r-tPA Thrombolytic Therapy in Combination With Remote Ischemic Conditioning for Acute Ischemic Stroke Recovery
rtPA-RIC
Intravenous Rt-PA Thrombolysis Combined With Remote Ischemic Post-Conditioning for Acute Ischemic Stroke Patients
1 other identifier
interventional
60
1 country
2
Brief Summary
to detect the efficiency and safety of intravenous rtPA combined with RIPC in acute ischemic stroke patients
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2018
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 28, 2016
CompletedFirst Posted
Study publicly available on registry
September 1, 2016
CompletedStudy Start
First participant enrolled
June 16, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2019
CompletedJune 20, 2018
June 1, 2018
8 months
August 28, 2016
June 19, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
infarction volume in brain between two groups
assess by MRI-DWI and ADC
measured during 72 h
Secondary Outcomes (18)
The score of Modified Rankin scale score
measured at baseline(before RIPC),24 hours, at 5-7 days,30±7 days, 90±7 days
proportional of Modified Rankin scale scored 0-1
measured at baseline(before RIPC),24 hours, at 5-7 days,30±7 days, 90±7 days
The score of National Institute of Health stroke scale score
measured at baseline(before RIPC),24 hours, at 5-7 days,30±7 days, 90±7 days
The score of Barthel Index(BI)
measured at baseline(before RIPC),24 hours, at 5-7 days,30±7 days, 90±7 days
recurrence of stroke and TIA
changes from baseline(before RIPC) to 90±7 days
- +13 more secondary outcomes
Study Arms (2)
RIC group
EXPERIMENTALThe upper limb ischemic conditioning is composed of five cycles of bilateral upper limb ischemia intervened by reperfusion, which is induced by two cuff placed around the upper arms respectively and inflated to 200 mm Hg for 5 minutes followed by 5 minutes of reperfusion by cuff deflation. This therapy started within 2 hours after r-tPA thrombolytic therapy. In addition, all participants receive a standard clinical therapy.
Control group
NO INTERVENTIONThe participants received r-tPA thrombolytic therapy after diagnosed ischemic stroke. In addition, all participants receive a standard clinical therapy.
Interventions
In this study, the remote ischemic conditioning treatment was composed of five cycles of bilateral upper limb ischemia intervened by reperfusion, which was induced by two cuff placed around the upper arms respectively and inflated to 200 mm Hg for 5 minutes followed by 5 minutes of reperfusion by cuff deflation.
Eligibility Criteria
You may qualify if:
- Male or female, age≥18;
- Clinical sign and symptoms consistent with the diagnosis of an acute ischemic stroke, onset of stroke symptoms within 4.5 h before initiation of intravenous rt-PA thrombolytic therapy;
- Baseline National Institutes of Health Stroke Scale (NIHSS) score of 4-15 (assessed before intravenous alteplase), mRS ≤1 before onset of stroke symptom;
- No contraindication for MRI.
- Informed consent obtained
You may not qualify if:
- Cardioembolism;
- Contraindication for remote ischemic conditioning: severe soft tissue injury, fracture, or peripheral vascular disease in the upper limbs;
- Life expectancy \< 1 year;
- Pregnant or breast-feeding women;
- Unwilling to be followed up or poor compliance for treatment; (5) Patients being enrolled or having been enrolled in other clinical trial within 3 months prior to this clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Xuanwu Hospital, Capital Medical University
Beijing, Beijing Municipality, 100053, China
Lu He hospital, Capital Medical University
Beijing, Beijing Municipality, 101149, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Xunming Ji, MD. PhD
Xuanwu Hospital, Beijing
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- professor
Study Record Dates
First Submitted
August 28, 2016
First Posted
September 1, 2016
Study Start
June 16, 2018
Primary Completion
February 1, 2019
Study Completion
May 1, 2019
Last Updated
June 20, 2018
Record last verified: 2018-06