search
Back to results

Multi-"Omics" Research of Danhong Injection to Treat Acute Ischemic Stroke

Primary Purpose

Acute Stroke

Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Danhong injection
Standard medical care
placebo
Sponsored by
China Academy of Chinese Medical Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Acute Stroke focused on measuring Acute Ischemic Stroke, Randomized Controlled Trial, Traditional Chinese Medicine, Proteomics

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Female or male inpatients

    • Age: 18 - 70 years.
    • Clinical diagnosis of ischemic stroke causing a measurable neurological deficit defined as impairment of language, motor function, cognition and/or gaze, vision or neglect. Ischemic stroke is defined as an event characterized by the sudden onset of an acute focal neurologic deficit presumed to be due to cerebral ischemia after CT scan excludes hemorrhage.
    • Clinical diagnosis of "Xueyu Zheng" (Blood Stasis Syndrome) as the scores of Chinese medicine symptoms scales of "Xueyu Zheng" in ischemic stroke ≥ 20. The Chinese medicine symptoms scales of "Xueyu Zheng" is defined as following (1)hemiplegia-10,(2)numbness of limbs-10,(3) dark face-9,(4)purple or dark lip-8,(5)Roughness of skin-4, (6) pain with fixed point-5, (7) purple or dark tongue-10,(8)ecchymosis on tongue-10,(9)purple sublingual vessel-10,(10)varicose sublingual vessel-8,(11)unsmooth pulse-8,(12)intermittent pulse-1.
    • Onset of symptoms in 1 week prior to initiation of administration of study drug.
    • Clinical diagnosis of cerebral anterior circulation obstruction.
    • 4≤NIHSS<20.
    • Patient is willing to participate voluntarily and to sign a written patient informed consent. Informed consent will be obtained from each patient or the subject's legally authorized representative or relatives, or deferred where applicable, according to the regulatory and legal requirements of the participating centers.
  2. Female or male healthy volunteer

    • Age: 18 - 70 years.
    • Medical history, physical examination, vital signs, electrocardiogram(ECG) and laboratory results (including renal function, hepatic function, et al)with no clinically significant findings.
    • Healthy volunteer is willing to participate voluntarily and to sign a written informed consent form. Informed consent will be obtained from each volunteer, according to the regulatory and legal requirements of the participating centers.

Exclusion Criteria:

  1. Female or male inpatients

    • Evidence of intracranial hemorrhage (ICH) or other cerebral diseases (eg.vascular malformation, tumor, abscess or multiple sclerosis etc.)on the CT-or MRI-scan.
    • Patients with thrombolysis or endovascular treatment.
    • Known history of allergy or suspected allergic to the drug.
    • Blood glucose 2.8 or > 16.8 mmol / l under the treatment of diabetes or with severe complications due to diabetes (eg. peripheral neuropathy, diabetic gangrene).
    • Liver function impairment with the value of ALT or AST over 1.5-fold of normal value.
    • Renal dysfunction with the value of serum creatinine over 1.5-fold of normal value.
    • Severe cardiac dysfunction on echocardiogram or the grade of heart function over Ⅲ grade.
    • History of prior stroke with mRS ≥2.
    • Complicated with atrial fibrillation.
    • Severe stroke as assessed by appropriate imaging techniques (eg. massive cerebral infarction including more than one lobe of brain or over 1/3 of blood-supply area of middle cerebral artery).
    • Prior disable patients.
    • Hemorrhagic tendency or recent severe or dangerous bleeding in 3 months.
    • Suspected addicted into alcohol or drug abuse.
    • With severe complications that would make the condition more complicated assessed by the investigator.
    • Woman with pregnancy, lactation or positive result of pregnancy test, or women who want to be pregnant in recent 6 months.
    • Woman who is under menstrual period.
    • Patient who is participating in other trials or has been participated in other trials in recent 3 months.
  2. Healthy volunteer

    • Had a known history of chronic diseases including stroke, heart diseases, diabetes, COPD, Neuropsychiatric diseases and chronic infectious diseases, etc.
    • Coagulation disorders.
    • Conditions with increased bleeding risk.
    • Trauma or surgery in the 6 months prior to the study.
    • Use of any medication 4 weeks prior to the trial.
    • History of drug abuse.

Sites / Locations

  • Nanshi Hospital of Nanyang
  • Panjin Central Hospital
  • 202 Military Hospital of China
  • Affiliated Hospital of Chifeng University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

No Intervention

Arm Label

Danhong injection

placebo

healthy volunteer

Arm Description

Based on the standard medical care, 40ml of Danhong injection, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.

Based on the standard medical care, 40ml of 0.9% saline as the placebo, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.

Outcomes

Primary Outcome Measures

Modified Rankin Scale 0-1 (favourable outcome) at Day 90

Secondary Outcome Measures

Full Information

First Posted
June 20, 2014
Last Updated
July 14, 2020
Sponsor
China Academy of Chinese Medical Sciences
Collaborators
China Food and Drug Administration
search

1. Study Identification

Unique Protocol Identification Number
NCT02176395
Brief Title
Multi-"Omics" Research of Danhong Injection to Treat Acute Ischemic Stroke
Official Title
Multi-"Omics" Research of Danhong Injection to Treat Acute Ischemic Stroke
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
March 2019 (Actual)
Study Completion Date
July 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
China Academy of Chinese Medical Sciences
Collaborators
China Food and Drug Administration

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to explore the pharmacological mechanism of Danhong injection in the treatment of acute ischemic stroke.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Stroke
Keywords
Acute Ischemic Stroke, Randomized Controlled Trial, Traditional Chinese Medicine, Proteomics

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
46 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Danhong injection
Arm Type
Experimental
Arm Description
Based on the standard medical care, 40ml of Danhong injection, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.
Arm Title
placebo
Arm Type
Placebo Comparator
Arm Description
Based on the standard medical care, 40ml of 0.9% saline as the placebo, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.
Arm Title
healthy volunteer
Arm Type
No Intervention
Intervention Type
Drug
Intervention Name(s)
Danhong injection
Other Intervention Name(s)
A kind of injection made from two kind of Chinese herbs: Salvia miltiorrhiza and Safflower.
Intervention Description
40ml Danhong injection added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion
Intervention Type
Procedure
Intervention Name(s)
Standard medical care
Intervention Description
Standard medical care is in accordance with China Guideline for the diagnosis and treatment of acute ischemic stroke (2010), including medical care for vital signs, control of temperature, blood pressure and glucose, improving cerebral blood circulation, antiplatelet treatment and nutritional supportive care.
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
0.9% saline added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion
Primary Outcome Measure Information:
Title
Modified Rankin Scale 0-1 (favourable outcome) at Day 90
Time Frame
Day 90
Other Pre-specified Outcome Measures:
Title
The changes of serum proteomics in 36 patients selected from certain center
Description
We wish to identify protein biomarkers in the blood that changed with Danhong treatment
Time Frame
Day 0, Day 14, Day 90
Title
The microRNA profile in 10 healthy volunteer
Time Frame
Day0
Title
The mRNA profiles in 10 healthy volunteer
Time Frame
Day0
Title
The proteomics profiles of 10 healthy volunteer
Time Frame
Day 0

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Female or male inpatients Age: 18 - 70 years. Clinical diagnosis of ischemic stroke causing a measurable neurological deficit defined as impairment of language, motor function, cognition and/or gaze, vision or neglect. Ischemic stroke is defined as an event characterized by the sudden onset of an acute focal neurologic deficit presumed to be due to cerebral ischemia after CT scan excludes hemorrhage. Clinical diagnosis of "Xueyu Zheng" (Blood Stasis Syndrome) as the scores of Chinese medicine symptoms scales of "Xueyu Zheng" in ischemic stroke ≥ 20. The Chinese medicine symptoms scales of "Xueyu Zheng" is defined as following (1)hemiplegia-10,(2)numbness of limbs-10,(3) dark face-9,(4)purple or dark lip-8,(5)Roughness of skin-4, (6) pain with fixed point-5, (7) purple or dark tongue-10,(8)ecchymosis on tongue-10,(9)purple sublingual vessel-10,(10)varicose sublingual vessel-8,(11)unsmooth pulse-8,(12)intermittent pulse-1. Onset of symptoms in 1 week prior to initiation of administration of study drug. Clinical diagnosis of cerebral anterior circulation obstruction. 4≤NIHSS<20. Patient is willing to participate voluntarily and to sign a written patient informed consent. Informed consent will be obtained from each patient or the subject's legally authorized representative or relatives, or deferred where applicable, according to the regulatory and legal requirements of the participating centers. Female or male healthy volunteer Age: 18 - 70 years. Medical history, physical examination, vital signs, electrocardiogram(ECG) and laboratory results (including renal function, hepatic function, et al)with no clinically significant findings. Healthy volunteer is willing to participate voluntarily and to sign a written informed consent form. Informed consent will be obtained from each volunteer, according to the regulatory and legal requirements of the participating centers. Exclusion Criteria: Female or male inpatients Evidence of intracranial hemorrhage (ICH) or other cerebral diseases (eg.vascular malformation, tumor, abscess or multiple sclerosis etc.)on the CT-or MRI-scan. Patients with thrombolysis or endovascular treatment. Known history of allergy or suspected allergic to the drug. Blood glucose 2.8 or > 16.8 mmol / l under the treatment of diabetes or with severe complications due to diabetes (eg. peripheral neuropathy, diabetic gangrene). Liver function impairment with the value of ALT or AST over 1.5-fold of normal value. Renal dysfunction with the value of serum creatinine over 1.5-fold of normal value. Severe cardiac dysfunction on echocardiogram or the grade of heart function over Ⅲ grade. History of prior stroke with mRS ≥2. Complicated with atrial fibrillation. Severe stroke as assessed by appropriate imaging techniques (eg. massive cerebral infarction including more than one lobe of brain or over 1/3 of blood-supply area of middle cerebral artery). Prior disable patients. Hemorrhagic tendency or recent severe or dangerous bleeding in 3 months. Suspected addicted into alcohol or drug abuse. With severe complications that would make the condition more complicated assessed by the investigator. Woman with pregnancy, lactation or positive result of pregnancy test, or women who want to be pregnant in recent 6 months. Woman who is under menstrual period. Patient who is participating in other trials or has been participated in other trials in recent 3 months. Healthy volunteer Had a known history of chronic diseases including stroke, heart diseases, diabetes, COPD, Neuropsychiatric diseases and chronic infectious diseases, etc. Coagulation disorders. Conditions with increased bleeding risk. Trauma or surgery in the 6 months prior to the study. Use of any medication 4 weeks prior to the trial. History of drug abuse.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wang Zhong, Professor
Organizational Affiliation
Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Zhao Xingquan, Professor
Organizational Affiliation
Beijing Tiantan Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Wang Yongyan, Professor
Organizational Affiliation
Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Jiang Zhilin, Professor
Organizational Affiliation
202 Military Hospital of China
Official's Role
Principal Investigator
Facility Information:
Facility Name
Nanshi Hospital of Nanyang
City
Nanyang
State/Province
Henan
ZIP/Postal Code
473065
Country
China
Facility Name
Panjin Central Hospital
City
Panjin
State/Province
Liaoning
ZIP/Postal Code
124013
Country
China
Facility Name
202 Military Hospital of China
City
Shenyang
State/Province
Liaoning
Country
China
Facility Name
Affiliated Hospital of Chifeng University
City
Chifeng
State/Province
Neimenggu
ZIP/Postal Code
024005
Country
China

12. IPD Sharing Statement

Learn more about this trial

Multi-"Omics" Research of Danhong Injection to Treat Acute Ischemic Stroke

We'll reach out to this number within 24 hrs