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Ginsenoside-Rd for Acute Ischemic Stroke

Primary Purpose

Ischemic Stroke

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
ginsenoside-Rd 10 mg
placebo
ginsenoside-Rd 20mg
Sponsored by
Xijing Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ischemic Stroke focused on measuring randomized trial, ischemic stroke, Ginsenoside-Rd

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • between 18 to 75 years
  • the first episode
  • from onset to admission within 72 hours
  • NIHSS scores:5~22

Exclusion Criteria:

  • had other intracranial pathologies (e.g., tumor, infection)
  • had a neurologic or psychiatric disease
  • had a coexisting condition that limited their life expectancy
  • had significant drug or alcohol misuse
  • had high-grade carotid artery stenosis for which surgery was planned
  • were pregnant or nursing
  • participated in a clinical trial with an investigational drug or device within the past 3 months
  • were unlikely to be available for follow-up

Sites / Locations

  • the Department of Neurology , Xijing Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Experimental

Arm Label

ginsenoside-Rd 10mg

placebo

ginsenoside-Rd 20mg

Arm Description

both a ginsenoside-Rd injection (10mg/1ml/each) and a specific dilution (10%, 1ml trimethylene glycol) were respectively diluted by a specific dilution (10%, 9 ml trimethylene glycol) and then mixed.

2 specific dilutions (10%, 1ml trimethylene glycol) were respectively diluted by 2 specific dilutions (10%, 9 ml trimethylene glycol) and then mixed.

2 ginsenoside-Rd injections (10mg/1ml/each) were respectively diluted by 2 specific dilutions (10%, 9 ml trimethylene glycol) and then mixed

Outcomes

Primary Outcome Measures

NIHSS scores

Secondary Outcome Measures

NIHSS scores
the Barthel index
the Barthel index
the modified Rankin scale
the modified Rankin scale

Full Information

First Posted
December 27, 2007
Last Updated
August 30, 2010
Sponsor
Xijing Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT00591084
Brief Title
Ginsenoside-Rd for Acute Ischemic Stroke
Official Title
Efficacy and Safety of Ginsenoside-Rd for Acute Ischemic Stroke: A Randomized, Double-blind, Placebo-controlled, Phase Ⅱ, Multicenter Trial
Study Type
Interventional

2. Study Status

Record Verification Date
December 2007
Overall Recruitment Status
Completed
Study Start Date
September 2005 (undefined)
Primary Completion Date
June 2006 (Actual)
Study Completion Date
September 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Xijing Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of ginsenoside-Rd for acute ischemic stroke.
Detailed Description
A major contributor to brain injury after stroke is disordered inward flow of Ca2+ and its toxic accumulation in the nervous system following cerebral ischemia. Ginsenoside-Rd, a purified component from total saponins of Panax notoginseng, has a molecular formula of C48H82O18•3H2O with a molecular weight of 1001.2. Ginsenoside-Rd has been shown to inhibit receptor-operated Ca2+ influx through receptor-and-store-operated Ca2+ channels (ROCC) , attenuate oxidative stress in stroke, reduce the size of the cerebral infarction and preserve brain functioning in animal models of acute ischemic stroke.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ischemic Stroke
Keywords
randomized trial, ischemic stroke, Ginsenoside-Rd

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
199 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ginsenoside-Rd 10mg
Arm Type
Experimental
Arm Description
both a ginsenoside-Rd injection (10mg/1ml/each) and a specific dilution (10%, 1ml trimethylene glycol) were respectively diluted by a specific dilution (10%, 9 ml trimethylene glycol) and then mixed.
Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
2 specific dilutions (10%, 1ml trimethylene glycol) were respectively diluted by 2 specific dilutions (10%, 9 ml trimethylene glycol) and then mixed.
Arm Title
ginsenoside-Rd 20mg
Arm Type
Experimental
Arm Description
2 ginsenoside-Rd injections (10mg/1ml/each) were respectively diluted by 2 specific dilutions (10%, 9 ml trimethylene glycol) and then mixed
Intervention Type
Drug
Intervention Name(s)
ginsenoside-Rd 10 mg
Intervention Description
infusion ginsenoside-Rd 10 mg (group A)once a day and continued for 14 days
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
infusion placebo (group B)once a day and continued for 14 days
Intervention Type
Drug
Intervention Name(s)
ginsenoside-Rd 20mg
Intervention Description
infusion of ginsenoside-Rd 20mg (group C) once a day and continued for 14 days
Primary Outcome Measure Information:
Title
NIHSS scores
Time Frame
15±1 days
Secondary Outcome Measure Information:
Title
NIHSS scores
Time Frame
8 days
Title
the Barthel index
Time Frame
8 days
Title
the Barthel index
Time Frame
15 days
Title
the modified Rankin scale
Time Frame
15 days
Title
the modified Rankin scale
Time Frame
90 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: between 18 to 75 years the first episode from onset to admission within 72 hours NIHSS scores:5~22 Exclusion Criteria: had other intracranial pathologies (e.g., tumor, infection) had a neurologic or psychiatric disease had a coexisting condition that limited their life expectancy had significant drug or alcohol misuse had high-grade carotid artery stenosis for which surgery was planned were pregnant or nursing participated in a clinical trial with an investigational drug or device within the past 3 months were unlikely to be available for follow-up
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gang Zhao, MD
Organizational Affiliation
the Department of Neurology , Xijing Hospital;
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Xuedong Liu, MD
Organizational Affiliation
the Department of Neurology, Xijing Hospital;
Official's Role
Study Chair
Facility Information:
Facility Name
the Department of Neurology , Xijing Hospital
City
Xi'an
State/Province
Shaanxi
ZIP/Postal Code
710032
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
19236467
Citation
Liu X, Xia J, Wang L, Song Y, Yang J, Yan Y, Ren H, Zhao G. Efficacy and safety of ginsenoside-Rd for acute ischaemic stroke: a randomized, double-blind, placebo-controlled, phase II multicenter trial. Eur J Neurol. 2009 May;16(5):569-75. doi: 10.1111/j.1468-1331.2009.02534.x. Epub 2009 Feb 19.
Results Reference
derived

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Ginsenoside-Rd for Acute Ischemic Stroke

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