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Phase III Clinical Trial of Y-2 Sublingual Tablets in the Treatment of Acute Ischemic Stroke

Primary Purpose

Stroke

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Y-2 sublingual tablets
d-borneol
Sponsored by
Peking University Third Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stroke

Eligibility Criteria

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

Inclusion Criteria:

-

Those who meet all of the following requirements:

  1. Age ≥ 18 years old and ≤ 80 years old, regardless of gender;
  2. After the onset of the disease, the National Institutes of Stroke Scale score: 6 ≤ NIHSS ≤ 20, and the sum of the fifth upper limb score and the sixth lower limb score was 22;
  3. The onset time is within 48 hours (including 48 hours);
  4. Patients diagnosed as ischemic stroke according to "key points for diagnosis of all kinds of major cerebrovascular diseases in China 2019", with good prognosis after the first attack or the last attack (MRS score ≤ 1 before this attack);
  5. The informed consent approved by the ethics committee was voluntarily signed by the patient or his legal representative.

Exclusion Criteria:

-

Those who meet 0ne of the following items:

  1. Intracranial hemorrhagic diseases seen in head imaging: hemorrhagic stroke, epidural hematoma, intracranial hematoma, intraventricular hemorrhage, subarachnoid hemorrhage, etc; If it is only oozing blood, the researcher can judge whether it is suitable for inclusion
  2. Severe disturbance of consciousness: the item score of La consciousness level of NIHSS was more than 1;

Transient ischemic attack (TIA)

4. Systolic blood pressure was still higher than 220mmhg or diastolic blood pressure was higher than 120mmhg after blood pressure control;

5. Patients with severe mental disorders and dementia;

6. Severe active liver diseases have been diagnosed, such as acute hepatitis, chronic active hepatitis, cirrhosis, etc; Or ALT or AST > 2.0 × ULN;

7. Severe active kidney disease and renal insufficiency have been diagnosed; Or serum creatinine > 1.5 × ULN;

8. After the onset of the disease, the drugs with neuroprotective effect in the manual have been used

9. Embolectomy or interventional therapy has been used or planned after the onset of the disease;

10. Complicated with malignant tumor or undergoing anti-tumor treatment; For the subjects diagnosed with malignant tumor after enrollment, whether to continue to participate in the study can be judged by the researcher and the willingness of the subjects;

11. Suffering from severe systemic diseases, the estimated survival time is less than 90 days;

12. Allergic to d-borneol or edaravone or excipients;

13. Patients during pregnancy, lactation and planned pregnancy;

14. Major operation history within 4 weeks before enrollment;

15. Have participated in other clinical studies or are participating in other clinical studies within 30 days before randomization;

16. The researcher thinks that it is not suitable to participate in this clinical study

Sites / Locations

  • Peking University Third Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

Y-2 sublingual test group

placebo group

Arm Description

Y-2 sublingual tablets: Edaravone 30mg and d-borneol 6mg.

60 μg d-borneol

Outcomes

Primary Outcome Measures

mRS score ≤ 1
Whether patients with mRS(Modified Rankin Scale) score ≤ 1. Used to calculate the proportion of patients with mRS score ≤ 1.

Secondary Outcome Measures

patients' mRS score
patients' modified Rankin score
Good functional outcome
Whether patients with mRS score ≤ 2. Used to calculate the proportion of good functional outcome (mRS ≤2)
change of NIHSS score
Change of NIHSS (National Institute of Health stroke scale) score from baseline to day 14 after randomization
NIHSS score≤1 on 14 day
Whether NIHSS (National Institute of Health stroke scale) score≤1 on 14 day. Used to calculate the proportion of NIHSS score≤1 on 14 day.
NIHSS score≤1 on 30 day
Whether NIHSS (National Institute of Health stroke scale) score≤1 on 30 day. Used to calculate the proportion of NIHSS score≤1 on 30 day.
NIHSS score≤1 on 90 day
Whether NIHSS (National Institute of Health stroke scale) score≤1 on 90 day. Used to calculate the proportion of NIHSS score≤1 on 90 day.

Full Information

First Posted
June 27, 2021
Last Updated
August 19, 2023
Sponsor
Peking University Third Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT04950920
Brief Title
Phase III Clinical Trial of Y-2 Sublingual Tablets in the Treatment of Acute Ischemic Stroke
Official Title
Phase III Clinical Trial of Y-2 Sublingual Tablet in the Treatment of Acute Ischemic Stroke - a Multicenter, Randomized, Double-blind, Parallel, Placebo-controlled Phase III Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
June 28, 2021 (Actual)
Primary Completion Date
August 10, 2022 (Actual)
Study Completion Date
November 14, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Peking University Third Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
At present, the treatment of acute ischemic stroke includes intravenous thrombolysis, intravascular interventional therapy (including arterial thrombolysis, mechanical thrombectomy, angioplasty and stent implantation), antiplatelet therapy, anticoagulant therapy, defibrasion therapy, volume expansion therapy, and neuroprotective therapy. Y-2 sublingual tablet is an innovative drug developed by Yantai yinuoyi Biomedical Technology Co., Ltd. with independent intellectual property rights. This product is a free radical scavenger and inflammatory protein expression inhibitor. It can clear hydroxyl free radical (COH), nitric oxide free radical (no) and peroxynitrite ion (onoa), and inhibit the expression of tumor necrosis factor-A (TNF-a), interleukin IP (IL-1 (3), cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS) and other inflammatory related proteins induced by cerebral ischemia. By clearing the excessive free radicals produced in the brain tissue during ischemia and reperfusion and inhibiting the secondary inflammatory reaction, we can reduce the damage of free radicals and inflammatory reaction to the brain tissue, block the pathological change process caused by cerebral ischemia from two ways, and play a synergistic therapeutic role in cerebral ischemia injury.
Detailed Description
At present, the treatment of acute ischemic stroke includes intravenous thrombolysis, intravascular interventional therapy (including arterial thrombolysis, mechanical thrombectomy, angioplasty and stent implantation), antiplatelet therapy, anticoagulant therapy, defibrasion therapy, volume expansion therapy, and neuroprotective therapy. Y-2 sublingual tablet is an innovative drug developed by Yantai Yinuoyi Biomedical Technology Co., Ltd. with independent intellectual property rights. This product is a free radical scavenger and inflammatory protein expression inhibitor. It can clear hydroxyl free radical (COH), nitric oxide free radical (no) and peroxynitrite ion (onoa), and inhibit the expression of tumor necrosis factor-A (TNF-a), interleukin IP (IL-1 (3), cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS) and other inflammatory related proteins induced by cerebral ischemia. By clearing the excessive free radicals produced in the brain tissue during ischemia and reperfusion and inhibiting the secondary inflammatory reaction, we can reduce the damage of free radicals and inflammatory reaction to the brain tissue, block the pathological change process caused by cerebral ischemia from two ways, and play a synergistic therapeutic role in cerebral ischemia injury.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stroke

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
914 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Y-2 sublingual test group
Arm Type
Experimental
Arm Description
Y-2 sublingual tablets: Edaravone 30mg and d-borneol 6mg.
Arm Title
placebo group
Arm Type
Sham Comparator
Arm Description
60 μg d-borneol
Intervention Type
Drug
Intervention Name(s)
Y-2 sublingual tablets
Intervention Description
30mg Edaravone+6mg d-borneo OR, Bid
Intervention Type
Drug
Intervention Name(s)
d-borneol
Intervention Description
60 μg d-borneol OR, Bid
Primary Outcome Measure Information:
Title
mRS score ≤ 1
Description
Whether patients with mRS(Modified Rankin Scale) score ≤ 1. Used to calculate the proportion of patients with mRS score ≤ 1.
Time Frame
90 days after treatment initiation
Secondary Outcome Measure Information:
Title
patients' mRS score
Description
patients' modified Rankin score
Time Frame
90 days after treatment initiation
Title
Good functional outcome
Description
Whether patients with mRS score ≤ 2. Used to calculate the proportion of good functional outcome (mRS ≤2)
Time Frame
90 days after treatment initiation
Title
change of NIHSS score
Description
Change of NIHSS (National Institute of Health stroke scale) score from baseline to day 14 after randomization
Time Frame
14 after treatment initiation
Title
NIHSS score≤1 on 14 day
Description
Whether NIHSS (National Institute of Health stroke scale) score≤1 on 14 day. Used to calculate the proportion of NIHSS score≤1 on 14 day.
Time Frame
14 after treatment initiation
Title
NIHSS score≤1 on 30 day
Description
Whether NIHSS (National Institute of Health stroke scale) score≤1 on 30 day. Used to calculate the proportion of NIHSS score≤1 on 30 day.
Time Frame
30 after treatment initiation
Title
NIHSS score≤1 on 90 day
Description
Whether NIHSS (National Institute of Health stroke scale) score≤1 on 90 day. Used to calculate the proportion of NIHSS score≤1 on 90 day.
Time Frame
90 after treatment initiation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: - Those who meet all of the following requirements: Age ≥ 18 years old and ≤ 80 years old, regardless of gender; After the onset of the disease, the National Institutes of Stroke Scale score: 6 ≤ NIHSS ≤ 20, and the sum of the fifth upper limb score and the sixth lower limb score was ≥2; The onset time is within 48 hours (including 48 hours); Patients diagnosed as ischemic stroke according to "key points for diagnosis of all kinds of major cerebrovascular diseases in China 2019", with good prognosis after the first attack or the last attack (MRS score ≤ 1 before this attack); The informed consent approved by the ethics committee was voluntarily signed by the patient or his legal representative. Exclusion Criteria: - Those who meet any of the following items: Intracranial hemorrhagic diseases seen in head imaging: hemorrhagic stroke, epidural hematoma, intracranial hematoma, intraventricular hemorrhage, subarachnoid hemorrhage, etc; If it is only oozing blood, the researcher can judge whether it is suitable for inclusion; Severe disturbance of consciousness: the item score of La consciousness level of NIHSS was more than 1; Transient ischemic attack (TIA); Systolic blood pressure was still higher than 220mmhg or diastolic blood pressure was higher than 120mmhg after blood pressure control; Patients with severe mental disorders and dementia; Severe active liver diseases have been diagnosed, such as acute hepatitis, chronic active hepatitis, cirrhosis, etc; Or ALT or AST > 2.0 × ULN; Severe active kidney disease and renal insufficiency have been diagnosed; Or serum creatinine > 1.5 × ULN; After the onset of the disease, the drugs with neuroprotective effect in the manual have been used; Embolectomy or interventional therapy has been used or planned after the onset of the disease; Complicated with malignant tumor or undergoing anti-tumor treatment; For the subjects diagnosed with malignant tumor after enrollment, whether to continue to participate in the study can be judged by the researcher and the willingness of the subjects; Suffering from severe systemic diseases, the estimated survival time is less than 90 days; Allergic to d-borneol or edaravone or excipients; Patients during pregnancy, lactation and planned pregnancy; Major operation history within 4 weeks before enrollment; Have participated in other clinical studies or are participating in other clinical studies within 30 days before randomization; The researcher thinks that it is not suitable to participate in this clinical study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dongsheng Fan, PhD
Organizational Affiliation
Peking University Third Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking University Third Hospital
City
Beijin
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase III Clinical Trial of Y-2 Sublingual Tablets in the Treatment of Acute Ischemic Stroke

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