Status:

RECRUITING

Effect of Butyphthalide on Cognitive Level Change After Cerebral Vascular Event-a Randomized Control Trial (Be-CLEVER)

Lead Sponsor:

Fudan University

Conditions:

Stroke

Post-stroke Cognitive Impairment (PSCI)

Eligibility:

All Genders

60+ years

Phase:

PHASE3

Brief Summary

Post-stroke cognitive impairment (PSCI) refers to a clinical syndrome characterized by cognitive impairment that occurs after a stroke event and persists for at least 24 weeks. Due to the early recove...

Eligibility Criteria

Inclusion

  • First stage:
  • Acute ischemic stroke (AIS) symptom onset within 14 days Signs and symptoms consistent with the diagnosis of an acute ischemic stroke by CT/MRI.
  • Age \>= 60 years,
  • Baseline NIHSS 3-18.
  • Patient can complete questionnaire survey, physical examination, cranial MRI and other medical examinations
  • Patient/legally authorized representative has signed the Informed Consent Form
  • Second stage:
  • Patient with stage I diagnosis of PSCI.
  • Patient can complete questionnaire survey, physical examination, cranial MRI and other medical examinations.
  • Patient/legally authorized representative has signed the Informed Consent Form

Exclusion

  • First stage:
  • Patients who had been diagnosed with dementia prior to stroke
  • Other related factors affecting cognitive function: central nervous system infection, neurodegenerative diseases, trauma, poisoning, intracranial space occupying lesions, metabolic diseases, etc.
  • Other serious central nervous system diseases: Parkinson's disease, epilepsy, multiple sclerosis, motor neurone disease, immune-related encephalomyelopathy, etc.
  • Serious mental illness: anxiety disorder, depression, delirium, schizophrenia, bipolar disorder, mental retardation, which is diagnosed or controlled by medication.
  • Uncorrectable visual and hearing impairments and inability to complete neuropsychological tests
  • Severe liver and kidney dysfunction
  • The presence of a malignant tumor or other serious/life-threatening disease that could cause the subject's death within 12 months.
  • Current known alcohol or illicit drug abuse or dependence
  • Patients undergoing thrombectomy, thrombolysis, carotid endarterectomy, or other surgical procedures during the acute infarction.
  • Using cholinesterase inhibitors, N-methyl-D-aspartate (NMDA) receptor antagonists, or Sodium oligomannate (GV-971).
  • Allergic to any component of butylphthalein
  • Pregnancy or lactation, have the possibility of becoming pregnant, and who plan to become pregnant
  • Participants in other interventional clinical trials
  • MRI contraindications (e.g., claustrophobia, hypersensitivity to contrast media, etc.)
  • Second stage:
  • During the first phase of follow-up, participants' compliance was poor, with study medication compliance less than 80% or greater than 120%; Follow-up was less than 24 weeks or did not complete the follow-up within the follow-up window..
  • Recurrent stroke in the first stage

Key Trial Info

Start Date :

April 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

3200 Patients enrolled

Trial Details

Trial ID

NCT05976152

Start Date

April 1 2024

End Date

December 1 2026

Last Update

April 15 2024

Active Locations (1)

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Donggang Center Hospitol

Dandong, Liaoning, China