Primary: Change of volume of perihematomal edema as assessed by brain CT. Secondary: The change of ICH volume between the initial and the follow-up CT scans The neurological status at 90 day using E-GOS and mRS. The cumulative incidence of major and minor adverse events that occurred during and after hospitalization until the end of the study
1. INCLUSION/EXCLUSION CRITERIA 1. Inclusion Criteria * Spontaneous intracerebral hemorrhage was documented by CT scanning within 24 hours of the onset of symptoms * Supratentorial location of hemorrhage * Older than 17 yrs * Informed consent before study 2. Exclusion Criteria * Planned surgical evacuation of hematoma within 24hrs * Secondary ICH such as trauma or aneurysmal rupture * Taking anticoagulation previously * Pregnancy,known allergy to celecoxib, severe liver or kidney disease, or poor performance state were excluded * Other physical condition, making the patient difficult to participate in this study (decided by the neurologist or the physician). 2. OTHER THERAPY -No limitation of other medications except NSAIDs, anticoagulation and antiplatelet agent because of aggravating the symptoms 3. STUDY DESIGN Multicenter, prospective randomized, comparative open with blinded endpoints (PROBE) trial to assess the safety and effectiveness of administration of celecoxib for 14 days in patients with intracerebral hemorrhage
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
44
In the celecoxib group, patients will take celecoxib 400mg twice (per day), orally for 14 days.
Seoul National University Hospital
Seoul, Seoul, South Korea
Change of volume of perihematomal edema as assessed by brain CT
Brain CT scanning for measurement of volumes of ICH and perihematomal edema was performed at 1st day of admission and repeated at 7th±1 day. Considering some possible errors in measurement of edema volume, at follow-up CT scan, the decrease more than 20% from the initial edema volume was coded as "decreased" edema volume; the increase more than 20% was coded as "increased"; the change between -20% and 20% was coded as "unchanged".
Time frame: at 1st day of admission and repeated at 7th±1 day
The neurological status at 90 day using E-GOS and mRS
The secondary endpoints were neurological status at 90 day using E-GOS and mRS. Good outcome was defined as 6 or more in E-GOS score, and 2 or less in mRS score.
Time frame: 90 days after onset.
Change of ICH volume between the initial and the follow-up CT scans
Change of ICH volume between the initial and the follow-up CT scans. In this analysis, the 20% criterion was applied as mentioned in the edema analysis
Time frame: Day1, Day 7
Major and minor adverse events
the cumulative incidence of major and minor adverse events that occurred during and after hospitalization until the end of the study
Time frame: anytime for 3 months
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