Standard Medical Management in Secondary Prevention of Ischemic Stroke in China

NCT ID: NCT00664846

Last Updated: 2011-04-11

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

4000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2011-04-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purposes of the study are to analyse the cross-section data of secondary stroke prevention in China and to carry out a standard medical management including medicine and interactive education program,and to evaluate the efficacy and safety of the standard medical management in secondary stroke prevention.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Stroke

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

1

Group Type EXPERIMENTAL

Aspirin / Clopidogrel, Atorvastatin / Simvastatin

Intervention Type DRUG

Standard Medical Management,including antiplatelet agents(Aspirin 75\~150mg/day or Clopidogrel 75mg/day),statins(Atorvastatin 20mg/day or Simvastatin 20mg/day),risk factor lowering agents (antihypertension agents:Amlodipine 5mg/day or Benazepril 10mg/day or Valsartan 80mg/day or Nifedipine 30mg/day or Indapamide 2.5mg/day,antidiabetic agents: Metformin 0.5 tid or Glipizide 5mg tid or Acarbose 50mg tid )if necessary,interactive education program (Online medical education program, health behavior guide) .

2

Group Type ACTIVE_COMPARATOR

Asprin / Clopidogrel, Atorvastatin / Simvastatin

Intervention Type DRUG

Antiplatelet agents(Aspirin 75\~150mg/day or Clopidogrel 75mg/day),statins(Atorvastatin 20mg/day or Simvastatin 20mg/day),risk factor lowering agents (antihypertension agents:Amlodipine 5mg/day or Benazepril 10mg/day or Valsartan 80mg/day or Nifedipine 30mg/day or Indapamide 2.5mg/day,antidiabetic agents: Metformin 0.5 tid or Glipizide 5mg tid or Acarbose 50mg tid )if necessary

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Aspirin / Clopidogrel, Atorvastatin / Simvastatin

Standard Medical Management,including antiplatelet agents(Aspirin 75\~150mg/day or Clopidogrel 75mg/day),statins(Atorvastatin 20mg/day or Simvastatin 20mg/day),risk factor lowering agents (antihypertension agents:Amlodipine 5mg/day or Benazepril 10mg/day or Valsartan 80mg/day or Nifedipine 30mg/day or Indapamide 2.5mg/day,antidiabetic agents: Metformin 0.5 tid or Glipizide 5mg tid or Acarbose 50mg tid )if necessary,interactive education program (Online medical education program, health behavior guide) .

Intervention Type DRUG

Asprin / Clopidogrel, Atorvastatin / Simvastatin

Antiplatelet agents(Aspirin 75\~150mg/day or Clopidogrel 75mg/day),statins(Atorvastatin 20mg/day or Simvastatin 20mg/day),risk factor lowering agents (antihypertension agents:Amlodipine 5mg/day or Benazepril 10mg/day or Valsartan 80mg/day or Nifedipine 30mg/day or Indapamide 2.5mg/day,antidiabetic agents: Metformin 0.5 tid or Glipizide 5mg tid or Acarbose 50mg tid )if necessary

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Ischemic cerebral infarction or TIA within 30 days.
2. Aged above 18 years old.
3. Hospitalized.
4. Cranial CT or MRI scan exclude intracranial hemorrhagic diseases
5. Stable clinical and neurological conditions.
6. A Modified Rankin score less than 4 at enrollment
7. Informed consent is obtained.

Exclusion Criteria

Patients will be excluded from entry if any of the criteria listed below are met

1. Documented stroke caused by conditions other than atherosclerosis, ie, surgical or vascular intervention procedure.
2. Severe co-morbid or unstable medical condition, ie, heart failure, respiratory failure and renal failure, severe liver dysfunction, malignancy with likelihood of death within the next 2 years
3. Significant memory or behavioural disorder, ie, Alzheimer disease, etc, daily care needed.
4. A Modified Rankin score is more than 4
5. Concurrent participation in another clinical trial
6. Pregnant
7. Unable to give informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Peking Union Medical College Hospital

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Liying Cui

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Peking Union Medical College Hosptial

Beijing, Beijing Municipality, China

Site Status

China Pla General Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Daxing District Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Ji Shui Tan Hospital,the 4Th Medical College of Peking University

Beijing, Beijing Municipality, China

Site Status

Beijing Shijitan Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Tiantan Hospital

Beijing, Beijing Municipality, China

Site Status

China Rehabilition Research Center

Beijing, Beijing Municipality, China

Site Status

General Hospital of Navy

Beijing, Beijing Municipality, China

Site Status

Luhe Hospital of Tongzhou Distict Beijing

Beijing, Beijing Municipality, China

Site Status

No 263 Hospital of Pla

Beijing, Beijing Municipality, China

Site Status

No 309 Hospital of Pla

Beijing, Beijing Municipality, China

Site Status

Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status

Pinggu County Hospital Beijing

Beijing, Beijing Municipality, China

Site Status

Xuanwu Hospital Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Daping Hospital

Chongqing, Chongqing Municipality, China

Site Status

Southwest Hospital

Chongqing, Chongqing Municipality, China

Site Status

Guangzhou First Municipal People'S Hospital

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital,Sun Yat-Sen Unversity

Guangzhou, Guangdong, China

Site Status

The First Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

The Third Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

Yutian County Hospital

Yutian, Hebei, China

Site Status

Hebei North University

Zhangjiakou, Hebei, China

Site Status

The First Hospital of Harbin Medical University

Harbin, Helongjiang, China

Site Status

The Second Hospital of Harbin Medical University

Harbin, Helongjiang, China

Site Status

Henan Provincial People'S Hospital

Zhengzhou, Henan, China

Site Status

The Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

Xiangya Hospital of Centre-South University

Changsha, Hunan, China

Site Status

Inner Mongolia Baotou City Central Hospital

Baotou, Inner Mongolia, China

Site Status

The Appurtenant Hospital of Chifeng University

Chifeng, Inner Mongolia, China

Site Status

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status

Nanjing General Hospital of Nanjing Military Command

Nanjing, Jiangsu, China

Site Status

The Affiliated Drumtower Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

Site Status

Jilin University

Changchun, Jilin, China

Site Status

The Third People'S Hospital of Dalian

Dalian, Liaoning, China

Site Status

The First Affiliated Hospital of China Medical Sciences University

Shenyang, Liaoning, China

Site Status

Qinghai Provincial People'S Hospital

Xining, Qinghai, China

Site Status

Qilu Hospital of Shangdong University

Jinan, Shandong, China

Site Status

The Second Hospitalof Shangdong University

Jinan, Shandong, China

Site Status

Huashan Hospital Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Changzheng Hospital

Shanghai, Shanghai Municipality, China

Site Status

West China Center of Medical Sciences

Chengdu, Sichuan, China

Site Status

The General Hospital Under Tianjin Medical Sciences University

Tianjin, Tianjin Municipality, China

Site Status

Tianjin Third Central Hospital

Tianjin, Tianjin Municipality, China

Site Status

First Affiliated Hospital of Xinjiang Medical University

Uramuqi, Xinjiang Uygur Autonomous Region, China

Site Status

The First Affiliated Hospital of College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status

Countries

Review the countries where the study has at least one active or historical site.

China

References

Explore related publications, articles, or registry entries linked to this study.

Cao Y, Zhang M, Zhou L, Yao M, Peng B, Zhu Y, Ni J, Cui L. Consecutive Slides on Axial View Is More Effective Than Transversal Diameter to Differentiate Mechanisms of Single Subcortical Infarctions in the Lenticulostriate Artery Territory. Front Neurol. 2019 Apr 9;10:336. doi: 10.3389/fneur.2019.00336. eCollection 2019.

Reference Type DERIVED
PMID: 31024430 (View on PubMed)

Yao M, Ni J, Zhou L, Peng B, Zhu Y, Cui L; SMART investigators. Elevated Fasting Blood Glucose Is Predictive of Poor Outcome in Non-Diabetic Stroke Patients: A Sub-Group Analysis of SMART. PLoS One. 2016 Aug 5;11(8):e0160674. doi: 10.1371/journal.pone.0160674. eCollection 2016.

Reference Type DERIVED
PMID: 27494527 (View on PubMed)

Ni J, Yao M, Zhou L, Zhu Y, Peng B, Cui L; SMART Investigators. A guideline-based program may improve the outcome of stroke among illiterate patients. Int J Stroke. 2016 Apr;11(3):332-7. doi: 10.1177/1747493015626151. Epub 2016 Jan 18.

Reference Type DERIVED
PMID: 26780948 (View on PubMed)

Peng B, Ni J, Anderson CS, Zhu Y, Wang Y, Pu C, Wu J, Wang J, Zhou L, Yao M, He J, Shan G, Gao S, Xu W, Cui L; SMART Investigators. Implementation of a structured guideline-based program for the secondary prevention of ischemic stroke in China. Stroke. 2014 Feb;45(2):515-9. doi: 10.1161/STROKEAHA.113.001424. Epub 2014 Jan 2.

Reference Type DERIVED
PMID: 24385269 (View on PubMed)

Peng B, Zhu Y, Cui L, Ni J, Xu W, Zhou L, Yao M, Chen L, Wang J, Wang Y, Pu C; SMART Study Group. Standard medical management in secondary prevention of ischemic stroke in China (SMART). Int J Stroke. 2011 Oct;6(5):461-5. doi: 10.1111/j.1747-4949.2011.00648.x.

Reference Type DERIVED
PMID: 21951412 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2006BAI01A10-1

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.