- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00554723
CHInese Medicine NeuroAid Efficacy on Stroke Recovery (CHIMES)
A Double Blind, Placebo Controlled, Randomized, Multicenter Study to Investigate CHInese Medicine NeuroAid Efficacy on Stroke Recovery
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Stroke is a major cause of death and disability. Previous clinical studies performed in China have shown that NeuroAiD increase stroke patients'recovery in terms of neurological disability and functional outcome{Chen et al,2009}and thus may be beneficial as part of a post-stroke rehabilitation programme.
In the CHIMES study,we seek to test the hypothesis that NeuroAiD is superior to a placebo in reducing neurological deficit and improving functional outcome in patients recruited within 72 h after the ischemic stroke with intermediate range of severity {6<_NIHSS<_14}.More details of the study protocol have recently been published {Venketasubramanian et al,2009}.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Hong Kong, Hong Kong
- Prince of Wales Hospital
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Penang
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Georgetown, Penang, Malaysia, 10990
- Penang General Hospital
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Baguio City, Philippines, 2600
- Baguio General Hospital and Medical Center
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Cebu, Philippines
- Chong Hua Hospital
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Davao, Philippines, 8000
- Davao Medical Center
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Davao, Philippines
- Brokenshire Hospital
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Davao, Philippines
- Davao Medical School Foundation
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Iloilo City, Philippines, 5000
- West Visayas State University Hospital
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Manila, Philippines
- Philippine General Hospital
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Manila, Philippines, 1003
- Jose Reyes Memorial Medical Center
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Manilla, Philippines, 1008
- University of Santo Tomas
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Cebu
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Cebu City, Cebu, Philippines, 6000
- Visayas Community Medical Center
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Singapore, Singapore, 119074
- National University Hospital
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Singapore, Singapore, 529889
- Changi General Hospital
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Singapore, Singapore, 308433
- National Neuroscience Institute - Tan Tock Seng Campus
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Singapore, Singapore, 308433
- Singapore General Hospital
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Ragama, Sri Lanka
- University of Kelaniya
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Bangkok, Thailand
- Siriraj Hospital
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Bangkok, Thailand, 10330
- King Chulalongkorn Memorial Hospital
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Bangkok, Thailand, 10400
- Prasat Neurological Institute
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Bangkok, Thailand, 10400
- Rajvithee Hospital
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Bangkok, Thailand, 12121
- Thammasart Hospital
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Bangkok, Thailand
- King Mongkutla Hospital
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Chiangmai
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Muang City, Chiangmai, Thailand, 50200
- Chiangmai University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject is aged 18 years old and above (for Singapore 21 years and above as this is the legal age of consent)
- Subject is on anti-platelet therapy
- Subject is presented a pre-stroke Modified Rankin Scale inferior or equal to 1
- Female subject is eligible to participate in the trial if she is of non-childbearing potential (i.e. physiologically incapable of becoming pregnant, including any female who is post menopausal)
- Subject or his/her legally acceptable representative is willing to provide written informed consent
- Subject is presented with cerebral infarction with compatible imaging at Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI)
- Time window is less than 72 hours after symptoms onset
- Subject with cerebral infarction with intermediate severity range: 6 ≤ NIHSS ≤ 14
Exclusion Criteria:
- Subjects deemed unstable by investigator after thrombolysis treatment
- Subject has evidence of intra-cerebral hemorrhage on brain CT scan or MRI
- Subject has a rapidly improving neurological deficit
- Subject has definite indication for full-dose or long-term anticoagulation therapy
- Subject has other significant non-ischemic brain lesion which could affect function disability
- Subject has co-existing systemic diseases: terminal cancer, renal failure (creatinine > 200 μmol/L, if known), cirrhosis, severe dementia or psychosis
- Subject has participated in another clinical trial within the last three months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: A
NeuroAid
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4 capsules 3 times daily, for three months
Other Names:
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Placebo Comparator: B
NeuroAid matched Placebo
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NeuroAid matched Placebo, 4 capsules 3 times daily, for three months
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Distribution modified Rankin Scale grades for all randomized subjects
Time Frame: 3 months
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3 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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NIHSS, Barthel Index, MMSE
Time Frame: 3 months
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3 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Marie Germaine Bousser, MD, APHP PARIS
- Principal Investigator: Christopher Chen, MBBS, National University, Singapore
Publications and helpful links
General Publications
- Young SH, Zhao Y, Koh A, Singh R, Chan BP, Chang HM, Venketasubramanian N, Chen C; CHIMES Investigators. Safety profile of MLC601 (Neuroaid) in acute ischemic stroke patients: A Singaporean substudy of the Chinese medicine neuroaid efficacy on stroke recovery study. Cerebrovasc Dis. 2010;30(1):1-6. doi: 10.1159/000313398. Epub 2010 Apr 16.
- Chen C, Venketasubramanian N, Gan RN, Lambert C, Picard D, Chan BP, Chan E, Bousser MG, Xuemin S. Danqi Piantang Jiaonang (DJ), a traditional Chinese medicine, in poststroke recovery. Stroke. 2009 Mar;40(3):859-63. doi: 10.1161/STROKEAHA.108.531616. Epub 2009 Jan 22.
- Gan R, Lambert C, Lianting J, Chan ES, Venketasubramanian N, Chen C, Chan BP, Samama MM, Bousser MG. Danqi Piantan Jiaonang does not modify hemostasis, hematology, and biochemistry in normal subjects and stroke patients. Cerebrovasc Dis. 2008;25(5):450-6. doi: 10.1159/000126919. Epub 2008 Apr 16. Erratum In: Cerebrovasc Dis. 2009;27(4):412.
- Venketasubramanian N, Chen CL, Gan RN, Chan BP, Chang HM, Tan SB, Picard D, Navarro JC, Baroque AC 2nd, Poungvarin N, Donnan GA, Bousser MG; CHIMES Investigators. A double-blind, placebo-controlled, randomized, multicenter study to investigate CHInese Medicine Neuroaid Efficacy on Stroke recovery (CHIMES Study). Int J Stroke. 2009 Feb;4(1):54-60. doi: 10.1111/j.1747-4949.2009.00237.x.
- Lee CF, Venketasubramanian N, Wong KS, Chen CL; CHIMES Study Investigators. Comparison Between the Original and Shortened Versions of the National Institutes of Health Stroke Scale in Ischemic Stroke Patients of Intermediate Severity. Stroke. 2016 Jan;47(1):236-9. doi: 10.1161/STROKEAHA.115.011657. Epub 2015 Dec 1.
- Chen CL, Venketasubramanian N, Lee CF, Wong KS, Bousser MG; CHIMES Study Investigators. Effects of MLC601 on early vascular events in patients after stroke: the CHIMES study. Stroke. 2013 Dec;44(12):3580-3. doi: 10.1161/STROKEAHA.113.003226. Epub 2013 Oct 17.
- Chen CL, Young SH, Gan HH, Singh R, Lao AY, Baroque AC 2nd, Chang HM, Hiyadan JH, Chua CL, Advincula JM, Muengtaweepongsa S, Chan BP, de Silva HA, Towanabut S, Suwanwela NC, Poungvarin N, Chankrachang S, Wong KS, Eow GB, Navarro JC, Venketasubramanian N, Lee CF, Bousser MG; CHIMES Study Investigators. Chinese medicine neuroaid efficacy on stroke recovery: a double-blind, placebo-controlled, randomized study. Stroke. 2013 Aug;44(8):2093-100. doi: 10.1161/STROKEAHA.113.002055. Epub 2013 Jun 18.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SQSTR03 - CHIMES
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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