About this trial
The investigators aim to examine whether amantadine can help patients recover from stroke. This will be a blinded randomized clinical trial (RCT). Patients will be randomized post-ischemic or hemorrhagic stroke either to the placebo arm or amantadine arm. Patients will be on study drug or placebo for 1 month but will be enrolled for 3 months total. At various time points patients will be examined and fill out questionnaires to determine level of stroke recovery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18 to 85 years old, male and female
Modified Rankin Score (mRS)<=2 prior to stroke
Ischemic or hemorrhagic stroke as diagnosed by vascular neurologist or as proven on magnetic resonance imaging (MRI) or non-contrast head computed tomography NCHCT)
24 hours to 3 weeks after stroke onset or time last known well prior to detection of symptoms
Disqualifiers
Any degree of receptive aphasia
Moderate or severe expressive aphasia
Currently pregnant or plans to get pregnant
Currently breastfeeding
Trial design
Parallel
Treatments tested in this trial
Amantadine
DrugAmantadine is a antiviral drug and dopamine promoter that is currently approved by the FDA for the treatment of influenza A and Parkinson's Disease
Placebo
Drugplacebo pills
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Tolerability of the study drug will be assessed based on the proportion of patients who adherent with at least 80% of study medication.
Secondary outcomes
Global rating on the Stroke Impact Scale (SIS)
Patient reported measure of stroke recovery; Stroke Impact Scale has 59 items in 8 domains (each domain score ranges from 0-100) And a 9th domain that is an overall scale from 0-100. Each item in the first 8 domains is on a likert scale from 1-5 where 5 is better and 1 is worse
Total score on the National Institute of Health Stroke Scale (NIHSS)
Assessment for stroke deficits in patients; scores range from 0-42, with a higher score indicating more severe stroke symptoms
Digit Symbol Substitution Test (DSST) score
Cognitive test; scores range from 0 to 100, with higher scores indicating higher cognitive function
Montreal Cognitive Assessment test (MOCA) score
Cognitive test; scores range from 0 to 30, with higher scores indicating higher cognitive function
Sponsors and contacts
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