Effect of Serotonin and Levodopa in Ischemic Stroke

NCT ID: NCT02386475

Last Updated: 2019-11-26

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

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Study Completion Date

2019-10-31

Brief Summary

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Cortical plasticity plays a pivotal role in functional recovery after a stroke. Neurotransmitter release, facilitates the creation of new synapses and promotes brain plasticity. In a pilot study, will evaluate the potential benefit of drugs that increase the release of neurotransmitters in patients with first stroke.

Detailed Description

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Methods. Evaluate 240 consecutive patients with a first ischemic stroke with NIHSS 5-20 without aphasia and with a previous independent functional status (mRS \<3). Patients will be randomized into four arms: 1) control group, 2) treatment with citalopram 20 mg / day, 3) group levodopa (sinemet plus)100 mg / day, 4) group levodopa (sinemet plus) 100 mg / day + citalopram 20 mg / day.

The treatment begins within the first 5 days of stroke and is maintained for 6 months. All patients will be treated according to current guidelines for secondary prevention. We will assess the following variables: demographic, vascular risk factors, etiologic subtypes according to TOAST criteria, neurologic deficit with the NIHSS scale, cognitive assessment with Minimental scale and functional status with scale modified Rankin at discharge, 3, 6 and 12 months, Symbol Digit Modalities Test (SDMT), GDS-15 Geriatric Depression Scale, Logical memory of WMS-IV . The cognitive assessment and motor functional status will be evaluated by a neuropsychologist and neurologist blinded to treatment assignment.

Conditions

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Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Placebo

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type OTHER

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

citalopram 20 mg

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Group Type ACTIVE_COMPARATOR

citalopram

Intervention Type DRUG

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

sinemet plus 100 mg

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Group Type ACTIVE_COMPARATOR

sinemet plus

Intervention Type DRUG

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Sinemet Plus + citalopram group

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Group Type ACTIVE_COMPARATOR

citalopram

Intervention Type DRUG

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

sinemet plus

Intervention Type DRUG

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Interventions

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placebo

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Intervention Type OTHER

citalopram

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Intervention Type DRUG

sinemet plus

In all cases, regardless of the assigned treatment group, will follow usual physiotherapy program and vascular risk factors, and treatment of stroke will be controlled according to current recommendations of the American Heart Association / American Stroke Association.

Intervention Type DRUG

Other Intervention Names

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control group citalopram group sinemet group

Eligibility Criteria

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Inclusion Criteria

* • Patients with a first stroke with NIHSS 5-20 points

* Patients without aphasia to avoid interference in the assessment of depression and cognitive impairment
* Patients with independent functional status prior to stroke (mRS \<3)
* Patients without prior cognitive impairment or depressive syndrome assessed by medical history with the patient and family.
* The assigned treatment initiated within the first five days of stroke

Exclusion Criteria

* • Patients with prior myocardial or cerebral hemorrhage

* Patients with TIA
* Patients with aphasia
* History of cognitive impairment or prior depressive syndrome
* Patients with no independent functional status mRS greater than or equal to 3
* Underlying disease hopefully less than one year of life.
* Patient pre-treatment with levodopa, an antidepressant or neuroleptic.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital de Granollers

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dolores Cocho

Role: PRINCIPAL_INVESTIGATOR

Hospital de Granollers

Locations

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Granollers General Hospital

Granollers, Barcelnoa, Spain

Site Status

Countries

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Spain

References

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Other Identifiers

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2014-000846-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SELEIS

Identifier Type: -

Identifier Source: org_study_id

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