ClinicalTrials.gg
RecruitingNCT06514976Updated Apr 18, 2025

Observational Study of Efficiency of Cytoflavin, in Patients With Ischemic Stroke Not Receiving Reperfusion Therapy

An observational study in Stroke, Acute and Stroke, Ischemic, sponsored by POLYSAN Scientific & Technological Pharmaceutical Company. Recruiting at 17 sites in Russian Federation. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-18.

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 listed conditions name Ischemic Stroke, a narrower term within Stroke.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by POLYSAN Scientific & Technological Pharmaceutical Company · Observational

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as recruiting.
  • Started Mar 2024; still recruiting 2 years 8 months later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
562
Ages
18 Years and older
Sex
All
01

Study summary

Stroke remains one of the main socially significant problems in the healthcare in the third millennium. The lethality in persons with history of stroke by the end of the 1st year of disease is high. A trend to increased frequency of stroke in the young age is observed during the last decade; third of patients is working-age individuals, out of whom only 15-20% returns to labor, and others remain disabled persons requiring constant medical and social support

02

Conditions studied

  • Stroke, Acute
  • Stroke, Ischemic

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Keywords

  • stroke
  • сytoflavin
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 planned enrollment of 562 is above the median of 300 across 771 observational studies indexed under Ischemic Stroke.

Browse Ischemic 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.

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 and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients aged above 18 years with diagnosis of ACVA of ischemic type who did not receive and are not scheduled for reperfusion therapy (thrombolysis, thrombus extraction).

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 form
  2. Age from 18 years and older
  3. Diagnosis: Acute cerebrovascular accident of ischemic type (ischemic stroke) developed within 36 hours before enrollment in the study
  4. Motor neurologic deficit measurable using the NIHSS Scale (score for item 5 and/or 6 at the time of starting the therapy ≥ 1))
  5. Conservative stroke treatment tactics (without reperfusion therapy thrombolysis/thrombus extraction)
  6. According to the routine clinical practice, the patient is scheduled to receive the treatment as per one of the following regimens:

    • Cytoflavin® 20-40 ml/day as a course of not less than 10 days or
    • another neuroprotector - course of not less than 10 days (or without neuroprotector)

Exclusion criteria

Exclusion Criteria:

  1. NIHSS 1a (coma) score 3 at the time of enrollment
  2. Initial severe disablement (corresponding to mRS > 2) requiring external assistance in everyday life before development of stroke
  3. History of Parkinson's disease, dementia, multiple sclerosis, and other significant diseases accompanied by neurologic deficit
  4. Severe comorbidity with expected lifespan of not more than 6 months
  5. Pregnancy and breastfeeding
  6. Any other concomitant medical or serious psychic conditions, which make the patient ineligible for participation in the study, restrict lawfulness of obtaining the , or can influence the patient's ability to participate in the study
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

Observational model
Case-control
Time perspective
Prospective
Enrollment
562 participants (estimated)
Patient registry
No

Groups and cohorts

  • The test group

    Basic therapy + Cytoflavin

    Drug: Cytoflavin

  • The control group

    Basic therapy (with or without other neuroprotector)

Interventions

  • Cytoflavin solution for infusions. 20-40 ml/day (10 ml with the interval of 8-12 hours for 10 days; the single dose is increased up to 20 ml in case of the severe form of the disease) by intravenous drop infusion in dilution per 100-200 ml of 0.9% sodium chloride solution for 10 days; rate of administration: 3-4 ml/min

06

What researchers measure

Primary outcomes

  1. Percentage of patients with favorable functional outcome (score 0-2) according to Modified Rankin Scale (mRS) on Day of Discharge (assessment at Visit 4 or Visit 5, on Day of Discharge) and on Day 90;

    Modified Rankin Scale (mRS)

    Time frame: Base, day 14, day 21, day 90

Secondary outcomes

  1. Total score according to Modified Rankin Scale (mRS) on Day of Discharge and Day 90 in the test and control group;

    Modified Rankin Scale (mRS)

    Time frame: Day 14, day 21, day 90

  2. Total score according to Rivermead Scale on Day 7, Day 14, Day 21, and Day 90 in the test and control group

    Rivermead Scale

    Time frame: Day 7, day 14, day 21, day 90

  3. Change of the total score according to National Institute of Health Stroke Scale (NIHSS) on Day 3, Day 7, Day 14, and Day 21 as compared to the baseline level (Day 1);

    National Institute of Health Stroke Scale (NIHSS)

    Time frame: Day 7, day 14, day 21, day 90

  4. Change of the total score according to Stroke-Specific Quality of Life Scale (SS-QOL) on Day 90 as compared to Day of Discharge;

    Stroke-Specific Quality of Life Scale (SS-QOL)

    Time frame: Day 14, day 21, day 90

  5. Percentage of patients with repeated ACVA or TIA during the study;

    Repeated ACVA or TIA

    Time frame: Day 90

  6. Percentage of patients with lethal outcome in the period of hospitalization and follow-up

    Lethal outcome

    Time frame: Day 90

07

Study locations

17 of 17 sites recruiting
  • "Ivanovo Regional Clinical Hospital"
    Ivanovo, Russian Federation
    Recruiting
  • Kazan State Medical University
    Kazan, Russian Federation
    Recruiting
  • State Autonomous Institution of Health Interregional clinical diagnostic center
    Kazan, Russian Federation
    Recruiting
  • Moscow City Clinical Hospital No.64 (CCH named after V.V. Vinogradov)
    Moscow, Russian Federation
    Recruiting
  • N.I. Pirogov City Clinical Hospital No. 1
    Moscow, Russian Federation
    Recruiting
  • Vorohobov's City Clinical Hospital №67
    Moscow, Russian Federation
    Recruiting
  • City Clinical Hospital No. 1 Novosibirsk
    Novosibirsk, Russian Federation
    Recruiting
  • Alexandrovskaya hospital
    Saint Petersburg, Russian Federation
    Recruiting
  • Almazov National Medical Research Centr
    Saint Petersburg, Russian Federation
    Recruiting
  • City Mariinsky Hospital
    Saint Petersburg, Russian Federation
    Recruiting
  • Nikolaevskaya Hospital
    Saint Petersburg, Russian Federation
    Recruiting
  • Saint-Petersburg I. I. Dzhanelidze research institute of emergency medicine
    Saint Petersburg, Russian Federation
    Recruiting
  • St. Petersburg State Budgetary Institution of Public Health "City Hospital No. 40 of Kurortny District"
    Saint Petersburg, Russian Federation
    Recruiting
  • The City Hospital of the Holy Martyr Elizabeth
    Saint Petersburg, Russian Federation
    Recruiting
  • Smolensk Regional Clinical Hospital
    Smolensk, Russian Federation
    Recruiting
  • Municipal Clinical Hospital #13, the City of Ufa, State Budgetary Healthcare Institution of the Republic of Bashkortostan
    Ufa, Russian Federation
    Recruiting
  • Budgetary healthcare institution of the Voronezh region "Voronezh Regional Clinical Hospital No. 1"
    Voronezh, Russian Federation
    Recruiting
08

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

Started Mar 2024 (actual). Primary completion is estimated for Sep 2025, 18 months after the start.

Of 42 industry-sponsored observational studies under Ischemic Stroke, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 50. This study's planned 18 months is below that.

Counting every sponsor, half of 436 studies reached it within 53 months; a quarter within 24 and three quarters within 127.

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

Registered
Jul 17, 2024
First posted
Jul 23, 2024
StartActual
Mar 1, 2024
Primary completionEst.
Sep 30, 2025
CompletionEst.
Nov 1, 2025
Last update
Apr 18, 2025
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 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06514976
Responsible party
Sponsor
First posted
Jul 23, 2024
Start date
Mar 1, 2024
Primary completion
Sep 30, 2025 (estimated)
Completion
Nov 1, 2025 (estimated)
Last update
Apr 18, 2025

Study contacts

Alexey Kovalenko, Doc Biol Sci
Contact
science@polysan.ru
+78127108225 ext. 212

Oversight

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

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