E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Functional recovery in patients with cerebral infarction |
Recuperación funcional de pacientes con Infarto Cerebral |
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E.1.1.1 | Medical condition in easily understood language |
Functional recovery in patients with cerebral infarction |
Recuperación funcional de pacientes con Infarto Cerebral |
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E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10008118 |
E.1.2 | Term | Cerebral infarction |
E.1.2 | System Organ Class | 10029205 - Nervous system disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Evaluate at 12 months if treatment with drugs that increase the release of neurotransmitters in acute cerebral ischemia improves functional outcome compared with conventional treatment. |
Evaluar a los 12 meses si el tratamiento con fármacos que aumenten la liberación de neurotransmisores en la isquemia cerebral aguda mejora el pronóstico funcional, comparado con el tratamiento convencional. |
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E.2.2 | Secondary objectives of the trial |
Secondary objectives assessed at medical discharge, 3, 6 and 12 months ? Compare the functional improvement with modified Rankin scale in each treatment group. ? Compare the neurological severity with the NIHSS scale in each group
Secondary objectives assessed at medical discharge, 6 and 12 months ? Compare the improvement in depression measured with the Montgomery-Åsberg scale among the three groups ? Compare the cognitive improvement with the Mini Mental scale among the three groups |
Objetivos secundarios evaluados al alta, 3, 6 y 12 meses ? Comparar la mejoría funcional con la escala de Rankin modificada en cada grupo de tratamiento. ? Comparar la gravedad neurológica con la escala NIHSS en cada grupo
Objetivos secundarios evaluados al alta, 6 y 12 meses ? Comparar la mejoría en la depresión valorado con la escala Montgomery-Åsberg entre los tres grupos ? Comparar la mejoría cognitiva con la escala Mini Mental entre los tres grupos |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
? Patients with a first cerebral infarction with NIHSS 5-20 points ? Patients without aphasia to avoid their interference in the assessment of depression and cognitive impairment ? Patients with independent functional status previous to the cerebral infarction (mRS <3) ? Patients without cognitive impairment or prior depressive syndrome assessed by medical history with the patient and family. ? The assigned treatment was initiated within the first 5 days of cerebral infarction |
? Pacientes con un primer infarto cerebral con NIHSS 5-20 puntos ? Pacientes sin afasia para evitar su interferencia en la valoración de la depresión y deterioro cognitivo ? Pacientes con estado funcional independiente previo al infarto cerebral (mRS <3) ? Pacientes sin deterioro cognitivo o síndrome depresivo previo evaluado por historia clínica con el paciente y familiares. ? El tratamiento asignado se iniciará dentro de los primeros 5 días del infarto cerebral |
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E.4 | Principal exclusion criteria |
? Patients with prior myocardial infarction or cerebral hemorrhage ? Patients with AIT ? Patients with aphasia ? History of prior cognitive impairment or depressive syndrome ? Patients with non-independent prior functional status mRS greater than or equal to 3 ? Underlying disease with life expectancy of less than one year. ? Patient pretreatment with levodopa, an antidepressant or neuroleptic. |
? Pacientes con infarto o hemorragia cerebral previa ? Pacientes con AIT ? Pacientes con afasia ? Antecedente de deterioro cognitivo o síndrome depresivo previo ? Pacientes con estado funcional previo no independiente mRS mayor o igual a 3 ? Enfermedad de base con esperanza de vida inferior a un año. ? Paciente en tratamiento previo con levodopa, algún antidepresivo o neuroléptico. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Functional status, neurological severity, the degree of depression and cognitive impairment in each group compared to the control will be compared. |
Se comparará el estado funcional, la gravedad neurológica, el grado de depresión y de deterioro cognitivo de cada grupo comparado con el control. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
There are not secondary end points |
No hay variables secundarias |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | Yes |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Tratamiento convencional |
Conventional therapy |
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E.8.2.4 | Number of treatment arms in the trial | 4 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |