Standard Medical Management in Secondary Prevention of Ischemic Stroke in China
SMART
1 other identifier
interventional
4,000
1 country
46
Brief Summary
The purposes of the study are to analyse the cross-section data of secondary stroke prevention in China and to carry out a standard medical management including medicine and interactive education program,and to evaluate the efficacy and safety of the standard medical management in secondary stroke prevention.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable stroke
Started Apr 2008
Typical duration for not_applicable stroke
46 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2008
CompletedFirst Submitted
Initial submission to the registry
April 12, 2008
CompletedFirst Posted
Study publicly available on registry
April 23, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2011
CompletedApril 11, 2011
February 1, 2011
2.7 years
April 12, 2008
April 8, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Success Rate of standard medical management
1 year after enrolled
Secondary Outcomes (5)
Ischemic stroke
1 year after enrolled
Non-fatal acute coronary syndrome
1 year after enrolled
Transient Ischemic Attack
1 year after enrolled
Hemorrhagic Stroke
1 year after enrolled
All-cause Death
1 year after enrolled
Study Arms (2)
1
EXPERIMENTAL2
ACTIVE COMPARATORInterventions
Standard Medical Management,including antiplatelet agents(Aspirin 75\~150mg/day or Clopidogrel 75mg/day),statins(Atorvastatin 20mg/day or Simvastatin 20mg/day),risk factor lowering agents (antihypertension agents:Amlodipine 5mg/day or Benazepril 10mg/day or Valsartan 80mg/day or Nifedipine 30mg/day or Indapamide 2.5mg/day,antidiabetic agents: Metformin 0.5 tid or Glipizide 5mg tid or Acarbose 50mg tid )if necessary,interactive education program (Online medical education program, health behavior guide) .
Antiplatelet agents(Aspirin 75\~150mg/day or Clopidogrel 75mg/day),statins(Atorvastatin 20mg/day or Simvastatin 20mg/day),risk factor lowering agents (antihypertension agents:Amlodipine 5mg/day or Benazepril 10mg/day or Valsartan 80mg/day or Nifedipine 30mg/day or Indapamide 2.5mg/day,antidiabetic agents: Metformin 0.5 tid or Glipizide 5mg tid or Acarbose 50mg tid )if necessary
Eligibility Criteria
You may qualify if:
- Ischemic cerebral infarction or TIA within 30 days.
- Aged above 18 years old.
- Hospitalized.
- Cranial CT or MRI scan exclude intracranial hemorrhagic diseases
- Stable clinical and neurological conditions.
- A Modified Rankin score less than 4 at enrollment
- Informed consent is obtained.
You may not qualify if:
- Patients will be excluded from entry if any of the criteria listed below are met
- Documented stroke caused by conditions other than atherosclerosis, ie, surgical or vascular intervention procedure.
- Severe co-morbid or unstable medical condition, ie, heart failure, respiratory failure and renal failure, severe liver dysfunction, malignancy with likelihood of death within the next 2 years
- Significant memory or behavioural disorder, ie, Alzheimer disease, etc, daily care needed.
- A Modified Rankin score is more than 4
- Concurrent participation in another clinical trial
- Pregnant
- Unable to give informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (46)
Peking Union Medical College Hosptial
Beijing, Beijing Municipality, 100730, China
China Pla General Hospital
Beijing, Beijing Municipality, 100853, China
Beijing Daxing District Hospital
Beijing, Beijing Municipality, China
Beijing Ji Shui Tan Hospital,the 4Th Medical College of Peking University
Beijing, Beijing Municipality, China
Beijing Shijitan Hospital
Beijing, Beijing Municipality, China
Beijing Tiantan Hospital
Beijing, Beijing Municipality, China
China Rehabilition Research Center
Beijing, Beijing Municipality, China
General Hospital of Navy
Beijing, Beijing Municipality, China
Luhe Hospital of Tongzhou Distict Beijing
Beijing, Beijing Municipality, China
No 263 Hospital of Pla
Beijing, Beijing Municipality, China
No 309 Hospital of Pla
Beijing, Beijing Municipality, China
Peking University Third Hospital
Beijing, Beijing Municipality, China
Pinggu County Hospital Beijing
Beijing, Beijing Municipality, China
Xuanwu Hospital Capital Medical University
Beijing, Beijing Municipality, China
Daping Hospital
Chongqing, Chongqing Municipality, China
Southwest Hospital
Chongqing, Chongqing Municipality, China
Guangzhou First Municipal People'S Hospital
Guangzhou, Guangdong, China
The First Affiliated Hospital,Sun Yat-Sen Unversity
Guangzhou, Guangdong, China
The First Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
The Third Hospital of Hebei Medical University
Shijiazhuang, Hebei, China
Yutian County Hospital
Yutian, Hebei, China
Hebei North University
Zhangjiakou, Hebei, China
The First Hospital of Harbin Medical University
Harbin, Helongjiang, China
The Second Hospital of Harbin Medical University
Harbin, Helongjiang, China
Henan Provincial People'S Hospital
Zhengzhou, Henan, China
The Zhongnan Hospital of Wuhan University
Wuhan, Hubei, China
Xiangya Hospital of Centre-South University
Changsha, Hunan, China
Inner Mongolia Baotou City Central Hospital
Baotou, Inner Mongolia, China
The Appurtenant Hospital of Chifeng University
Chifeng, Inner Mongolia, China
Jiangsu Province Hospital
Nanjing, Jiangsu, China
Nanjing General Hospital of Nanjing Military Command
Nanjing, Jiangsu, China
The Affiliated Drumtower Hospital of Nanjing University Medical School
Nanjing, Jiangsu, China
Jilin University
Changchun, Jilin, China
The Third People'S Hospital of Dalian
Dalian, Liaoning, China
The First Affiliated Hospital of China Medical Sciences University
Shenyang, Liaoning, China
Qinghai Provincial People'S Hospital
Xining, Qinghai, China
Qilu Hospital of Shangdong University
Jinan, Shandong, China
The Second Hospitalof Shangdong University
Jinan, Shandong, China
Huashan Hospital Fudan University
Shanghai, Shanghai Municipality, China
Shanghai Changzheng Hospital
Shanghai, Shanghai Municipality, China
West China Center of Medical Sciences
Chengdu, Sichuan, China
The General Hospital Under Tianjin Medical Sciences University
Tianjin, Tianjin Municipality, China
Tianjin Third Central Hospital
Tianjin, Tianjin Municipality, China
First Affiliated Hospital of Xinjiang Medical University
Uramuqi, Xinjiang Uygur Autonomous Region, China
The First Affiliated Hospital of College of Medicine, Zhejiang University
Hangzhou, Zhejiang, China
Related Publications (5)
Cao Y, Zhang M, Zhou L, Yao M, Peng B, Zhu Y, Ni J, Cui L. Consecutive Slides on Axial View Is More Effective Than Transversal Diameter to Differentiate Mechanisms of Single Subcortical Infarctions in the Lenticulostriate Artery Territory. Front Neurol. 2019 Apr 9;10:336. doi: 10.3389/fneur.2019.00336. eCollection 2019.
PMID: 31024430DERIVEDYao M, Ni J, Zhou L, Peng B, Zhu Y, Cui L; SMART investigators. Elevated Fasting Blood Glucose Is Predictive of Poor Outcome in Non-Diabetic Stroke Patients: A Sub-Group Analysis of SMART. PLoS One. 2016 Aug 5;11(8):e0160674. doi: 10.1371/journal.pone.0160674. eCollection 2016.
PMID: 27494527DERIVEDNi J, Yao M, Zhou L, Zhu Y, Peng B, Cui L; SMART Investigators. A guideline-based program may improve the outcome of stroke among illiterate patients. Int J Stroke. 2016 Apr;11(3):332-7. doi: 10.1177/1747493015626151. Epub 2016 Jan 18.
PMID: 26780948DERIVEDPeng B, Ni J, Anderson CS, Zhu Y, Wang Y, Pu C, Wu J, Wang J, Zhou L, Yao M, He J, Shan G, Gao S, Xu W, Cui L; SMART Investigators. Implementation of a structured guideline-based program for the secondary prevention of ischemic stroke in China. Stroke. 2014 Feb;45(2):515-9. doi: 10.1161/STROKEAHA.113.001424. Epub 2014 Jan 2.
PMID: 24385269DERIVEDPeng B, Zhu Y, Cui L, Ni J, Xu W, Zhou L, Yao M, Chen L, Wang J, Wang Y, Pu C; SMART Study Group. Standard medical management in secondary prevention of ischemic stroke in China (SMART). Int J Stroke. 2011 Oct;6(5):461-5. doi: 10.1111/j.1747-4949.2011.00648.x.
PMID: 21951412DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Liying Cui
Peking Union Medical College Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 12, 2008
First Posted
April 23, 2008
Study Start
April 1, 2008
Primary Completion
December 1, 2010
Study Completion
April 1, 2011
Last Updated
April 11, 2011
Record last verified: 2011-02