Cerebral Infarction
Conditions
Keywords
cerebral infarction
Brief summary
The objective of the study is to test the action of the amantadine, as DOPA-agonist, in a double blind cross-over trial, amantadine / placebo, on the verbal fluency of chronic post stroke aphasic patients.
Detailed description
In France, there are around 30000 aphasic patients. The actual taking care of these patients after stroke includes the treatment of acute stage in stroke unit, followed by rehabilitation program. However, most non fluent aphasic patients remain chronically handicapped despite of intensive logopedic training. The objective of this clinical project is to test the action of pharmacologic agents on verbal fluency of aphasic patients victims of cerebral infarctions. Only a few studies have been done with various pharmacologic agents, and although the results were not clearly conclusive, they were sufficiently positive for suggesting to launch a well controlled randomized cross-over study. Then the objective of study is to test the action of the amantadine, as DOPA-agonist, in a double blind cross-over trial, amantadine / placebo, on the verbal fluency of chronic post stroke aphasic patients.
Interventions
Amantadin caps
Placebo caps
Sponsors
Study design
Eligibility
Inclusion criteria
* RANKIN \< 3 * \> 18 years and \< 75 * francophone * within cognitive deficit known before stroke * stroke, single in sylvian artery area * aphasia non fluent following a stroke * stroke \> six month * stable treatment
Exclusion criteria
* RANKIN \> 3 * non francophone * do not read nor write * many stroke - against indication * participated in another clinical trial * deaf or blind * intercurrent disease * new treatment (\< 2 months) cognitive * pregnant or lactating
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Confirm that the possibility of significantly improving the verbal fluency and communication of patients with not fluent aphasia at the chronic stage when logopedic rehabilitation is stabilized (> 6months). | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Codify a drug test to be included in the recommendations to take care of these patients | 2 years |
| Establish correlations between clinical, neuroradiological lesions and pharmacological responses, as to argue in favour of long-term treatment | 2 years |
| Identify extra linguistic components of communication influenced by amantadine | 2 years |
Countries
France