Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Protective Effects of Remote Limb Ischemic Preconditioning on Acute Cerebral Infarction

22. august 2012 opdateret af: Ji Xunming, Capital Medical University

Phase 2 Study of Remote Limb Ischemic Preconditioning on Acute Cerebral Infarction

Stroke is one of the three leading causes of human death, and a major cause of adult disability. Our pre-clinical studies confirmed that ischemic preconditioning can prevent cerebral infarction. Animal studies confirmed that ischemic postconditioning can reduce infarct size of cerebral infarction. Investigators hypothesized that postconditioning would reduce infarct volume of ischemic stroke patients.

Studieoversigt

Status

Ukendt

Betingelser

Detaljeret beskrivelse

This study explored the neuroprotective effects of post-positioning on ischemic stroke patients with randomized, double-blinded and controlled method. Patients are divided into experimental and placebo groups to receive remote ischemic post-conditioning for 30 days. Remote ischemic post-conditioning is performed by the inflating tourniquets to certain extents on bilateral arms with 5 cycles of 5min inflation and 5min relax alternation for the total of 30 consecutive days. It is 200mmHg for RIPC group and 60mmHg for control group. Evaluation parameters include CRP, TNF-α, ICAM-1 and GFAP in blood at 0, 3, 7, 15 and 30 days after treatment; and MRI at 0 and 30 days after treatment.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

80

Fase

  • Fase 2
  • Fase 1

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

40 år til 80 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. age between 40 to 80 Years
  2. Ischemic cerebrovascular disease within 6 hours
  3. National Institutes of Health Stroke Scale(NIHSS) score 0-15,and Modified Rankin Scale(mRS) score 0-4
  4. Cranial CT to rule out the the cerebral hemorrhage
  5. Written informed consent was

Exclusion Criteria:

  1. Cerebral hemorrhage
  2. Other parts of the active bleeding disease
  3. Atrial fibrillation
  4. Moyamoya disease or vasculitis
  5. Hereditary disease, such as with CADASIL, FABRY, mitochondrial myopathy
  6. Out coagulation disorder
  7. Severe lesions of severe liver and kidney disease, malignancy or other systemic
  8. Cannot tolerate BLIPC or without informed consent

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: RIPC group
RIPC treatment was performed by the inflating tourniquets to 200mmHg on bilateral arms with 5 cycles of 5min inflation and 5min relax alternation for the total of 30 consecutive days.
Andre navne:
  • Brand name: Doctormate
  • Type: IPC-906X
  • Productor: Beijing Renqiao Institute of Neuroscience
Sham-komparator: Control group
RIPC sham was performed by the inflating tourniquets to 60mmHg on bilateral arms with 5 cycles of 5min inflation and 5min relax alternation for the total of 30 consecutive days.
Andre navne:
  • Brand name: Doctormate
  • Productor: Beijing Renqiao Institute of Neuroscience
  • Type: modified version of IPC-906X

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Local tissue damage 30 days after RIPC treatment
Tidsramme: 30 days after RIPC treatment
Evaluated by the doctor blinded to the study protocol, including: local edema, redness, skin breakage
30 days after RIPC treatment
Levels of plasma biomarkers assay right before RIPC treatment
Tidsramme: right before RIPC treatment (within 24hrs)
levels of CRP、TINF-α、slCAM-1 and GFAP
right before RIPC treatment (within 24hrs)
Levels of plasma biomarkers assay 3 days after RIPC treatment.
Tidsramme: 3 days after RIPC treatment.
levels of CRP、TINF-α、slCAM-1 and GFAP
3 days after RIPC treatment.
Levels of plasma biomarkers assay 15 days after RIPC treatment.
Tidsramme: 15 days after RIPC treatment.
levels of CRP、TINF-α、slCAM-1 and GFAP
15 days after RIPC treatment.
Levels of plasma biomarkers assay 30 days after RIPC treatment
Tidsramme: 30 days after RIPC treatment
levels of CRP、TINF-α、slCAM-1 and GFAP
30 days after RIPC treatment
Levels of plasma biomarkers assay right after RIPC treatment
Tidsramme: right after RIPC treatment (within 24hrs)
levels of CRP、TINF-α、slCAM-1 and GFAP
right after RIPC treatment (within 24hrs)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Infarct volume evaluation before RIPC treatment.
Tidsramme: Acute phase of ischemic stroke, and before RIPC treatment
MRI evaluation of infarct volume in ischemic stroke patients before RIPC treatment.
Acute phase of ischemic stroke, and before RIPC treatment
Infarct volume after RIPC treatment in ischemic stroke patients
Tidsramme: 30 days after RIPC treatment in ischemic stroke patients
Infarct volume evaluation in ischemic stroke patients after 30 RIPC treatment
30 days after RIPC treatment in ischemic stroke patients

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. oktober 2012

Primær færdiggørelse (Forventet)

1. oktober 2013

Datoer for studieregistrering

Først indsendt

19. august 2012

Først indsendt, der opfyldte QC-kriterier

22. august 2012

Først opslået (Skøn)

27. august 2012

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

27. august 2012

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

22. august 2012

Sidst verificeret

1. august 2012

Mere information

Begreber relateret til denne undersøgelse

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med RIPC group

3
Abonner