Status:

COMPLETED

Cilostazol-Aspirin Therapy Against Recurrent Stroke With Intracranial Artery Stenosis

Lead Sponsor:

Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan

Collaborating Sponsors:

Foundation for Biomedical Research and Innovation

Neurology, Tokyo Women's Medical University, School of Medicine

Conditions:

Cerebrovascular Disease

Eligibility:

All Genders

45-85 years

Phase:

PHASE3

Brief Summary

Multi-center, open-labelled randomized controlled trial, to study the effect of aspirin plus cilostazol and aspirin alone on the progression of intracranial arterial stenosis, in 200 chronic stroke pa...

Detailed Description

Intracraial arterial stenosis (IAS) is more common in Asia, including Japanese, than in Cocasian. Also, stroke recurrence rate is high in patients with such lesions, despite medical treatment. Accodin...

Eligibility Criteria

Inclusion

  • (1) Ischemic stroke after two weeks to six months from onset,
  • (2) Responsible lesion identified on MRI,
  • ( 3) Intracranial arterial stenosis \>50% on MRA in the territory of responsible lesion,
  • (4) Intracranial arterial stenosis in suproclinoid internal carotid arterry, M1 portion of midlle cerebral artery, or basilar artery,
  • (5) Age of 45 to 85 years,
  • (6) Able to visit out-patient clinic, and
  • (7) Written informed consent obtained from patient or family.

Exclusion

  • (1) Patients with potential cardiac embolic sources,
  • (2) Patients receiving cilostazol,
  • (3) Patients on warfarin treatment,
  • (4) Patients in whom MRI cannot be perfomed,
  • (5) Patients in whom PTA or bypass surgery is planned,
  • (6) Patients with history of symptomatic intracranial hemorrhage, other hemorrhagic diseases (active peptic ulcer etc.), hemophilia or coagulation abnormalities,
  • (7) Patients with hypersensitivity to cilostazol or aspirin,
  • (8) Patients with congestive heart failure or uncontrollable angina pectoris,
  • (9) Patients with thrombocytopenia (\<100,000/mm3),
  • (10) Patients with liver dysfunction (AST or ALT \>100 IU/L),
  • (11) Patients with renal dysfunction (Creatinin \>2.0 mg/dl),
  • (12) Patients who cannot to be followed up during the study period,
  • (13) Patients who are enrolled in other clinical trials, and
  • (14) Patients inadequate for this study by other reasons.

Key Trial Info

Start Date :

May 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2012

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT00333164

Start Date

May 1 2006

End Date

March 1 2012

Last Update

December 19 2017

Active Locations (1)

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Tokyo Women's Medical University School of Medicine

Shinjuku-ku, Tokyo, Japan, 162-8666