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StrokeNCT05132517

Magnesium and Cognition After Stroke

An observational study of Stroke and Cognition, run by BDH-Klinik Hessisch Oldendorf at 1 site in Germany.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Cognitive impairments such as memory impairments, word-finding difficulties, compromised orientation and perception are often observed in stroke patients. Low serum-mg-concentrations are associated with cognitive impairments in ischemic stroke patients one month after stroke onset. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Stroke, Cognition, Magnesium
What is being tested?
Kölner Neuropsychologische Screening für Schlaganfall-Patienten
How many people
80 participants
Where
1 siteGermany
Study dates
26 Oct 2022to 30 Sep 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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: The sample is comprised of 80 stroke patients (ischemic/hemmorgic) of both genders and age ≥ 18 years. A written consent form is signed before inclusion.

Who may be able to join

  • ischemic/hemmorhagic stroke
  • written consent form

Who cannot join

  • pre-existing dementia or cognitive impairment before stroke onset
  • pre-existing mental disorder (depression) or present/prior long-term treatment (> 6 months) with psychotropic drugs
  • pre-existing malign tumor disease
  • participation in another clinical trial within the past 30 days
  • pregnancy or breastfeeding

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Simone B Schmidt, Dr. contact

0049 5152 781 215

si.schmidt@nkho.de

Jens D Rollnik, Prof. contact

0049 5152 781 231

Germany1 site, 1 recruiting
  • Institute for Neurorehabilitation Research, BDH-Clinic Hessich Oldendorf

    Hessisch Oldendorf, Lower Saxony, 31840

    Simone B Schmidt, Dr., 0049 5152 781 215, si.schmidt@nkho.de

    Recruiting

Other trials in Germany

About this study

Official title: Relationship Between Magnesium Concentration in Blood and Kognitive Functions After Stroke

Cognitive impairments such as memory impairments, word-finding difficulties, compromised orientation and perception are often observed in stroke patients.

Low serum-mg-concentrations are associated with cognitive impairments in ischemic stroke patients one month after stroke onset. It is not clear, if cognitive impairments after stroke is caused by the mg-deficiency or by the stroke itself. Until now, no studies investigating the relationship between mg-concentration, stroke severity and cognition during treatment course are available. Thus, this study aimed to investigate the relationship between mg-concentration and cognition of stroke patients.

Read the detailed description

Stroke patients admitted to the stroke unit will be included. Initial mg-concentration in serum as well as stroke related measures (National Institutes of Health Stroke Scale, Scandinavian Stroke Scale, modified Rankin Scale) will be ealuated. Moreover, the cognitive abilities of the patient will be assessed within the first three days via the Kölner Neuropsychologische Screening for stroke patients as well as the Mini Mental Status Test.

During stroke rehabilitation mg-level, stroke related measures (NIHSS,SSS,MRS) as well as the cognitive tests (MMST,KöpSS) will be re-assed after 4 weeks, 3 month as well as at study end, which is defined as discharge from the clinic (death, transfer to another hospital without return after 4 weeks, discharge to long-term nursing/ home/hospice).

Attention-network of stroke patients are measeared if the patient undergo a MRi scan.

In this study following questions will be assessed:

  1. What is the incidence of cognitive impairments in stroke patients?
  2. Are there differences between ischemic and hemorrhagic stroke patients?
  3. Are there age and/or gender differences?
  4. Are there differences regarding the mg-concentration at admission in comparison to the follow-up (week 4 after admission, 3 month after admission) and between patients with/without cognitive impairments?
  5. Is there a correlation between the mg-concentration and the stroke severity?
  6. Is there a correlation between the scores of the different cognitive tests (MMST and KöpSS)?
  7. Is there an association between the stroke severity, the cognitive impairments (KöpSS) and the neuronal attention network?
Being tested
Kölner Neuropsychologische Screening für Schlaganfall-Patienten
Medical subject headings
Stroke, Nervous System Diseases

What participants receive

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

  • Kölner Neuropsychologische Screening für Schlaganfall-PatientenDiagnostic test

    Also called KöpSS

    The cognitive state of the patient is measure by the Kölner Neuropsychologische Screening (KöpSS) and by the Mini Mental Status Test (MMST). The MMST is a popular often used test, which makes comparisons to other international studies possible. However, even though this test was specifically designed for stroke patients, it has a limited sensibility. Thus the KöpSS is being used as an additional test demonstrating satisfactory sensibility and specificity. It is suitable for acute and subacute strokes and covers all stroke relevant domains.

Study groups in NCT05132517
Study groupRoleWhat they receive
Stroke PatientsIschemic-/hemorragic stroke patients, who admitted on the stroke unit.
Receives: Diagnostic Test: Kölner Neuropsychologische Screening für Schlaganfall-Patienten

What is being measured

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

  1. Serum mg-concentration

    This study defines a reference value ranging from 1,8 to 2,53 mg/dl.

    Measured: day 1

  2. Change from Serum mg-concentration from admission at day 28

    This study defines a reference value ranging from 1,8 to 2,53 mg/dl.

    Measured: day 28

  3. Change from Serum mg-concentration from admission at day 72

    This study defines a reference value ranging from 1,8 to 2,53 mg/dl.

    Measured: day 72

  4. Change from Serum mg-concentration from admission at study end

    This study defines a reference value ranging from 1,8 to 2,53 mg/dl.

    Measured: up to 6 month

  5. Kölner Neuropsychologische Screening für Schlaganfall-Patienten (KöpSS)

    The score ranges from 0 to 108 points. If all subtest can be performed, a score <98 points identify an impaired cognition.

    Measured: day 3

  6. Change from Kölner Neuropsychologische Screening für Schlaganfall-Patienten (KöpSS) at day 28

    The score ranges from 0 to 108 points. If all subtest can be performed, a score <98 points identify an impaired cognition.

    Measured: day 28

  7. Change from Kölner Neuropsychologische Screening für Schlaganfall-Patienten (KöpSS) at day 72

    The score ranges from 0 to 108 points. If all subtest can be performed, a score <98 points identify an impaired cognition.

    Measured: day 72

  8. Change from Kölner Neuropsychologische Screening für Schlaganfall-Patienten (KöpSS) at study end

    The score ranges from 0 to 108 points. If all subtest can be performed, a score <98 points identify an impaired cognition.

    Measured: up to 6 month

  9. National Institutes of Health Stroke Scale

    0-5 points: mild stroke; 6-14 points: moderate stroke; 15- 24 points: severe stroke;

    ≥25 points: very severe stroke

    Measured: day 1

  10. Change from National Institutes of Health Stroke Scale at day 3

    0-5 points: mild stroke; 6-14 points: moderate stroke; 15- 24 points: severe stroke;

    ≥25 points: very severe stroke

    Measured: day 3

  11. Change from National Institutes of Health Stroke Scale at day 28

    0-5 points: mild stroke; 6-14 points: moderate stroke; 15- 24 points: severe stroke;

    ≥25 points: very severe stroke

    Measured: day 28

  12. Change from National Institutes of Health Stroke Scale at day 72

    0-5 points: mild stroke; 6-14 points: moderate stroke; 15- 24 points: severe stroke;

    ≥25 points: very severe stroke

    Measured: day 72

  13. Change from National Institutes of Health Stroke Scale at study end

    0-5 points: mild stroke; 6-14 points: moderate stroke; 15- 24 points: severe stroke;

    ≥25 points: very severe stroke

    Measured: up to 6 month

  14. Lenght of stay

    Lenght of stay will be assesse at discharge.

    Measured: up to 6 month

Secondary outcomes (28)
  1. Mini Mental State Test (MMST)

    30 - 28 points no dementia; 27 - 25 points mild cognitive decline; 24 - 18 points mild dementia; 17 - 10 points moderate dementia; < 10 points severe dementia

    Measured: day 3

  2. Change from Mini Mental State Test (MMST) at day 28

    30 - 28 points no dementia; 27 - 25 points mild cognitive decline; 24 - 18 points mild dementia; 17 - 10 points moderate dementia; < 10 points severe dementia

    Measured: day 28

  3. Change from Mini Mental State Test (MMST) at day 72

    30 - 28 points no dementia; 27 - 25 points mild cognitive decline; 24 - 18 points mild dementia; 17 - 10 points moderate dementia; < 10 points severe dementia

    Measured: day 72

  4. Change from Mini Mental State Test (MMST) at study end

    30 - 28 points no dementia; 27 - 25 points mild cognitive decline; 24 - 18 points mild dementia; 17 - 10 points moderate dementia; < 10 points severe dementia

    Measured: up to 6 month

  5. Modified Rankin Scale (MRS)

    0 - No symptoms;

    1 - No significant disability. Able to carry out all usual activities, despite some symptoms; 2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities; 3 - Moderate disability. Requires some help, but able to walk unassisted; 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted; 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent; 6 - Dead.

    Measured: day 1

  6. Change from Modified Rankin Scale (MRS) at day 3

    0 - No symptoms;

    1 - No significant disability. Able to carry out all usual activities, despite some symptoms; 2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities; 3 - Moderate disability. Requires some help, but able to walk unassisted; 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted; 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent; 6 - Dead.

    Measured: day 3

  7. Change from Modified Rankin Scale (MRS) at day 28

    0 - No symptoms;

    1 - No significant disability. Able to carry out all usual activities, despite some symptoms; 2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities; 3 - Moderate disability. Requires some help, but able to walk unassisted; 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted; 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent; 6 - Dead.

    Measured: day 28

  8. Change from Modified Rankin Scale (MRS) at day 72

    0 - No symptoms;

    1 - No significant disability. Able to carry out all usual activities, despite some symptoms; 2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities; 3 - Moderate disability. Requires some help, but able to walk unassisted; 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted; 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent; 6 - Dead.

    Measured: day 72

  9. Change from Modified Rankin Scale (MRS) at study end

    0 - No symptoms;

    1 - No significant disability. Able to carry out all usual activities, despite some symptoms; 2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities; 3 - Moderate disability. Requires some help, but able to walk unassisted; 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted; 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent; 6 - Dead.

    Measured: up to 6 month

  10. Scandinavian Stroke Scale (SSS)

    Sum score range from 0 to 58 in the edited version,with 0 indicating severe neurological deficits and 58 indicating no neurological deficits.

    Measured: day 1

  11. Change from Scandinavian Stroke Scale (SSS) at day 3

    Sum score range from 0 to 58 in the edited version,with 0 indicating severe neurological deficits and 58 indicating no neurological deficits.

    Measured: day 3

  12. Change from Scandinavian Stroke Scale (SSS) at day 28

    Sum score range from 0 to 58 in the edited version,with 0 indicating severe neurological deficits and 58 indicating no neurological deficits.

    Measured: day 28

  13. Change from Scandinavian Stroke Scale (SSS) at day 72

    Sum score range from 0 to 58 in the edited version,with 0 indicating severe neurological deficits and 58 indicating no neurological deficits.

    Measured: day 72

  14. Change from Scandinavian Stroke Scale (SSS) at study end

    Sum score range from 0 to 58 in the edited version,with 0 indicating severe neurological deficits and 58 indicating no neurological deficits.

    Measured: up to 6 month

  15. Early Rehabilitation Barthel Index (ERBI)

    Sum score range from -325 to 100 points,with 100 indicating independence in the activity of daily living.

    Measured: day 1

  16. Change from Early Rehabilitation Barthel Index (ERBI) at day 3

    Sum score range from -325 to 100 points,with 100 indicating independence in the activity of daily living.

    Measured: day 3

  17. Change from Early Rehabilitation Barthel Index (ERBI) at day 28

    Sum score range from -325 to 100 points,with 100 indicating independence in the activity of daily living.

    Measured: day 28

  18. Change from Early Rehabilitation Barthel Index (ERBI) at day 72

    Sum score range from -325 to 100 points,with 100 indicating independence in the activity of daily living.

    Measured: day 72

  19. Change from Early Rehabilitation Barthel Index (ERBI) at study end

    Sum score range from -325 to 100 points,with 100 indicating independence in the activity of daily living.

    Measured: up to 6 month

  20. International Classification of Functioning Disability and Health (ICF) Assessment

    A core set consisting of 20 ICF items is used. The severity of each item is scored with zero ("no impairment") to four ("complete impairment").

    Measured: day 1

  21. Change from International Classification of Functioning Disability and Health (ICF) Assessment at day 28

    A core set consisting of 20 ICF items is used. The severity of each item is scored with zero ("no impairment") to four ("complete impairment").

    Measured: day 28

  22. Change from International Classification of Functioning Disability and Health (ICF) Assessment at day 72

    A core set consisting of 20 ICF items is used. The severity of each item is scored with zero ("no impairment") to four ("complete impairment").

    Measured: day 72

  23. Change from International Classification of Functioning Disability and Health (ICF) Assessment at study end

    A core set consisting of 20 ICF items is used. The severity of each item is scored with zero ("no impairment") to four ("complete impairment").

    Measured: up to 6 month

  24. Early Functional Abilities (EFA)

    Sum score range from 20 to 100 points,with 100 indicating no impairement.

    Measured: day 1

  25. Change from Early Functional Abilities (EFA) at day 28

    Sum score range from 20 to 100 points,with 100 indicating no impairement.

    Measured: day 28

  26. Change from Early Functional Abilities (EFA) at day 72

    Sum score range from 20 to 100 points,with 100 indicating no impairement.

    Measured: day 72

  27. Change from Early Functional Abilities (EFA) at study end

    Sum score range from 20 to 100 points,with 100 indicating no impairement.

    Measured: up to 6 month

  28. Adverse events and complications

    All adverse events and complications will be documened.

    Measured: up to 6 month

Timeline

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

  1. First posted24 Nov 2021
  2. Study start26 Oct 2022
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion30 Sep 2027 (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
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05132517
Sponsor's protocol ID
MaSeKo
Status last verified
Apr 2026
First submitted
11 Oct 2021
Last updated
20 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Classen und Nowitzki. Serum-Magnesium: Normalwerte und Referenzbereiche. Magnesium-Bulletin 1990; 12(4):127-132.

  • Tu X, Qiu H, Lin S, He W, Huang G, Zhang X, Wu Y, He J. Low levels of serum magnesium are associated with poststroke cognitive impairment in ischemic stroke patients. Neuropsychiatr Dis Treat. 2018 Nov 2;14:2947-2954. doi: 10.2147/NDT.S181948. eCollection 2018.

    PubMed 30464479
  • Kaesberg S, Fink GR, Kalbe E. [Neuropsychological assessment early after stroke--an overview of diagnostic instruments available in German and introduction of a new screening tool]. Fortschr Neurol Psychiatr. 2013 Sep;81(9):482-92. doi: 10.1055/s-0033-1350452. Epub 2013 Aug 28. German.

    PubMed 23986457

Questions about this trial

What is this clinical trial studying?

An observational study of Stroke and Cognition, run by BDH-Klinik Hessisch Oldendorf at 1 site in Germany.

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 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: looking for participants now, as of the sponsor's last update on 20 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Simone B Schmidt, Dr. (0049 5152 781 215, si.schmidt@nkho.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Serum mg-concentration (time frame: day 1). The study lists 14 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 NCT05132517, which also lists 3 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 20 Apr 2026; AzTrials last refreshed its copy on 31 Oct 2026.

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