Actively Recruiting

Phase 4
Age: 18Years - 80Years
All Genders
NCT03753555

The Effect of InTensive Statin in Ischemic Stroke With inTracranial Atherosclerotic Plaques

Led by General Hospital of Shenyang Military Region · Updated on 2026-04-27

100

Participants Needed

1

Research Sites

469 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Intracranial atherosclerotic disease is the most common cause of ischemic stroke that is directly attributed to the progression or rupture of intracranial high-risk plaque in Asia. Many studies mainly from Euro-American population with a focus on extracranial carotid plaque have fully demonstrated the advantages of intensive statin therapy on stabilizing or reversing plaque burden, reversing plaque composition presenting that lipid-rich necrotic core (LRNC) is gradually replaced by fibrous tissue, and even reversing pattern of arterial remodeling to reduce the occurrence of cerebrovascular events. Yet, direct evidence of the effect of intensive statin therapy on intracranial atherosclerotic plaques is lacking and the effect of statin intensity and duration on intracranial plaque burden and composition is still unclear. High resolution magnetic resonance imaging (HRMRI) is a new and non-invasive technique that enable to assess the morphologic characteristics of vascular wall and plaque composition of intracranial artery. Based on above discussion, the investigators conduct this study to further determine the effect of intensive statin in ischemic stroke with intracranial atherosclerotic plaques.

CONDITIONS

Official Title

The Effect of InTensive Statin in Ischemic Stroke With inTracranial Atherosclerotic Plaques

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient age between 18-80 years
  • Stroke onset within 1 week
  • NIHSS score of 12 or less
  • Acute ischemic stroke confirmed by head CT or MRI
  • Premorbid modified Rankin Scale score of 1 or less
  • Less than 50% stenosis in carotid artery, vertebral artery, and intracranial internal carotid artery on lesion side
  • Culprit plaque or possible culprit plaque with plaque burden of 40% or more in the proximal middle cerebral artery M1 segment or basilar artery
  • Signed informed consent
Not Eligible

You will not qualify if you...

  • Intracranial hemorrhage found by head CT
  • Stroke caused by cardioembolic origin such as atrial fibrillation, valvular heart disease, or aortic arch atherosclerosis
  • Severe liver or kidney dysfunction
  • Pregnant female
  • Abnormal elevation of creatine phosphokinase
  • Planned stent angioplasty
  • Poorly controlled blood sugar
  • Statin use within 1 month before stroke
  • Uncontrolled hypertension over 140/90 mmHg after medication
  • Unwilling or unable to comply with study visits, lifestyle guidelines, treatment plan, or tests
  • Assessed as unsuitable for this clinical study by the researcher

AI-Screening

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Trial Site Locations

Total: 1 location

1

General Hospital of ShenYang Military Region

Shenyang, China

Actively Recruiting

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Research Team

X

Xinhong Wang, Doctor

CONTACT

Y

Yu Cui, Master

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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The Effect of InTensive Statin in Ischemic Stroke With inTracranial Atherosclerotic Plaques | DecenTrialz