Acute Ischemic Stroke
Conditions
Keywords
DLBS1033, Lumbrokinase, Acute ischemic stroke, Bleeding profile, Clinical outcome, Aspirin, Clopidogrel
Brief summary
This is a 3-arm, prospective, randomized, double-blind, and controlled clinical study, with 3 months of treatment to evaluate efficacy of DLBS1033 in bleeding profile and clinical outcome in patients with acute ischemic stroke compared with aspirin and clopidogrel, as active controls.
Detailed description
There will be 3 groups of treatment; each group will consist of 43 subjects with the treatment regimens : * Treatment I : 1 tablet of DLBS1033 490 mg thrice daily, after meal * Treatment II : 1 tablet of aspirin 80 mg once daily, after meal * Treatment III : 1 tablet of clopidogrel 75 mg once daily, after meal Bleeding profile (by measuring INR value, PT, and aPTT) and clinical outcome (by measuring Gadjah Mada Stroke Scale and Barthel Index) to evaluate the efficacy of the investigational drug will be performed at baseline and end of study (Month 3rd). General condition of the subjects will be followed-up every month over three months of study medication. Physiotherapy will be provided to the subjects by the assigned Physiotherapist.
Interventions
1 tablet of DLBS1033 490 mg thrice daily, after meal
1 tablet of aspirin 80 mg once daily, after meal
1 tablet of clopidogrel 75 mg once daily, after meal
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and female subjects aged 20-80 years old * Having non-bleeding stroke in CT scan examination * Having stroke attack onset ≤ 96 hours * Living in 100 km from RSUP Dr Sardjito Jogjakarta
Exclusion criteria
* Having recurrence stroke * Having Transient Ischemic Attack (TIA) * Have been regularly taking anti-aggregation agent * Having intracerebral and subarachnoid bleeding stroke * Subjects and their family do not know when the stroke symptoms appeared * History of haemostasis disorder * History of or will have surgery within 6 months prior to screening
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in INR value | 3 Months | Change in INR (international normalized ratio) value from baseline to end of study (Month 3rd) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in PT | 3 Months | Change in PT (prothrombin time) from baseline to end of study (Month 3rd) |
| Change in aPTT | 3 Months | Change in aPTT (activated-partial thromboplastin time) from baseline to end of study (Month 3rd) |
| Change in Gadjah Mada Stroke Scale | 3 Months | Change in Gadjah Mada Stroke Scale from baseline to end of study (Month 3rd) |
| Change in Barthel Index | 3 Months | Change in Barthel Index from baseline to end of study (Month 3rd) |
Countries
Indonesia