Ischemic Stroke
Conditions
Keywords
randomized trial, ischemic stroke, Ginsenoside-Rd
Brief summary
The purpose of this study is to evaluate the efficacy and safety of ginsenoside-Rd for acute ischemic stroke.
Detailed description
A major contributor to brain injury after stroke is disordered inward flow of Ca2+ and its toxic accumulation in the nervous system following cerebral ischemia. Ginsenoside-Rd, a purified component from total saponins of Panax notoginseng, has a molecular formula of C48H82O18•3H2O with a molecular weight of 1001.2. Ginsenoside-Rd has been shown to inhibit receptor-operated Ca2+ influx through receptor-and-store-operated Ca2+ channels (ROCC) , attenuate oxidative stress in stroke, reduce the size of the cerebral infarction and preserve brain functioning in animal models of acute ischemic stroke.
Interventions
infusion ginsenoside-Rd 10 mg (group A)once a day and continued for 14 days
infusion placebo (group B)once a day and continued for 14 days
infusion of ginsenoside-Rd 20mg (group C) once a day and continued for 14 days
Sponsors
Study design
Eligibility
Inclusion criteria
* between 18 to 75 years * the first episode * from onset to admission within 72 hours * NIHSS scores:5\ 22
Exclusion criteria
* had other intracranial pathologies (e.g., tumor, infection) * had a neurologic or psychiatric disease * had a coexisting condition that limited their life expectancy * had significant drug or alcohol misuse * had high-grade carotid artery stenosis for which surgery was planned * were pregnant or nursing * participated in a clinical trial with an investigational drug or device within the past 3 months * were unlikely to be available for follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NIHSS scores | 15±1 days |
Secondary
| Measure | Time frame |
|---|---|
| NIHSS scores | 8 days |
| the Barthel index | 8 days |
| the modified Rankin scale | 15 days |
Countries
China