Salicornia for Neurovascular Health Improve
Stroke, Ischemic Stroke, Neurovascular Injury
About this trial
This is an interventional prevention trial for Stroke focused on measuring Polyphenol, Salicornia, Brain ischemia, Neuroprotection, Halophytes
Eligibility Criteria
Substudy A: Inclusion Criteria: Patients ≥18 years old Possibility of analytical controls at the beginning/end of the study. Willingness and ability to give informed consent. Exclusion Criteria: Known neurovascular disease. Other chronic diseases for which the subject is taking medication on a regular basis. Hyperthyroidism according to the investigator's criteria. Volunteers taking vitamin or polyphenol-containing nutritional supplements in the 30 days prior to the screening visit (at the investigator's discretion). Severe illness with life expectancy of less than three months. Known allergies or intolerance to halophyte plants. Pregnant or lactating women. Presence of active neoplastic disease. Having participated in another clinical trial with medicinal products in the 30 days prior to the screening visit, or intending to do so during their participation in this study. Habitual consumption of halophyte plants. Patients who, at the investigator's discretion, are not able to comply with the study protocol. Substudy B: Inclusion criteria: Patients ≥18 years old. Patients with typical symptoms lasting less than 24 hours seen at the HUVM classified as TIA or minor stroke (if Diffusion weighted imaging (DWI) positive on magnetic resonance imaging (MRI)) during the last year. Have a neuroimaging performed at the time of the acute episode that rules out other non-vascular lesions. Willingness and ability to give informed consent. Exclusion criteria: Patients taking vitamin or polyphenol-containing nutritional supplements in the 30 days prior to the screening visit (at the investigator's discretion). Having participated in another clinical trial with medicinal products in the 30 days prior to the screening visit, or intending to do so during their participation in this study. Hyperthyroidism at the investigator's discretion. Dysphagia that prevents the intake of the study treatment. Patients dependent for basic activities of daily living (mRS >3) or with severe disease with life expectancy of less than 12 months. Known allergies or intolerance to halophyte plants. Habitual consumption of halophyte plants. Pregnant or lactating women. Presence of active neoplastic disease. Patients who, at the investigator's discretion, are unable to comply with the study protocol. Substudy C: Inclusion criteria: Patients ≥18 years of age. Lacunar syndrome with acute ischaemic lesion on neuroimaging of less than 1.5 cm maximum diameter. Willingness and ability to give informed consent. Exclusion criteria: Patients taking vitamin or polyphenol-containing nutritional supplements in the 30 days prior to the screening visit (at the investigator's discretion). Hyperthyroidism at the investigator's discretion. Claustrophobia or morbid obesity (IMT >40) precluding performance of MRI 3 Tesla. Patients dependent for basic activities of daily living (mRS >3) or with severe disease with an expected life expectancy of less than 12 months. Dysphagia that prevents the intake of the study treatment. Known allergies or intolerances to halophyte plants. Pregnant or breastfeeding women. Presence of active neoplastic disease. Having participated in another clinical trial with medicinal products in the 30 days prior to the screening visit, or intending to do so during their participation in this study. Habitual consumption of halophyte plants. Patients who, at the investigator's discretion, are not able to comply with the study protocol. Substudy D: Inclusion criteria: Patient with carotid stenosis that warrants treatment in one of the following cases: Symptomatic carotid stenosis >50% with stroke within 6 months prior to inclusion and not disabling at the time of inclusion. Asymptomatic carotid stenosis >70% provided some of the following criteria are met: I. Presence of silent stroke on neuroimaging. II. Stenosis with progression (>20%). III. Soft or ulcerated (unstable) plaque. IV. Occlusion of contralateral internal carotid artery (ICA). V. Impaired haemodynamic reserve. Receive carotid angioplasty and stenting (CAS) of said artery within a maximum of one month after inclusion and with a minimum of one week of taking the treatment from inclusion to intervention. Be able to orally take the dietary supplement/placebo from the event until just prior to the intervention. Patients ≥18 years. Willingness and ability to give informed consent. Exclusion criteria: Patients taking vitamin or polyphenol-containing nutritional supplements in the 30 days prior to the screening visit (at the investigator's discretion). Hyperthyroidism at the investigator's discretion. Claustrophobia or morbid obesity preventing the performance of MRI 1.5 Tesla. Severe disease with expected life expectancy of less than one month. Dysphagia preventing the intake of the study treatment. Known allergies or intolerance to halophyte plants. Pregnant or lactating women. Presence of active neoplastic disease. Having participated in another clinical trial with medicinal products in the 30 days prior to the screening visit, or intending to do so during their participation in this study. Habitual consumption of halophyte plants. Patients who, at the investigator's discretion, are not able to comply with the study protocol.
Sites / Locations
- Hospital Universitario Virgen MacarenaRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Food supplement based on Salicornia extracts
Placebo
Participants will receive food supplement based on halophyte plant (Salicornia) extracts, 1 g (two 0.5 gram capsules) orally once a day for a treatment period of 3 months (substudy A), 11 months (substudy B), 1 year (substudy C) or 7-30 days (substudy D).
Participants will receive two capsules once a day of placebo physically equal to the nutritional supplement for a treatment period of 3 months (substudy A), 11 months (substudy B), 1 year (substudy C) or 7-30 days (substudy D).