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CompletedNCT01677208Updated Jun 8, 2022

Danhong Injection in the Treatment of Acute Ischemic Stroke

A Phase 4 interventional study of Danhong injection and Standard medical care in Acute Stroke, sponsored by China Academy of Chinese Medical Sciences. Completed at 62 sites in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-06-08.

Sponsored by China Academy of Chinese Medical Sciences · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
1,503
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to determine whether Danhong injection is effective in the treatment of acute ischemic stroke.

02

Conditions studied

  • Acute Stroke

Keywords

  • Acute Ischemic Stroke
  • Randomized Controlled Trial
  • Traditional Chinese Medicine
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's enrollment of 1,503 is above the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

China Academy of Chinese Medical Sciences is the lead sponsor of 61 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Female or male inpatients
  • Age: 18 - 70 years.
  • Clinical diagnosis of ischemic stroke causing a measurable neurological deficit defined as impairment of language, motor function, cognition and/or gaze, vision or neglect. Ischemic stroke is defined as an event characterized by the sudden onset of an acute focal neurologic deficit presumed to be due to cerebral ischemia after CT scan excludes hemorrhage.
  • Clinical diagnosis of "Xueyu Zheng" (Blood Stasis Syndrome) as the scores of Chinese medicine symptoms scales of "Xueyu Zheng" in ischemic stroke ≥ 20. The Chinese medicine symptoms scales of "Xueyu Zheng" is defined as following (1)hemiplegia-10,(2)numbness of limbs-10,(3) dark face-9,(4)purple or dark lip-8,(5)Roughness of skin-4, (6) pain with fixed point-5, (7) purple or dark tongue-10,(8)ecchymosis on tongue-10,(9)purple sublingual vessel-10,(10)varicose sublingual vessel-8,(11)unsmooth pulse-8,(12)intermittent pulse-1.
  • Onset of symptoms in 1 week prior to initiation of administration of study drug.
  • Clinical diagnosis of cerebral anterior circulation obstruction.
  • 4≤NIHSS\<20.
  • Patient is willing to participate voluntarily and to sign a written patient informed consent. Informed consent will be obtained from each patient or the subject's legally authorized representative or relatives, or deferred where applicable, according to the regulatory and legal requirements of the participating centers.

Exclusion criteria

Exclusion Criteria:

  • Evidence of intracranial hemorrhage (ICH) or other cerebral diseases (eg.vascular malformation, tumor, abscess or multiple sclerosis etc.)on the CT-or MRI-scan.
  • Patients with thrombolysis or endovascular treatment.
  • Known history of allergy or suspected allergic to the drug.
  • Blood glucose 2.8 or > 16.8 mmol / l under the treatment of diabetes or with severe complications due to diabetes (eg. peripheral neuropathy, diabetic gangrene).
  • Liver function impairment with the value of ALT or AST over 1.5-fold of normal value.
  • Renal dysfunction with the value of serum creatinine over 1.5-fold of normal value.
  • Severe cardiac dysfunction on echocardiogram or the grade of heart function over Ⅲ grade.
  • History of prior stroke with mRS ≥2.
  • Complicated with atrial fibrillation.
  • Severe stroke as assessed by appropriate imaging techniques (eg. massive cerebral infarction including more than one lobe of brain or over 1/3 of blood-supply area of middle cerebral artery).
  • Prior disable patients.
  • Hemorrhagic tendency or recent severe or dangerous bleeding in 3 months.
  • Suspected addicted into alcohol or drug abuse.
  • With severe complications that would make the condition more complicated assessed by the investigator.
  • Woman with pregnancy, lactation or positive result of pregnancy test, or women who want to be pregnant in recent 6 months.
  • Woman who is under menstrual period.
  • Patient who is participating in other trials or has been participated in other trials in recent 3 months.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,503 participants (actual)

Study arms

  • Experimental
    Danhong injection

    Based on the standard medical care, 40ml of Danhong injection, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.

    Drug: Danhong injection · Procedure: Standard medical care

  • Placebo comparator
    placebo

    Based on the standard medical care, 40ml of 0.9% saline as the placebo, added into 250ml of 0.9% saline, given by continuous IV infusion at 2.5ml/min within 2 hours.

    Procedure: Standard medical care · Drug: placebo

Interventions

  • DrugDanhong injection

    A kind of injection made from two kind of Chinese herbs: Salvia miltiorrhiza and Safflower. 40ml Danhong injection added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion

  • ProcedureStandard medical care

    Standard medical care is in accordance with China Guideline for the diagnosis and treatment of acute ischemic stroke (2010), including medical care for vital signs, control of temperature, blood pressure and glucose, improving cerebral blood circulation, antiplatelet treatment and nutritional supportive care.

  • Drugplacebo

    0.9% saline added into 250ml 0.9% saline by an independent research nurse, sealed with brown bag in order to make the investigators and patients blinded, using brown infusion tube for infusion.

06

What researchers measure

Primary outcomes

  1. Modified Rankin Scale 0-1 (favourable outcome) at Day 90

    Time frame: Day 90

Secondary outcomes

  1. The Score of effect on symptoms of "Xueyue Zheng"(Blood Stasis syndrome)

    Time frame: Day 0, Day7, Day 14, Day 30, Day 60, Day 90

  2. Barthel Index score ≥90

    Time frame: Day 0, Day7, Day 14, Day 30, Day 60, Day 90

  3. NIH stroke scale(NIHSS)

    The improvement of the NIHSS score ≥4 or the NIHSS score of 0 to 1

    Time frame: Day 0, Day7, Day 14, Day 30, Day 60, Day 90

  4. EQ-5D scale

    Time frame: Day 0, Day 7, Day 14, Day 30, Day 60, Day 90

  5. Global disability on mRS at Day 90.

    The proportion of patients with mRS ≥3 at Day 90.

    Time frame: Day 90

  6. Incidence of new-onset major vascular events in 90 days

    Major adverse vascular events include ischemic stroke, hemorrhagic stroke, TIA, myocardial infarction and vascular-related death.

    Time frame: Day 90

  7. Overall mortality at day 90

    Time frame: Day 90

  8. Incidence of severe hemorrhages in 90 days

    The definition of "Severe hemorrhages" is in accordance with the GUSTO bleeding criteria, including fatal intracranial hemorrhage (ICH), symptomatic intracerebral hemorrhage (sICH) or which could result in substantial hemodynamic compromise requiring treatment.

    Time frame: Day 90

  9. Incidence of moderate hemorrhages in 90 days

    The definition of "moderate hemorrhages" is in accordance with the GUSTO bleeding criteria, which requires blood transfusion but not results in hemodynamic compromise.

    Time frame: Day 90

  10. Documentation of adverse events (AEs) and serious AEs

    Time frame: 90 days

Other outcomes

  1. The changes on the profiles of micro-RNA in 96 patients selected from certain centers

    Time frame: Day 0, Day 14, Day 90

  2. The changes on the expression profiles of mRNA in 96 patients selected from certain centers

    Time frame: Day 0, Day 14, Day 90

07

Study locations

62 sites
  • The Second Artillery General Hospital of Chinese People's Liberation Army
    Beijing, Beijing 100088, China
  • Xinqiao Hospital of Third Military Medical University
    Chongqing, Chongqing 400037, China
  • Chongqing Three Gorges Central Hospital
    Chongqing, Chongqing 404000, China
  • Guangdong No.2 Provincial People's Hospital
    Guangzhou, Guangdong 510317, China
  • Guangzhou hospital of integrated Chinese and Western medicine
    Guangzhou, Guangdong 510813, China
  • The Second People's Hospital of Shenzhen
    Shenzhen, Guangdong 518028, China
  • The Second Central Hospital of Baoding City
    Baoding, Hebei 072750, China
  • Affiliated Hospital of Chengde Medical University
    Chengde, Hebei 067000, China
  • Handan Central Hospital
    Handan, Hebei 056001, China
  • The Second Affiliated Hopital of Harbin Medical University
    Harbin, Helongjiang 150001, China
  • The Second Chinese Medical Hospital of Luoyang City
    Luoyang, Henan 471003, China
  • Nanyang T.C.M. Hospital
    Nanyang, Henan 473007, China
  • Nanshi Hospital of Nanyang
    Nanyang, Henan 473065, China
  • The First Affiliated Hospital of Henan University of T.C.M.
    Zhengzhou, Henan 450000, China
  • People's Hospital of Zhengzhou
    Zhengzhou, Henan 450003, China
  • Zhengzhou NO.7 People's Hospital
    Zhengzhou, Henan 450006, China
  • Zhoukou Hospital of T.C.M.
    Zhoukou, Henan 466099, China
  • The Central Hospital of Wuhan
    Wuhan, Hubei 430014, China
  • Zhongnan Hospital of Wuhan University
    Wuhan, Hubei 430030, China
  • Zhongshan Hospital of Hubei Province
    Wuhan, Hubei 430033, China
  • Fifth Hospital in Wuhan
    Wuhan, Hubei 430050, China
  • Renmin Hospital of Wuhan University
    Wuhan, Hubei 430060, China
  • Tianyou Hospital Affiliated to Wuhan University of Science & Technology
    Wuhan, Hubei 430064, China
  • Huangpi District Hospital of T.C.M.
    Wuhan, Hubei 430399, China
  • Changsha Central Hospital
    Changsha, Hunan 410004, China
  • The First Hospital of Changsha
    Changsha, Hunan 410005, China
  • The second people's hospital of Hunan Province
    Changsha, Hunan 410007, China
  • Xiangya Hospital Central-south University
    Changsha, Hunan 410008, China
  • Nanjing Hospital of T.C.M.
    Nanjing, Jiangsu 210001, China
  • The Second Affiliated Hospital of Nanjing Medical University
    Nanjing, Jiangsu 210003, China
  • Nanjing Drum Tower Hospital
    Nanjing, Jiangsu 210008, China
  • Jilin Province People's Hospital
    Changchun, Jilin 130021, China
  • The Affiliated Hopital to Changchun University of Chinese Medicine
    Changchun, Jilin 130021, China
  • The First Hospital Affiliated to Jilin University
    Changchun, Jilin 130021, China
  • China-Japan Union Hospital of Jilin University
    Changchun, Jilin 130033, China
  • The Second Hospital of Jilin University
    Changchun, Jilin 130041, China
  • Liaoyuan Traditional Chinese Medical Hospital
    Liaoyuan, Jilin 136299, China
  • Anshan Central Hospital
    Anshan, Liaoning 114001, China
  • Affiliated Zhongshan Hospital of Dalian University
    Dalian, Liaoning 116001, China
  • Dandong First Hospital
    Dandong, Liaoning 118015, China
  • Panjin Central Hospital
    Panjin, Liaoning 124013, China
  • People's Liberation Army No.202 Hospital
    Shenyang, Liaoning 110003, China
  • The General Hospital of Shenyang Military
    Shenyang, Liaoning 110016, China
  • People's Liberation Army No.463 Hospital
    Shenyang, Liaoning 110046, China
  • Affiliated Hospital of Chifeng University
    Chifeng, Neimenggu 024005, China
  • Fenyang Hospital of Shanxi Province
    Luliang, Shanxi 032299, China
  • The Second Affiliated Hospital to Shanxi Medical University
    Taiyuan, Shanxi 030001, China
  • Shanxi Province Hospital of T.C.M.
    Xi'an, Shanxi 710003, China
  • The PLA Fourth Fifty-one Hospital
    Xi'an, Shanxi 710054, China
  • Shanxi Provincial People's Hospital
    Xi'an, Shanxi 710068, China
  • Affiliated Hospital of Shanxi University of Chinese Medicine
    Xianyang, Shanxi 712000, China
  • The Second Affiliated Hospital of Shanxi University of T.C.M.
    Xianyang, Shanxi 712000, China
  • Teaching Hospital of Chengdu University of Traditional Chinese Medicine
    Chengdu, Sichuan 610072, China
  • The First Affiliated Hopital of Chengdu Medical College
    Chengdu, Sichuan 610500, China
  • First Teaching Hospital of Tianjin University of Traditional Chinese Medicine
    Tianjin, Tianjin 300193, China
  • Xin Hua Hospital of Zhejiang Province
    Hangzhou, Zhejiang 310005, China
  • Zhejiang Provincial Hospital of T.C.M.
    Hangzhou, Zhejiang 310006, China
  • Zhejiang Provincial People's Hospital
    Hangzhou, Zhejiang 310014, China
  • Huzhou Central Hospital
    Huzhou, Zhejiang 313003, China
  • Peking University First Hospital
    Beijing, 100034, China
  • Tiantan Hospital Affiliated to Capital Medical University
    Beijing, 100050, China
  • Xuan Wu Hospital Affiliated to Capital Medical University
    Beijing, 100053, China
08

References and documents

Publications

  • Li B, Wang Y, Lu J, Liu J, Yuan Y, Yu Y, Wang P, Zhao X, Wang Z. Evaluating the effects of Danhong injection in treatment of acute ischemic stroke: study protocol for a multicenter randomized controlled trial. Trials. 2015 Dec 9;16:561. doi: 10.1186/s13063-015-1076-4. PubMed 26654631 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01677208
Lead sponsor
China Academy of Chinese Medical Sciences
Collaborators
China Food and Drug Administration
Responsible party
Zhong Wang (Professor, China Academy of Chinese Medical Sciences) — Principal investigator
First posted
Aug 31, 2012
Start date
Mar 13, 2013
Primary completion
Mar 10, 2019
Completion
Mar 27, 2019
Last update
Jun 8, 2022

Study contacts

Zhong Wang, Professor
principal investigator · Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences
Xing-quan Zhao, Professor
principal investigator · Beijing Tiantan Hospital
Yong-yan Wang, Professor
study chair · Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences
Xiao-xi Du, Professor
study director · China Food and Drug Administration

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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