The Safety and Efficacy of Cerebrolysin in Patients With Acute Ischemic Stroke

NCT ID: NCT00868283

Last Updated: 2023-12-15

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

1071 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-09-30

Study Completion Date

2011-02-28

Brief Summary

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The study investigated the clinical efficacy and safety of a 10-day course of therapy with daily intravenous administration of 30mL Cerebrolysin based on a comparison with Placebo in patients with acute ischemic stroke. 1070 patients were randomized in this trial in 2 parallel groups, one receiving Cerebrolysin, the control group receiving Placebo. Study drug will be given once daily by intravenous infusion for 10 consecutive days. Acetylsalicylic acid will be given orally, once daily throughout the study duration of 90 days as basic treatment. The clinical observation period for each patient will be 3 months and will include six clinical evaluation visits at Baseline (day 1) and on study days 2, 5, 10, 30 and 90.

Detailed Description

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Conditions

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Ischemic Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Cerebrolysin

Group Type EXPERIMENTAL

Cerebrolysin

Intervention Type DRUG

30 ml study drug will be given once daily by intravenous infusion for 10 consecutive days.

0.9% Saline Solution

Group Type PLACEBO_COMPARATOR

0.9% Saline Solution

Intervention Type DRUG

30 ml will be given once daily by intravenous infusion for 10 consecutive days.

Interventions

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Cerebrolysin

30 ml study drug will be given once daily by intravenous infusion for 10 consecutive days.

Intervention Type DRUG

0.9% Saline Solution

30 ml will be given once daily by intravenous infusion for 10 consecutive days.

Intervention Type DRUG

Other Intervention Names

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NaCl

Eligibility Criteria

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Inclusion Criteria

* Age between 18 and 85 years
* Focal neurological deficit
* Clinical diagnosis of acute hemispheric ischemic stroke
* CT or MRI results compatible with clinical diagnosis of acute hemispheric stroke
* NIH Stroke Scale Score between 6 and 22, both inclusive
* Functionally independent prior to stroke with a pre-stroke Rankin Score of 0 or 1
* Randomization and first treatment with the trial medication within 12h after stroke onset
* Informed consent given by the patient and/or the patient's legally acceptable representative

Exclusion Criteria

* Evidence on CT/MRI of acute or chronic intracerebral hemorrhage, SAH, AVM, cerebral aneurysm, or neoplasm
* Signs of herniation, increased intracranial pressure or likely etiology other than brain ischemia at baseline CT scan
* Patients with a substantial decrease of consciousness or alertness at the time of randomization, defined as score of 2 or more one of the NIH Stroke Scale questions 1a.
* Neurological signs and symptoms that improve rapidly during screening and are likely to resolve completely within 24h
* Severe coexisting systemic disease that significantly limits life expectancy
* Systolic blood pressure over 220 mmHg or diastolic blood pressure over 120 mmHg on repeated measurement (interval of 30 min) prior to study entry
* Severe congestive heart failure or presentation with acute myocardial infarction at study entry
* Epilepsy or epileptic seizures at onset of stroke
* Pre-existing disorders or conditions that would impair interpretation of neurological assessment (eg. severe dementia, severe psychiatric illnesses, etc).
* Concomitant treatment with other neuroprotective or nootropic drugs (e.g. piracetam, citicoline, investigational neuroprotective substances)
* Patients which cannot tolerate or have contraindication to aspirin or Cerebrolysin treatment
* Concomitant treatment with substances that have a dilative effect on blood vessels like naftidrofuryl, cinnarizine, flunarizine or nimodipine
* Pregnancy and lactation period; for women with child-bearing potential a negative pregnancy test is required
* Participation in a clinical trial with an investigational drug in the past 4 weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Excel PharmaStudies, Inc.

INDUSTRY

Sponsor Role collaborator

idv Datenanalyse und Versuchsplanung

UNKNOWN

Sponsor Role collaborator

Ever Neuro Pharma GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Philipp Novak, PhD

Role: STUDY_DIRECTOR

EVER Neuro Pharma

Zhen Hong, MD

Role: PRINCIPAL_INVESTIGATOR

Huashan Hospital, affiliated Fudan University

Locations

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Mudanjiang 1st people Hospital

Mudanjiang, Heilongjiang, China

Site Status

Mudanjiang 2nd people Hospital

Mudanjiang, Heilongjiang, China

Site Status

Anhui Shengli Hospital

Anhui, , China

Site Status

Anshan hospital

Anshan, , China

Site Status

Baotou Center Hospital

Baotou, , China

Site Status

Third hospital, affiliated Neimenggu Medical University (Bao Gang hospital)

Baotou, , China

Site Status

Beijing PLA General Hospital

Beijing, , China

Site Status

First hospital, affiliated Peking University

Beijing, , China

Site Status

Friendship Hospital, affiliated Capital Medical University

Beijing, , China

Site Status

Peking Anzhen Hospital

Beijing, , China

Site Status

Sino-Japanese Friendship Hospital

Beijing, , China

Site Status

First hospital, affiliated Bethune Medical University

Changchun, , China

Site Status

Second Hospital Affiliated Bethune Medical University

Changchun, , China

Site Status

Xiangya Hospital, affiliated Hunan Medical University

Changsha, , China

Site Status

Chengdu 2nd People's Hospital

Chengdu, , China

Site Status

First Hospital, affiliated Huaxi Medical University

Chengdu, , China

Site Status

Sichuan Province People's Hospital

Chengdu, , China

Site Status

Second Hospital, affiliated Chongqing Med. University

Chongqing, , China

Site Status

Dalian Center Hospital

Dalian, , China

Site Status

Dalian third people Hospital

Dalian, , China

Site Status

Second Hospital, affiliated Wenzhou Med. University

Dalian, , China

Site Status

First hospital, affiliated Fujian Medical University

Fuzhou, , China

Site Status

FuJian Shengli Hospital

Fuzhou, , China

Site Status

First Hospital, affiliated Shantou Medical University

Guandong, , China

Site Status

Guangzhou 2nd People's Hospital

Guangzhou, , China

Site Status

Guangzhou red cross hospital

Guangzhou, , China

Site Status

First Hospital, affiliated Medical college Zhejing University

Hangzhou, , China

Site Status

The 4st Hospital affiliated Harbin Medical University

Harbin, , China

Site Status

Second Hospital, affiliated Kunming Med. University

Kunming, , China

Site Status

Yinchuan People's Hospital

Mudanjiang, , China

Site Status

Nanjing PLA General Hospital

Nanjing, , China

Site Status

Zhongda Hospital

Nanjing, , China

Site Status

First Hospital, affiliated Qingdao Medical University

Qingdao, , China

Site Status

Huashan Hospital, affiliated Fudan University

Shanghai, , China

Site Status

Renji Hospital, affiliated Second Medical University

Shanghai, , China

Site Status

Ruijin Hospital, affiliated Jiaotong University

Shanghai, , China

Site Status

Shanghai 6th People's Hospital

Shanghai, , China

Site Status

Xinhua hospital of Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

Zhongshan Hospital, affiliated Fudan University

Shanghai, , China

Site Status

Hebei Province People's Hospital

Shijiazhuang, , China

Site Status

Tianjin First Medical Center

Tianjin, , China

Site Status

Tianjin Union Medicine Centre

Tianjin, , China

Site Status

Union Hospital, affiliated Huazhong science and technology University

Wuhan, , China

Site Status

First hospital, affiliated NingXia Mededical University

Yinchuan, , China

Site Status

First hospital, affiliated Henan Medical University

Zhengzhou, , China

Site Status

Chinese University of Hong Kong

Hong Kong, , Hong Kong

Site Status

Asan medical center

Seoul, , South Korea

Site Status

East-west neo medical center

Seoul, , South Korea

Site Status

Kyung-hee University Hospital

Seoul, , South Korea

Site Status

Countries

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China Hong Kong South Korea

References

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Hong Z, Moessler H, Bornstein N, Brainin M, Heiss WD; CASTA-Investigators. A double-blind, placebo-controlled, randomized trial to evaluate the safety and efficacy of Cerebrolysin in patients with acute ischaemic stroke in Asia--CASTA. Int J Stroke. 2009 Oct;4(5):406-12. doi: 10.1111/j.1747-4949.2009.00340.x.

Reference Type BACKGROUND
PMID: 19765131 (View on PubMed)

Heiss WD, Brainin M, Bornstein NM, Tuomilehto J, Hong Z; Cerebrolysin Acute Stroke Treatment in Asia (CASTA) Investigators. Cerebrolysin in patients with acute ischemic stroke in Asia: results of a double-blind, placebo-controlled randomized trial. Stroke. 2012 Mar;43(3):630-6. doi: 10.1161/STROKEAHA.111.628537. Epub 2012 Jan 26.

Reference Type RESULT
PMID: 22282884 (View on PubMed)

Bornstein NM, Guekht A, Vester J, Heiss WD, Gusev E, Homberg V, Rahlfs VW, Bajenaru O, Popescu BO, Muresanu D. Safety and efficacy of Cerebrolysin in early post-stroke recovery: a meta-analysis of nine randomized clinical trials. Neurol Sci. 2018 Apr;39(4):629-640. doi: 10.1007/s10072-017-3214-0. Epub 2017 Dec 16.

Reference Type RESULT
PMID: 29248999 (View on PubMed)

Related Links

Other Identifiers

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EBE-CN-050823

Identifier Type: -

Identifier Source: org_study_id