ClinicalTrials.gg
CompletedNCT03090113SPACEUpdated Jul 22, 2020

Shuxuetong for Prevention of Recurrence in Acute Cerebrovascular Events With Embolism

A Phase 4 interventional study of Shuxuetong Injection and Placebo Injection in Embolic Stroke, sponsored by Beijing Tiantan Hospital. Completed at 48 sites in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2020-07-22.

Sponsored by Beijing Tiantan Hospital · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
2,416
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a randomized, double blind, placebo-controlled, parallel, multicenter research in order to evaluate the effect of Shuxuetong injection in prevention of symptomatic or asymptomatic new cerebral infarction within 10 days.

Subgroup study:Evaluate the role of advanced diagnostic technique in identifying potential causes of Embolic Stroke of Undetermined Source (ESUS).

Read the detailed description

Shuxuetong injection or Placebo injection for 10days. About 2416 patients randomized at 80 centers all over China with 20 subgroup study centers.

Face to face interview at baseline, 10 days, and 90 days.

02

Conditions studied

  • Embolic Stroke

Keywords

  • Stroke
  • Embolic Stroke
  • Shuxuetong
  • Recurrence
  • Symptomatic New Cerebral Infarction
  • Asymptomatic New Cerebral Infarction
03

In context

Embolic Stroke

40 studies on the registry are indexed under Embolic Stroke; 11 are open to participants now.

This study's enrollment of 2,416 is above the median of 197 across 13 interventional studies indexed under Embolic Stroke.

Browse Embolic Stroke studies →

Lead sponsor

Beijing Tiantan Hospital is the lead sponsor of 489 studies on the registry; 293 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. More than or equal to 18 years old and less than 80 years old;
  2. Acute ischemic stroke, brain magnetic resonance imaging showed non lacunar infarction (subcortical infarction less than or equal to 1.5 cm);
  3. Onset within 72 hours;
  4. Patients or their family members are willing to sign the .

Exclusion criteria

Exclusion criteria

  1. Intracranial hemorrhage: cerebral hemorrhage, subarachnoid hemorrhage, etc.;
  2. ;
  3. Lacunar infarction;
  4. History of acute stroke within 6 months;
  5. Clear diagnosis of other causes of ischemic stroke (arterial dissection, arteritis, vasospasm, etc.);
  6. The acute infarcts lesion more than one-half lobe in size;
  7. Preceding modified Rankin Scale (mRS) score ≥ 2;
  8. Cumulative usage of traditional Chinese medicine which activating blood circulation more than 3 times after onset, including but not limited to: Danhong, Xueshuantong, Xuesaitong, Ginkgo biloba, sodium ozagrel, Salvia miltiorrhiza, ligustrazine, Erigeron breviscapus, etc;
  9. Chronic liver disease, liver and kidney dysfunction, lifted (>3 times the ), lifted serum creatinine (>2 times the ULN);
  10. History of coagulopathy, systemic bleeding, thrombocytopenia or neutropenia;
  11. Blood pressure >90/60 mmHg or ≤220/120 mmHg after treatment;
  12. Serious heart or lung disease, in the judgment of clinical study staff, would not suitable to participant in the trial;
  13. Patients with atrial fibrillation who were scheduled or likely to receive anticoagulant therapy with unfractionated heparin or low molecular weight heparin within 2 weeks after randomization
  14. A medical condition likely to limit survival to less than three months or any other condition judged by the clinic team to likely limit the adherence to study procedures;
  15. Known allergies for ingredients of the drug, allergy history for food or drug;
  16. Pregnant, currently trying to become pregnant, or of and not using ;
  17. Participation in another clinical trial within 30 days;
  18. Unable to understand and/or comply with the study procedures and/or follow-up studies due to mental illness, cognitive or emotional disorders.

Subgroup Exclusion Criteria

  1. History of atrial fibrillation
  2. Atrial fibrillation in 12-lead (ECG);
  3. Heart rate monitoring (dynamic electrocardiogram telemetry) up to 20 hours or more detected atrial fibrillation for 6 minutes or more;
  4. Intracardiac thrombosis in thoracic or esophageal echocardiography;
  5. Occlusion or proximal vessel infarction for more than 50%.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
2,416 participants (actual)

Study arms

  • Experimental
    Shuxuetong Injection

    Shuxuetong Injection,12ml,ivgtt,day1; Shuxuetong Injection,6ml,ivgtt,day2 to day10;

    Drug: Shuxuetong Injection

  • Placebo comparator
    Placebo Injection

    Placebo Injection,12ml,ivgtt,day1; Placebo Injection,6ml,ivgtt,day2 to day10;

    Drug: Placebo Injection

Interventions

  • DrugShuxuetong Injection

    intravenous drip

    Also known as: Shuxuetong

  • DrugPlacebo Injection

    intravenous drip

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Symptomatic or Asymptomatic New Cerebral Infarction

    Those patients who are still alive at 10 days after randomization will be contacted to set up a follow-up clinical visit. Information of recurrent symptomatic cerebral infarction will be collected and MRI examination will be performed to detect asymptomatic new cerebral infarction.

    Time frame: 10 days

Secondary outcomes

  1. Symptomatic Cerebral Infarction

    Those patients who are still alive at 10 days after randomization will be contacted to set up a follow-up clinical visit. Information of recurrent symptomatic cerebral infarction will be collected.

    Time frame: 10 days

  2. Asymptomatic Cerebral Infarction

    Those patients who are still alive at 10 days after randomization will be contacted to set up a follow-up clinical visit. MRI examination including diffusion weighted imaging (DWI) sequence will be performed.

    Time frame: 10 days

  3. Cerebral Infarction Volume Expansion

    Those patients who are still alive at hospital discharge will be contacted to set up a follow-up clinical visit. MRI examination will be performed.

    Time frame: 10 days

  4. NIHSS Score Increase

    Those patients who are still alive at hospital discharge will be contacted to set up a follow-up clinical visit. Neurological and functional assessments including NIHSS will be performed.

    Time frame: 10 days

  5. Recurrent Symptomatic Stroke(Cerebral infarction, cerebral hemorrhage)

    Those patients who are still alive at 90days after onset will be contacted by telephone to set up a follow-up clinical visit. Information of recurrent symptomatic stroke will be collected.

    Time frame: 90 days

  6. Recurrent Symptomatic Ischemic Stroke

    Those patients who are still alive at 90days after onset will be contacted by telephone to set up a follow-up clinical visit. Information of recurrent symptomatic ischmemic stroke will be collected.

    Time frame: 90 days

  7. Combined Vascular Events

    Combined Vascular Events was defined as a combination of symptomatic stroke, myocardial infarction and vascular death.

    Time frame: 90 days

  8. Disability or Death

    Disability or Death was defined as a score of 3 to 6 on the modified Rankin Scale at 90days after onset.

    Time frame: 90 days

Other outcomes

  1. Detected an Atrial Fibrillation Persistent ≥ 30s

    Pre-specified Outcomes for Substudy of 'Etiology Study in Patients with ESUS'

    Time frame: 90 days

07

Study locations

48 sites
  • Wuhu No.1 People's Hospital
    Wuhu, Anhui, China
  • Beijing Tian Tan Hospital, Capital Medical University
    Beijing, Beijing 100050, China
  • Ansteel Group Hospital
    Beijing, Beijing, China
  • Beiujing Fengtai Youanmen Hospital
    Beijing, Beijing, China
  • The First Hospital of Fangshan District
    Beijing, Beijing, China
  • Yongchuan hospital of Traditional Chinese Medicine
    Chongqing, Chongqing, China
  • Houjie Hospital
    Dongguan, Guangzhou, China
  • Cangzhou Peoole's Hospital
    Cangzhou, Hebei, China
  • People's Hospital of Hejian
    Cangzhou, Hebei, China
  • Kuancheng County Hospital
    Chengde, Hebei, China
  • Traditional Chinese Medicine Hospital of Qiu County
    Handan, Hebei, China
  • Hengshui Fourth Hospital
    Hengshui, Hebei, China
  • Jizhou District Hospital of Hengshui
    Hengshui, Hebei, China
  • Shijiazhuang Pingan Hospital Affiliated to Hebei Medical University
    Shijiazhuang, Hebei, China
  • The Second Hospital of Hebei Medical University
    Shijiazhuang, Hebei, China
  • The Second Affiliated Hospital of Jiamusi University
    Jiamusi, Heilongjiang, China
  • Heilongjiang Province Agricultural Reclamation Mudanjiang Authority Central Hospital
    Mudanjiang, Heilongjiang, China
  • Handan Municipal Center Hospital
    Handan, Henan, China
  • The First Affiliated Hospital of University of South China
    Hengyang, Henan, China
  • People's Hospital of Zhongmu
    Zhengzhou, Henan, China
  • Zhengzhou Yihe Hospital Affiliated to Henan University
    Zhengzhou, Henan, China
  • Jingmen City Hospital of Traditional Chinese Medicine
    Jingmen, Hubei, China
  • Wuhan NO.1 Hospital,Wuhan Hospital Of Traditional Chinese And Western Medicine
    Wuhan, Hubei, China
  • Jiangsu Province Hospital of TCM
    Nanjing, Jiangsu, China
  • Nantong 3rd People's Hospital
    Nantong, Jiangsu, China
  • Zhangjiagang First People's Hospital
    Suzhou, Jiangsu, China
  • Zhangjiagang Hospital of Traditional Chinese Medicine affiliated to Nanjing University of Chinese Medicine
    Suzhou, Jiangsu, China
  • The Affiliated Hospital of Xuzhou Medical College
    Xuzhou, Jiangsu, China
  • Jiangxi Provincial People's Hospital
    Nanchang, Jiangxi, China
  • The First Hospital of Jilin University-the Eastern Division
    Changchun, Jilin, China
  • The Second People's Hospital of Huludao
    Huludao, Liaoning, China
  • Jinzhou Medical University
    Jinzhou, Liaoning, China
  • The First Affiliated Hospital of Baotou Medical College
    Baotou, Neimenggu, China
  • Wu Yuan People's Hospital
    Bayan Nur, Neimenggu, China
  • Affiliated Hospital of Chifeng University
    Chifeng, Neimenggu, China
  • Huimin People's Hospital
    Binzhou, Shandong, China
  • Ningjin County People's Hospital
    Dezhou, Shandong, China
  • Shandong Provincial Western Hospital
    Jinan, Shandong, China
  • People's Hospital of Penglai
    Penglai, Shandong, China
  • People's Hospital of Qingdao West Coast New Area
    Qingdao, Shandong, China
  • Qingdao Haci medical group hospital
    Qingdao, Shandong, China
  • The Affiliated Hospital of Qingdao University
    Qingdao, Shandong, China
  • First Hospital of Shanxi Medical University
    Taiyuan, Shanxi, China
  • The Second People's Hospital of Shenzhen
    Shenzhen, Shenzhen, China
  • Dongyang People's Hopital
    Dongyang, Zhejiang, China
  • Lishui People's Hospital
    Lishui, Zhejiang, China
  • No.1 People's Hospital of Taizhou
    Taizhou, Zhejiang, China
  • Ruian People's Hospital
    Wenzhou, Zhejiang, China
08

References and documents

Publications

  • Gu HQ, Xie XW, Jing J, Meng X, Lv W, Yu JD, Lv XP, Li H, Wang YL, Wang YJ. Shuxuetong for Prevention of recurrence in Acute Cerebrovascular events with Embolism (SPACE) trial: rationale and design. Stroke Vasc Neurol. 2020 Sep;5(3):311-314. doi: 10.1136/svn-2019-000293. Epub 2020 Feb 27. PubMed 32994371 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03090113
Responsible party
Yongjun Wang (Executive Vice-President, Beijing Tiantan Hospital) — Principal investigator
First posted
Mar 24, 2017
Start date
May 12, 2017
Primary completion
Mar 30, 2019
Completion
Jun 21, 2019
Last update
Jul 22, 2020

Study contacts

Wang yongjun, MD
principal investigator · Beijing Tian Tan Hospital, Capital Medical University, Beijing, China

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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