White Matter Hyperintensities
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age 65-85; 2) Chinese ethnicity; 3) Presence of confluent on MRI*; and 4) Written informed consent given
Exclusion criteria
Exclusion criteria: 1) History of stroke or TIA; 2) Dementia according to Diagnostic and Statistical Manual of Mental Disorders, 4th edition; 3) Presence of peripheral arterial disease that necessitates use of cilostazol; 4) Concurrent use of antiplatelet agents or anticoagulants, e.g. aspirin, clopidogrel, warfarin; 5) Contraindications for use of cilostazol, e.g. heart failure, prior history of allergy to cilostazol; 6) Severe medical illnesses (e.g. malignancy, end-stage renal diseases); 7) Contraindication for MRI (e.g. claustrophobia, metallic implants).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change of WMH volume on MRI between baseline and end of study, which will be quantified with automatic computational method;change in other brain measures in MRI (lacunes, microbleeds, brain volumes (cortical grey matter[cGM], white matter[WM], ventricular and sulcal CSF) and DTI measures (mean fractional anisotropy [FA] of WMH, normal appearing WM, GM) Clinical measures (Montreal Cognitive Assessment, 30-minute battery of the NINDS- CSN VCI Neuropsychology Protocols, NPI, instrumental activities of daily living, gait and balance , incident clinical events [e.g. stroke, dementia]); | — |
Countries
China