Y-2 舌下片治疗急性缺血性脑卒中患者的有效性和安全性:一项 III 期随机双盲安慰剂对照多中心试验方案。

Efficacy and safety of Y-2 sublingual tablet for patients with acute ischaemic stroke: protocol of a phase III randomised double-blind placebo-controlled multicentre trial.

机构信息

Deparment of Neurology, Peking University Third Hospital, Beijing, China.

State Key Laboratory of Neurology and Oncology Drug Development, Nanjing, Jiangsu, China.

出版信息

Stroke Vasc Neurol. 2024 Feb 27;9(1):90-95. doi: 10.1136/svn-2022-002014.

Abstract

BACKGROUND AND PURPOSE

Clinical studies have demonstrated that edaravone dexborneol can improve the functional outcomes in patients with acute ischaemic stroke (AIS). The present clinical trial aimed at testing the efficacy and safety of Y-2 sublingual tablet on 90-day functional outcome in patients with AIS.

METHODS AND DESIGN

This is a randomised, double-blind, placebo-controlled, multicentre, parallel-group trial of Y-2 sublingual tablet on patients with AIS.An estimated 914 patients at age of 18-80 years with AIS within 48 hours after symptom onset from 40 hospitals will be randomly assigned to receive Y-2 sublingual tablet or placebo for 14 days. Patients are at score 6-20 points on National Institutes of Health Stroke Scale (NIHSS) and had a modified Rankin Scale (mRS) ≤1 before this stroke, except mechanical thrombectomy and neuroprotective agents treatment.

STUDY OUTCOMES

The primary outcome is the proportion of patients with mRS ≤1 on day 90 after randomisation. Secondary efficacy outcomes include mRS score on day 90, the proportion of patients with mRS ≤2 on day 90; the change of NIHSS score from baseline to day 14 and the proportion of patients with NIHSS score ≤1 at the days 14, 30 and 90.

DISCUSSION

This trial will provide valuable evidence for the efficacy and safety of Y-2 sublingual table for improving 90 days the functional outcomes in patients with AIS.

TRIAL REGISTRATION NUMBER

NCT04950920.

摘要

背景与目的

临床研究表明,依达拉奉右莰醇能改善急性缺血性脑卒中(AIS)患者的功能结局。本临床试验旨在检验 Y-2 舌下片对 AIS 患者 90 天功能结局的疗效和安全性。

方法与设计

这是一项多中心、随机、双盲、安慰剂对照、平行分组试验,研究 Y-2 舌下片对 AIS 患者的疗效。预计将有 914 名年龄在 18-80 岁之间、发病后 48 小时内的 AIS 患者(来自 40 家医院)被随机分为 Y-2 舌下片组或安慰剂组,治疗 14 天。患者 NIHSS 评分为 6-20 分,且本次卒中前 mRS 评分≤1,除外机械取栓和神经保护剂治疗。

研究结局

主要结局是随机分组后第 90 天 mRS≤1 的患者比例。次要疗效结局包括第 90 天 mRS 评分、第 90 天 mRS≤2 的患者比例;基线至第 14 天 NIHSS 评分的变化以及第 14、30 和 90 天 NIHSS 评分≤1 的患者比例。

讨论

本试验将为 Y-2 舌下片改善 AIS 患者 90 天功能结局的疗效和安全性提供有价值的证据。

试验注册号

NCT04950920。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f6/10956111/faac47fccada/svn-2022-002014f01.jpg

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