Study on the Efficacy of Alprostadil Injection in Patients With Acute Ischemic Stroke
Primary Purpose
Stroke
Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
Alprostadil
Normal saline
Sponsored by

About this trial
This is an interventional treatment trial for Stroke
Eligibility Criteria
Inclusion Criteria:
- ischemic stroke diagnosed by CT or MRI
- Age: 18-75 years
- Pre-stroke mRS score is 0-1
- within 72 hours symptoms onset
- 4 ≤ NIHSS <20
- Patient is willing to participate voluntarily and to sign a written patient informed consent
Exclusion Criteria:
- intracranial tumors, encephalitis or lesions diagnosed by CT or MRI
- patients with thrombolytic therapy
- low platelet , blood system diseases or other bleeding tendency
- suspected subarachnoid hemorrhage or aortic dissection coma
- atrial fibrillation, myocardial infarction, heart valve disease, infective endocarditis, heart rate <50 beats / min
- ALT or AST continued to rise more than 3 times the upper limit of normal creatinine clearance rate<30ml/min
- Dementia and mental illness
- Patient who is participating in other trials or has been participated in other trials in recent 3 months
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
Alprostadil
Normal saline
Arm Description
Based on the standard medical care, 2ml of Alprostadil
Based on the standard medical care, 2ml of 0.9% saline as the placebo
Outcomes
Primary Outcome Measures
Modified Rankin Scale at Day 90
Secondary Outcome Measures
Incidence of major vascular events in 30 or 90 days including ischemic stroke and hemorrhagic stroke
Major adverse vascular events include ischemic stroke, hemorrhagic stroke, TIA, myocardial infarction and vascular-related death.
Incidence of stroke events in 30 or 90 days including ischemic stroke and hemorrhagic stroke
Barthel Index score
compared the changes in activities of daily living (Barthel index) between the two groups
EQ-5D scale
compared the changes in EQ-5D scale
Documentation of adverse events (AEs)
compared the rates of adverse events
Full Information
NCT ID
NCT03252626
First Posted
August 8, 2017
Last Updated
October 12, 2021
Sponsor
The First Hospital of Jilin University
1. Study Identification
Unique Protocol Identification Number
NCT03252626
Brief Title
Study on the Efficacy of Alprostadil Injection in Patients With Acute Ischemic Stroke
Official Title
Study on the Efficacy of Alprostadil Injection in Patients With Acute Ischemic Stroke
Study Type
Interventional
2. Study Status
Record Verification Date
August 2021
Overall Recruitment Status
Unknown status
Study Start Date
August 18, 2022 (Anticipated)
Primary Completion Date
December 31, 2022 (Anticipated)
Study Completion Date
June 30, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The First Hospital of Jilin University
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
Ischemic stroke has a variety of treatments and currently drug therapy is one of the main treatments.A number of clinical studies have proved that alprostadil (PGE1) has pharmacological effects of significant dilation of blood vessels, inhibition of plate aggregation, anti-atherosclerosis and increased cerebral blood flow.Evaluate the 90-days efficacy by comparing two groups of patients'(one with alprostadil,another with placebo) mRS.
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 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
950 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Alprostadil
Arm Type
Active Comparator
Arm Description
Based on the standard medical care, 2ml of Alprostadil
Arm Title
Normal saline
Arm Type
Placebo Comparator
Arm Description
Based on the standard medical care, 2ml of 0.9% saline as the placebo
Intervention Type
Drug
Intervention Name(s)
Alprostadil
Intervention Description
Alprostadil injection USP for intravascular infusion contains 500 micrograms Alprostadil, more commonly known as prostaglandin E1. Vasodilation, inhibition of platelet aggregation are among the most notable of these effects.
2ml Alprostadil injection added into 10ml 0.9% saline.
Intervention Type
Drug
Intervention Name(s)
Normal saline
Intervention Description
2ml normal saline injection added into 10ml 0.9% saline.
Primary Outcome Measure Information:
Title
Modified Rankin Scale at Day 90
Time Frame
day 90
Secondary Outcome Measure Information:
Title
Incidence of major vascular events in 30 or 90 days including ischemic stroke and hemorrhagic stroke
Description
Major adverse vascular events include ischemic stroke, hemorrhagic stroke, TIA, myocardial infarction and vascular-related death.
Time Frame
day 30, day 90
Title
Incidence of stroke events in 30 or 90 days including ischemic stroke and hemorrhagic stroke
Time Frame
day 30, day 90
Title
Barthel Index score
Description
compared the changes in activities of daily living (Barthel index) between the two groups
Time Frame
day 30, day 90
Title
EQ-5D scale
Description
compared the changes in EQ-5D scale
Time Frame
day 30, day 90
Title
Documentation of adverse events (AEs)
Description
compared the rates of adverse events
Time Frame
day 30, day 90
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
ischemic stroke diagnosed by CT or MRI
Age: 18-75 years
Pre-stroke mRS score is 0-1
within 72 hours symptoms onset
4 ≤ NIHSS <20
Patient is willing to participate voluntarily and to sign a written patient informed consent
Exclusion Criteria:
intracranial tumors, encephalitis or lesions diagnosed by CT or MRI
patients with thrombolytic therapy
low platelet , blood system diseases or other bleeding tendency
suspected subarachnoid hemorrhage or aortic dissection coma
atrial fibrillation, myocardial infarction, heart valve disease, infective endocarditis, heart rate <50 beats / min
ALT or AST continued to rise more than 3 times the upper limit of normal creatinine clearance rate<30ml/min
Dementia and mental illness
Patient who is participating in other trials or has been participated in other trials in recent 3 months
12. IPD Sharing Statement
Learn more about this trial
Study on the Efficacy of Alprostadil Injection in Patients With Acute Ischemic Stroke
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