NCT04200781

Brief Summary

The purpose of this study is to assess the efficacy and safety of Shengdi Dahuang Decoction in the treatment of acute hemorrhagic stroke by the randomized, controlled, double-blind, multi-center trial design project.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
464

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Sep 2019

Typical duration for phase_4

Geographic Reach
1 country

5 active sites

Status
unknown

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

September 1, 2019

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

December 6, 2019

Completed
10 days until next milestone

First Posted

Study publicly available on registry

December 16, 2019

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2022

Completed
Last Updated

December 16, 2019

Status Verified

December 1, 2019

Enrollment Period

2.8 years

First QC Date

December 6, 2019

Last Update Submit

December 13, 2019

Conditions

Keywords

acute hemorrhagic strokeShengdi Dahuang Decoction

Outcome Measures

Primary Outcomes (2)

  • Disability rate

    Modified Rankin Scale score (mRS) will be graded on the 90th day after onset (mRS score ranges from 0 point (no symptoms at all) to 5 points (severe disability)).

    90 days

  • Mortality rate on the 7th day

    The proportion of deaths (mortality rate, %) in different groups on 7th day after treatment will be compared.

    7 days

Secondary Outcomes (4)

  • Mortality rate on the 90th day

    90 days

  • Severity of neurological deficit

    7 days

  • The proportion of hematoma enlargement cases

    24 hours

  • Severity of edema

    7 days

Study Arms (2)

Shengdi Dahuang Decoction

EXPERIMENTAL

To clarify the clinical effects of Shengdi Dahuang Decoction in the treatment of acute hemorrhagic stroke and to explore the possible mechanism. Participants will take the granules of Shengdi Dahuang Decoction that contains 15 grams of rehmannia and 5 grams of rhubarb, one pack per time, twice a day for 7 days.

Drug: Granules of Shengdi Dahuang Decoction

Placebo

PLACEBO COMPARATOR

To explore the effective clinical therapy in acute hemorrhagic stroke. Participants will take placebo contains 2% rehmannia and rhubarb, one pack per time, twice a day for 7 days.

Drug: Placebo

Interventions

Shengdi Dahuang Decoction contains Shengdi (rehmannia) and Dahuang ( rhubarb). Each pack of the granules of Shengdi Dahuang Decoction contains 15 grams of rehmannia and 5 grams of rhubarb.

Also known as: Chinese Herbal Compound
Shengdi Dahuang Decoction

Placebo granules has the same appearence, weight, shape and color as the experimental drug.

Also known as: Placebo of Chinese Herbal Compound
Placebo

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Meet the diagnostic criteria of acute intracerebral hemorrhage;
  • CT scan reveals cerebral parenchymal hemorrhage and the volume of hematoma is \<80ml;
  • The time from onset to confirmed diagnosis by CT scan is within 4 hours;
  • Enrolled and receive treatment within 12 hours from onset;
  • Age ≥18 years old;
  • Obtain approval from the patient or family members.

You may not qualify if:

  • The time from onset to confirmed diagnosis by CT scan is over 4 hours;
  • CT scan indicate that the sites of hemorrhage are in the cerebellum, brainstem and ventricle (note: in case of cerebral parenchymal hemorrhage combined with ventricular hemorrhage, patients will be excluded if the volume of ventricular hemorrhage is the larger one);
  • The volume of hematoma is above 80ml;
  • Glasgow Coma Scale (GCS) is ≤ 5 points;
  • The time from onset to confirmed diagnosis is over 12 hours;
  • Have a surgical treatment planning within 24 hours;
  • Cerebral hemorrhage caused by trauma, arteriovenous malformation, thrombolytic therapy, anticoagulant therapy or other reasons;
  • Patients with disabilities before onset (modified mRS score \> 2);
  • Patients with severe primary diseases of the heart, lung, liver, kidney, endocrine systems or hematopoietic system;
  • Patients who have participated in other clinical trials within the past 1 month;
  • Pregnant or nursing women;
  • Allergic constitution (allergic to more than two kinds of food or medications).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Shanghai seventh People's Hospital, Seventh People's Hospital of Shanghai University of TCM

Shanghai, Shanghai Municipality, 200000, China

RECRUITING

Shanghai Sixth People's Hospital affiliated to Shanghai Jiaotong University

Shanghai, Shanghai Municipality, 200000, China

RECRUITING

Shanghai Tenth People's Hospital, Tenth People's Hospital of Tongji University

Shanghai, Shanghai Municipality, 200000, China

RECRUITING

Shuguang Hospital affiliated with Shanghai University of TCM

Shanghai, Shanghai Municipality, 200000, China

RECRUITING

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

Shanghai, Shanghai Municipality, 200000, China

RECRUITING

Related Publications (22)

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  • Hanley DF, Thompson RE, Rosenblum M, Yenokyan G, Lane K, McBee N, Mayo SW, Bistran-Hall AJ, Gandhi D, Mould WA, Ullman N, Ali H, Carhuapoma JR, Kase CS, Lees KR, Dawson J, Wilson A, Betz JF, Sugar EA, Hao Y, Avadhani R, Caron JL, Harrigan MR, Carlson AP, Bulters D, LeDoux D, Huang J, Cobb C, Gupta G, Kitagawa R, Chicoine MR, Patel H, Dodd R, Camarata PJ, Wolfe S, Stadnik A, Money PL, Mitchell P, Sarabia R, Harnof S, Barzo P, Unterberg A, Teitelbaum JS, Wang W, Anderson CS, Mendelow AD, Gregson B, Janis S, Vespa P, Ziai W, Zuccarello M, Awad IA; MISTIE III Investigators. Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): a randomised, controlled, open-label, blinded endpoint phase 3 trial. Lancet. 2019 Mar 9;393(10175):1021-1032. doi: 10.1016/S0140-6736(19)30195-3. Epub 2019 Feb 7.

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  • Sun Z, Zhou X, Xiang J, Wang F, Han Y, Guo Y, Zhang Z, Gong F, Wang M, Liu D, Pan W, Tang H, Li T, Zhang J, Jiang S, Huang J, Yu X. Treatment of acute intracerebral haemorrhage with a Chinese herbal formula (Shengdi Dahuang Decoction): a multicentre, double-blind, randomised, placebo-controlled trial. Stroke Vasc Neurol. 2025 Aug 2:svn-2024-003931. doi: 10.1136/svn-2024-003931. Online ahead of print.

MeSH Terms

Conditions

Hemorrhagic Stroke

Condition Hierarchy (Ancestors)

StrokeCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Study Officials

  • Xiaofei Yu

    Shuguang Hospital affiliated with Shanghai University of TCM

    STUDY CHAIR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical Professor

Study Record Dates

First Submitted

December 6, 2019

First Posted

December 16, 2019

Study Start

September 1, 2019

Primary Completion

June 30, 2022

Study Completion

June 30, 2022

Last Updated

December 16, 2019

Record last verified: 2019-12

Data Sharing

IPD Sharing
Will not share

Locations