Safety and Efficacy of Urinary Kallidinogenase for Large Artery Atherosclerosis Acute Ischemic Stroke

NCT ID: NCT06137300

Last Updated: 2024-02-28

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

986 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-15

Study Completion Date

2027-12-31

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of urinary kallidinogenase treatment in patients with large artery atherosclerotic acute ischemic stroke.

Detailed Description

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Currently, evidence regarding the safety and efficacy of urinary kallidinogenase treatment in patients with acute ischemic stroke lacks, and few of related studies were large-scale and high-quality. Thus, this study was designed to evaluate the safety and efficacy of urinary kallidinogenase treatment in patients with large artery atherosclerotic acute ischemic stroke.

Conditions

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Acute Ischemic 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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Urinary Kallidinogenase group

Patients are treated with urinary kallidinogenase and guideline-prescribed basic medical therapy.

Group Type EXPERIMENTAL

Urinary kallidinogenase for injection

Intervention Type DRUG

Urinary kallidinogenase 0.15PNA once daily for 7 days.

Control group

Patients are only treated with guideline-prescribed basic medical therapy.

Group Type OTHER

Guideline-prescribed medical therapy

Intervention Type OTHER

Guideline-prescribed medical therapy

Interventions

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Urinary kallidinogenase for injection

Urinary kallidinogenase 0.15PNA once daily for 7 days.

Intervention Type DRUG

Guideline-prescribed medical therapy

Guideline-prescribed medical therapy

Intervention Type OTHER

Other Intervention Names

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Guideline-prescribed medical therapy

Eligibility Criteria

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Inclusion Criteria

1. Age ≥18 years old;
2. Acute anterior circulation large artery atherosclerotic cerebral infarction (according to TOAST classification) within 48h of onset; NIHSS score ≥6, ≤15;
3. Moderate to severe stenosis or occlusion of offending vessels;
4. The mRS Score ≤2 before onset;
5. Subjects or their legal representatives agreed to the treatment and signed the informed consent form.

Exclusion Criteria

1. Transient ischemic attack;
2. Patients who planned or had received emergency reperfusion therapy (including intravenous thrombolysis and emergency thrombectomy);
3. Severe disturbance of consciousness:GCS ≤8;
4. Patients who previously received angiotensin-converting enzyme inhibitor (ACEI) drugs regularly;
5. Refractory hypertension: systolic blood pressure ≥200 mmHg or diastolic blood pressure ≥110 mmHg; hypotension: systolic blood pressure \< 90 mmHg or diastolic blood pressure \< 60 mmHg;
6. Liver dysfunction (ALT/AST \>1.5 × upper limit of normal \[ULN\]), renal dysfunction (Cr \>1 × ULN);
7. Coagulopathy (prolonged INR (\>1.5) or prolonged APTT (\>2 folds);
8. Cardioembolic stroke or high-risk factors of cardioembolic stroke identified by investigators (atrial fibrillation, cardiac mural thrombus, cardiomyopathy, etc.);
9. Special populations such as pregnant and lactating women, patients with life expectancy less than 3 months, or patients unable to complete the study for other reasons;
10. Unwilling to be followed up or poor treatment compliance;
11. Participating in other clinical investigators, or had participated in other clinical investigators within 3 months before enrollment;
12. Other conditions considered by the investigator to be inappropriate for enrollment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yi Yang

OTHER

Sponsor Role lead

Responsible Party

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Yi Yang

Associated Dean of the First Hospital of Jilin University

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Yi Yang, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

The First Hospital of Jilin University

Locations

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First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Countries

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China

Central Contacts

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Yi Yang, MD,PhD

Role: CONTACT

13756661217 ext. 0086

Zhenni Guo, MD,PhD

Role: CONTACT

18186872986 ext. 0086

Facility Contacts

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Yi Yang, MD,PhD

Role: primary

13756661217 ext. 0086

Zhenni Guo, MD,PhD

Role: backup

18186872986 ext. 0086

Other Identifiers

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TK-LAA

Identifier Type: -

Identifier Source: org_study_id

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