Curative Efficacy of Secondary Prevention for Patients With Ischemic Stroke Through Syndrome Differentiation of TCM
A Multi-center, Randomized, Double-blind and Placebo-controlled Clinical Research of 2200 Cases in Improving Curative Effect of Secondary Prevention for Patients With Ischemic Stroke Through Syndrome Differentiation of TCM
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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Shanghai
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Shanghai, Shanghai, China, 200433
- Changhai Hospital
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Shanghai, Shanghai, China, 200072
- Shanghai Tenth People's Hospital
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Shanghai, Shanghai, China, 200000
- Shanghai Seventh People's Hospital
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Shanghai, Shanghai, China, 200011
- Shanghai Ninth People's Hospital affliated to Shanghai Jiao Tong University Shool of Medcine
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Shanghai, Shanghai, China, 200020
- North Branch of Ruijin Hospital affliated to Shanghai Jiao Tong University
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Shanghai, Shanghai, China, 200021
- Shanghai Putuo Central Hospital
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Shanghai, Shanghai, China, 200021
- Shuguang Hospital affliated to Shanghai University of Traditional Chinese Medicine
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Shanghai, Shanghai, China, 200032
- Longhua Hospital affliated to Shanghai University of Traditional Chinese Medicine
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Shanghai, Shanghai, China, 200032
- Zhongshan Hospital affliated to Fudan University
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Shanghai, Shanghai, China, 200040
- Huashan Hospital affliated to Fudan University
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Shanghai, Shanghai, China, 200040
- Shanghai fifth People's Hospital affliated to Fudan University
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Shanghai, Shanghai, China, 200050
- Tongren Hospital affliated to Shanghai Jiao Tong University
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Shanghai, Shanghai, China, 200065
- Tongji Hospital
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Shanghai, Shanghai, China, 200071
- Shanghai Chinese Medicine Hospital
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Shanghai, Shanghai, China, 200082
- Shanghai Hospital of Integrative Medicine
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Shanghai, Shanghai, China, 200092
- Xinhua Hospital affliated to Shanghai Jiao Tong University Shool of Medcine
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Shanghai, Shanghai, China, 200120
- Dongfang Hospital affliated to Tongji University
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Shanghai, Shanghai, China, 200135
- Pudong Gong Li Hospital of Shanghai
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Shanghai, Shanghai, China, 200233
- Shanghai sixth People's Hospital affliated to Shanghai Jiao Tong University
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Shanghai, Shanghai, China, 200336
- Changning Tongren Hospital of Shanghai
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Shanghai, Shanghai, China, 201200
- Pudong Hospital of Traditional Chinese Medicine
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Shanghai, Shanghai, China, 201306
- East Branch of Shanghai sixth People's Hospital
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Shanghai, Shanghai, China, 201700
- Qingpu Branch of Zhongshan Hospital affliated to Fudan University
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Shanghai, Shanghai, China, 201999
- Shanghai third People's Hospital affliated to Shanghai Jiao Tong University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult volunteers aged ≤ 90 years old, ≥18 years old;
- Conforming to the diagnostic criteria of cerebral infarction under the 2010 version of Chinese Guidelines for Treatment of Acute Ischemic Stroke;
- Conforming to diagnostic criteria of the stasis type of TCM on the ischemic stroke;
- The onset of acute cerebral infarction ≥ 10 days;
- Consciousness awake;
- Volunteers agree to accept the program and sign informed consent.
Exclusion Criteria:
- Excluding the patients of the yin deficiency type of ischemic stroke.The diagnostic criteria of Yin deficiency type of ischemic stroke is that sudden onset of disease;being signs or symptoms of of neurological deficit;CT or MRI examination showing intracranial ischemic lesions;Scarlet tongue;
- The volunteers with severe heart diseases, cardiac insufficiency, hepatosis, renal insufficiency, respiratory failure, malignant tumour, alimentary tract hemorrhage, etc. who may fail to complete the two-year follow-up;
- Psychiatric patients;
- Pregnants and lactating women;
- Volunteers in other clinical trials;
- Volunteers who are not suitable for this clinical trial according to the researchers for other reasons.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Experimental group
On the basis of the secondary prevention of ischemic stroke,Volunteers will be taken Naoxintong capsule, 2 times a day, three granule per time
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This is Naoxintong capsule,which is composed of Huangqi,Chishao,Danshen,Danggui, Chuanxiong,Taoren,Honghua,Ruxiang,Moyao,Jixueteng,Niuxi,Guizhi,Sangzhi,Dilong,Quanxie,etal.
Other Names:
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Active Comparator: Control group
On the basis of the secondary prevention of ischemic stroke,Volunteers will be taken Placebo capsule,which is identical with Naoxintong capsule in the appearance, shape, color and content, 2 times a day, three granule per time
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placebo capsule has the same as Naoxintong capsule in the appearance, shape,colour and content tinct.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Stroke recurrence rate and Stroke mortality
Time Frame: 2 years
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Stroke recurrence rate and Stroke mortality
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2 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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All-cause mortality
Time Frame: 2 years
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All-cause mortality
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2 years
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The incidence rate of myocardial infarction
Time Frame: 2 years
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The incidence rate of myocardial infarction
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2 years
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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The incidence of adverse events
Time Frame: 2 years
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The incidence of adverse events
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2 years
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Xiao F Yu, Doctor, ShuGuang Hospital
Publications and helpful links
General Publications
- Antithrombotic Trialists' Collaboration. Collaborative meta-analysis of randomised trials of antiplatelet therapy for prevention of death, myocardial infarction, and stroke in high risk patients. BMJ. 2002 Jan 12;324(7329):71-86. doi: 10.1136/bmj.324.7329.71. Erratum In: BMJ 2002 Jan 19;324(7330):141.
- Hankey GJ. Ischaemic stroke--prevention is better than cure. J R Coll Physicians Edinb. 2010 Mar;40(1):56-63. doi: 10.4997/JRCPE.2010.111. No abstract available.
- Sobel M. Commentary. Aspirin plus dipyridamole versus aspirin alone after cerebral ischaemia of arterial origin (ESPRIT): randomised controlled trial. Perspect Vasc Surg Endovasc Ther. 2007 Mar;19(1):87-9. doi: 10.1177/1531003507299489. No abstract available.
- Matchar DB, Samsa GP, Liu S. Cost-effectiveness of antiplatelet agents in secondary stroke prevention: the limits of certainty. Value Health. 2005 Sep-Oct;8(5):572-80. doi: 10.1111/j.1524-4733.2005.00050.x.
- Diener HC, Sacco RL, Yusuf S, Cotton D, Ounpuu S, Lawton WA, Palesch Y, Martin RH, Albers GW, Bath P, Bornstein N, Chan BP, Chen ST, Cunha L, Dahlof B, De Keyser J, Donnan GA, Estol C, Gorelick P, Gu V, Hermansson K, Hilbrich L, Kaste M, Lu C, Machnig T, Pais P, Roberts R, Skvortsova V, Teal P, Toni D, VanderMaelen C, Voigt T, Weber M, Yoon BW; Prevention Regimen for Effectively Avoiding Second Strokes (PRoFESS) study group. Effects of aspirin plus extended-release dipyridamole versus clopidogrel and telmisartan on disability and cognitive function after recurrent stroke in patients with ischaemic stroke in the Prevention Regimen for Effectively Avoiding Second Strokes (PRoFESS) trial: a double-blind, active and placebo-controlled study. Lancet Neurol. 2008 Oct;7(10):875-84. doi: 10.1016/S1474-4422(08)70198-4. Epub 2008 Aug 29. Erratum In: Lancet Neurol. 2008 Nov;7(11):985.
- Uchiyama S, Ikeda Y, Urano Y, Horie Y, Yamaguchi T. The Japanese aggrenox (extended-release dipyridamole plus aspirin) stroke prevention versus aspirin programme (JASAP) study: a randomized, double-blind, controlled trial. Cerebrovasc Dis. 2011;31(6):601-13. doi: 10.1159/000327035. Epub 2011 Apr 19.
- Jeng JS, Sun Y, Lee JT, Lin RT, Chen CH, Po HL, Lin HJ, Liu CH, Sun MH, Sun MC, Chern CM, Lien LM, Chiu HC, Hu HH, Chiou HY, Chen ST, Ma H, Hsu CY; SPAD Study Investigators. The efficacy and safety of cilostazol in ischemic stroke patients with peripheral arterial disease (SPAD): protocol of a randomized, double-blind, placebo-controlled multicenter trial. Int J Stroke. 2015 Jan;10(1):123-7. doi: 10.1111/ijs.12384. Epub 2014 Nov 14.
- Ikeda Y, Shimada K, Teramoto T, Uchiyama S, Yamazaki T, Oikawa S, Sugawara M, Ando K, Murata M, Yokoyama K, Ishizuka N. Low-dose aspirin for primary prevention of cardiovascular events in Japanese patients 60 years or older with atherosclerotic risk factors: a randomized clinical trial. JAMA. 2014 Dec 17;312(23):2510-20. doi: 10.1001/jama.2014.15690.
- Yu XF, Zhu XY, Yuan CX, Wu DH, Zhao YW, Yang JJ, Wang CD, Wu WW, Liu XY, Liu ZG, Nie ZY, Deng BQ, Bao H, Li LX, Wang CY, Zhang HZ, Zhang JS, Huang JH, Gong F, Wang MZ, Guo YM, Sun Y, Cai DF. Naoxintong Capsule for Secondary Prevention of Ischemic Stroke: A Multicenter, Randomized, and Placebo-Controlled Trial. Chin J Integr Med. 2022 Dec;28(12):1063-1071. doi: 10.1007/s11655-022-3586-8. Epub 2022 Oct 17.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 14401970300
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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