Shuxuening injection is a multi-target neuroprotective agent, it is expected to play a neuroprotective role on the basis of intravenous thrombolysis therapy. The primary purpose of this multicenter, randomized, double-blind, placebo-parallel controlled trial is to evaluate the efficacy and safety of Shuxuening injection in the treatment with intravenous thrombolysis in patients with ischemic stroke.
Intravenous thrombolysis with rt-PA within the time window is the most effective drug for acute ischemic stroke, but there are still more than 50% patients with functional disability. Neuroprotective agents can reduce brain cell death after cerebral ischemia by blocking all links of ischemic cascade. Shuxuening injection is a multi-target neuroprotective agent, it is expected to play a neuroprotective role on the basis of intravenous thrombolysis therapy. This study is a multicenter, randomized, double-blind, placebo-parallel controlled trial. A total of 1380 patients from 50 centers in China who could be treated within 6 hours of onset and have received or plan to undergo intravenous thrombolytic therapy will be enrolled and randomly assigned, in a 1:1 ratio, to receive Shuxuening injection (20 ml Shuxuening injection + 250 ml 0.9% sodium chloride injection), or to receive Shuxuening injection placebo (20 ml plus 250 ml 0.9% sodium chloride injection); both groups are treated for 10-14 days. The primary efficacy outcome is mRS Score 0 to 1 at 90 days, and the primary safety outcome is adverse events within 90 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
1,380
Receiving 20 ml Shuxuening injection plus 250ml 0.9% sodium chloride injection, intravenous drip once a day, for 10-14 days
Receiving 20 ml placebo Shuxuening injection plus 250ml 0.9% sodium chloride injection, intravenous drip once a day, for 10-14 days.
The proportion of mRS score 0 to 1 at 90 days after randomization
The Modified Rankin Scale (mRS) score ranges from 0 to 6, with higher scores indicating worse functional outcome.
Time frame: At 90 days after randomization
The proportion of mRS score 0 to 2 at 90 days after randomization
The Modified Rankin Scale (mRS) score ranges from 0 to 6, with higher scores indicating worse functional outcome.
Time frame: At 90 days after randomization
The distribution of mRS scores at 90 days after randomization
The Modified Rankin Scale (mRS) score ranges from 0 to 6, with higher scores indicating worse functional outcome.
Time frame: At 90 days after randomization
NIHSS score improvement ≥4 points from baseline at 14 days after randomization or on discharge
The National Institutes of Health Stroke Scale (NIHSS) score ranges from 0 to 42, with higher scores indicating more severe neurological deficit.
Time frame: At 14 days after randomization or on discharge
EQ-5D score at 90 days after randomization
The European Quality of Life 5-Dimension 3-Level (EQ-5D-3L) includes five dimensions. The sum score on each of the five dimensions ranges from 5 (all domains have level 1) to 15 (all domains have level 3), with higher scores indicating worse health-related quality of life.
Time frame: At 90 days after randomization
The proportion of Barthel index score ≥95 points at 90 days after randomization
The Barthel index score ranges from 0 to 100, with higher scores indicating greater independence.
Time frame: At 90 days after randomization
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Fangshan District First Hospital
Beijing, Beijing Municipality, China
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Chongqing, Chongqing Municipality, China
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Chongqing, Chongqing Municipality, China
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Qianjiang, Chongqing Municipality, China
RECRUITINGThe First Affiliated Hospital of Guangdong Pharmaceutical University
Guangzhou, Guangdong, China
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Heyuan, Guangdong, China
RECRUITINGHuazhou People's Hospital
Maoming, Guangdong, China
RECRUITINGMeizhou Hospital of Traditional Chinese Medicine
Meizhou, Guangdong, China
RECRUITINGYunfu People's Hospital
Yunfu, Guangdong, China
RECRUITINGWuchuan People's Hospital
Zhanjiang, Guangdong, China
RECRUITING...and 72 more locations
Adverse events within 90 days after randomization
Time frame: Within 90 days after randomization
Serious adverse events within 90 days after randomization
Time frame: Within 90 days after randomization
Symptomatic intracranial hemorrhage (ECASS-III) within 90 days after randomization
Time frame: Within 90 days after randomization
Symptomatic intracranial hemorrhage (SITS-MOST PH2) within 90 days after randomization
Time frame: Within 90 days after randomization
All-cause death within 90 days after randomization
Time frame: Within 90 days after randomization