Danhong Injection in the Treatment of Acute Ischemic Stroke

NCT ID: NCT01677208

Last Updated: 2022-06-08

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

1503 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-13

Study Completion Date

2019-03-27

Brief Summary

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The purpose of this study is to determine whether Danhong injection is effective in the treatment of acute ischemic stroke.

Detailed Description

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Conditions

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Acute 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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Danhong injection

Based on the standard medical care, 40ml of Danhong injection, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.

Group Type EXPERIMENTAL

Danhong injection

Intervention Type DRUG

A kind of injection made from two kind of Chinese herbs: Salvia miltiorrhiza and Safflower. 40ml Danhong injection added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion

Standard medical care

Intervention Type PROCEDURE

Standard medical care is in accordance with China Guideline for the diagnosis and treatment of acute ischemic stroke (2010), including medical care for vital signs, control of temperature, blood pressure and glucose, improving cerebral blood circulation, antiplatelet treatment and nutritional supportive care.

placebo

Based on the standard medical care, 40ml of 0.9% saline as the placebo, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.

Group Type PLACEBO_COMPARATOR

Standard medical care

Intervention Type PROCEDURE

Standard medical care is in accordance with China Guideline for the diagnosis and treatment of acute ischemic stroke (2010), including medical care for vital signs, control of temperature, blood pressure and glucose, improving cerebral blood circulation, antiplatelet treatment and nutritional supportive care.

placebo

Intervention Type DRUG

0.9% saline added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion.

Interventions

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Danhong injection

A kind of injection made from two kind of Chinese herbs: Salvia miltiorrhiza and Safflower. 40ml Danhong injection added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion

Intervention Type DRUG

Standard medical care

Standard medical care is in accordance with China Guideline for the diagnosis and treatment of acute ischemic stroke (2010), including medical care for vital signs, control of temperature, blood pressure and glucose, improving cerebral blood circulation, antiplatelet treatment and nutritional supportive care.

Intervention Type PROCEDURE

placebo

0.9% saline added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Female or male inpatients
* Age: 18 - 70 years.
* Clinical diagnosis of ischemic stroke causing a measurable neurological deficit defined as impairment of language, motor function, cognition and/or gaze, vision or neglect. Ischemic stroke is defined as an event characterized by the sudden onset of an acute focal neurologic deficit presumed to be due to cerebral ischemia after CT scan excludes hemorrhage.
* Clinical diagnosis of "Xueyu Zheng" (Blood Stasis Syndrome) as the scores of Chinese medicine symptoms scales of "Xueyu Zheng" in ischemic stroke ≥ 20. The Chinese medicine symptoms scales of "Xueyu Zheng" is defined as following (1)hemiplegia-10,(2)numbness of limbs-10,(3) dark face-9,(4)purple or dark lip-8,(5)Roughness of skin-4, (6) pain with fixed point-5, (7) purple or dark tongue-10,(8)ecchymosis on tongue-10,(9)purple sublingual vessel-10,(10)varicose sublingual vessel-8,(11)unsmooth pulse-8,(12)intermittent pulse-1.
* Onset of symptoms in 1 week prior to initiation of administration of study drug.
* Clinical diagnosis of cerebral anterior circulation obstruction.
* 4≤NIHSS\<20.
* Patient is willing to participate voluntarily and to sign a written patient informed consent. Informed consent will be obtained from each patient or the subject's legally authorized representative or relatives, or deferred where applicable, according to the regulatory and legal requirements of the participating centers.

Exclusion Criteria

* Evidence of intracranial hemorrhage (ICH) or other cerebral diseases (eg.vascular malformation, tumor, abscess or multiple sclerosis etc.)on the CT-or MRI-scan.
* Patients with thrombolysis or endovascular treatment.
* Known history of allergy or suspected allergic to the drug.
* Blood glucose 2.8 or \> 16.8 mmol / l under the treatment of diabetes or with severe complications due to diabetes (eg. peripheral neuropathy, diabetic gangrene).
* Liver function impairment with the value of ALT or AST over 1.5-fold of normal value.
* Renal dysfunction with the value of serum creatinine over 1.5-fold of normal value.
* Severe cardiac dysfunction on echocardiogram or the grade of heart function over Ⅲ grade.
* History of prior stroke with mRS ≥2.
* Complicated with atrial fibrillation.
* Severe stroke as assessed by appropriate imaging techniques (eg. massive cerebral infarction including more than one lobe of brain or over 1/3 of blood-supply area of middle cerebral artery).
* Prior disable patients.
* Hemorrhagic tendency or recent severe or dangerous bleeding in 3 months.
* Suspected addicted into alcohol or drug abuse.
* With severe complications that would make the condition more complicated assessed by the investigator.
* Woman with pregnancy, lactation or positive result of pregnancy test, or women who want to be pregnant in recent 6 months.
* Woman who is under menstrual period.
* Patient who is participating in other trials or has been participated in other trials in recent 3 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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China Food and Drug Administration

OTHER_GOV

Sponsor Role collaborator

China Academy of Chinese Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Zhong Wang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhong Wang, Professor

Role: PRINCIPAL_INVESTIGATOR

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

Xing-quan Zhao, Professor

Role: PRINCIPAL_INVESTIGATOR

Beijing Tiantan Hospital

Yong-yan Wang, Professor

Role: STUDY_CHAIR

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences

Xiao-xi Du, Professor

Role: STUDY_DIRECTOR

China Food and Drug Administration

Locations

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The Second Artillery General Hospital of Chinese People's Liberation Army

Beijing, Beijing Municipality, China

Site Status

Xinqiao Hospital of Third Military Medical University

Chongqing, Chongqing Municipality, China

Site Status

Chongqing Three Gorges Central Hospital

Chongqing, Chongqing Municipality, China

Site Status

Guangdong No.2 Provincial People's Hospital

Guangzhou, Guangdong, China

Site Status

Guangzhou hospital of integrated Chinese and Western medicine

Guangzhou, Guangdong, China

Site Status

The Second People's Hospital of Shenzhen

Shenzhen, Guangdong, China

Site Status

The Second Central Hospital of Baoding City

Baoding, Hebei, China

Site Status

Affiliated Hospital of Chengde Medical University

Chengde, Hebei, China

Site Status

Handan Central Hospital

Handan, Hebei, China

Site Status

The Second Affiliated Hopital of Harbin Medical University

Harbin, Helongjiang, China

Site Status

The Second Chinese Medical Hospital of Luoyang City

Luoyang, Henan, China

Site Status

Nanyang T.C.M. Hospital

Nanyang, Henan, China

Site Status

Nanshi Hospital of Nanyang

Nanyang, Henan, China

Site Status

The First Affiliated Hospital of Henan University of T.C.M.

Zhengzhou, Henan, China

Site Status

People's Hospital of Zhengzhou

Zhengzhou, Henan, China

Site Status

Zhengzhou NO.7 People's Hospital

Zhengzhou, Henan, China

Site Status

Zhoukou Hospital of T.C.M.

Zhoukou, Henan, China

Site Status

The Central Hospital of Wuhan

Wuhan, Hubei, China

Site Status

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

Zhongshan Hospital of Hubei Province

Wuhan, Hubei, China

Site Status

Fifth Hospital in Wuhan

Wuhan, Hubei, China

Site Status

Renmin Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

Tianyou Hospital Affiliated to Wuhan University of Science & Technology

Wuhan, Hubei, China

Site Status

Huangpi District Hospital of T.C.M.

Wuhan, Hubei, China

Site Status

Changsha Central Hospital

Changsha, Hunan, China

Site Status

The First Hospital of Changsha

Changsha, Hunan, China

Site Status

The second people's hospital of Hunan Province

Changsha, Hunan, China

Site Status

Xiangya Hospital Central-south University

Changsha, Hunan, China

Site Status

Nanjing Hospital of T.C.M.

Nanjing, Jiangsu, China

Site Status

The Second Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status

Jilin Province People's Hospital

Changchun, Jilin, China

Site Status

The Affiliated Hopital to Changchun University of Chinese Medicine

Changchun, Jilin, China

Site Status

The First Hospital Affiliated to Jilin University

Changchun, Jilin, China

Site Status

China-Japan Union Hospital of Jilin University

Changchun, Jilin, China

Site Status

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status

Liaoyuan Traditional Chinese Medical Hospital

Liaoyuan, Jilin, China

Site Status

Anshan Central Hospital

Anshan, Liaoning, China

Site Status

Affiliated Zhongshan Hospital of Dalian University

Dalian, Liaoning, China

Site Status

Dandong First Hospital

Dandong, Liaoning, China

Site Status

Panjin Central Hospital

Panjin, Liaoning, China

Site Status

People's Liberation Army No.202 Hospital

Shenyang, Liaoning, China

Site Status

The General Hospital of Shenyang Military

Shenyang, Liaoning, China

Site Status

People's Liberation Army No.463 Hospital

Shenyang, Liaoning, China

Site Status

Affiliated Hospital of Chifeng University

Chifeng, Neimenggu, China

Site Status

Fenyang Hospital of Shanxi Province

Lüliang, Shanxi, China

Site Status

The Second Affiliated Hospital to Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

Affiliated Hospital of Shanxi University of Chinese Medicine

Xianyang, Shanxi, China

Site Status

The Second Affiliated Hospital of Shanxi University of T.C.M.

Xianyang, Shanxi, China

Site Status

Shanxi Province Hospital of T.C.M.

Xi’an, Shanxi, China

Site Status

The PLA Fourth Fifty-one Hospital

Xi’an, Shanxi, China

Site Status

Shanxi Provincial People's Hospital

Xi’an, Shanxi, China

Site Status

Teaching Hospital of Chengdu University of Traditional Chinese Medicine

Chengdu, Sichuan, China

Site Status

The First Affiliated Hopital of Chengdu Medical College

Chengdu, Sichuan, China

Site Status

First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

Tianjin, Tianjin Municipality, China

Site Status

Xin Hua Hospital of Zhejiang Province

Hangzhou, Zhejiang, China

Site Status

Zhejiang Provincial Hospital of T.C.M.

Hangzhou, Zhejiang, China

Site Status

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

Site Status

Huzhou Central Hospital

Huzhou, Zhejiang, China

Site Status

Peking University First Hospital

Beijing, , China

Site Status

Tiantan Hospital Affiliated to Capital Medical University

Beijing, , China

Site Status

Xuan Wu Hospital Affiliated to Capital Medical University

Beijing, , China

Site Status

Countries

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China

References

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Li B, Wang Y, Lu J, Liu J, Yuan Y, Yu Y, Wang P, Zhao X, Wang Z. Evaluating the effects of Danhong injection in treatment of acute ischemic stroke: study protocol for a multicenter randomized controlled trial. Trials. 2015 Dec 9;16:561. doi: 10.1186/s13063-015-1076-4.

Reference Type DERIVED
PMID: 26654631 (View on PubMed)

Other Identifiers

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DH20120423

Identifier Type: -

Identifier Source: org_study_id

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