Intracerebral Hemorrhage, HypertensivePhase 4CERBSTTSCHNCT03354026
Clinical Evaluation of Removing Blood Stasis Therapy in Treating Acute Cerebral Hemorrhage Safety and Efficacy
A Phase 4 study testing AICH-PXZY and AICH-without PXZY in people with Intracerebral Hemorrhage, Hypertensive and Traditional Chinese Medicine, run by Guangzhou University of Traditional Chinese Medicine at 2 sites in China.
Trial summary
The purpose of this research is to use the "Removing Blood Stasis Decotion" of traditional Chinese medicine treating the acute stage of cerebral hemorrhage with stroke associated pneumonia to explore the impact of "Removing Blood Stasis Therapy" on intestinal microbial flora either within the time window from 6 to 72… Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Intracerebral Hemorrhage, Hypertensive, Traditional Chinese Medicine
- What is being tested?
- AICH-PXZY and AICH-without PXZY
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 306 participants
- Where
- 2 sitesChina
- Study dates
- Nov 2017to Dec 2022
- Phase
- Phase 4
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Greater than or equal to 18 years old while younger than 80 years old
- acute cerebral hemorrhage confirmed by brain CT scan within 6 to72 hours from onset
- GCS≥6
- Sign the informed consent form
Who cannot join
- Tests have confirmed that cerebral hemorrhage caused by brain tumor, blood diseases, cerebrovascular malformation (anomaly) or aneurysm, etc;
- patients with Severe heart, liver and renal insufficiency.
- Intolerance to traditional Chinese medicine (TCM), allergic constitution.
- patients with severe cerebral hernia in the early onset
- Compliance is poor.
Trial locations and contacts
2 sites in 1 country.
China2 sites
Guangdong Provincial Science and Technology Agency
Guangzhou, Guangdong, 510033
Guangdong Provincial Hospital of Chinese Medicine
Guangzhou, Guangdong, 510120
About this study
The purpose of this research is to use the "Removing Blood Stasis Decotion" of traditional Chinese medicine treating the acute stage of cerebral hemorrhage with stroke associated pneumonia to explore the impact of "Removing Blood Stasis Therapy" on intestinal microbial flora either within the time window from 6 to 72 hours onset.
Read the detailed description
objective: to investigate the impact and immunologic mechanism of using the "Removing Blood Stasis Decotion" treatment in SAP after Acute Cerebral Hemorrhage with the concept of Intestinal Micro Ecological Regulation.
Methods: from 2017.01 to 2022.12, 240 cases of AICH, 306 cases of hypertension will be included in 7 research centers. The AICH patients are randomly into 3 groups within 6 to 72hrs from onset, thus there are 3 groups and the treatment will last for 10 days: group A,Removing Blood Stasis herbal medicine(8 herbals); Group B, herbal medicine without Poxuezhuyu activating herbal(6 herbals); Group C, placebo medicine of Chinese medicine.All the patients will be treated according AHA guideline of AICH and will be set to the brain CT and chest X-ray at the onset, 24h later and 10-14days after treatment. The venous blood,feces Specimen and the sputum will be collected in the time point of 6 to 72hrs within onset , 24h later, and 10-14days after treatment.So the rate of enlargement of brain hematoma and the development of SAP in the 72h later, mortality rate in the two weeks and the disability rate in the 90 days can be evaluated.
- Being tested
- AICH-PXZY, AICH-without PXZY, AICH-placebo
- Keywords
- Blood-breaking Decotion
- Medical subject headings
- Intracranial Hemorrhage, Hypertensive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AICH-PXZYDrug
Also called herbal medicine with Hirudo, Tabanus
8herbals (with 2 herbals of Activating blood stagnation and expelling blood stasis herbs) one dose, bid, for 10 days
AICH-without PXZYDrug
Also called herbal medicine without Hirudo, Tabanus
AICH-2(herbal medicine without Hirudo, Tabanus) (6herbals, without 2 herbals of promoting blood stasis) one dose, bid, for 10 days
AICH-placeboDrug
Also called Placebo
The placebo is made up of Starch, bitter taste and cyclodextrin
| Study group | Role | What they receive |
|---|---|---|
| Experimental: AICH-PXZY | Experimental | Removing Blood Stasis medicine with folium sennae , Polygonum cuspidatum and so on, 8 herbals, Tong-fu-xing-shen. The intervention in this group includes po AICH-PXZY bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding). Receives: Drug: AICH-PXZY; Drug: AICH-without PXZY; Drug: AICH-placebo |
| Experimental: AICH-without PXZY | Experimental | Removing Blood Stasis medicine without folium sennae and Snakegourd seed, 6 herbals, without the effect of Poxuezhuyu. The intervention in this group includes po AICH-without PXZY bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding). Receives: Drug: AICH-PXZY; Drug: AICH-without PXZY; Drug: AICH-placebo |
| Placebo: AICH-placebo | Placebo comparator | The placebo is made up of Starch, bitter taste and cyclodextrin. The intervention in this group includes po AICH-placebo bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding). Receives: Drug: AICH-PXZY; Drug: AICH-without PXZY; Drug: AICH-placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hematoma enlargement
The hematoma volume enlarged 33% or increased 12.5ml defined as hematoma enlargement which are compared with the two CT scans(6-72h within onset and 24h after onset,or 6-72h within onset and 10-14days)
Measured: 6-72h within onset, 24hrs, 10-14days
Secondary outcomes (6)
GCS scoring scale
The Glasgow score was used to assess the coma index.
Measured: 6-72hours within onset, 24hours later, 3 months
National Institute of Health of stroke scale
The NIHSS is for evaluation of neurological deficits.
Measured: 6-72hours within onset, 24hours later, 3 months
BI index
BI index <90 defines life cannot be independent. The percentage of BI 100-90 points in the three groups was statistically followed up by 90ds.
Measured: 3 months
Social function activity questionnaire(FAQ)
FAQ is mainly to know the quality of life and living habits of the patients and their families.
Measured: 3 months
fatality rate
Any cause of death within the entire treatment 10ds and follow-up 90ds.
Measured: 3 months
modified rankin scale
Scoring 2-5 is defined as disability, which can be divided into 4 grades: mild, moderate, severe and severe. The percentage of mRS 0-1 points in the three groups will be statistically followed up by 90ds.
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Nov 2017
- Study startNov 2017 (estimated)
- Primary completionDec 2022 (estimated)
- Study completionDec 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Intracerebral Hemorrhage, HypertensiveStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 306 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Guangzhou University of Traditional Chinese Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- Lianjiang people's Hospital, Shenyang Second Hospital of traditional Chinese Medicine, The Third People's Hospital of Hubei Province, Liaocheng People's Hospital, Zengcheng Hospital of traditional Chinese Medicine, Shouguang People's Hospital
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03354026
- Sponsor's protocol ID
- JDZX2015048
- Acronym
- CERBSTTSCH
- Status last verified
- Nov 2017
- First submitted
- 10 Nov 2017
- Last updated
- 27 Nov 2017
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: We will keep the IPD in secret and share that only when the agreement are shown by the Ethics committee and the project committee,including the examination results, genotype, etc.
Publications
Zhang Q, Zeng L, Chen X, Zhou Y, Gong B, Li H, Guo J. Clinical Evaluation of Herbal Medicine (ICH-012) in Treating Acute Cerebral Haemorrhage: Safety and Efficacy from 6- to 72-Hour Time Window (CRRICHTrial-II). Evid Based Complement Alternat Med. 2018 Aug 26;2018:3120179. doi: 10.1155/2018/3120179. eCollection 2018.
PubMed 30224926
Study at a glance
From the registry record, last updated by the sponsor on 27 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Evaluation of Removing Blood Stasis Therapy in Treating Acute Cerebral Hemorrhage Safety and Efficacy
- ClinicalTrials.gov ID
- NCT03354026
- Acronym / sponsor ID
- CERBSTTSCH / JDZX2015048
- Keywords
- Blood-breaking Decotion
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 306 participants (estimated)
- Lead sponsor
- Guangzhou University of Traditional Chinese MedicineUniversity, hospital or other
- Collaborators
- Lianjiang people's Hospital, Shenyang Second Hospital of traditional Chinese Medicine, The Third People's Hospital of Hubei Province, Liaocheng People's Hospital, Zengcheng Hospital of traditional Chinese Medicine, Shouguang People's Hospital
- Study start
- Nov 2017 (estimated)
- Primary completion
- Dec 2022 (estimated)
- Study completion
- Dec 2022 (estimated)
- First posted
- 27 Nov 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this research is to use the "Removing Blood Stasis Decotion" of traditional Chinese medicine treating the acute stage of cerebral hemorrhage with stroke associated pneumonia to explore the impact of "Removing Blood Stasis Therapy" on intestinal microbial flora either within the time window from 6 to 72 hours onset.
Detailed description
objective: to investigate the impact and immunologic mechanism of using the "Removing Blood Stasis Decotion" treatment in SAP after Acute Cerebral Hemorrhage with the concept of Intestinal Micro Ecological Regulation.
Methods: from 2017.01 to 2022.12, 240 cases of AICH, 306 cases of hypertension will be included in 7 research centers. The AICH patients are randomly into 3 groups within 6 to 72hrs from onset, thus there are 3 groups and the treatment will last for 10 days: group A,Removing Blood Stasis herbal medicine(8 herbals); Group B, herbal medicine without Poxuezhuyu activating herbal(6 herbals); Group C, placebo medicine of Chinese medicine.All the patients will be treated according AHA guideline of AICH and will be set to the brain CT and chest X-ray at the onset, 24h later and 10-14days after treatment. The venous blood,feces Specimen and the sputum will be collected in the time point of 6 to 72hrs within onset , 24h later, and 10-14days after treatment.So the rate of enlargement of brain hematoma and the development of SAP in the 72h later, mortality rate in the two weeks and the disability rate in the 90 days can be evaluated.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Experimental: AICH-PXZY | Experimental | Drug: AICH-PXZY, Drug: AICH-without PXZY, Drug: AICH-placeboRemoving Blood Stasis medicine with folium sennae , Polygonum cuspidatum and so on, 8 herbals, Tong-fu-xing-shen. The intervention in this group includes po AICH-PXZY bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding). |
| Experimental: AICH-without PXZY | Experimental | Drug: AICH-PXZY, Drug: AICH-without PXZY, Drug: AICH-placeboRemoving Blood Stasis medicine without folium sennae and Snakegourd seed, 6 herbals, without the effect of Poxuezhuyu. The intervention in this group includes po AICH-without PXZY bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding). |
| Placebo: AICH-placebo | Placebo comparator | Drug: AICH-PXZY, Drug: AICH-without PXZY, Drug: AICH-placeboThe placebo is made up of Starch, bitter taste and cyclodextrin. The intervention in this group includes po AICH-placebo bid and the routine treatment of Western Medicine.Torn the medicine bag and take it after mixing with 50-80ml warm water(Or take by nasal feeding). |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Greater than or equal to 18 years old while younger than 80 years old
- acute cerebral hemorrhage confirmed by brain CT scan within 6 to72 hours from onset
- GCS≥6
- Sign the informed consent form
Key exclusion criteria (5 listed)
- Tests have confirmed that cerebral hemorrhage caused by brain tumor, blood diseases, cerebrovascular malformation (anomaly) or aneurysm, etc;
- patients with Severe heart, liver and renal insufficiency.
- Intolerance to traditional Chinese medicine (TCM), allergic constitution.
- patients with severe cerebral hernia in the early onset
- Compliance is poor.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AICH-PXZYAlso: herbal medicine with Hirudo, Tabanus8herbals (with 2 herbals of Activating blood stagnation and expelling blood stasis herbs) one dose, bid, for 10 days | Drug | Experimental: AICH-PXZY, Experimental: AICH-without PXZY, Placebo: AICH-placebo |
| AICH-without PXZYAlso: herbal medicine without Hirudo, TabanusAICH-2(herbal medicine without Hirudo, Tabanus) (6herbals, without 2 herbals of promoting blood stasis) one dose, bid, for 10 days | Drug | Experimental: AICH-PXZY, Experimental: AICH-without PXZY, Placebo: AICH-placebo |
| AICH-placeboAlso: PlaceboThe placebo is made up of Starch, bitter taste and cyclodextrin | Drug | Experimental: AICH-PXZY, Experimental: AICH-without PXZY, Placebo: AICH-placebo |
Primary outcome
Hematoma enlargement
Time frame: 6-72h within onset, 24hrs, 10-14days
The hematoma volume enlarged 33% or increased 12.5ml defined as hematoma enlargement which are compared with the two CT scans(6-72h within onset and 24h after onset,or 6-72h within onset and 10-14days)
6 secondary outcomes
GCS scoring scale
Time frame: 6-72hours within onset, 24hours later, 3 months
National Institute of Health of stroke scale
Time frame: 6-72hours within onset, 24hours later, 3 months
BI index
Time frame: 3 months
Social function activity questionnaire(FAQ)
Time frame: 3 months
fatality rate
Time frame: 3 months
modified rankin scale
Time frame: 3 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Nov 2017.
- Derived from this study: PubMed 30224926Zhang Q, Zeng L, Chen X, Zhou Y, Gong B, Li H, Guo J. Clinical Evaluation of Herbal Medicine (ICH-012) in Treating Acute Cerebral Haemorrhage: Safety and Efficacy from 6- to 72-Hour Time Window (CRRICHTrial-II). Evid Based Complement Alternat Med. 2018 Aug 26;2018:3120179. doi: 10.1155/2018/3120179. eCollection 2018.
- Individual participant dataSharing planned: Undecided. We will keep the IPD in secret and share that only when the agreement are shown by the Ethics committee and the project committee,including the examination results, genotype, etc.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing AICH-PXZY and AICH-without PXZY in people with Intracerebral Hemorrhage, Hypertensive and Traditional Chinese Medicine, run by Guangzhou University of Traditional Chinese Medicine at 2 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 4 inclusion and 5 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 27 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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 Jianwen J Guo, Doctor (+86 13724899379, jianwen_guo@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Hematoma enlargement (time frame: 6-72h within onset, 24hrs, 10-14days). 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 NCT03354026, which also lists 1 linked publication.
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 27 Nov 2017.