Subcortical Ischaemic Stroke
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Subcortical ischaemic stroke 2. Index stroke between two weeks and three months prior to randomisation Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. >70% extra-cranial internal carotid artery stenosis 2. Known coronary arterial disease 3. Significant co-morbidity 4. Contra-indication to or indication for administration of allopurinol 5. Contra-indication to administration of acetazolamide 6. Concurrent azathioprine or 6-mercaptopurine therapy 7. Serum creatinine concentration greater than 250 micromoles per litre
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess whether impaired basal cerebral vasomotor reactivity (as assessed by increased mean velocity of middle cerebral artery blood flow following acetazolamide infusion) in patients with subcortical stroke is improved by intervention with allopurinol.;Secondary Objective: To assess the effect of pharmacologic intervention with allopurinol in these patients on circulating indices of endothelial function, including CRP, vWF TPA PAI-1 and VEGF. To assess clincal endpoints.;Primary end point(s): The variable used for comparison between treatments will be the change in MCA velocity induced by the acetazolamide infusion. | — |
Countries
United Kingdom