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RecruitingNCT07800572Updated Sep 9, 2026

Anisodine Hydrobromide for Patients With Acute Ischemic Stroke Undergoing Endovascular Therapy (HEAL-2)

A Phase 2 interventional study of Anisodine Hydrobromide and Anisodine Hydrobromide Placebo in Acute Ischemic Stroke, sponsored by Capital Medical University. Recruiting at 11 sites in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Capital Medical University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
204
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This phase 2, multicenter, randomized, double-blind, placebo-controlled trial will evaluate the efficacy and safety of anisodine hydrobromide in patients with acute ischemic stroke undergoing endovascular thrombectomy.

Read the detailed description

Eligible participants will be randomly assigned to receive anisodine hydrobromide or matching placebo in addition to standard care, with efficacy and safety assessed during follow-up.

02

Conditions studied

  • Acute Ischemic Stroke

Keywords

  • Endovascular Treatment
  • Neuroprotection
  • Stroke
03

Who can participate

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

Inclusion criteria

  • Age 18-80 years
  • Anterior-circulation large-vessel occlusion involving the intracranial ICA, M1, or proximal/dominant M2
  • Eligible for endovascular treatment within 24 hours of last known well
  • Baseline NIHSS score ≥6
  • Baseline ASPECTS ≥6
  • Pre-stroke mRS score 0-1
  • Written informed consent provided by the participant or legally authorized representative

Exclusion criteria

Exclusion Criteria:

  • Intracranial hemorrhage on baseline imaging
  • Significant bleeding disorder or coagulopathy
  • Vascular anatomy unsuitable for EVT
  • Pregnancy, breastfeeding, or planned pregnancy within 90 days
  • Known hypersensitivity or severe intolerance to anisodine hydrobromide
  • Contraindication to anticholinergic drugs
  • Severe arrhythmia or hemodynamic instability
  • Severe psychiatric disorder, dementia, or impaired consciousness precluding consent or follow-up
  • Malignancy or other severe systemic disease with a life expectancy \<90 days
  • Participation in another clinical trial within 30 days before enrollment or concurrently
  • Any condition that, in the investigator's opinion, makes the patient unsuitable for study participation
04

Study design

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

Study arms

  • Experimental
    Anisodine Hydrobromide Group

    Participants will receive anisodine hydrobromide combined with endovascular thrombectomy.

    Drug: Anisodine Hydrobromide

  • Placebo comparator
    Anisodine Hydrobromide placebo

    Participants will receive placebo combined with endovascular thrombectomy.

    Drug: Anisodine Hydrobromide Placebo

Interventions

  • DrugAnisodine Hydrobromide

    Anisodine hydrobromide, 2 mg per dose, diluted in 0.9% sodium chloride solution and administered by intravenous infusion twice daily for a total of 14 doses.

  • DrugAnisodine Hydrobromide Placebo

    An equivalent volume of 0.9% sodium chloride solution, administered by intravenous infusion twice daily for a total of 14 doses.

05

What researchers measure

Primary outcomes

  1. Cerebral Infarct Volume on Day 8

    Time frame: Day 8

Secondary outcomes

  1. NIHSS Score at 24 Hours

    Time frame: 24 hours

  2. NIHSS Score on Day 8

    The NIHSS ranges from 0 to 42, with higher scores indicating greater neurological impairment and a worse outcome.

    Time frame: Day 8

  3. Change in NIHSS Score From Baseline to Day 8

    The NIHSS ranges from 0 to 42. Change is calculated as the Day 8 score minus the baseline score.

    Time frame: Baseline to Day 8

  4. mRS Score of 0-1 at 90 Days

    The mRS ranges from 0 to 6, with higher scores indicating greater disability or death.

    Time frame: 90 Days

  5. mRS Score of 0-2 at 90 Days

    The mRS ranges from 0 to 6, with higher scores indicating greater disability or death

    Time frame: 90 Days

  6. Distribution of mRS scores at 90 Days

    The mRS ranges from 0 to 6, with higher scores indicating greater disability or death.

    Time frame: 90 Days

  7. EQ-5D-5L at 90 Days

    The EQ-5D-5L index score ranges from -0.391 to 1.000 using the Chinese value set, with higher scores indicating better health-related quality of life.

    Time frame: 90 Days

  8. Barthel Index Score of 95-100 at 90 Days

    The Barthel Index ranges from 0 to 100, with higher scores indicating greater independence in activities of daily living.

    Time frame: 90 Days

Other outcomes

  1. Neurological Deterioration Within 24 Hours

    an increase of ≥4 points in the NIHSS score from baseline

    Time frame: Within 24 hours

  2. Symptomatic Intracranial Hemorrhage Within 8 Days

    Time frame: Within 8 Days

  3. All Cause Mortality at 90 Days

    Time frame: Within 90 days

  4. Intracranial Hemorrhage Within 8 Days

    Time frame: Within 8 Days

06

Study locations

9 of 11 sites recruiting
  • Anyang People's Hospital
    Anyang, China
    Not yet recruiting
  • Xuanwu Hospital,Capital Medical University
    Beijing, China
    Recruiting
  • Anji County People's Hospital
    Huzhou, China
    Recruiting
  • Jiuquan People's Hospital
    Jiuquan, China
    Recruiting
  • Lishui Central Hospital
    Lishui, China
    Not yet recruiting
  • Shangqiu First People's Hospitl
    Shangqiu, China
    Recruiting
  • Suzhou Municipal Hospital of Anhui Province
    Suzhou, China
    Recruiting
  • Taizhou Enze Medical Center (Group) Enze Hospital
    Taizhou, China
    Recruiting
  • The Affiliated Hospital of Xuzhou Medical University
    Xuzhou, China
    Recruiting
  • Zhangpu County Hospital
    Zhangzhou, China
    Recruiting
  • Zibo Central Hospital
    Zibo, China
    Recruiting
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07800572
Lead sponsor
Capital Medical University
Responsible party
Ji Xunming,MD,PhD (Professor of Neurology, Xuanwu Hospital, Capital Medical University, Capital Medical University) — Principal investigator
First posted
Sep 2, 2026
Start date
Sep 6, 2026
Primary completion
Dec 31, 2026 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Sep 9, 2026

Study contacts

Xunming Ji, PhD/MD
Contact
jixm@ccmu.edu.cn
01083198962
Chuanjie Wu, PhD/MD
Contact

Oversight

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

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