ClinicalTrials.gg
CompletedNCT03284463SE-GRACEUpdated Jun 12, 2023

Safety and Efficacy of Glibenclamide Combined With Rt-PA in Acute Cerebral Embolism

A Phase 2/3 interventional study of Glibenclamide and Placebo in Acute Stroke, sponsored by Nanfang Hospital, Southern Medical University. Completed at 8 sites in China. Open to participants aged 18 Years to 74 Years. Per ClinicalTrials.gov, last updated 2023-06-12.

Primary conditionIschemic StrokeRegistry: StrokeReclassifiedWhy we changed it
Registry
Stroke — the first condition term the registry derived for this study.
ClinicalTrials.gg
Ischemic Stroke
Why
  1. The study's title name Ischemic Stroke, a narrower term within Stroke.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Nanfang Hospital, Southern Medical University · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
306
Allocation
Randomized
Ages
18 Years to 74 Years
Sex
All
01

Study summary

This study is designed to evaluate the safety and efficacy of oral glibenclamide in acute ischemic stroke patients who under intravenous rt-PA thrombolysis.

02

Conditions studied

  • Acute Stroke

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Keywords

  • acute ischemic stroke
  • glibenclamide
  • rt-PA
  • blood-brain barrier
  • brain edema
03

In context

Ischemic Stroke Reclassified

2,612 studies on the registry are indexed under Ischemic Stroke; 971 are open to participants now.

This study's enrollment of 306 is above the median of 120 across 1,776 interventional studies indexed under Ischemic Stroke.

Browse Ischemic Stroke studies →

Lead sponsor

Nanfang Hospital, Southern Medical University is the lead sponsor of 490 studies on the registry; 214 are open to participants now.

Compared within Ischemic Stroke, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Stroke. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 74 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

  • Clinical diagnosis of acute ischemic stroke in the MCA territory (PCA and/or ACA territory involvement in addition to primary MCA territory stroke is acceptable)
  • Aged ≥18 and ≤74 years
  • A baseline NIHSS score between 4 to 25
  • Intravenous rt-PA thrombolysis conducted within 4.5 hours after stroke onset, if known, or the time last seen well [termed "time last known at neurologic baseline" (TLK@B)]
  • The time to the start of administration of Study Drug must be ≤10 h after time of symptom onset or TLK@B
  • was signed by the subject or the legal representative

Exclusion criteria

Exclusion Criteria:

  • Prior to stroke, significant disability exists, with modified Rankin Scale >1 point
  • With medical history or evidence of cerebral hemorrhage, subarachnoid hemorrhage, arteriovenous malformation, cerebral aneurysm or brain tumor
  • With clinical or imaging evidence of contralateral cerebral infarction which is believed to have influence on the patient outcome by the investigators
  • With clinical or imaging evidence of occlusion in vertebral or basilar artery
  • With clinical evidence of brain herniation, e.g., one or two dilated, fixed pupils; unconsciousness (i.e., C2 on item 1a on the NIHSS); and/or loss of other brainstem reflexes, attributable to edema or herniation according to the investigator's judgment
  • With gastrointestinal bleeding and instable hemodynamics or other causes that force the patient to stop nutritional support
  • Renal disorder from the patient's history (e.g., dialysis) or of \<60 mL/min/1.73 m2
  • Severe liver disease, or >3 times or >2 times normal (subjects may be randomized if liver function tests have been drawn but are not yet available and the subject has no known history of liver disease; however treatment with Study Drug cannot commence until liver function tests are available and indicate ALT >3 times upper limit of normal and bilirubin >2 times upper limit of normal)
  • Blood glucose \<3.0 mmol/L at enrollment or immediately prior to administration of Study Drug, or a history of hypoglycemia
  • Acute ST elevation myocardial infarction, and/or acute decompensated heart failure, and/or Tc > 520 ms, and/or known history of cardiac arrest (PEA, VT, VF, asystole), and/or admission for an acute coronary syndrome, myocardial infarction, or coronary intervention within the past 3 months
  • Known sulfonylurea treatment within 7 days. Sulfonylureas include glyburide/glibenclamide; glibenclamide plus metformin; Xiaoke Pill (a Chinese patent medicine with main effective constituent of glibenclamide); glimepiride; repaglinide; nateglinide; glipizide; gliclazide; tolbutamide; glibornuride
  • Known treatment with bosentan within 7 days
  • Known allergy to sulfa or specific allergy to sulfonylurea drugs
  • Known G6PD enzyme deficiency
  • Pregnant women. Women must be either (as confirmed by the LAR), permanently sterilized or, if ≤50 years old must have a negative test for pregnancy obtained before enrollment
  • Breast-feeding women who do not agree (or their LAR does not agree) to stop breastfeeding during Study Drug infusion and for 7 days following the end of Study Drug infusion
  • Patients already enrolled in a non-observation-only stroke study, or with life-expectancy \<6 months not related to current stroke, or those unlikely to be compliant with follow up
  • Patients currently receiving an drug
  • Mentally incompetent (prior to qualifying stroke) patients and wards of the state
  • Patients who, in the opinion of the investigator, are not suitable for the study (reason to be documented)
Terms in these criteria, in plain language(8)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
306 participants (actual)

Study arms

  • Active comparator
    Glibenclamide

    Glibenclamide Tablets

    Drug: Glibenclamide

  • Placebo comparator
    Placebo

    Placebo for Glibenclamide

    Drug: Placebo

Interventions

  • Glibenclamide is administered with a loading dose of 1.25 mg within 10 hours of stroke onset, orally or through gastric tube, followed by 0.625 mg every 8 hour for 5 days.

  • DrugPlacebo

    Placebo is administered with a loading dose of 1.25 mg within 10 hours of stroke onset, orally or through gastric tube, followed by 0.625 mg every 8 hour for 5 days.

06

What researchers measure

Primary outcomes

  1. Functional outcome: The proportion of mordified Rankin Scale of 0 to 2 points

    The proportion of mordified Rankin Scale of 0 to 2 points at 90 days

    Time frame: 90 days after the stroke onset

Secondary outcomes

  1. Early improvement: The proportion of NIHSS decreased ≥ 4 points

    The proportion of NIHSS decreased ≥ 4 points at 7 days

    Time frame: 7 days after the stroke onset

  2. Hemorrhagic transformation: The proportion of parenchymal hemorrhagic transformation in cranial CT

    The proportion of parenchymal hemorrhagic transformation in cranial CT within 96 hours

    Time frame: 96 hours after the stroke onset

  3. Midline shift: The proportion of midline shift ≥ 6 mm in cranial CT

    The proportion of midline shift ≥ 6 mm in cranial CT within 96 hours

    Time frame: 96 hours after the stroke onset

  4. Functional outcome 2: The modified Rankin Scale distribution

    The modified Rankin Scale distribution at 90 days

    Time frame: 90 days after the stroke onset

  5. Functional outcome 3: The proportion of Barthel Index of 60-100 points

    The proportion of Barthel Index of 60-100 points

    Time frame: 90 days after the stroke onset

  6. Functional outcome 4: The proportion of IQCODE of ≤ 3.40

    The proportion of Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) of ≤ 3.40 at 6 months and 1 year after the stroke onset

    Time frame: 6 months and 1 year after the stroke onset

  7. Blood-brain barrier: The serum concentration of MMP-9

    The serum concentration of MMP-9 at baseline, and at 24, 48, and 72 h

    Time frame: Baseline, 24, 48, and 72 hours after the stroke onset

Other outcomes

  1. Mortality

    The mortality at 90 days

    Time frame: 90 days after the stroke onset

  2. Early neurological deterioration

    The ratio of neurological deterioration (NIHSS increased ≥ 4 points) within 24 hours after the onset

    Time frame: 24 hours after the stroke onset

  3. Hypoglycemia

    The incidence of hypoglycemia (random blood glucose \< 3.9 mmol/L)

    Time frame: 5 days after the stroke onset

  4. Cardiac events

    The incidence of cardiac events in cardiac examination (ECG, echocardiography)

    Time frame: 30 days after the stroke onset

  5. Pulmonary infection

    The incidence of pulmonary infection

    Time frame: 7 days within the stroke onset

  6. AEs and SAEs

    The incidence of adverse event and serious adverse event

    Time frame: 30 days after the stroke onset

07

Study locations

8 sites
  • Huadu District People's Hospital of Guangzhou
    Guangzhou, Guangdong 510515, China
  • Nanfang Hospital of Southern Medical University
    Guangzhou, Guangdong, China
  • Heyuan People's Hospital
    Heyuan, Guangdong, China
  • Maoming People's Hospital
    Maoming, Guangdong, China
  • Maoming Traditional Chinese Medical Hospital
    Maoming, Guangdong, China
  • Hainan Provincial Hospital of Traditional Chinese Medicine
    Haikou, Hainan 570100, China
  • Haikou People's Hospital
    Haikou, Hainan 570208, China
  • The First Affiliated Hospital of Wenzhou Medical University
    Wenzhou, Jiangsu 325000, China
08

References and documents

Publications

  • Huang K, Ji Z, Wu Y, Huang Y, Li G, Zhou S, Yang Z, Huang W, Yang G, Weng G, Chen P, Pan S. Safety and efficacy of glibenclamide combined with rtPA in acute cerebral ischemia with occlusion/stenosis of anterior circulation (SE-GRACE): study protocol for a randomized controlled trial. BMC Neurol. 2020 Jun 11;20(1):239. doi: 10.1186/s12883-020-01823-z. PubMed 32527232 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Aug 2022, 55 months.

Of 30 phase 2/3 interventional studies under Ischemic Stroke, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 55. This study's 55 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 14, 2017
First posted
Sep 15, 2017
StartActual
Jan 1, 2018
Primary completionActual
Aug 28, 2022
CompletionActual
May 28, 2023
Last update
Jun 12, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03284463
Responsible party
Sponsor
First posted
Sep 15, 2017
Start date
Jan 1, 2018
Primary completion
Aug 28, 2022
Completion
May 28, 2023
Last update
Jun 12, 2023

Study contacts

Suyue Pan, M.D., Ph.D.
principal investigator · Department of Neurology, Nanfang Hospital, Southern Medical University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Glyburide

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