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Study of Cilostazol and Probucol Alone and in Combination on Atherosclerosis Related Biomarker---atherosclerosis Cerebral Infarction Patient as Study Subject

Primary Purpose

Atherosclerosis Cerebral Infarction

Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Cilostazol group
Probucol group
Cilostazol + Probucol group
control group
Sponsored by
Otsuka Beijing Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atherosclerosis Cerebral Infarction

Eligibility Criteria

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

Inclusion Criteria:

  1. 40~80-year-old male or female
  2. By brain CT or MRI result, cerebral infarction is clarified diagnosis within 1 year
  3. With atherosclerosis, atherosclerosis should meet at least one of the conditions as below:

    • Clarified diagnosis of type 2 diabetes before
    • Clarified diagnosis of primary hypertension before
    • Clarified diagnosis of Atherosclerotic stenosis in any 2 or more than 2 regions as cerebral artery, carotid, extremity artery and coronary by conformation of ultrasonic or angiography result
  4. Has Aspirin regularly for more than 1 month before registration
  5. Informed Consent Form signature

Exclusion criteria:

  1. Has an allergic history to study drugs( including of Probucol and Cilostazol) and Aspirin
  2. Had lipid-lowing agents within the last 3 months ( except Statins)
  3. Had antiplatelet or anticoagulation agents within the last 3 months (except Aspirin)
  4. Had acute cerebral infarction within the last 1 month
  5. Has cardiogenic cerebral embolism
  6. At the registration ,Modified Rankin Scale ≥ 4
  7. Hemorrhagic tendency or hemorrhagic disease (such as cerebral hemorrhage, gastrointestinal tract hemorrhage, etc.)
  8. Had a myocardial infarction, angina pectoris within the last 3 months
  9. Congestive heart failure
  10. Is pregnant, is potentially pregnant, or is breastfeeding
  11. Severe hepatic inadequacy or severe renal inadequacy (AST or ALT is 2.5 times higher than the upper limit of the normal value range, or serum creatinine is 1.2 times higher than the upper limit of the normal value range)
  12. Persistent or hardly controlled hypertension (such as malignant hypertension, BP> 160/100 mmHg)
  13. Severe ventricular arrhythmia (such as multiple and multifocal premature ventricular contractions)
  14. Has a medical history that includes a cardiac syncope or a primary syncope
  15. Has a condition that may prolong QT interval (such as congenital long QT syndrome, taking drugs which prolong QT interval, hypokalemia or hypomagnesemia, etc.)
  16. Has severe diseases (such as, malignant tumor, severe anaemia, severe hematologic diabetes mellitus ketoacidosis, nonketotic hyperosmolar diabetic coma, etc.)
  17. Registered other clinical trails within the last 3 months
  18. Has vasculitis, moyamoya disease and other non-atherosclerosis vascular diseases
  19. Other conditions that could exclude the subject from this study by doctor's judgment

Sites / Locations

  • First Affliate Hospital of Beijing University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Other

Arm Label

1

2

3

4

Arm Description

Control Group

Outcomes

Primary Outcome Measures

After 12 weeks of treatment, the change difference of arteriosclerosis related biomarker between 4 modality groups.

Secondary Outcome Measures

Full Information

First Posted
January 15, 2009
Last Updated
November 30, 2010
Sponsor
Otsuka Beijing Research Institute
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1. Study Identification

Unique Protocol Identification Number
NCT00823875
Brief Title
Study of Cilostazol and Probucol Alone and in Combination on Atherosclerosis Related Biomarker---atherosclerosis Cerebral Infarction Patient as Study Subject
Official Title
A Randomized, Control, Open Label, Multicentre Clinical Study to Evaluate the Efficacy and Safety of Cilostazol and Probucol Alone and in Combination on Atherosclerosis Related Biomarker---atherosclerosis Cerebral Infarction Patient as Study Subject
Study Type
Interventional

2. Study Status

Record Verification Date
January 2010
Overall Recruitment Status
Completed
Study Start Date
March 2009 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
July 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Otsuka Beijing Research Institute

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Randomized, control, open label, multicentre clinical study. The patient who are in accordance with subject inclusion and exclusion criteria will be randomized to A group: Routine treatment B group: Routine treatment+ Cilostazol; C group : Routine treatment + Probucol; D group: Routine treatment+ Cilostazol+ Probucol .
Detailed Description
Efficacy index: After 12 weeks of treatment, the change difference of arteriosclerosis related biomarker between 4 modality groups. Pharmacokinetics: After 12 weeks of treatment, the study medication plasma concentration including of Probucol ,Cilostazol , Cilostazol metabolism OPC-13015 and OPC-13213 will be measured. Safety evaluation: Analysis the abnormality of Adverse Event, Vital Sign, Physical Examination, 12-lead ECG, and Laboratory Tests (including blood routine examination, routine urine analysis, blood biochemistry examination, glycosylated hemoglobin) in 4 modality groups.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atherosclerosis Cerebral Infarction

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Experimental
Arm Title
3
Arm Type
Experimental
Arm Title
4
Arm Type
Other
Arm Description
Control Group
Intervention Type
Drug
Intervention Name(s)
Cilostazol group
Other Intervention Name(s)
Pletaal
Intervention Description
Cilostazol: At first, 50 mg (1 tablets) Bid, PO after breakfast and dinner. After administration of study drug for 1 week, and if patient has no significant discomfort, the drug dosage will increase to 100mg(2 tablets)Bid.
Intervention Type
Drug
Intervention Name(s)
Probucol group
Other Intervention Name(s)
Changtai
Intervention Description
Probucol: 250 mg (1 tablet) Bid, PO after breakfast and dinner
Intervention Type
Drug
Intervention Name(s)
Cilostazol + Probucol group
Other Intervention Name(s)
Pletaal and Changtai
Intervention Description
Cilostazol: At first, 50 mg (1 tablets) Bid, PO after breakfast and dinner. After administration of study drug for 1 week, and if patient has no significant discomfort, the drug dosage will increase to 100mg(2 tablets)Bid. Probucol: 250 mg (1 tablet) Bid, PO after breakfast and dinner
Intervention Type
Drug
Intervention Name(s)
control group
Other Intervention Name(s)
Routine Treatment
Intervention Description
routine treatment
Primary Outcome Measure Information:
Title
After 12 weeks of treatment, the change difference of arteriosclerosis related biomarker between 4 modality groups.
Time Frame
12 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 40~80-year-old male or female By brain CT or MRI result, cerebral infarction is clarified diagnosis within 1 year With atherosclerosis, atherosclerosis should meet at least one of the conditions as below: Clarified diagnosis of type 2 diabetes before Clarified diagnosis of primary hypertension before Clarified diagnosis of Atherosclerotic stenosis in any 2 or more than 2 regions as cerebral artery, carotid, extremity artery and coronary by conformation of ultrasonic or angiography result Has Aspirin regularly for more than 1 month before registration Informed Consent Form signature Exclusion criteria: Has an allergic history to study drugs( including of Probucol and Cilostazol) and Aspirin Had lipid-lowing agents within the last 3 months ( except Statins) Had antiplatelet or anticoagulation agents within the last 3 months (except Aspirin) Had acute cerebral infarction within the last 1 month Has cardiogenic cerebral embolism At the registration ,Modified Rankin Scale ≥ 4 Hemorrhagic tendency or hemorrhagic disease (such as cerebral hemorrhage, gastrointestinal tract hemorrhage, etc.) Had a myocardial infarction, angina pectoris within the last 3 months Congestive heart failure Is pregnant, is potentially pregnant, or is breastfeeding Severe hepatic inadequacy or severe renal inadequacy (AST or ALT is 2.5 times higher than the upper limit of the normal value range, or serum creatinine is 1.2 times higher than the upper limit of the normal value range) Persistent or hardly controlled hypertension (such as malignant hypertension, BP> 160/100 mmHg) Severe ventricular arrhythmia (such as multiple and multifocal premature ventricular contractions) Has a medical history that includes a cardiac syncope or a primary syncope Has a condition that may prolong QT interval (such as congenital long QT syndrome, taking drugs which prolong QT interval, hypokalemia or hypomagnesemia, etc.) Has severe diseases (such as, malignant tumor, severe anaemia, severe hematologic diabetes mellitus ketoacidosis, nonketotic hyperosmolar diabetic coma, etc.) Registered other clinical trails within the last 3 months Has vasculitis, moyamoya disease and other non-atherosclerosis vascular diseases Other conditions that could exclude the subject from this study by doctor's judgment
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yining Huang, M.D.
Organizational Affiliation
Peking University First Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
First Affliate Hospital of Beijing University
City
Beijing
Country
China

12. IPD Sharing Statement

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Study of Cilostazol and Probucol Alone and in Combination on Atherosclerosis Related Biomarker---atherosclerosis Cerebral Infarction Patient as Study Subject

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