Curative Efficacy of Secondary Prevention for Patients With Ischemic Stroke Through Syndrome Differentiation of TCM

NCT ID: NCT02334969

Last Updated: 2018-11-19

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

2200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2018-08-30

Brief Summary

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The purpose of this study is to assess the efficacy and safety of Naoxintong Capsule in the secondary prevention of ischemic stroke by the multi-center, randomized,double-blind,placebo-controlled trial design project.

Detailed Description

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The research employs a random, double-blind, multicenter, placebo parallel and controlled design to observe the clinical effect of Naoxintong capsule in the treatment in ischemic stroke of the blood stasis syndrome on the secondary prevention,which is funded by Science and Technology Commission of Shanghai Municipality.The therapeutic drug of the research is Naoxintong capsule on the market for treatment and prevention of stroke, applicable to stroke patients caused by qi deficiency, blood stasis and venation stasis.The research will be carried out in 24 hospitals.It is a total number of 2200 volunteers,who will meet the inclusion criteria other than the exclusion criteria and agree to participate in the research.Volunteers will be randomly assigned to the experimental group or the control group. The trial drug for the experimental group is Naoxintong capsule, while that for the control group is a kind of placebo capsule.Volunteers will be regularly followed up during the experimental period of 2 years. It will be to evaluate the clinical efficacy of Naoxintong capsule on the secondary prevention by the stroke recurrence and mortality.

Conditions

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Ischemic Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Experimental group

On the basis of the secondary prevention of ischemic stroke,Volunteers will be taken Naoxintong capsule, 2 times a day, three granule per time

Group Type EXPERIMENTAL

Naoxintong Capsule

Intervention Type DRUG

This is Naoxintong capsule,which is composed of Huangqi,Chishao,Danshen,Danggui, Chuanxiong,Taoren,Honghua,Ruxiang,Moyao,Jixueteng,Niuxi,Guizhi,Sangzhi,Dilong,Quanxie,etal.

Control group

On the basis of the secondary prevention of ischemic stroke,Volunteers will be taken Placebo capsule,which is identical with Naoxintong capsule in the appearance, shape, color and content, 2 times a day, three granule per time

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

placebo capsule has the same as Naoxintong capsule in the appearance, shape,colour and content tinct.

Interventions

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Naoxintong Capsule

This is Naoxintong capsule,which is composed of Huangqi,Chishao,Danshen,Danggui, Chuanxiong,Taoren,Honghua,Ruxiang,Moyao,Jixueteng,Niuxi,Guizhi,Sangzhi,Dilong,Quanxie,etal.

Intervention Type DRUG

Placebo

placebo capsule has the same as Naoxintong capsule in the appearance, shape,colour and content tinct.

Intervention Type DRUG

Other Intervention Names

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Chinese Herbal Compound Placebo of Chinese Herbal Compound

Eligibility Criteria

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Inclusion Criteria

* Adult volunteers aged ≤ 90 years old, ≥18 years old;
* Conforming to the diagnostic criteria of cerebral infarction under the 2010 version of Chinese Guidelines for Treatment of Acute Ischemic Stroke;
* Conforming to diagnostic criteria of the stasis type of TCM on the ischemic stroke;
* The onset of acute cerebral infarction ≥ 10 days;
* Consciousness awake;
* Volunteers agree to accept the program and sign informed consent.

Exclusion Criteria

* Excluding the patients of the yin deficiency type of ischemic stroke.The diagnostic criteria of Yin deficiency type of ischemic stroke is that sudden onset of disease;being signs or symptoms of of neurological deficit;CT or MRI examination showing intracranial ischemic lesions;Scarlet tongue;
* The volunteers with severe heart diseases, cardiac insufficiency, hepatosis, renal insufficiency, respiratory failure, malignant tumour, alimentary tract hemorrhage, etc. who may fail to complete the two-year follow-up;
* Psychiatric patients;
* Pregnants and lactating women;
* Volunteers in other clinical trials;
* Volunteers who are not suitable for this clinical trial according to the researchers for other reasons.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Shanghai Municipal Science and Technology Commission

OTHER_GOV

Sponsor Role collaborator

Xiaofei Yu

OTHER

Sponsor Role lead

Responsible Party

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Xiaofei Yu

Shuguang Hospital

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Xiao F Yu, Doctor

Role: STUDY_CHAIR

ShuGuang Hospital

Locations

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Shanghai Putuo Central Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai seventh People's Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Ninth People's Hospital affliated to Shanghai Jiao Tong University Shool of Medcine

Shanghai, Shanghai Municipality, China

Site Status

North Branch of Ruijin Hospital affliated to Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status

Shuguang Hospital affliated to Shanghai University of Traditional Chinese Medicine

Shanghai, Shanghai Municipality, China

Site Status

Longhua Hospital affliated to Shanghai University of Traditional Chinese Medicine

Shanghai, Shanghai Municipality, China

Site Status

Zhongshan Hospital affliated to Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Huashan Hospital affliated to Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Shanghai fifth People's Hospital affliated to Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Tongren Hospital affliated to Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status

Tongji Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Chinese Medicine Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai tenth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Hospital of Integrative Medicine

Shanghai, Shanghai Municipality, China

Site Status

Xinhua Hospital affliated to Shanghai Jiao Tong University Shool of Medcine

Shanghai, Shanghai Municipality, China

Site Status

Dongfang Hospital affliated to Tongji University

Shanghai, Shanghai Municipality, China

Site Status

Pudong Gong Li Hospital of Shanghai

Shanghai, Shanghai Municipality, China

Site Status

Shanghai sixth People's Hospital affliated to Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status

Changning Tongren Hospital of Shanghai

Shanghai, Shanghai Municipality, China

Site Status

Changhai Hospital

Shanghai, Shanghai Municipality, China

Site Status

Pudong Hospital of Traditional Chinese Medicine

Shanghai, Shanghai Municipality, China

Site Status

East Branch of Shanghai sixth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status

Qingpu Branch of Zhongshan Hospital affliated to Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Shanghai third People's Hospital affliated to Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Antithrombotic Trialists' Collaboration. Collaborative meta-analysis of randomised trials of antiplatelet therapy for prevention of death, myocardial infarction, and stroke in high risk patients. BMJ. 2002 Jan 12;324(7329):71-86. doi: 10.1136/bmj.324.7329.71.

Reference Type RESULT
PMID: 11786451 (View on PubMed)

Hankey GJ. Ischaemic stroke--prevention is better than cure. J R Coll Physicians Edinb. 2010 Mar;40(1):56-63. doi: 10.4997/JRCPE.2010.111. No abstract available.

Reference Type RESULT
PMID: 21125042 (View on PubMed)

Sobel M. Commentary. Aspirin plus dipyridamole versus aspirin alone after cerebral ischaemia of arterial origin (ESPRIT): randomised controlled trial. Perspect Vasc Surg Endovasc Ther. 2007 Mar;19(1):87-9. doi: 10.1177/1531003507299489. No abstract available.

Reference Type RESULT
PMID: 17437989 (View on PubMed)

Matchar DB, Samsa GP, Liu S. Cost-effectiveness of antiplatelet agents in secondary stroke prevention: the limits of certainty. Value Health. 2005 Sep-Oct;8(5):572-80. doi: 10.1111/j.1524-4733.2005.00050.x.

Reference Type RESULT
PMID: 16176495 (View on PubMed)

Diener HC, Sacco RL, Yusuf S, Cotton D, Ounpuu S, Lawton WA, Palesch Y, Martin RH, Albers GW, Bath P, Bornstein N, Chan BP, Chen ST, Cunha L, Dahlof B, De Keyser J, Donnan GA, Estol C, Gorelick P, Gu V, Hermansson K, Hilbrich L, Kaste M, Lu C, Machnig T, Pais P, Roberts R, Skvortsova V, Teal P, Toni D, VanderMaelen C, Voigt T, Weber M, Yoon BW; Prevention Regimen for Effectively Avoiding Second Strokes (PRoFESS) study group. Effects of aspirin plus extended-release dipyridamole versus clopidogrel and telmisartan on disability and cognitive function after recurrent stroke in patients with ischaemic stroke in the Prevention Regimen for Effectively Avoiding Second Strokes (PRoFESS) trial: a double-blind, active and placebo-controlled study. Lancet Neurol. 2008 Oct;7(10):875-84. doi: 10.1016/S1474-4422(08)70198-4. Epub 2008 Aug 29.

Reference Type RESULT
PMID: 18757238 (View on PubMed)

Uchiyama S, Ikeda Y, Urano Y, Horie Y, Yamaguchi T. The Japanese aggrenox (extended-release dipyridamole plus aspirin) stroke prevention versus aspirin programme (JASAP) study: a randomized, double-blind, controlled trial. Cerebrovasc Dis. 2011;31(6):601-13. doi: 10.1159/000327035. Epub 2011 Apr 19.

Reference Type RESULT
PMID: 21502757 (View on PubMed)

Jeng JS, Sun Y, Lee JT, Lin RT, Chen CH, Po HL, Lin HJ, Liu CH, Sun MH, Sun MC, Chern CM, Lien LM, Chiu HC, Hu HH, Chiou HY, Chen ST, Ma H, Hsu CY; SPAD Study Investigators. The efficacy and safety of cilostazol in ischemic stroke patients with peripheral arterial disease (SPAD): protocol of a randomized, double-blind, placebo-controlled multicenter trial. Int J Stroke. 2015 Jan;10(1):123-7. doi: 10.1111/ijs.12384. Epub 2014 Nov 14.

Reference Type RESULT
PMID: 25394855 (View on PubMed)

Ikeda Y, Shimada K, Teramoto T, Uchiyama S, Yamazaki T, Oikawa S, Sugawara M, Ando K, Murata M, Yokoyama K, Ishizuka N. Low-dose aspirin for primary prevention of cardiovascular events in Japanese patients 60 years or older with atherosclerotic risk factors: a randomized clinical trial. JAMA. 2014 Dec 17;312(23):2510-20. doi: 10.1001/jama.2014.15690.

Reference Type RESULT
PMID: 25401325 (View on PubMed)

Yu XF, Zhu XY, Yuan CX, Wu DH, Zhao YW, Yang JJ, Wang CD, Wu WW, Liu XY, Liu ZG, Nie ZY, Deng BQ, Bao H, Li LX, Wang CY, Zhang HZ, Zhang JS, Huang JH, Gong F, Wang MZ, Guo YM, Sun Y, Cai DF. Naoxintong Capsule for Secondary Prevention of Ischemic Stroke: A Multicenter, Randomized, and Placebo-Controlled Trial. Chin J Integr Med. 2022 Dec;28(12):1063-1071. doi: 10.1007/s11655-022-3586-8. Epub 2022 Oct 17.

Reference Type DERIVED
PMID: 36251140 (View on PubMed)

Other Identifiers

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14401970300

Identifier Type: -

Identifier Source: org_study_id

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