Observational Study of Efficiency of Cytoflavin, in Patients With Ischemic Stroke Not Receiving Reperfusion Therapy

NCT ID: NCT06514976

Last Updated: 2025-04-18

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

RECRUITING

Total Enrollment

562 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-03-01

Study Completion Date

2025-11-01

Brief Summary

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Stroke remains one of the main socially significant problems in the healthcare in the third millennium. The lethality in persons with history of stroke by the end of the 1st year of disease is high. A trend to increased frequency of stroke in the young age is observed during the last decade; third of patients is working-age individuals, out of whom only 15-20% returns to labor, and others remain disabled persons requiring constant medical and social support

Detailed Description

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Conditions

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Stroke, Acute Stroke, Ischemic

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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The test group

Basic therapy + Cytoflavin

Cytoflavin

Intervention Type DRUG

Cytoflavin solution for infusions. 20-40 ml/day (10 ml with the interval of 8-12 hours for 10 days; the single dose is increased up to 20 ml in case of the severe form of the disease) by intravenous drop infusion in dilution per 100-200 ml of 0.9% sodium chloride solution for 10 days; rate of administration: 3-4 ml/min

The control group

Basic therapy (with or without other neuroprotector)

No interventions assigned to this group

Interventions

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Cytoflavin

Cytoflavin solution for infusions. 20-40 ml/day (10 ml with the interval of 8-12 hours for 10 days; the single dose is increased up to 20 ml in case of the severe form of the disease) by intravenous drop infusion in dilution per 100-200 ml of 0.9% sodium chloride solution for 10 days; rate of administration: 3-4 ml/min

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Signed informed consent form
2. Age from 18 years and older
3. Diagnosis: Acute cerebrovascular accident of ischemic type (ischemic stroke) developed within 36 hours before enrollment in the study
4. Motor neurologic deficit measurable using the NIHSS Scale (score for item 5 and/or 6 at the time of starting the therapy ≥ 1))
5. Conservative stroke treatment tactics (without reperfusion therapy thrombolysis/thrombus extraction)
6. According to the routine clinical practice, the patient is scheduled to receive the treatment as per one of the following regimens:

* Cytoflavin® 20-40 ml/day as a course of not less than 10 days or
* another neuroprotector - course of not less than 10 days (or without neuroprotector)

Exclusion Criteria

1. NIHSS 1a (coma) score 3 at the time of enrollment
2. Initial severe disablement (corresponding to mRS \> 2) requiring external assistance in everyday life before development of stroke
3. History of Parkinson's disease, dementia, multiple sclerosis, and other significant diseases accompanied by neurologic deficit
4. Severe comorbidity with expected lifespan of not more than 6 months
5. Pregnancy and breastfeeding
6. Any other concomitant medical or serious psychic conditions, which make the patient ineligible for participation in the study, restrict lawfulness of obtaining the informed consent, or can influence the patient's ability to participate in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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POLYSAN Scientific & Technological Pharmaceutical Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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"Ivanovo Regional Clinical Hospital"

Ivanovo, , Russia

Site Status RECRUITING

Kazan State Medical University

Kazan', , Russia

Site Status RECRUITING

State Autonomous Institution of Health Interregional clinical diagnostic center

Kazan', , Russia

Site Status RECRUITING

Moscow City Clinical Hospital No.64 (CCH named after V.V. Vinogradov)

Moscow, , Russia

Site Status RECRUITING

N.I. Pirogov City Clinical Hospital No. 1

Moscow, , Russia

Site Status RECRUITING

Vorohobov's City Clinical Hospital №67

Moscow, , Russia

Site Status RECRUITING

City Clinical Hospital No. 1 Novosibirsk

Novosibirsk, , Russia

Site Status RECRUITING

Alexandrovskaya hospital

Saint Petersburg, , Russia

Site Status RECRUITING

Almazov National Medical Research Centr

Saint Petersburg, , Russia

Site Status RECRUITING

City Mariinsky Hospital

Saint Petersburg, , Russia

Site Status RECRUITING

Nikolaevskaya Hospital

Saint Petersburg, , Russia

Site Status RECRUITING

Saint-Petersburg I. I. Dzhanelidze research institute of emergency medicine

Saint Petersburg, , Russia

Site Status RECRUITING

St. Petersburg State Budgetary Institution of Public Health "City Hospital No. 40 of Kurortny District"

Saint Petersburg, , Russia

Site Status RECRUITING

The City Hospital of the Holy Martyr Elizabeth

Saint Petersburg, , Russia

Site Status RECRUITING

Smolensk Regional Clinical Hospital

Smolensk, , Russia

Site Status RECRUITING

Municipal Clinical Hospital #13, the City of Ufa, State Budgetary Healthcare Institution of the Republic of Bashkortostan

Ufa, , Russia

Site Status RECRUITING

Budgetary healthcare institution of the Voronezh region "Voronezh Regional Clinical Hospital No. 1"

Voronezh, , Russia

Site Status RECRUITING

Countries

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Russia

Central Contacts

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Alexey Kovalenko, Doc Biol Sci

Role: CONTACT

+78127108225 ext. 212

Other Identifiers

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CTF-NIS-2024

Identifier Type: -

Identifier Source: org_study_id

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