PreventIon of IMT Progression in iSchemic Stroke Patients With High Risk of Cerebral HemOrrhage-IMT Study

NCT ID: NCT02483169

Last Updated: 2015-12-24

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2016-12-31

Brief Summary

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Through this study, the investigators are to prove that Cilostazol effectively prevent progression of intima-medial thickness in ischemic stroke patients with high risk of cerebral hemorrhage, along with no significant increase in the risk of occurrence of hemorrhagic side effects.

The primary hypothesis of this study is; Cilostazol alone or with probucol will reduce the progression of intima-medial thickness compared to aspirin in the ischemic stroke patients with symptomatic or asymptomatic old cerebral hemorrhage.

Detailed Description

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Conditions

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Brain Ischemia Intracranial Hemorrhages

Keywords

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ischemic stroke intracranial hemorrhage cilostazol probucol intima media thickness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Cilostazol+ Probucol

100mg cilostazol bid plus probucol plus placebo of aspirin

Group Type EXPERIMENTAL

cilostazol

Intervention Type DRUG

Cilostazol 100mg bid

Probucol

Intervention Type DRUG

Probucol 250mg bid

Placebo of aspirin

Intervention Type DRUG

same size and shape of active aspirin 100mg

Intima-medial thickness

Intervention Type DEVICE

ultrasound measured IMT of both common carotid arteries

Aspirin + Probucol

aspirin plus placebo cilostazol plus probucol

Group Type ACTIVE_COMPARATOR

Probucol

Intervention Type DRUG

Probucol 250mg bid

Aspirin

Intervention Type DRUG

Aspirin 100mg qd

placebo of cilostazol

Intervention Type DRUG

same shape and size of active cilostazol

Intima-medial thickness

Intervention Type DEVICE

ultrasound measured IMT of both common carotid arteries

Cilostazol

cilostazol plus placebo of aspirin

Group Type EXPERIMENTAL

cilostazol

Intervention Type DRUG

Cilostazol 100mg bid

Placebo of aspirin

Intervention Type DRUG

same size and shape of active aspirin 100mg

Intima-medial thickness

Intervention Type DEVICE

ultrasound measured IMT of both common carotid arteries

Aspirin

aspirin plus placebo of cilostazol

Group Type ACTIVE_COMPARATOR

Aspirin

Intervention Type DRUG

Aspirin 100mg qd

placebo of cilostazol

Intervention Type DRUG

same shape and size of active cilostazol

Intima-medial thickness

Intervention Type DEVICE

ultrasound measured IMT of both common carotid arteries

Interventions

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cilostazol

Cilostazol 100mg bid

Intervention Type DRUG

Probucol

Probucol 250mg bid

Intervention Type DRUG

Aspirin

Aspirin 100mg qd

Intervention Type DRUG

placebo of cilostazol

same shape and size of active cilostazol

Intervention Type DRUG

Placebo of aspirin

same size and shape of active aspirin 100mg

Intervention Type DRUG

Intima-medial thickness

ultrasound measured IMT of both common carotid arteries

Intervention Type DEVICE

Other Intervention Names

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Pletaal produced by Korea Otsuka Pharmaceutical company Probucol is produced by Otsuka Pharmaceutical - Annualized change of mean and maximum common carotid intima-medial thickness - Annualized change of carotid plaque score

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of ischemic stroke within 120 days
* Adult aged 20 years or older
* High risk of hemorrhagic stroke (history of intracranial hemorrhage or imaging evidence of previous intracranial hemorrhage)
* Informed consent

Exclusion Criteria

* Clinical diagnosis of myocardial infarction or coronary intervention within 4 weeks
* Bleeding tendency
* Pregnant or breast-feeding woman
* Hemorrhagic stroke within 6 months
* Patient who was taking antithrombotic medication other than aspirin and does not agree to change the previous medication
* Severe cardiovascular disease such as cardiomyopathy or congestive heart failure
* Life expectancy less than one year
* Contraindication to long term aspirin use
* Enrolled in other clinical trial within 30 days
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Korea Otsuka Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Asan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Sun U. Kwon

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sun U Kwon, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Neurology, Asan Medical Center

Other Identifiers

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PICASSO-IMT

Identifier Type: -

Identifier Source: org_study_id