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Clinical Study on the Treatment of Hypertensive Intracerebral Hemorrhage With Panax Notoginseng Saponin (CSTHIHPNS)

Primary Purpose

Hematoma Absorption and Neurological Function Recovery

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Panax Notoginseng Saponins
Sponsored by
The First People's Hospital of Jingzhou
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hematoma Absorption and Neurological Function Recovery focused on measuring panax notoginseng saponins, hypertensive intracerebral hemorrhage, hematoma, neurological function

Eligibility Criteria

50 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • with a history of hypertension treated with medication and blood pressure management ( a systolic blood-pressure target of 140 to 179 mmHg and a diastolic blood-pressure target of 70 to 100 mmHg) during the period of hospitalization,
  • the site of hematoma located in one of the cerebral hemispheres,
  • hematoma volume 10-30ml,
  • no blood in the ventricles,
  • within 24 hours of onset of first-time acute intracerebral hemorrhage,
  • no loss of consciousness (drowsiness acceptable).

Exclusion Criteria:

  • cerebellar or brainstem hemorrhage,
  • intracerebral hemorrhage caused by bleeding diathesis, aneurysms, vascular malformations, improperly using anticoagulant drugs, or suspicious amyloid angiopathy,
  • subarachnoid hemorrhage; multifocal hemorrhage,
  • mixed stroke or hemorrhagic infarct,
  • coexisting systematic diseases such as heart or kidney failure, tumors, gastrointestinal hemorrhage and so on,
  • pregnant or lactating women,
  • a history of XUESAITONG injection anaphylaxis.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    No Intervention

    Other

    Arm Label

    control group

    intervention group

    Arm Description

    Patients in the control group received conventional therapy for 17 days.conventional therapy consists of: (1) dehydration therapy by 20%mannitol (Tianjin Bane Medical Drugs Ltd., Co., China.) with the dosage from 125 to 250 ml every 8 h for 7 days depending on their clinically presumed intracranial pressure, (2) therapy to deal with complications including glucose-lowering treatment for hyperglycemia, antihypertensive treatment for hypertension, anti-inflammatory treatment for infection, acid inhibitor for peptic ulcer, and (3) supportive therapy, such as physical cooling, nutritional support, fluid, and electrolyte balance, which was provided as needed.

    Patients in the intervention group received the same conventional therapy as in the control group for 3 days, brain CT was re-scanned at the 4th day, and was then given conventional therapy plus XUESAITONG Injection,which was mainly composed of Panax notoginseng saponins for 14 days from the 4th day.

    Outcomes

    Primary Outcome Measures

    Hematoma volume
    National Institutes of Health Stroke Scale (NIHSS) scores
    were measured for stroke severity
    Barthel index
    were measured for quality of life

    Secondary Outcome Measures

    adverse events
    such as rash, allergic shock

    Full Information

    First Posted
    December 13, 2016
    Last Updated
    December 16, 2016
    Sponsor
    The First People's Hospital of Jingzhou
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02999048
    Brief Title
    Clinical Study on the Treatment of Hypertensive Intracerebral Hemorrhage With Panax Notoginseng Saponin
    Acronym
    CSTHIHPNS
    Official Title
    Clinical Study on the Treatment of Hypertensive Cerebral Hemorrhage With Panax Notoginseng Saponins
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2014 (undefined)
    Primary Completion Date
    May 2016 (Actual)
    Study Completion Date
    May 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    The First People's Hospital of Jingzhou

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The purpose of this study is to determine whether panax notoginseng saponins are effective in the treatment of Hypertensive Intracerebral Hemorrhage Patients.
    Detailed Description
    Patients with HICH were randomly assigned to receive either PNS integrated with conventional therapy. Patients were treated with conventional therapy for 3 days, then plus PNS for 14 days. Patients in the control group received conventional therapy for 17days. Hematoma volume measured by CT scanning, National Institutes of Health Stroke Scale (NIHSS) scores, Barthel index (BI), all the three were used to evaluate the therapeutic effect for both groups after two weeks of intervention.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hematoma Absorption and Neurological Function Recovery
    Keywords
    panax notoginseng saponins, hypertensive intracerebral hemorrhage, hematoma, neurological function

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    90 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    control group
    Arm Type
    No Intervention
    Arm Description
    Patients in the control group received conventional therapy for 17 days.conventional therapy consists of: (1) dehydration therapy by 20%mannitol (Tianjin Bane Medical Drugs Ltd., Co., China.) with the dosage from 125 to 250 ml every 8 h for 7 days depending on their clinically presumed intracranial pressure, (2) therapy to deal with complications including glucose-lowering treatment for hyperglycemia, antihypertensive treatment for hypertension, anti-inflammatory treatment for infection, acid inhibitor for peptic ulcer, and (3) supportive therapy, such as physical cooling, nutritional support, fluid, and electrolyte balance, which was provided as needed.
    Arm Title
    intervention group
    Arm Type
    Other
    Arm Description
    Patients in the intervention group received the same conventional therapy as in the control group for 3 days, brain CT was re-scanned at the 4th day, and was then given conventional therapy plus XUESAITONG Injection,which was mainly composed of Panax notoginseng saponins for 14 days from the 4th day.
    Intervention Type
    Drug
    Intervention Name(s)
    Panax Notoginseng Saponins
    Other Intervention Name(s)
    XUESAITONG Injection
    Intervention Description
    Panax Notoginseng Saponins integrated with conventional therapy
    Primary Outcome Measure Information:
    Title
    Hematoma volume
    Time Frame
    within the 14 days after two weeks of intervention
    Title
    National Institutes of Health Stroke Scale (NIHSS) scores
    Description
    were measured for stroke severity
    Time Frame
    within the 14 days after two weeks of intervention
    Title
    Barthel index
    Description
    were measured for quality of life
    Time Frame
    within the 14 days after two weeks of intervention
    Secondary Outcome Measure Information:
    Title
    adverse events
    Description
    such as rash, allergic shock
    Time Frame
    14 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    50 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: with a history of hypertension treated with medication and blood pressure management ( a systolic blood-pressure target of 140 to 179 mmHg and a diastolic blood-pressure target of 70 to 100 mmHg) during the period of hospitalization, the site of hematoma located in one of the cerebral hemispheres, hematoma volume 10-30ml, no blood in the ventricles, within 24 hours of onset of first-time acute intracerebral hemorrhage, no loss of consciousness (drowsiness acceptable). Exclusion Criteria: cerebellar or brainstem hemorrhage, intracerebral hemorrhage caused by bleeding diathesis, aneurysms, vascular malformations, improperly using anticoagulant drugs, or suspicious amyloid angiopathy, subarachnoid hemorrhage; multifocal hemorrhage, mixed stroke or hemorrhagic infarct, coexisting systematic diseases such as heart or kidney failure, tumors, gastrointestinal hemorrhage and so on, pregnant or lactating women, a history of XUESAITONG injection anaphylaxis.

    12. IPD Sharing Statement

    Citations:
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    18474003
    Citation
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    Citation
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    Citation
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    Clinical Study on the Treatment of Hypertensive Intracerebral Hemorrhage With Panax Notoginseng Saponin

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