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Transient Ischemic AttackCR-NICENCT03079674

China Registry of Non-disabling Ischemic Cerebrovascular Events

An observational study of Transient Ischemic Attack and Minor Stroke, run by The First Affiliated Hospital of Zhengzhou University at 44 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The burden of non-disabling ischemic cerebrovascular events (NICE) is significantly increased. In order to achieve accurate risk stratification and effective treatments, developing new diagnostic, therapeutic, and prognostic strategies is indispensable. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Transient Ischemic Attack, Minor Stroke
How many people
10,000 participants
Where
44 sitesChina
Study dates
1 Jun 2017to 1 Feb 2020
How long will I take part?
12 Months
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adults patients (≥18 years) within 48 hours of onset of a minor stroke (National Institute of Health stroke scale, NIHSS≥3) and TIA.

Who may be able to join

  • ≥18 years old
  • elapsed time from last episode to registry <48 hours

Who cannot join

  • patients who refused to participate in the research, and patients who failed to complete the follow-up protocol.
  • patients with malignant tumors, or patients with severe liver or kidney disease, whose life expectancy is less than 1 year.
  • patients who received endovascular or thrombolytic therapy.

Trial locations and contacts

44 sites in 1 country.

Yuming Xu, MD, PhD contact

86-13903711125

xuyuming@zzu.edu.cn

Yilong Wang, MD, PhD contact

+86-010-67098350

yilong528@aliyun.com

44 sites in 1 country

China44 sites
  • Ankang HospitaL of Traditional Chinese Medicine

    Ankang, Shanxi, 725000

    Pingkang Pan, 13992501998, 13992501998@163.com

  • Anyang People's Hospital

    Anyang, Henan, 455000

    Qingcheng Yang, MD, 13503728378, ay03728378@163.com

  • The First Affiliated Hospital of Baotou Medical College

    Baotou, Inner Mongolia, 014010

    Chunyang Zhang, MD, 18047211234, zhangchunyang1964@163.com

  • Chongqing Three Gorges Central Hospital

    Chongqing, Chongqing Municipality, 404000

    Shengli Chen, MD, 13896226960, 2271487396@qq.com

  • Fenyang Hospital

    Fenyang, Shanxi, 032200

    Xueying Guo, MD, 13103581689, sxfygxy@163.com

  • The People's Hospital of Hebi

    Hebi, Henan, 458000

    Lizhong Li, MD, 13903922778, liliz55555@163.com

  • Jiangmen Central Hospital

    Jiangmen, Guangdong, 529000

    Jianxin Zhong, MD, 13828071969, 2269897342@qq.com

    Suipian Lai, MD, 13702583308, 1392237695@qq.com

  • The Second People 's Hospital of Jiaozuo

    Jiaozuo, Henan, 454150

    Xiangdong Xie, MD, 13839196919, 448998152@qq.com

  • Jingmen No.1 People 's Hospital

    Jingmen, Hubei, 448000

    Baohua Wang, MD, 13581328208, 378446495@qq.com

  • The Huaihe Hospital of Henan University

    Kaifeng, Henan, 475000

    Na Chang, MD, 18738989685, baogongci@126.com

  • Yan'an Affiliated Hospital to Kunming Medical University

    Kunming, Yunnan, 650051

    Liping Zhan, MD, 13668713827, 2510765864@qq.com

  • The Second Affiliated Hospital of Kunming Medical University

    Kunming, Yunnan, 650101

    Yuhong Zhu, MD, 13708807578, 1760725487@qq.com

  • Linfen People's Hospital

    Linfen, Shanxi, 041000

    Chunping Chen, MD, 15034329988, pingchun9136@163.com

  • Luohe Central Hospital

    Luohe, Henan, 462000

  • Luoyang Central Hospital Affiliated to Zhengzhou University

    Luoyang, Henan, 471000

  • The First Affiliated Hospital of Henan University of Science and Technology

    Luoyang, Henan, 471000

    Ganqin Du, MD, 13613882922, dgq99@163.com

  • The Affiliated Hospital of Southwest Medical University

    Luzhou, Sichuan, 646000

    Hua Luo, MD, 13018154867, lzlh@sina.com

  • Mianyang Central Hospital

    Mianyang, Sichuan, 621000

    Jinfeng Duan, MD, 13908116541, duancs63@163.com

    Yun Zhang, MD, 13890167700, 15032071@qq.com

  • The Second Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi, 330006

    Xiaoping Yin, PhD, 13870218146, xiaopingbuxiao@126.com

  • Nanchong Central Hospital

    Nanchong, Sichuan, 637000

    Yifei Ji, 18909074105, jiyifefi_2003@163.com

  • Nanyang City Central Hospital

    Nanyang, Henan, 473000

    Baochao Zhang, MD, 18538953366, zbc177777@163.com

  • Nanshi Hospital of Nanyang

    Nanyang, Henan, 473065

    Xinchen Zhu, MD, 13838789875, zxcfj2003@163.com

  • The First People's Hospital of Pingdingshan

    Pingdingshan, Henan, 467000

    Wenjun Xue, MD, 13393796518, xuewj08@163.com

  • People's Hospital of Puyang

    Puyang, Henan, 457000

    Shunqing Zhang, MD, 13619866163, 13619866163@163.com

  • Sanmenxia Central Hospital

    Sanmenxia, Henan, 472000

    Shufang Yao, MD, 15138163911, yaoshufang2008@126.com

  • The First People's Hospital of Shangqiu

    Shangqiu, Henan, 476100

    Yan Fang, MD, 13937050388, fangyan820@126.com

  • Yuebei People's Hospital

    Shaoguan, Guangdong, 512026

    Junbin Chen, MD, 13500205898, CJBCL0397@163.com

  • The General Hospital of Shenyang Military

    Shenyang, Liaoning, 110840

    Huisheng Chen, MD, PhD, 13352452086, chszh@aliyun.com

  • Shijiazhuang the Third Hospital

    Shijiazhuang, Hebei, 050011

    Yunshu Zhang, 13323115965, 13323115965@163.com

  • The Institute of Traditional Chinese Medicine of Xinjiang Uygur Autonomous Region

    Ürümqi, Xinjiang, 830000

    Xinling Meng, MD, 13999820954, liujia7810@163.com

  • Wuhan NO.1 Hospital

    Wuhan, Hubei, 430022

    Guohua Chen, MD, PhD, 13971318512, cghys2008@126.com

  • Shanxi Provincial People 's Hospital

    Xi'an Shi, Shanxi, 710068

    Qian Yang, MD, 13379213866, yangqdoctor@163.com

  • The First Affiliated Hospital of Xiamen University

    Xiamen, Fujian, 361003

    Jianpeng Li, PhD, 13860192261, 806469536@qq.com

  • Xingtai Third Hospital

    Xingtai, Hebei, 054000

    Yongmei Kong, MD, 13603193670, xtsykym@126.com

  • The First Affiliated Hospital of Xinxiang Medical University

    Xinxiang, Henan, 453000

    Ping Zhang, MD, 13673732099, zhangpingsjnk@163.com

  • Xinxiang Central Hospital

    Xinxiang, Henan, 453000

    Cheng Miao, MD, 18339502871, miaochen01@126.com

  • Xinyang Central Hospital

    Xinyang, Henan, 464000

    Jianjun Chang, MD, 13503761500, 877827405@qq.com

  • Xuchang Central Hospital

    Xuchang, Henan, 461000

    Shude You, MD, 13903990688, ysd6935@163.com

  • The Fifth Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450000

    Yuanhong He, MD, 13837135369, hyhcmf@163.com

  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450000

    Yuming Xu, MD, PhD, 13903711125, xuyuming@zzu.edu.cn

  • The Medical Group of Zhengzhou First People's Hospital

    Zhengzhou, Henan, 450000

    Xiaoman Zhang, MD, 13838566918, zhangxiaoman2@126.com

  • People's Hospital of Zhengzhou

    Zhengzhou, Henan, 450003

    Daopei Zhang, MD, 13903869251, zhangdaopei89@163.com

  • Zhoukou Central Hospital

    Zhoukou, Henan, 466000

    Lei Xia, MD, 18639493636, 391114308@qq.com

  • Zhumadian Central Hospital

    Zhumadian, Henan, 463000

    Ligong Gao, MD, 13703961919, 13703961919@qq.com

Other trials in China

About this study

Official title: China Registry of Non-disabling Ischemic Cerebrovascular Events: A Prospective Multi-center, National Registry Trail

The burden of non-disabling ischemic cerebrovascular events (NICE) is significantly increased. In order to achieve accurate risk stratification and effective treatments, developing new diagnostic, therapeutic, and prognostic strategies is indispensable. Chinese registry of NICE is a national multi-center prospective study aimed to explore the epidemiology, new biomarkers, risk factors and prognostic models.

Read the detailed description

The pathophysiology of transient ischemic attack (TIA) and minor stroke is a continuous progression. TIA and minor stroke exhibit the common substantial risk factors for early stroke recurrence and epidemiological characteristic. Since TIA and minor stroke may leave impermanent or mild neurological deficit, they are termed as non-disabling ischemic cerebrovascular disease (NICE).

The results of the China Chronic Disease and Risk Factor Surveillance (CCDRFS) 2010 showed that the age-standardized prevalence of TIA is 2.27%. Estimated 23.9 million people may have experienced a TIA in China. The TIA knowing-rate is approximately 3.08% in Chinese adults, only 5.02% received treatment and 4.07% received guideline recommended therapy. The Second China National Stroke Registry (CNSR-II) indicated that minor stroke accounted for 42.23% of all the hospitalized patients of ischemic stroke, which is much higher than that showed in CNSR-I (2007-2008). Thus, it is imperative to develop new strategies to improve the diagnosis, risk prediction and appropriate management of NICE.

NICE is an attractive researching area globally. According to the large quantities of NICE patients in China and the low standardized therapeutic rate, the awareness of NICE is largely insufficient. The purpose of the present study is to establish a multi-center national prospective database of NICE, including clinical information and biological samples library and, to further explore the epidemiology, new biomarkers, risk factors, and prognostic models.

Being tested
observational only- no intervention
Keywords
transient Ischemic Attack, minor Stroke, non-disabling ischemic cerebrovascular events, biomarker, epidemiology, prognosis
Medical subject headings
Ischemic Attack, Transient

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • observational only- no interventionOther

    observational only- no intervention

Study groups in NCT03079674
Study groupRoleWhat they receive
NICE patientsNon-disabling ischemic cerebrovascular events patients indicate patients with transient ischemic attack and minor stroke (National Institute of Health stroke scale, NIHSS≤3).
Receives: Other: observational only- no intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Death

    Death from any cause

    Measured: 3 months

  2. Death

    Death from any cause

    Measured: 6 months

  3. Death

    Death from any cause

    Measured: 12 months

  4. Stroke recurrence

    Ischemic stroke

    Measured: 3 months

  5. Stroke recurrence

    Ischemic stroke

    Measured: 6 months

  6. Stroke recurrence

    Ischemic stroke

    Measured: 12 months

Secondary outcomes (9)
  1. Hemorrhagic stroke

    Cerebral hemorrhage and subaraclmoid hemorrhage

    Measured: 3 months

  2. Hemorrhagic stroke

    Cerebral hemorrhage and subaraclmoid hemorrhage

    Measured: 6 months

  3. Hemorrhagic stroke

    Cerebral hemorrhage and subaraclmoid hemorrhage

    Measured: 12 months

  4. Cardiovascular disease

    Coronary heart disease and Angina pectoris

    Measured: 3 months

  5. Cardiovascular disease

    Coronary heart disease and Angina pectoris

    Measured: 6 months

  6. Cardiovascular disease

    Coronary heart disease and Angina pectoris

    Measured: 12 months

  7. Functional outcome

    Modified Rankin Scale ≥3

    Measured: 3 months

  8. Functional outcome

    Modified Rankin Scale ≥3

    Measured: 6 months

  9. Functional outcome

    Modified Rankin Scale ≥3

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Mar 2017
  2. Study start1 Jun 2017 (estimated)
  3. Primary completion1 Feb 2019 (estimated)
  4. Study completion1 Feb 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
10,000 participants (estimated)
Target duration
12 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT03079674
Sponsor's protocol ID
GN-2016R0009
Acronym
CR-NICE
Status last verified
May 2017
First submitted
9 Mar 2017
Last updated
11 May 2017
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Yaghi S, Rostanski SK, Boehme AK, Martin-Schild S, Samai A, Silver B, Blum CA, Jayaraman MV, Siket MS, Khan M, Furie KL, Elkind MS, Marshall RS, Willey JZ. Imaging Parameters and Recurrent Cerebrovascular Events in Patients With Minor Stroke or Transient Ischemic Attack. JAMA Neurol. 2016 May 1;73(5):572-8. doi: 10.1001/jamaneurol.2015.4906.

    PubMed 26998948
  • Meng X, Wang Y, Liu L, Pu Y, Zhao X, Wang C, Wang Y. Validation of the ABCD(2)-I score to predict stroke risk after transient ischemic attack. Neurol Res. 2011 Jun;33(5):482-6. doi: 10.1179/016164111X13007856084043.

    PubMed 21669116
  • Giles MF, Rothwell PM. Risk of stroke early after transient ischaemic attack: a systematic review and meta-analysis. Lancet Neurol. 2007 Dec;6(12):1063-72. doi: 10.1016/S1474-4422(07)70274-0. Epub 2007 Nov 13.

    PubMed 17993293
  • Wu CM, McLaughlin K, Lorenzetti DL, Hill MD, Manns BJ, Ghali WA. Early risk of stroke after transient ischemic attack: a systematic review and meta-analysis. Arch Intern Med. 2007 Dec 10;167(22):2417-22. doi: 10.1001/archinte.167.22.2417.

    PubMed 18071162
  • Wang Y, Zhao X, Jiang Y, Li H, Wang L, Johnston SC, Liu L, Wong KS, Wang C, Pan Y, Jing J, Xu J, Meng X, Zhang M, Li Y, Zhou Y, Zhao W, Wang Y. Prevalence, knowledge, and treatment of transient ischemic attacks in China. Neurology. 2015 Jun 9;84(23):2354-61. doi: 10.1212/WNL.0000000000001665. Epub 2015 May 8.

    PubMed 25957333
  • Wang Y, Cui L, Ji X, Dong Q, Zeng J, Wang Y, Zhou Y, Zhao X, Wang C, Liu L, Nguyen-Huynh MN, Claiborne Johnston S, Wong L, Li H; China National Stroke Registry Investigators. The China National Stroke Registry for patients with acute cerebrovascular events: design, rationale, and baseline patient characteristics. Int J Stroke. 2011 Aug;6(4):355-61. doi: 10.1111/j.1747-4949.2011.00584.x. Epub 2011 Feb 17.

    PubMed 21609414
  • Wang Y, Li Z, Xian Y, Zhao X, Li H, Shen H, Wang C, Liu L, Wang C, Pan Y, Wang D, Prvu Bettger J, Fonarow GC, Schwamm LH, Smith SC Jr, Peterson ED, Wang Y; GOLDEN BRIDGE-AIS investigators. Rationale and design of a cluster-randomized multifaceted intervention trial to improve stroke care quality in China: The GOLDEN BRIDGE-Acute Ischemic Stroke. Am Heart J. 2015 Jun;169(6):767-774.e2. doi: 10.1016/j.ahj.2015.03.008. Epub 2015 Mar 26.

    PubMed 26027613
  • Wardlaw JM, Brazzelli M, Chappell FM, Miranda H, Shuler K, Sandercock PA, Dennis MS. ABCD2 score and secondary stroke prevention: meta-analysis and effect per 1,000 patients triaged. Neurology. 2015 Jul 28;85(4):373-80. doi: 10.1212/WNL.0000000000001780. Epub 2015 Jul 1.

    PubMed 26136519
  • Song B, Fang H, Zhao L, Gao Y, Tan S, Lu J, Sun S, Chandra A, Wang R, Xu Y. Validation of the ABCD3-I score to predict stroke risk after transient ischemic attack. Stroke. 2013 May;44(5):1244-8. doi: 10.1161/STROKEAHA.113.000969. Epub 2013 Mar 26.

    PubMed 23532014
  • Wang Y, Zhao X, Liu L, Soo YO, Pu Y, Pan Y, Wang Y, Zou X, Leung TW, Cai Y, Bai Q, Wu Y, Wang C, Pan X, Luo B, Wong KS; CICAS Study Group. Prevalence and outcomes of symptomatic intracranial large artery stenoses and occlusions in China: the Chinese Intracranial Atherosclerosis (CICAS) Study. Stroke. 2014 Mar;45(3):663-9. doi: 10.1161/STROKEAHA.113.003508. Epub 2014 Jan 30.

    PubMed 24481975
  • Suri MF, Qiao Y, Ma X, Guallar E, Zhou J, Zhang Y, Liu L, Chu H, Qureshi AI, Alonso A, Folsom AR, Wasserman BA. Prevalence of Intracranial Atherosclerotic Stenosis Using High-Resolution Magnetic Resonance Angiography in the General Population: The Atherosclerosis Risk in Communities Study. Stroke. 2016 May;47(5):1187-93. doi: 10.1161/STROKEAHA.115.011292. Epub 2016 Apr 7.

    PubMed 27056984
  • Amarenco P, Lavallee PC, Labreuche J, Albers GW, Bornstein NM, Canhao P, Caplan LR, Donnan GA, Ferro JM, Hennerici MG, Molina C, Rothwell PM, Sissani L, Skoloudik D, Steg PG, Touboul PJ, Uchiyama S, Vicaut E, Wong LK; TIAregistry.org Investigators. One-Year Risk of Stroke after Transient Ischemic Attack or Minor Stroke. N Engl J Med. 2016 Apr 21;374(16):1533-42. doi: 10.1056/NEJMoa1412981.

    PubMed 27096581
  • Wang Y, Wang Y, Zhao X, Liu L, Wang D, Wang C, Wang C, Li H, Meng X, Cui L, Jia J, Dong Q, Xu A, Zeng J, Li Y, Wang Z, Xia H, Johnston SC; CHANCE Investigators. Clopidogrel with aspirin in acute minor stroke or transient ischemic attack. N Engl J Med. 2013 Jul 4;369(1):11-9. doi: 10.1056/NEJMoa1215340. Epub 2013 Jun 26.

    PubMed 23803136
  • Wang Y, Pan Y, Zhao X, Li H, Wang D, Johnston SC, Liu L, Meng X, Wang A, Wang C, Wang Y; CHANCE Investigators. Clopidogrel With Aspirin in Acute Minor Stroke or Transient Ischemic Attack (CHANCE) Trial: One-Year Outcomes. Circulation. 2015 Jul 7;132(1):40-6. doi: 10.1161/CIRCULATIONAHA.114.014791. Epub 2015 May 8.

    PubMed 25957224

Questions about this trial

What is this clinical trial studying?

An observational study of Transient Ischemic Attack and Minor Stroke, run by The First Affiliated Hospital of Zhengzhou University at 44 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 11 May 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Yuming Xu, MD, PhD (86-13903711125, xuyuming@zzu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Death (time frame: 3 months). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03079674, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 May 2017.

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