ClinicalTrials.gg
Status unknownNCT03388970Updated Jan 4, 2018

Vitamin K1 in the Treatment of Spontaneous Intracerebral Hemorrhage

An Early Phase 1 interventional study of Vitamin K 1 and normal saline in Intracerebral Haemorrhage in Cerebellum, sponsored by HUANG XIANJIAN. Status unknown at 5 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-01-04.

Sponsored by HUANG XIANJIAN · Early Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2017), so the status shown — last known as Enrolling by invitation — may be out of date.
Phase
Early Phase 1
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

In order to determine the effectiveness and safety of early vitamin K1 use in reducing the risk of bleeding and improving prognosis in patients with spontaneous intracerebral hemorrhage. Patients with spontaneous intracerebral hemorrhage (excluding rupture of aneurysm and vascular malformation) will be randomly divided into experimental group and control group. All the patients in the two groups were treated according to the guideline of spontaneous intracerebral hemorrhage. Patients in the experimental group was treated with intravenous injection of vitamin K1 20mg once a day for 2 days after admission, and the patients in control group was treated with normal saline as a control. The hematoma volume, coagulation function, platelet levels and GCS scales of the two groups will be recorded in 0d, 1d, 3d, 7d post bleeding stroke, furthermore, length of ICU stay and total hospitalization, incidence of complications during hospitalization are to be recorded. During the follow-up, mRS score will be recorded at 1m and 6m post bleeding stroke.

Read the detailed description

Spontaneous intracerebral hemorrhage is a common disease in the department of neurosurgery, which often leads to long-term coma and severe neurological dysfunction. The amount of cerebral hemorrhage is directly related to the prognosis of the patients, and a small number of patients still suffer from the adverse consequences of delayed bleeding after active treatment. Vitamin K1 is a necessary ingredient in the liver to produce clotting factors II, VII, IX, and X, and vitamin K1 supplementation increases clotting function. On the contrary, vitamin K1 increases the risk of thrombosis. In this study, patients with spontaneous intracerebral hemorrhage (excluding rupture of aneurysm and vascular malformation) will be randomly divided into experimental group and control group. All the patients in the two groups were treated according to the guideline of spontaneous intracerebral hemorrhage. Patients in the experimental group was treated with intravenous injection of vitamin K1 20mg once a day for 2 days after admission, and the patients in control group was treated with normal saline as a control. The hematoma volume, coagulation function, platelet levels and GCS scales of the two groups will be recorded in 0d, 1d, 3d, 7d post bleeding stroke, furthermore, length of ICU stay and total hospitalization, incidence of complications during hospitalization are to be recorded. During the follow-up, mRS score will be recorded at 1m and 6m post bleeding stroke. Finally, the effectiveness and safety of early vitamin K1 use in reducing the risk of bleeding and improving prognosis in patients with spontaneous intracerebral hemorrhage will be analyzed.

02

Conditions studied

  • Intracerebral Haemorrhage in Cerebellum

Keywords

  • vitamin K1
  • spontaneous intracerebral hemorrhage
  • effectiveness
  • outcome
03

In context

Lead sponsor

This is the only study on the registry with HUANG XIANJIAN as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  • Spontaneous intracerebral hemorrhage (Non - aneurysmal or arteriovenous malformations which confirmed by cerebral arterial CT enhancement or DSA);
  • Age 18-65 years, male or non-pregnant female;
  • GCS score at admission (4 to12);
  • during the hospitalization, no urokinase and other hemostatic drugs were used except for etamsylate and vitamin K1;
  • signed by the patient's family

Exclusion criteria

Exclusion Criteria:

  • irregular lobulated hematoma (volume of hematoma can not be calculated accurately), such as intraventricular hemorrhage;
  • severe liver disease or impaired liver function;
  • pregnant or lactating women;
  • history of using anticoagulation or antiplatelet aggregation drug (including Cilostazol, aspirin, dipyridamole, heparin, low molecular weight heparin, hirudin, dabigatran, and warfarin);
  • non-accepted
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    research group

    normal saline 100ml+ vitamin K1 20mg ivgtt qd day0 and day1。

    Drug: Vitamin K 1

  • Placebo comparator
    placebo group

    normal saline100ml + normal saline 2 ml ivgtt qd day0 and day1

    Drug: normal saline

Interventions

  • Research group use Vitamin K1

  • Drugnormal saline

    Placebo group use normal saline

06

What researchers measure

Primary outcomes

  1. The volume of cerebral hemorrhage

    The volume of cerebral hemorrhage at certain time post onset(ml)

    Time frame: Day0

  2. The volume of cerebral hemorrhage

    The volume of cerebral hemorrhage at certain time post onset(ml)

    Time frame: Day3

  3. The volume of cerebral hemorrhage

    The volume of cerebral hemorrhage at certain time post onset(ml)

    Time frame: Day7

Secondary outcomes

  1. The Activated Partial Thromboplastin Time(s)at certain time post onset

    Activated Partial Thromboplastin Time(s)

    Time frame: Day0

  2. The Activated Partial Thromboplastin Time(s)at certain time post onset

    Activated Partial Thromboplastin Time(s)

    Time frame: Day3

  3. The Activated Partial Thromboplastin Time(s)at certain time post onset

    Activated Partial Thromboplastin Time(s)

    Time frame: Day7

  4. The condition of Platelet level at certain time post onset

    The condition of Platelet level at certain time post onset(10\^9/L)

    Time frame: Day0

  5. The condition of Platelet level at certain time post onset

    The condition of Platelet level at certain time post onset(10\^9/L)

    Time frame: Day3

  6. The condition of Platelet level at certain time post onset

    The condition of Platelet level at certain time post onset(10\^9/L)

    Time frame: Day7

  7. The condition of GCS scale post(3-15) at certain time post onset

    The condition of GCS scale post(3-15) at certain time post onset

    Time frame: Day0

  8. The condition of GCS scale post(3-15) at certain time post onset

    The condition of GCS scale post(3-15) at certain time post onset

    Time frame: Day3

  9. The condition of GCS scale post(3-15) at certain time post onset

    The condition of GCS scale post(3-15) at certain time post onset

    Time frame: Day7

  10. The prothrombin time(s) at certain time post onset

    prothrombin time(s)

    Time frame: Day0

  11. The prothrombin time(s) at certain time post onset

    prothrombin time(s)

    Time frame: Day3

  12. The prothrombin time(s) at certain time post onset

    prothrombin time(s)

    Time frame: Day7

  13. The Fibrinogen (g/L)at certain time post onset

    Fibrinogen (g/L)

    Time frame: Day0

  14. The Fibrinogen (g/L)at certain time post onset

    Fibrinogen (g/L)

    Time frame: Day3

  15. The Fibrinogen (g/L)at certain time post onset

    Fibrinogen (g/L)

    Time frame: Day7

  16. The Thrombin Time(s) at certain time post onset

    Thrombin Time(s)

    Time frame: Day0

  17. The Thrombin Time(s) at certain time post onset

    Thrombin Time(s)

    Time frame: Day3

  18. The Thrombin Time(s) at certain time post onset

    Thrombin Time(s)

    Time frame: Day7

Other outcomes

  1. length of stay in ICU

    length of stay in ICU

    Time frame: about two weeks

  2. Total hospital stay

    Total hospital stay

    Time frame: about one month

  3. Complications1

    neurologic complications

    Time frame: 6 month post onset

  4. The Modified Rankin Scale (mRS)

    The scale runs from 0-6, running from perfect health without symptoms to death.0 - No symptoms.1 - No significant disability. Able to carry out all usual activities, despite some symptoms.2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. 3 - Moderate disability. Requires some help, but able to walk unassisted. 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent. 6 - Dead.

    Time frame: month 1 post onset

  5. The Modified Rankin Scale (mRS)

    The scale runs from 0-6, running from perfect health without symptoms to death.0 - No symptoms.1 - No significant disability. Able to carry out all usual activities, despite some symptoms.2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. 3 - Moderate disability. Requires some help, but able to walk unassisted. 4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. 5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent. 6 - Dead.

    Time frame: month 6 post onset

  6. Complications2

    infection complications

    Time frame: 6 month post onset

  7. Complications3

    complications of coagulation

    Time frame: 6 month post onset

07

Study locations

5 sites
  • Shenzhen second people's hospital
    Shenzhen, Guangdong 518000, China
  • The fifth people's hospital of Longgang District, Shenzhen
    Shenzhen, Guangdong 518035, China
  • Baoan District central hospital of Shenzhen
    Shenzhen, Guangdong 518102, China
  • Shajing hospital of Baoan District ,Shenzhen
    Shenzhen, Guangdong 518104, China
  • The second People's hospital of Longgang District, Shenzhen
    Shenzhen, Guangdong 518116, China
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2017 (actual). Primary completion is estimated for Oct 2018, 14 months after the start.

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

Registered
Oct 29, 2017
First posted
Jan 3, 2018
StartActual
Aug 1, 2017
Primary completionEst.
Oct 31, 2018
CompletionEst.
Jul 1, 2019
Last update
Jan 4, 2018
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 Jan 4, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03388970
Lead sponsor
HUANG XIANJIAN
Responsible party
HUANG XIANJIAN (vice professor, Shenzhen Second People's Hospital) — Sponsor-investigator
First posted
Jan 3, 2018
Start date
Aug 1, 2017
Primary completion
Oct 31, 2018 (estimated)
Completion
Jul 1, 2019 (estimated)
Last update
Jan 4, 2018

Oversight

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

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Studies of the drug tested here: Vitamin K 1

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