Monosialoganglioside in Acute Ischemic Stroke: a Randomized, Blinded and Multicenter Confirmatory Study

NCT ID: NCT06742216

Last Updated: 2024-12-19

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

PHASE3

Total Enrollment

1232 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-03

Study Completion Date

2023-08-30

Brief Summary

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A multicenter, randomized, double-blind, parallel, placebo-controlled trial design is used to evaluate the efficacy and safety of GM1 injection in the treatment of patients with acute ischemic stroke.

It is estimated that 1706 patients will be enrolled and randomly assigned to the treatment group and the placebo control group in a 1:1 ratio. Normally, the duration of this study is approximately 90 days.

Treatment was continued for 12\~14 days, and follow-up was conducted until the 90th day from the first dose.

The trial is divided into three phases: screening/baseline phase, treatment phase, and follow-up phase.

Screening/baseline period: After the subjects sign the informed consent form, they enter the screening/baseline period for screening examination.

Treatment period: Qualified subjects are randomly divided into groups in a 1:1 ratio and receive continuous treatment for 12\~14 days (12\~14 times) with GM1 injection and placebo respectively. During the treatment period, relevant examinations and evaluations required by the protocol will be carried out.

Follow-up period: Subjects who have completed treatment will enter the follow-up period until the 90th day of treatment.

Detailed Description

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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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Monosialoganglioside

Monosialoganglioside GM1, 200 mg/day, for 12-14 days

Group Type EXPERIMENTAL

Monosialoganglioside

Intervention Type DRUG

Monosialoganglioside diluted with 0.9% normal saline 100ml, iv, daily for 12-14 days

Placebo

Placebo, for 12-14 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo diluted with 0.9% normal saline 100ml, iv, daily for 12-14 days

Interventions

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Monosialoganglioside

Monosialoganglioside diluted with 0.9% normal saline 100ml, iv, daily for 12-14 days

Intervention Type DRUG

Placebo

Placebo diluted with 0.9% normal saline 100ml, iv, daily for 12-14 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age: 18-80 years old;
* Patients with anterior circulation cerebral infarction; first stroke onset or past stroke without obvious neurological deficit (mRS score≤1);
* Within 24 hours of onset;
* 7 ≤NIHSS score ≤ 20;
* Signed informed consent.

Exclusion Criteria

* Patients with hereditary abnormal glucose and lipid metabolism (gangliosidosis, such as Tay-Sachs disease and retinal degeneration);
* Hemorrhagic stroke;
* Disturbance of consciousness (NIHSS1a≥1),or cerebral arteritis, brain tumor, brain trauma, intracranial infectious diseases;
* Planed endovascular treatment;
* Uncontrolled hypertension: systolic pressure ≥200 mmHg or diastolic pressure ≥110 mmHg;
* Bleeding tendency (except for thrombolysis) or severe bleeding within 3 months;
* Patients with malignant tumor or serious diseases;
* Along with epilepsy, arthritis and other disease, which have effect on neurological assessment;
* History of autoimmune diseases, spinal trauma, various demyelinating diseases, including acute inflammatory demyelinating polyneuropathy (Guillain Barre syndrome);
* Unable or unwilling to cooperate due to mental diseases;
* Abnormal liver and renal function: ALT, AST \> 2 times of the upper limit of normal value, or Cr \> 1.5 times of the upper limit of normal value;
* Hypersensitivity to monosialoganglioside and excipients of test drug;
* History of drug abuse;
* Pregnant or lactating women, pregnant plan or unwilling to use effective contraception during the trial period;
* Participating in other clinical trials within 3 months;
* Other conditions which are unsuitable for this trial assessed by researcher.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Qilu Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Nanjing Gulou Medical College Affiliated Hospital

Nanjing, , China

Site Status

Countries

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China

Other Identifiers

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QLGM1-AIS-301

Identifier Type: -

Identifier Source: org_study_id