This pilot study will recruit 25 subjects to assess the feasibility of replicating the FLAME study (Chollet, et al. Lancet 2011), a randomized controlled trial (RCT) that assessed the effect of fluoxetine vs placebo on motor recovery after ischemic stroke, in an American sample of post-acute stroke patients. This trial will in addition examine the effect of treatment with fluoxetine versus placebo on concurrent deficits in language and hemispatial attention, as well as post-stroke fatigue and will evaluate the durability of observed effects. The results of this pilot trial will be used to develop power estimates for a larger trial and to evaluate recruitment and intervention completion rates for subjects in an American post-acute environment. There are two additional substudies: the first will use MRI to assess structural changes at the beginning and end of the intervention; the second will examine the relationship of serum biomarkers of inflammation to the intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
20 mg daily for 90 days starting day 5-10 after stroke.
subjects will take one pill po daily for 90 days.
Spaulding Rehabilitation Hospital
Boston, Massachusetts, United States
Fugl-Meyer Motor Scale (FMMS)
change in FMMS score
Time frame: baseline to 90 days
Fugl-Meyer Motor Scale (FMMS)
change in FMMS
Time frame: baseline to 180 days
Western Aphasia Battery
change in Western Aphasia Quotient
Time frame: baseline to 90 days
Behavioral Inattention Test (BIT)
change in BIT
Time frame: baseline to 90 days
Behavioral Inattention Test (BIT)
change in BIT
Time frame: baseline to 180 days
Functional Independence Measure
change in FIM
Time frame: baseline to discharge
Fatigue Severity Scale
Time frame: baseline to 90 days
Beck Depression Inventory
Time frame: baseline to 90 days
Western Aphasia Battery
change in Western Aphasia Quotient
Time frame: baseline to 180 days
Beck Depression Inventory
Time frame: baseline to 180 days
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Fatigue Severity Scale
Time frame: baseline to 180 days
modified Rankin Scale
Time frame: baseline to 90 days
modified Rankin Scale
Time frame: baseline to 180 days