- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05289518
Remote Ischemic Conditioning for the Treatment of Stroke-related Insomnia (RIC-SI)
Remote Ischemic Conditioning for the Treatment of Stroke-related Insomnia:A Multicenter, Randomized, Double-blind, Sham-controlled Trial.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Sleep disturbance after stroke is an important factor affecting the prognosis of stroke function. At present, most studies have focused on the diagnosis and treatment of sleep disordered breathing after stroke, while stroke-related insomnia has been neglected. Therefore, it is of great significance to explore a treatment that combines stroke protection with sleep improvement.
Remote ischemic conditioning (RIC) triggers endogenous protective effect through transient and repeated ischemia in the limb to protect remote tissues and organs. The mechanisms of LRIC involve the regulation of autonomic nervous system, release of humoral factors, improvement of vascular endothelial function and modulation of immune/inflammatory responses, which participate in the regulation of sleep after stroke.Therefore, this study intends to conduct a randomized controlled trial to further reveal the effect of RIC in stroke-related insomnia and explore its potential mechanisms.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Xunming Ji, MD, PhD
- Phone Number: 101-83199430
- Email: jixm@ccmu.edu.cn
Study Contact Backup
- Name: Jin Ma, MD
- Phone Number: 13699188306
- Email: 2753297695@qq.com
Study Locations
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Beijing
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Beijing, Beijing, China, 100053
- Xuan Wu Hospital,Capital Medical University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged 18 to 70 years old;
- mRS≤3;
- Meeting the DSM-IV diagnostic criteria for insomnia: in the past one month, the presence of any of the following symptoms: a. have difficulty falling asleep (sleep latency >30 minutes); b. have trouble in maintaining sleep; c. early awakening, accompanied by impaired daytime function, with symptoms occurring more than three times a week, lasting at least 2 weeks;
- Written informed consent provided by the patients or their legal relatives.
Exclusion Criteria:
- Chronic insomnia (PSQI≥8) or other sleep disorders was diagnosed 3 months before onset of stroke;
- Presence or past history of neuropsychiatric diseases such as epilepsy, brain tumors, neurodegenerative disorders, restless leg syndrome, periodic leg movement;
- Schizophrenia, significant anxiety and depression (HAMA≥14 points, HAMD≥17 points) with moderate to high suicide risk, etc;
- Serious infection, malignancy, and other serious medical conditions (acute heart, liver, renal failure and other diseases);
- Have taken any medications (antipsychotics, hypnotics, antidepressants, etc.) that interfere with sleep in the latest two weeks;
- Have work shift or jet lag experience 4 months before enrollment Infants, Pregnant or lactating women.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Intervention group
Subjects in the intervention group will recieve remote ischemic conditioning (RIC) treatment twice a day for 3 months.
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RIC is a non-invasive therapy which is performed by automated pneumatic cuffs placed on bilateral arms.
The RIC protocol include five cycles of 5-min inflation to 220mmHg and 5-min deflation.
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SHAM_COMPARATOR: Sham control group
Subject in the sham control group will recieve sham remote ischemic conditioning (Sham-RIC) treatment twice a day for 3 months.
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The Sham-RIC protocol include five cycles of 5-min inflation to 60 mmHg and 5-min deflation by placing automated pneumatic cuffs on bilateral arms.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PSQI score(Pittsburgh sleep quality index)
Time Frame: From baseline to 3months
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PSQI score of baseline and treatment after 1, 2, 3months .
The the minimum value is 0, and the maximum value is 21.Higher scores mean a worse outcome.
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From baseline to 3months
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Sleep Disorders, Intrinsic
- Dyssomnias
- Sleep Wake Disorders
- Stroke
- Ischemic Stroke
- Ischemia
- Sleep Initiation and Maintenance Disorders
Other Study ID Numbers
- RIC-SI
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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