Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
NCT06178419

Remote Ischemic Conditioning for Cerebral Ischemia in Patients With Takayasu Arteritis (TARIC-1)

Led by Xuanwu Hospital, Beijing · Updated on 2024-09-19

44

Participants Needed

1

Research Sites

82 weeks

Total Duration

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AI-Summary

What this Trial Is About

The aim of this study is to evaluate the safety and efficacy of remote ischemic conditioning ( RIC ) in the protection of cerebral ischemia in patients with Takayasu arteritis ( TAK ). The study was designed as a prospective, double-blind, exploratory randomized controlled study. The entire study included a screening period and a treatment observation period ( a total of 24 weeks ). All patients with cerebral ischemia of TAK will be randomly divided into RIC group and sham RIC group at 1:1 ratio. On the basis of receiving the conventional drug therapy, the patients will be treated with RIC or sham RIC treatment twice daily for six month. The clinical data of patients at baseline and each follow-up will be collected, including basic information, disease activity assessment, laboratory indicators, imaging indicators, treatment data, adverse events, etc.The Primary outcome is the mean cerebral blood flow improvement rate ( mCBF-IR ) of TAK patients after 24 weeks-treatment. Secondary endpoints include the incidence of major adverse cerebrovascular events ( MACE ) , the change value of arterial transit time ( ATT ) in pCASL hypoperfusion area compared with baseline, occurrence of RIC-related adverse reactions, the changes of hematological indexes and disease activity score, etc. This study will provide insights into the preliminary proof of principle, safety, and efficacy of RIC in cerebral ischemia in patients with Takayasu arteritis ( TAK ), and this data will provide parameters for future larger scale clinical trials if efficacious.

CONDITIONS

Official Title

Remote Ischemic Conditioning for Cerebral Ischemia in Patients With Takayasu Arteritis (TARIC-1)

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients must meet the 1990 American College of Rheumatology criteria for Takayasu arteritis
  • Must be in inactive disease state
  • Male or female aged 18 to 65 years
  • Must have supra-aortic vascular involvement
  • Must have decreased cerebral blood flow shown by pCASL-MRI
  • Must voluntarily agree to participate and sign informed consent
Not Eligible

You will not qualify if you...

  • Having serious organ-threatening complications such as uncontrollable heart failure, severe heart valve disease, severe hypertension, severe myocardial ischemia, pulmonary hypertension, acute cerebral infarction, arterial dissection, or aneurysm rupture
  • Having serious conditions like poorly controlled diabetes, kidney failure, cardiopulmonary failure, mental illness, or cancer
  • Having moderate to severe narrowing of the brachial arteries in both upper limbs

AI-Screening

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Trial Site Locations

Total: 1 location

1

Department of Rheumatology and Allergy, Xuanwu Hospital, Capital Medical University, Beijing, China

Beijing, Beijing Municipality, China, 100053

Actively Recruiting

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Research Team

Y

Yi Zhao, MD

CONTACT

F

Fang kong, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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