Cilostazol in Acute Ischemic Stroke Treatment (CAIST)

NCT ID: NCT00272454

Last Updated: 2009-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

468 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2008-09-30

Brief Summary

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The purpose of this study is to study efficacy and safety of cilostazol use in patients with acute ischemic stroke.

Detailed Description

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Stroke is a leading cause of death and elderly disability in developed countries. However, treatment of acute stroke is limited except thrombolytic therapy in hyperacute stroke within several hours. Currently, aspirin is widely used in spite of its small benefit compared to bleeding complications.

Cilostazol will be compared to aspirin in acute stroke patients in terms of functional outcome at 3 months, efficacy to prevent stroke recurrence, and safety for bleeding complications.

Conditions

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Cerebral Infarction

Keywords

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cilostazol aspirin cerebral infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Cilostazol

Intervention Type DRUG

Aspirin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients who receive explanation on this study and give informed consent
* Patients aged 30 to 85 years
* Baseline NIHSS less than 15
* Onset of symptoms within 48 hours of the start of investigational product
* Full functional independence prior to the present stroke indicated by an mRS score of 0, 1, 2

Exclusion Criteria

* Evidence from CT or MRI scan of an acute intracranial hemorrhage, a tumor, encephalitis or any diagnosis other than acute ischemic stroke likely to cause the present symptoms.
* Previous regular use of an antiplatelet agent or warfarin
* Patients with known cardiac disease likely to cause cardiogenic embolism or congestive heart failure
* Evidence from CT or MRI scan of midline shift when visiting hospital
* Uncontrolled hypertension (SBP\>220 mmHg or DBP\>120 mmHg)
* Hypotension (\<90/60 mmHg)
* Patients with known bleeding diathesis or coagulation disorder
* Patients with liver disease (ALT\>100 or AST\>100), or renal disease (creatinine\>2.0 mg/dl)
* Known severe anaemia (hemoglobin\<8.0 mg/dl), or thrombocytopenia (platelet\<100,000/mm3)
* Scheduled for endarterectomy within 3 months
* Severe co-morbidity likely to limit patient's life expectancy to less than 6 months
* Patients with alcohol or illegal drug abuse or dependency
* Pregnant or lactating patients. When administrating to females, it should be confirmed that the patients is in the menopause (by evaluation of investigators) or permanently infertile (hysterectomy or surgical operation like bilateral tubal ligation, bilateral oophorectomy, etc). If a patient is likely to be pregnant, the patient should not be pregnant before randomization. And, the patient should use reliable contraception between at least 3 weeks before randomization to 7 days after the final administration of study drug.
* Patients treated by thrombolytic agents like tPA after onset of stroke
Minimum Eligible Age

30 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Boramae Hospital

OTHER

Sponsor Role collaborator

Korea Otsuka International Asia Arab Co., Ltd.

UNKNOWN

Sponsor Role collaborator

Korea Otsuka Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Principal Investigators

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Yong-Seok Lee, M.D., PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Neurology, Seoul National University Boramae Hospital, College of Medicine, Seoul National University

Locations

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Hallym University Sacred Heart Hospital

Ahnyang, Kyunggi Province, South Korea

Site Status

Inje University Ilsan Paik Hospital

Koyang, Kyunggi Province, South Korea

Site Status

Seoul National University Bundang Hospital

Sungnam, Kyunggi Province, South Korea

Site Status

Eulji University Hospital

Daejeon, , South Korea

Site Status

Inha University Hospital

Incheon, , South Korea

Site Status

Dongguk University Hospital

Koyang, Kyunggi Province, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Hallym University Kangdong Sacred Heart Hospital

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Eulji University Hospital

Seoul, , South Korea

Site Status

Seoul National University Boramae Hospital

Seoul, , South Korea

Site Status

Soonchunhyang University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Lee YS, Bae HJ, Kang DW, Lee SH, Yu K, Park JM, Cho YJ, Hong KS, Kim DE, Kwon SU, Lee KB, Rha JH, Koo J, Han MG, Lee SJ, Lee JH, Jung SW, Lee BC, Kim JS. Cilostazol in Acute Ischemic Stroke Treatment (CAIST Trial): a randomized double-blind non-inferiority trial. Cerebrovasc Dis. 2011;32(1):65-71. doi: 10.1159/000327036. Epub 2011 May 25.

Reference Type DERIVED
PMID: 21613787 (View on PubMed)

Other Identifiers

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KOP-PLT-0501

Identifier Type: -

Identifier Source: org_study_id

NCT00272129

Identifier Type: -

Identifier Source: nct_alias