Shuxuetong for Prevention of Recurrence in Acute Cerebrovascular Events With Embolism

NCT ID: NCT03090113

Last Updated: 2020-07-22

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

2416 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-12

Study Completion Date

2019-06-21

Brief Summary

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This is a randomized, double blind, placebo-controlled, parallel, multicenter research in order to evaluate the effect of Shuxuetong injection in prevention of symptomatic or asymptomatic new cerebral infarction within 10 days.

Subgroup study:Evaluate the role of advanced diagnostic technique in identifying potential causes of Embolic Stroke of Undetermined Source (ESUS).

Detailed Description

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Shuxuetong injection or Placebo injection for 10days. About 2416 patients randomized at 80 centers all over China with 20 subgroup study centers.

Face to face interview at baseline, 10 days, and 90 days.

Conditions

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Embolic Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Shuxuetong Injection

Shuxuetong Injection,12ml,ivgtt,day1; Shuxuetong Injection,6ml,ivgtt,day2 to day10;

Group Type EXPERIMENTAL

Shuxuetong Injection

Intervention Type DRUG

intravenous drip

Placebo Injection

Placebo Injection,12ml,ivgtt,day1; Placebo Injection,6ml,ivgtt,day2 to day10;

Group Type PLACEBO_COMPARATOR

Placebo Injection

Intervention Type DRUG

intravenous drip

Interventions

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Shuxuetong Injection

intravenous drip

Intervention Type DRUG

Placebo Injection

intravenous drip

Intervention Type DRUG

Other Intervention Names

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Shuxuetong Placebo

Eligibility Criteria

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Inclusion Criteria

1. More than or equal to 18 years old and less than 80 years old;
2. Acute ischemic stroke, brain magnetic resonance imaging showed non lacunar infarction (subcortical infarction less than or equal to 1.5 cm);
3. Onset within 72 hours;
4. Patients or their family members are willing to sign the informed consent.

Exclusion Criteria

1. Intracranial hemorrhage: cerebral hemorrhage, subarachnoid hemorrhage, etc.;
2. Transient ischemic attack;
3. Lacunar infarction;
4. History of acute stroke within 6 months;
5. Clear diagnosis of other causes of ischemic stroke (arterial dissection, arteritis, vasospasm, etc.);
6. The acute infarcts lesion more than one-half lobe in size;
7. Preceding modified Rankin Scale (mRS) score ≥ 2;
8. Cumulative usage of traditional Chinese medicine which activating blood circulation more than 3 times after onset, including but not limited to: Danhong, Xueshuantong, Xuesaitong, Ginkgo biloba, sodium ozagrel, Salvia miltiorrhiza, ligustrazine, Erigeron breviscapus, etc;
9. Chronic liver disease, liver and kidney dysfunction, lifted alanine aminotransferase (\>3 times the ULN), lifted serum creatinine (\>2 times the ULN);
10. History of coagulopathy, systemic bleeding, thrombocytopenia or neutropenia;
11. Blood pressure \>90/60 mmHg or ≤220/120 mmHg after treatment;
12. Serious heart or lung disease, in the judgment of clinical study staff, would not suitable to participant in the trial;
13. Patients with atrial fibrillation who were scheduled or likely to receive anticoagulant therapy with unfractionated heparin or low molecular weight heparin within 2 weeks after randomization
14. A medical condition likely to limit survival to less than three months or any other condition judged by the clinic team to likely limit the adherence to study procedures;
15. Known allergies for ingredients of the drug, allergy history for food or drug;
16. Pregnant, currently trying to become pregnant, or of child-bearing potential and not using birth control;
17. Participation in another clinical trial within 30 days;
18. Unable to understand and/or comply with the study procedures and/or follow-up studies due to mental illness, cognitive or emotional disorders.


1. History of atrial fibrillation
2. Atrial fibrillation in 12-lead electrocardiogram (ECG);
3. Heart rate monitoring (dynamic electrocardiogram telemetry) up to 20 hours or more detected atrial fibrillation for 6 minutes or more;
4. Intracardiac thrombosis in thoracic or esophageal echocardiography;
5. Occlusion or proximal vessel infarction for more than 50%.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Tiantan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Yongjun Wang

Executive Vice-President

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wang yongjun, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Tian Tan Hospital, Capital Medical University, Beijing, China

Locations

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Wuhu No.1 People's Hospital

Wuhu, Anhui, China

Site Status

Beijing Tian Tan Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status

Ansteel Group Hospital

Beijing, Beijing Municipality, China

Site Status

Beiujing Fengtai Youanmen Hospital

Beijing, Beijing Municipality, China

Site Status

The First Hospital of Fangshan District

Beijing, Beijing Municipality, China

Site Status

Yongchuan hospital of Traditional Chinese Medicine

Chongqing, Chongqing Municipality, China

Site Status

Houjie Hospital

Dongguan, Guangzhou, China

Site Status

Cangzhou Peoole's Hospital

Cangzhou, Hebei, China

Site Status

People's Hospital of Hejian

Cangzhou, Hebei, China

Site Status

Kuancheng County Hospital

Chengde, Hebei, China

Site Status

Traditional Chinese Medicine Hospital of Qiu County

Handan, Hebei, China

Site Status

Hengshui Fourth Hospital

Hengshui, Hebei, China

Site Status

Jizhou District Hospital of Hengshui

Hengshui, Hebei, China

Site Status

Shijiazhuang Pingan Hospital Affiliated to Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

The Second Affiliated Hospital of Jiamusi University

Jiamusi, Heilongjiang, China

Site Status

Heilongjiang Province Agricultural Reclamation Mudanjiang Authority Central Hospital

Mudanjiang, Heilongjiang, China

Site Status

Handan Municipal Center Hospital

Handan, Henan, China

Site Status

The First Affiliated Hospital of University of South China

Hengyang, Henan, China

Site Status

People's Hospital of Zhongmu

Zhengzhou, Henan, China

Site Status

Zhengzhou Yihe Hospital Affiliated to Henan University

Zhengzhou, Henan, China

Site Status

Jingmen City Hospital of Traditional Chinese Medicine

Jingmen, Hubei, China

Site Status

Wuhan NO.1 Hospital,Wuhan Hospital Of Traditional Chinese And Western Medicine

Wuhan, Hubei, China

Site Status

Jiangsu Province Hospital of TCM

Nanjing, Jiangsu, China

Site Status

Nantong 3rd People's Hospital

Nantong, Jiangsu, China

Site Status

Zhangjiagang First People's Hospital

Suzhou, Jiangsu, China

Site Status

Zhangjiagang Hospital of Traditional Chinese Medicine affiliated to Nanjing University of Chinese Medicine

Suzhou, Jiangsu, China

Site Status

The Affiliated Hospital of Xuzhou Medical College

Xuzhou, Jiangsu, China

Site Status

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

Site Status

The First Hospital of Jilin University-the Eastern Division

Changchun, Jilin, China

Site Status

The Second People's Hospital of Huludao

Huludao, Liaoning, China

Site Status

Jinzhou Medical University

Jinzhou, Liaoning, China

Site Status

The First Affiliated Hospital of Baotou Medical College

Baotou, Neimenggu, China

Site Status

Wu Yuan People's Hospital

Bayan Nur, Neimenggu, China

Site Status

Affiliated Hospital of Chifeng University

Chifeng, Neimenggu, China

Site Status

Huimin People's Hospital

Binzhou, Shandong, China

Site Status

People's Hospital of Penglai

Dengzhou, Shandong, China

Site Status

Ningjin County People's Hospital

Dezhou, Shandong, China

Site Status

Shandong Provincial Western Hospital

Jinan, Shandong, China

Site Status

People's Hospital of Qingdao West Coast New Area

Qingdao, Shandong, China

Site Status

Qingdao Haci medical group hospital

Qingdao, Shandong, China

Site Status

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status

First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

The Second People's Hospital of Shenzhen

Shenzhen, Shenzhen, China

Site Status

Dongyang People's Hopital

Dongyang, Zhejiang, China

Site Status

Lishui People's Hospital

Lishui, Zhejiang, China

Site Status

No.1 People's Hospital of Taizhou

Taizhou, Zhejiang, China

Site Status

Ruian People's Hospital

Wenzhou, Zhejiang, China

Site Status

Countries

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China

References

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Gu HQ, Xie XW, Jing J, Meng X, Lv W, Yu JD, Lv XP, Li H, Wang YL, Wang YJ. Shuxuetong for Prevention of recurrence in Acute Cerebrovascular events with Embolism (SPACE) trial: rationale and design. Stroke Vasc Neurol. 2020 Sep;5(3):311-314. doi: 10.1136/svn-2019-000293. Epub 2020 Feb 27.

Reference Type DERIVED
PMID: 32994371 (View on PubMed)

Other Identifiers

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2014ZX09201022-010-11

Identifier Type: -

Identifier Source: org_study_id

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