ClinicalTrials.gg
CompletedNCT05935787Updated Apr 14, 2026

Cytoflavin in the Complex Rehabilitation of Stroke Patients

A Phase 3 interventional study of Cytoflavin (Inosine + Nicotinamide + Riboflavin + Succinic Acid) and Placebo in Stroke, sponsored by POLYSAN Scientific & Technological Pharmaceutical Company. Completed at 3 sites in Russia. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-04-14.

Sponsored by POLYSAN Scientific & Technological Pharmaceutical Company · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
40 Years to 80 Years
Sex
All
01

Study summary

It is known that the acute period of stroke occurs is accompanied by oxidative stress, when intense generation of reactive oxygen species (ROS) have a toxic effect, which causes oxidative degradation of proteins, lipids, nucleic acids. Antioxidants may have a positive effect on the processes of reparation, remodeling and neuroplasticity, thus improving the effectiveness of post-stroke rehabilitation. The adjunctive use of drug therapy that improves neuroplasticity may promote accelerated motor learning, which underlies the effects of exercise therapy and physical therapy, speech therapy, and sessions with a psychologist or occupational therapist. CYTOFLAVIN® is a combination of succinic acid, riboflavin, nicotinamide and inosine (riboxin) which has antihypoxic and antioxidant effects. The study hypothetizes that this neurometabolic drug will facilitate learning in stroke survivors and help to acquire new cognitive or motor skills necessary for daily living. The study will be conducted in two parallel groups of stroke survivors: the experimental group will be treated with Cytoflavin along with ohysical rehabilitation, the control group will receive standard rehabilitation course.

02

Conditions studied

  • Stroke

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Keywords

  • stroke rehabilitation
03

In context

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's enrollment of 240 is above the median of 49 across 6,024 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

POLYSAN Scientific & Technological Pharmaceutical Company is the lead sponsor of 23 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
40 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. Signed Patient form
  2. Men and women aged 40 to 80, inclusive.
  3. Ischemic stroke in the carotid area, or hemorrhagic stroke in the cerebral hemispheres, occurred in the previous 14-90 days before screening.
  4. Acute neuroimaging data (CT and/or MRI) do not contradict the clinical and topical diagnosis of stroke.
  5. The presence of a measurable neurological deficit in the motor or sensory area.
  6. Availability of rehabilitation potential, which is assessed by the specialists of the multidisciplinary team
  7. Modified Rankin score 3-4.
  8. The possibility to visit outpatient rehabilitation at the research center.
  9. Ability to understand and comply with protocol requirements.
  10. For women: consent to use reliable methods of or absent .
  11. For men: consent to the use of adequate methods of contraception, or complete abstinence from sexual activity for the period of the study, or absent reproductive potential.

Exclusion criteria

Exclusion Criteria:

  1. Known to any component of the study drug
  2. Severe visual and hearing impairments that prevent the implementation of study procedures.
  3. Severe spasticity (scored 3-4 by Ashworth scale).
  4. Impaired swallowing, which does not allow taking drugs orally.
  5. Communication deficit that does not allow the patient to fulfill the conditions of the study protocol (including total aphasia).
  6. The presence of to complex rehabilitation in a hospital (lack of rehabilitation potential, somatic diseases that prevent a complex of rehabilitation measures).
  7. Aneurysmal subarachnoid hemorrhage.
  8. Previous (before the actual ictus) stroke with residual neurological deficit.
  9. Disability is primarily not attributed to the last stroke
  10. Severe renal failure
  11. Severe liver failure
  12. End stage of other chronic incurable diseases.
  13. Decompensated diabetes mellitus.
  14. History of cancer, mental illness, infection, syphilis, tuberculosis, alcohol, drug or drug addiction.
  15. Established diagnosis of a mental or neurodegenerative disease
  16. Constant use of psychotropic drugs (neuroleptics, tranquilizers, antidepressants) or nootropic drugs in the previous 3 months before the patient was included in the study, except for stroke treatment in acute hospital.
  17. Alcohol or drug addiction

19. Pregnancy, lactation.

Terms in these criteria, in plain language(6)

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.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
240 participants (actual)

Study arms

  • Experimental
    Cytoflavin

    Drug: Cytoflavin (Inosine + Nicotinamide + Riboflavin + Succinic Acid)

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugCytoflavin (Inosine + Nicotinamide + Riboflavin + Succinic Acid)

    Drug page: Cytoflavin

    Cytoflavin (Inosine + Nicotinamide + Riboflavin + Succinic Acid), 20 ml (two ampoules of 10 ml each) once a day intravenously in a dilution of 200 ml of 0.9% sodium chloride solution at a rate 3-4 ml/min, for 15 days + Cytoflavin ((Inosine + Nicotinamide + Riboflavin + Succinic Acid), 2 tablets 2 times a day, for 25 days

  • DrugPlacebo

    Placebo, 20 ml (two ampoules of 10 ml each) once a day intravenously in a dilution of 200 ml of 0.9% sodium chloride solution at a rate 3-4 ml / min, for 15 days + Placebo, 2 tablets 2 times a day, for 25 days

06

What researchers measure

Primary outcomes

  1. Change of performance

    Change at the performance subscale (range 0-10, higher=better) of Canadian Occupational Performance Measure (COPM) score after completion of therapy compared to baseline

    Time frame: 40 days

07

Study locations

3 sites
  • City General Hospital №2
    Saint Petersburg, Russia
  • City Hospital №40 of the Kurortny District
    Saint Petersburg, Russia
  • Saint-Petersburg I.I.Dzanelidze Research Institute of Emergency Medicine
    Saint Petersburg, Russia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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 Jun 2023 to primary completion in Jun 2024, 11 months.

Of 37 industry-sponsored phase 3 interventional studies under Stroke, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 58. This study's 11 months is below that.

Counting every sponsor, half of 129 studies reached it within 44 months; a quarter within 27 and three quarters within 68.

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

Registered
Jun 28, 2023
First posted
Jul 7, 2023
StartActual
Jun 30, 2023
Primary completionActual
Jun 26, 2024
CompletionActual
Dec 7, 2024
Last update
Apr 14, 2026
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 Apr 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05935787
Responsible party
Sponsor
First posted
Jul 7, 2023
Start date
Jun 30, 2023
Primary completion
Jun 26, 2024
Completion
Dec 7, 2024
Last update
Apr 14, 2026

Study contacts

Alexey Shmonin, Prof
study director · First St. Petersburg State Medical University named after I.P. Pavlov

Oversight

Data monitoring committee
Yes
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: Cytoflavin

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