Clinical Evaluation of Removing Blood Stasis Therapy in Treating Acute Cerebral Hemorrhage Safety and Efficacy

NCT ID: NCT03354026

Last Updated: 2017-11-27

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

306 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-30

Study Completion Date

2022-12-31

Brief Summary

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The purpose of this research is to use the "Removing Blood Stasis Decotion" of traditional Chinese medicine treating the acute stage of cerebral hemorrhage with stroke associated pneumonia to explore the impact of "Removing Blood Stasis Therapy" on intestinal microbial flora either within the time window from 6 to 72 hours onset.

Detailed Description

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objective: to investigate the impact and immunologic mechanism of using the "Removing Blood Stasis Decotion" treatment in SAP after Acute Cerebral Hemorrhage with the concept of Intestinal Micro Ecological Regulation.

Methods: from 2017.01 to 2022.12, 240 cases of AICH, 306 cases of hypertension will be included in 7 research centers. The AICH patients are randomly into 3 groups within 6 to 72hrs from onset, thus there are 3 groups and the treatment will last for 10 days: group A,Removing Blood Stasis herbal medicine(8 herbals); Group B, herbal medicine without Poxuezhuyu activating herbal(6 herbals); Group C, placebo medicine of Chinese medicine.All the patients will be treated according AHA guideline of AICH and will be set to the brain CT and chest X-ray at the onset, 24h later and 10-14days after treatment. The venous blood,feces Specimen and the sputum will be collected in the time point of 6 to 72hrs within onset , 24h later, and 10-14days after treatment.So the rate of enlargement of brain hematoma and the development of SAP in the 72h later, mortality rate in the two weeks and the disability rate in the 90 days can be evaluated.

Conditions

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Intracerebral Hemorrhage, Hypertensive Traditional Chinese Medicine

Keywords

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Blood-breaking Decotion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Our randomized program was completed by the key research laboratory of clinical research from the Traditional Chinese medicine Hospital of Guangdong Province. We design 306 cases into three groups: Group A, B, C in the proportion of 1:1:1. Group A is the experimental group used RBS, which include 8 herbals. Group B is the experimental group used PBS, which include all the herbals in Group A except Leech and Tabanus, rhubarb. Group C is a placebo group. This study adopts a stratified random sampling method and intra slice randomization on the basis of using PROC PLAN progress on SAS V9.2. On the other hand, this trial measures and the control measures will be made blind doubly. The surface of the opaque random envelopes will indicate the information of the test name, hospital name and the entry sequence number of patient. The research process of incorporating patient, dispensing medicine depending on the random envelopes and ect will all be supervised by the researchers each other.

Study Groups

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Experimental: AICH-PXZY

Removing Blood Stasis medicine with folium sennae , Polygonum cuspidatum and so on, 8 herbals, Tong-fu-xing-shen. The intervention in this group includes po AICH-PXZY bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding).

Group Type EXPERIMENTAL

AICH-PXZY

Intervention Type DRUG

8herbals (with 2 herbals of Activating blood stagnation and expelling blood stasis herbs) one dose, bid, for 10 days

AICH-without PXZY

Intervention Type DRUG

AICH-2(herbal medicine without Hirudo, Tabanus) (6herbals, without 2 herbals of promoting blood stasis) one dose, bid, for 10 days

AICH-placebo

Intervention Type DRUG

The placebo is made up of Starch, bitter taste and cyclodextrin

Experimental: AICH-without PXZY

Removing Blood Stasis medicine without folium sennae and Snakegourd seed, 6 herbals, without the effect of Poxuezhuyu. The intervention in this group includes po AICH-without PXZY bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding).

Group Type EXPERIMENTAL

AICH-PXZY

Intervention Type DRUG

8herbals (with 2 herbals of Activating blood stagnation and expelling blood stasis herbs) one dose, bid, for 10 days

AICH-without PXZY

Intervention Type DRUG

AICH-2(herbal medicine without Hirudo, Tabanus) (6herbals, without 2 herbals of promoting blood stasis) one dose, bid, for 10 days

AICH-placebo

Intervention Type DRUG

The placebo is made up of Starch, bitter taste and cyclodextrin

Placebo: AICH-placebo

The placebo is made up of Starch, bitter taste and cyclodextrin. The intervention in this group includes po AICH-placebo bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding).

Group Type PLACEBO_COMPARATOR

AICH-PXZY

Intervention Type DRUG

8herbals (with 2 herbals of Activating blood stagnation and expelling blood stasis herbs) one dose, bid, for 10 days

AICH-without PXZY

Intervention Type DRUG

AICH-2(herbal medicine without Hirudo, Tabanus) (6herbals, without 2 herbals of promoting blood stasis) one dose, bid, for 10 days

AICH-placebo

Intervention Type DRUG

The placebo is made up of Starch, bitter taste and cyclodextrin

Interventions

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AICH-PXZY

8herbals (with 2 herbals of Activating blood stagnation and expelling blood stasis herbs) one dose, bid, for 10 days

Intervention Type DRUG

AICH-without PXZY

AICH-2(herbal medicine without Hirudo, Tabanus) (6herbals, without 2 herbals of promoting blood stasis) one dose, bid, for 10 days

Intervention Type DRUG

AICH-placebo

The placebo is made up of Starch, bitter taste and cyclodextrin

Intervention Type DRUG

Other Intervention Names

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herbal medicine with Hirudo, Tabanus herbal medicine without Hirudo, Tabanus Placebo

Eligibility Criteria

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Inclusion Criteria

* Greater than or equal to 18 years old while younger than 80 years old
* acute cerebral hemorrhage confirmed by brain CT scan within 6 to72 hours from onset
* GCS≥6
* Sign the informed consent form

Exclusion Criteria

* Tests have confirmed that cerebral hemorrhage caused by brain tumor, blood diseases, cerebrovascular malformation (anomaly) or aneurysm, etc;
* patients with Severe heart, liver and renal insufficiency.
* Intolerance to traditional Chinese medicine (TCM), allergic constitution.
* patients with severe cerebral hernia in the early onset
* Compliance is poor.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lianjiang people's Hospital

UNKNOWN

Sponsor Role collaborator

Shenyang Second Hospital of traditional Chinese Medicine

UNKNOWN

Sponsor Role collaborator

The Third People's Hospital of Hubei Province

OTHER

Sponsor Role collaborator

Liaocheng People's Hospital

OTHER

Sponsor Role collaborator

Zengcheng Hospital of traditional Chinese Medicine

UNKNOWN

Sponsor Role collaborator

Shouguang people's Hospital

UNKNOWN

Sponsor Role collaborator

Guangzhou University of Traditional Chinese Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Guangdong Provincial Science and Technology Agency

Guangzhou, Guangdong, China

Site Status

Guangdong Provincial Hospital of Chinese Medicine

Guangzhou, Guangdong, China

Site Status

Countries

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China

Central Contacts

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Jianwen J Guo, Doctor

Role: CONTACT

Phone: +86 13724899379

Email: [email protected]

Qixin Q Zhang, Master

Role: CONTACT

Phone: +86 15626450556

Email: [email protected]

References

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Zhang Q, Zeng L, Chen X, Zhou Y, Gong B, Li H, Guo J. Clinical Evaluation of Herbal Medicine (ICH-012) in Treating Acute Cerebral Haemorrhage: Safety and Efficacy from 6- to 72-Hour Time Window (CRRICHTrial-II). Evid Based Complement Alternat Med. 2018 Aug 26;2018:3120179. doi: 10.1155/2018/3120179. eCollection 2018.

Reference Type DERIVED
PMID: 30224926 (View on PubMed)

Other Identifiers

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JDZX2015048

Identifier Type: -

Identifier Source: org_study_id