Evaluating the Safety and Effectiveness of Calculus Bovis Sativus CBS to Treat Ischemic Cerebrovascular Diseases in Adults
Led by Tongji Hospital · Updated on 2024-09-20
230
Participants Needed
2
Research Sites
21 weeks
Total Duration
AI-Summary
What this Trial Is About
Ischemic cerebrovascular diseases ICVD, especially cerebral infarction, are a leading cause of death and disability among Chinese patients, posing significant challenges to individuals, families, and society. Cerebral small vessel disease CSVD, a form of ICVD, often begins subtly and is hard to detect until it causes vascular cognitive dysfunction. The disease process involves brain nerve cell damage due to ischemia and inflammation. Researchers seek to evaluate the effects of Calculus Bovis Sativus CBS, a traditional medicine approved for treating comatose patients and known for its anti-inflammatory and neuroprotective properties, on ischemic cerebrovascular diseases in humans.
This clinical trial includes three groups patients with ICVD receiving general therapy plus CBS, patients with ICVD receiving only general therapy, and healthy adults receiving only CBS. CBS will be given orally at a dose of 100 mg daily for 84 days. The study is open-label and non-randomized, aiming to assess the safety and efficacy of CBS alongside standard treatments or alone in healthy individuals.
Participants will be monitored up to 14 weeks after starting treatment. Evaluations include neurological and cognitive assessments such as the Modified Rankin Scale, NIH Stroke Scale, Mini-Mental State Examination, and Montreal Cognitive Assessment. Brain imaging will track changes in cerebral infarctions, white matter abnormalities, and microbleeds. Safety will be assessed by tracking adverse events and suicide risk. The study also collects data on participants mental health and quality of life throughout the period.
CONDITIONS
Brief Title
Efficacy and Safety of Calculus Bovis Sativus (CBS) for Ischemic Cerebral Vascular Disease (CBSinICVD)
Research Team
K
Ke Shang, MD
K
Ke Shang, MD
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Participants aged 18 to 80 years who understand the study and provide informed consent
Both men and women are eligible
Women of childbearing potential and men must use contraception during the study and for 30 days after
Diagnosed with ischemic stroke with NIHSS score between 1 and 24 and mRS score of 3 or less; or diagnosed with cerebral small vessel disease with Fazekas score of 3 or more and mRS score of 3 or less (4 for recent small infarction)
Neurological condition stable for at least 30 days before baseline
Healthy adults aged 18 years or older without underlying diseases for the healthy cohort
You will not qualify if you...
Significant medical conditions affecting heart, endocrine, blood, liver, immune, infectious, metabolic, kidney, lung, nervous system, skin, psychiatric health, or other major illnesses
Untreated teratoma or thymoma at baseline
Other causes of symptoms like infections, metabolic or genetic disorders
Herpes simplex encephalitis within 24 weeks prior
Major surgery within 4 weeks before baseline (except minor outpatient surgeries)
Planned surgery during study (except minor surgeries)
Severe allergic reactions or allergies to study components
Current or past malignant diseases except cured skin cancers
History of gastrointestinal surgeries or active GI diseases
Recent significant gastrointestinal symptoms
History of diverticulitis or severe GI abnormalities
Recent blood, plasma, or platelet donation
Active suicidal thoughts or attempts within recent years
Abnormal blood pressure outside specified range
Serious heart conditions or ECG abnormalities
Planned elective procedures after consent
Conditions affecting absorption of study drug
Hypersensitivity to heparin
Abnormal medical history, exams, or labs preventing safe participation
HIV or active hepatitis infections
Recent severe or chronic infections
Recent live vaccinations
History of certain immunosuppressive treatments or stem cell transplants
Abnormal lab values at screening
Previous participation in this study
Recent substance abuse
Pregnant or lactating women, or planning pregnancy
Participation in other clinical trials within 90 days
Significant suicidal thoughts in past 12 months
Inability or unwillingness to comply with study procedures
Hearing, vision, or cognitive impairments preventing assessments
Other reasons deemed unsuitable by investigator or sponsor
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 12 weeks
Participants receive Calculus Bovis Sativus (CBS) orally at 100mg per day for ischemic cerebral vascular disease or are observed without intervention in the control group.
Daily dosing with regular visits during the 12-week treatment period
Follow-up
Duration - 2 weeks after treatment ends
Participants are monitored for safety and outcomes, including adverse events, up to 14 weeks after treatment initiation.
1 to 2 visits after treatment completion
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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