Effects of Repetitive Transcranial Magnetic Stimulation on Cerebral Autoregulation in Patients With Acute Ischemic Stroke
1 other identifier
interventional
128
1 country
1
Brief Summary
The purpose of this study was to investigate the effect of repetitive transcranial magnetic stimulation on cerebral autoregulation in patients with acute ischemic stroke.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2023
1 active site
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
April 20, 2023
CompletedFirst Posted
Study publicly available on registry
May 6, 2023
CompletedStudy Start
First participant enrolled
May 7, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 3, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 3, 2024
CompletedApril 30, 2025
April 1, 2025
10 months
April 20, 2023
April 28, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
phase difference(PD) in degree
A cerebral autoregulation parameter derived from transfer function analysis. Continuous cerebral blood flow velocities of bilateral middle cerebral artery will be assessed noninvasively using transcranial Doppler. Spontaneous arterial blood pressure will be simultaneously recorded using a servo-controlled plethysmograph on the left or right middle finger with an appropriate finger cuff size. Transfer function analysis will be used to derive the cerebral autoregulatory parameter.
0-5 days
Study Arms (2)
rTMS
ACTIVE COMPARATORPatients are treated with repetitive transcranial magnetic stimulation (rTMS).
sham-rTMS
PLACEBO COMPARATORPatients are treated with sham repetitive transcranial magnetic stimulation (sham-rTMS).
Interventions
After enrollment, patients received rTMS once a day for 5 consecutive days (stimulation plan: stimulation of M1 region on the affected side at 10Hz).
After enrollment, patients received sham-rTMS once a day for 5 consecutive days with the same parameters as the rTMS group, but the coil was rotated 90° away from the scalp.
Eligibility Criteria
You may qualify if:
- Age ≥ 18 years, both sexes;
- Clinically definite diagnosis of acute ischemic stroke;
- Baseline National Institute of Health Stroke Scale (NIHSS) score ≤25;
- Pre-onset modified Rankin Scale (mRS) score ≤1;
- Randomized and initiated transcranial magnetic stimulation within 1 week of onset;
- Subject or legal representative agreed to the treatment and signed the informed consent.
You may not qualify if:
- Presence of a medical condition such as severe cognitive impairment or mental impairment;
- Patients with serious physical diseases or who have had craniocerebral surgery;
- Previous history of epilepsy, family history of epilepsy or presence of seizure provoking factors;
- Pregnancy or breastfeeding;
- The presence of metal foreign bodies near the stimulation site, such as intracranial metal implants, cochlear implants, built-in pulse generators (brain pacemakers, cardiac pacemakers), etc.;
- Patients who are unable to complete cerebral autoregulation, or bilateral temporal window penetration poorly;
- life expectancy of ≤3 months or inability to complete the study for other reasons;
- unwillingness to be followed up or poor treatment compliance;
- Those who are participating in other clinical investigators, or who have participated in other clinical studies within 3 months prior to enrollment, or who have participated in this study;
- Other conditions that the investigators deemed unsuitable for enrollment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yi Yanglead
Study Sites (1)
The First Hospital of Jilin University
Changchun, Jilin, China
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Vice President of First Hospital of Jilin University
Study Record Dates
First Submitted
April 20, 2023
First Posted
May 6, 2023
Study Start
May 7, 2023
Primary Completion
March 3, 2024
Study Completion
June 3, 2024
Last Updated
April 30, 2025
Record last verified: 2025-04