trial, and will be unable to cooperate with task instructions); significant physical infirmity as judged by treating physician (e.g. severe organ failure; terminal cancer).
•3. Contraindications for MRI (this only pertains for the subset of patients entering the MRI substudy, or subjects without prior MRI, but is not a contra-indication to the main study providing a diagnosis of stroke is clear from CT): claustrophobia, metal implants including pacemaker.

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