Comprehensive Reparative Therapy in Ischemic Stroke COMplex Repair in Ischemic Stroke-Arm

This is an interventional treatment trial for Ischemic Stroke focused on measuring Cerebrolysin, neuroplasticity, upper limb, middle cerebral artery, NBS, navigation brain stimulation, paretic limb, stroke, ischemic stroke, rehabilitation, Frenchay Arm Test, NBS eXimia Nexstim, Barthel index Read More

Inclusion criteria:

1. A signed patient informed consent;
2. Men and women at the age from 45 years to 75 years, inclusive;
3. Confirmed (clinically and by MRI of the brain) diagnosis of acute ischemic stroke in the basin of the middle cerebral artery;
4. The severity of the stroke from 5 to 24 points on a scale NIHSS;
5. Hemiparesis, mainly affecting the upper limbs (not more than 2 points in the evaluation function of the affected hand using the test for hand Frenchay and not more than 2 points in the evaluation of the affected lower limb 6-point scale NIHSS);
6. The time from the onset of the disease prior to the introduction of the drug for 72 hours;
7. The willingness of patients of both sexes and their sexual partners with preserved reproductive function to use reliable methods of contraception, starting from the moment of inclusion in the study until the completion of participation in this clinical study.

Exclusion Criteria:

1. The age of 45 years or older than 75 years;
2. Known intolerance (including allergic reactions) Cerebrolysin, excipients of the investigational medication;
3. Thrombolytic therapy;
4. Signs of a hemorrhagic stroke;
5. Impairment of consciousness (≥ 2 points during the evaluation under item 1A NIHSS);
6. The presence of elements allowing to predict the resolution of neurological symptoms within 24 hours from the first symptoms;
7. Stroke or transient ischemic attack in history;
8. The score on the modified Rankin scale to a stroke more than 0 points;
9. Concomitant therapy or neuroprotective nootropic drugs;
10. New-onset seizures or epilepsy;
11. Planned carotid endarterectomy or other operations for secondary prevention of stroke;
12. Neurological disease or pathology of the neuromuscular system or any other disease that may affect the interpretation of study results;
13. Systemic therapy with biological drugs, including interferon, inductors and/or cytokine/anti-cytokine (e.g., anti-TNF, anti-CD4, IL-10, IL-1, etc.) within 1 month prior to screening;
14. Severe concomitant diseases, including cancer, which, in the opinion of the investigator, may affect the estimated parameters;
15. Uncontrolled hypertension (SBP ≥ 220 mm Hg. CL. and/or DBP ≥ 120 mm Hg. article in repeated measurements at the screening visit);
16. Uncontrolled angina, congestive heart failure or severe arrhythmia;
17. The presence of chronic infection (hepatitis B, C or AIDS) in the active form.
18. Severely impaired renal function or hepatic impairment (total bilirubin no more than 1.5 hvgn, the level of serum creatinine no more than 2.5 hugn and the levels of ALT, AST, GGT is not higher than 2.5 hvgn);
19. Diseases of the blood;
20. Mental illness, severe depression or suicide attempts in history;
21. The a history of drug addiction, alcoholism and abuse of drugs;
22. Contraindications to MRI: metal body, splinters, ferromagnetic implants (pacemakers, automatic dosing of drugs, implanted insulin pumps, artificial anus with a magnetic closure, artificial heart valves with metal elements), steel implants (clamps/clips on blood vessels, artificial joints, metal osteosynthesis devices), hearing AIDS;
23. Participation in any other clinical study within 30 days prior to screening or simultaneous participation in other clinical studies;
24. Pregnancy, breastfeeding or planning a pregnancy;
25. Women and men with preserved reproductive potential who refuse to use effective methods of contraception throughout the study;
26. Life expectancy less than 1 year;
27. Any disease or circumstances that, in the opinion of the investigator, may interfere with the subject participating in the study or in relation to which participation in the study may be dangerous for the subject;

Premature withdrowal criteria:

1. The research subject may discontinue participation at any time without giving a reason;
2. The researcher ahead of time to exclude the patient from the study in the following cases;
3. The refusal of the subject from further participation in the study;
4. Failure to comply with the subject rules of participation in the study;
5. The reasons that emerged during the study and threatening the security of the subject, including those associated with taking study medication adverse events;
6. The entities with during the study pregnancy;
7. The application of the patient in the study period of any additional neuroprotective and nootropic drugs, drugs from the group of correctors of cerebral blood flow;
8. Other reasons arising in the course of the study and prevent the realization of the study according to the Protocol;
9. Repeated stroke in the course of the study;
10. Subjects who are lost to observation, also belong to prematurely withdrawn from the study.