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脑出血后重启或停用抗栓药物随机试验(RESTART):一项随机对照试验的统计分析计划

The REstart or STop Antithrombotics Randomised Trial (RESTART) after stroke due to intracerebral haemorrhage: statistical analysis plan for a randomised controlled trial.

作者信息

Al-Shahi Salman Rustam, Murray Gordon D, Dennis Martin S, Newby David E, Sandercock Peter A G, Sprigg Nikola, Sudlow Cathie L M, Werring David J, White Philip M, Whiteley William N

机构信息

Centre for Clinical Brain Sciences, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh, EH16 4SB, UK.

Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.

出版信息

Trials. 2019 Mar 25;20(1):183. doi: 10.1186/s13063-019-3270-2.

Abstract

BACKGROUND

For adults surviving stroke due to spontaneous (non-traumatic) intracerebral haemorrhage (ICH) who had taken an antithrombotic (i.e. anticoagulant or antiplatelet) drug for the prevention of vaso-occlusive disease before the ICH, it is unclear whether starting antiplatelet therapy modifies the risks of recurrent ICH, major haemorrhagic events, major occlusive vascular events, or a composite of all major vascular events compared to avoiding antiplatelet therapy.

METHODS/DESIGN: The REstart or STop Antithrombotics Randomised Trial (RESTART) is an investigator-led, parallel group, open, assessor-blind, randomised trial comparing starting versus avoiding antiplatelet therapy for adults surviving antithrombotic-associated ICH. Recruitment began on 22 May 2013 and ended on 31 May 2018. Follow-up ended on 30 November 2018. This update to the protocol describes the statistical analysis plan (version 1.7, finalised on 25 January 2019). Database lock and un-blinding occurred on 29 January 2019, after which the un-masked trial statistician conducted the final analyses according to this statistical analysis plan.

DISCUSSION

Final results of RESTART will be analysed and disseminated in May 2019.

TRIAL REGISTRATION

ISRCTN registry 71907627 . Prospectively registered on 25 April 2013.

摘要

背景

对于因自发性(非创伤性)脑内出血(ICH)而幸存的成年人,他们在脑出血前曾服用抗血栓药物(即抗凝剂或抗血小板药物)以预防血管闭塞性疾病,与避免使用抗血小板治疗相比,启动抗血小板治疗是否会改变复发性脑出血、重大出血事件、重大闭塞性血管事件或所有重大血管事件综合发生的风险尚不清楚。

方法/设计:重启或停用抗血栓药物随机试验(RESTART)是一项由研究者发起的、平行组、开放性、评估者盲法的随机试验,比较抗血栓相关脑出血幸存成年人启动与避免抗血小板治疗的效果。招募工作于2013年5月22日开始,2018年5月31日结束。随访于2018年11月30日结束。本方案更新版描述了统计分析计划(版本1.7,于2019年1月25日定稿)。数据库锁定和揭盲于2019年1月29日进行,之后未设盲的试验统计学家根据该统计分析计划进行了最终分析。

讨论

RESTART的最终结果将于2019年5月进行分析并公布。

试验注册

ISRCTN注册编号71907627。于2013年4月25日进行前瞻性注册。

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