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临床试验/NCT04952064
NCT04952064已完成4 期

Ganglioside GM1 in Acute Ischemic Stroke: a Prospective, Randomized, Blinded Assessment of Endpoints, and Multicenter Exploratory Study

General Hospital of Shenyang Military Region1 个研究点 分布在 1 个国家目标入组 300 人开始时间: 2021年7月28日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
发起方
入组人数
300
试验地点
1
主要终点
Proportion of modified Rankin Scale (mRS) 0-2

研究概览

简要总结

The purpose of this study was to evaluate the efficacy and safety of higher doses of monosialoganglioside GM1 injection in the treatment of patients with acute ischemic stroke.

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
Single (Outcomes Assessor)

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age: 18-80 years old;
  • Patients with anterior circulation cerebral infarction;
  • first stroke onset or past stroke without obvious neurological deficit (mRS score≤1);
  • Within 24 hours of onset;
  • 5 ≤NIHSS score ≤ 20;
  • Signed informed consent.

排除标准

  • Patients with hereditary abnormal glucose and lipid metabolism (gangliosidosis, such as Tay-Sachs disease and retinal degeneration);
  • Hemorrhagic stroke;
  • Disturbance of consciousness (NIHSS1a≥1),or cerebral arteritis, brain tumor, brain trauma, intracranial infectious diseases;
  • Planed endovascular treatment;
  • Uncontrolled hypertension: systolic pressure ≥200 mmHg or diastolic pressure ≥110 mmHg;
  • Bleeding tendency (except for thrombolysis) or severe bleeding within 3 months;
  • Patients with malignant tumor or serious diseases;
  • Along with epilepsy, arthritis and other disease, which have effect on neurological assessment;
  • History of autoimmune diseases, spinal trauma, various demyelinating diseases, including acute inflammatory demyelinating polyneuropathy (Guillain Barre syndrome);
  • Unable or unwilling to cooperate due to mental diseases;
  • Abnormal liver and renal function: ALT, AST > 2 times of the upper limit of normal value, or Cr > 1.5 times of the upper limit of normal value;
  • Hypersensitivity to monosialoganglioside and excipients of test drug;
  • History of drug abuse;
  • Pregnant or lactating women, pregnant plan or unwilling to use effective contraception during the trial period;
  • Participating in other clinical trials within 3 months;
  • Other conditions which are unsuitable for this trial assessed by researcher.

研究组 & 干预措施

400 mg group

Experimental

Monosialoganglioside GM1, 400 mg/day, for 12-14 days

干预措施: Monosialoganglioside GM1 (Drug)

200 mg group

Experimental

Monosialoganglioside GM1, 200 mg/day, for 12-14 days

干预措施: Monosialoganglioside GM1 (Drug)

结局指标

主要结局

Proportion of modified Rankin Scale (mRS) 0-2

时间窗: 90 days

the minimum and maximum values of mRS are 0 and 6, respectively; higher mRS mean a worse outcome

次要结局

  • Proportion of modified Rankin Scale (mRS) 0-1(90 days)
  • changes in Barthel index (BI) scale(30 days and 90 days)
  • changes in National Institute of Health stroke scale(7 days and 14 days)

研究者

发起方
General Hospital of Shenyang Military Region
申办方类型
Other
责任方
Principal Investigator
主要研究者

Hui-Sheng Chen

Professor

General Hospital of Shenyang Military Region

研究点 (1)

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