NCT00664846

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

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4,000

participants targeted

Target at P75+ for not_applicable stroke

Timeline
Completed

Started Apr 2008

Typical duration for not_applicable stroke

Geographic Reach
1 country

46 active sites

Status
completed

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

Completed
11 days until next milestone

First Submitted

Initial submission to the registry

April 12, 2008

Completed
11 days until next milestone

First Posted

Study publicly available on registry

April 23, 2008

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2010

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2011

Completed
Last Updated

April 11, 2011

Status Verified

February 1, 2011

Enrollment Period

2.7 years

First QC Date

April 12, 2008

Last Update Submit

April 8, 2011

Conditions

Keywords

StrokePrevention Therapy

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

EXPERIMENTAL
Drug: Aspirin / Clopidogrel, Atorvastatin / Simvastatin

2

ACTIVE COMPARATOR
Drug: Asprin / Clopidogrel, Atorvastatin / Simvastatin

Interventions

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) .

1

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

2

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

China Pla General Hospital

Beijing, Beijing Municipality, 100853, China

Location

Beijing Daxing District Hospital

Beijing, Beijing Municipality, China

Location

Beijing Ji Shui Tan Hospital,the 4Th Medical College of Peking University

Beijing, Beijing Municipality, China

Location

Beijing Shijitan Hospital

Beijing, Beijing Municipality, China

Location

Beijing Tiantan Hospital

Beijing, Beijing Municipality, China

Location

China Rehabilition Research Center

Beijing, Beijing Municipality, China

Location

General Hospital of Navy

Beijing, Beijing Municipality, China

Location

Luhe Hospital of Tongzhou Distict Beijing

Beijing, Beijing Municipality, China

Location

No 263 Hospital of Pla

Beijing, Beijing Municipality, China

Location

No 309 Hospital of Pla

Beijing, Beijing Municipality, China

Location

Peking University Third Hospital

Beijing, Beijing Municipality, China

Location

Pinggu County Hospital Beijing

Beijing, Beijing Municipality, China

Location

Xuanwu Hospital Capital Medical University

Beijing, Beijing Municipality, China

Location

Daping Hospital

Chongqing, Chongqing Municipality, China

Location

Southwest Hospital

Chongqing, Chongqing Municipality, China

Location

Guangzhou First Municipal People'S Hospital

Guangzhou, Guangdong, China

Location

The First Affiliated Hospital,Sun Yat-Sen Unversity

Guangzhou, Guangdong, China

Location

The First Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Location

The Second Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Location

The Third Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Location

Yutian County Hospital

Yutian, Hebei, China

Location

Hebei North University

Zhangjiakou, Hebei, China

Location

The First Hospital of Harbin Medical University

Harbin, Helongjiang, China

Location

The Second Hospital of Harbin Medical University

Harbin, Helongjiang, China

Location

Henan Provincial People'S Hospital

Zhengzhou, Henan, China

Location

The Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Location

Xiangya Hospital of Centre-South University

Changsha, Hunan, China

Location

Inner Mongolia Baotou City Central Hospital

Baotou, Inner Mongolia, China

Location

The Appurtenant Hospital of Chifeng University

Chifeng, Inner Mongolia, China

Location

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Location

Nanjing General Hospital of Nanjing Military Command

Nanjing, Jiangsu, China

Location

The Affiliated Drumtower Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

Location

Jilin University

Changchun, Jilin, China

Location

The Third People'S Hospital of Dalian

Dalian, Liaoning, China

Location

The First Affiliated Hospital of China Medical Sciences University

Shenyang, Liaoning, China

Location

Qinghai Provincial People'S Hospital

Xining, Qinghai, China

Location

Qilu Hospital of Shangdong University

Jinan, Shandong, China

Location

The Second Hospitalof Shangdong University

Jinan, Shandong, China

Location

Huashan Hospital Fudan University

Shanghai, Shanghai Municipality, China

Location

Shanghai Changzheng Hospital

Shanghai, Shanghai Municipality, China

Location

West China Center of Medical Sciences

Chengdu, Sichuan, China

Location

The General Hospital Under Tianjin Medical Sciences University

Tianjin, Tianjin Municipality, China

Location

Tianjin Third Central Hospital

Tianjin, Tianjin Municipality, China

Location

First Affiliated Hospital of Xinjiang Medical University

Uramuqi, Xinjiang Uygur Autonomous Region, China

Location

The First Affiliated Hospital of College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Location

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.

  • Yao 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.

  • Ni 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.

  • Peng 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.

  • Peng 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.

MeSH Terms

Conditions

Stroke

Interventions

AspirinClopidogrelAtorvastatinSimvastatin

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

SalicylatesHydroxybenzoatesPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsTiclopidineThienopyridinesThiophenesSulfur CompoundsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingPyrrolesAzolesHeptanoic AcidsFatty AcidsLipidsLovastatinNaphthalenesPolycyclic Aromatic HydrocarbonsPolycyclic Compounds

Study Officials

  • Liying Cui

    Peking Union Medical College Hospital

    PRINCIPAL INVESTIGATOR

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

Locations