APEX-STROKE CALM-ICH Domain

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorFudan University

About this trial

In this domain of APEX-STROKE, participants with acute intracerebral hemorrhage (ICH) who are considered suitable for non-surgical management and who meet the eligibility criteria for this domain will be randomized in a 1:1 ratio to receive either Angong Niuhuang pills (ANP) or matching placebo, both in addition to guideline-based standard care. The matching placebo is the control condition and is not counted as a domain intervention.

• Intervention: Angong Niuhuang pills (ANP) in addition to guideline-based standard care.

ANP should be initiated as soon as possible after randomization in the ambulance or emergency department setting, with subsequent treatment continued for a total of 14 days according to the domain-specific intervention schedule.

• Control condition: matching placebo in addition to guideline-based standard care.

Eligibility criteria

Qualifiers

Age ≥ 18 years old;

Symptom onset or last known well≤ 6 hours before randomization;

Traditional Chinese Medicine syndrome consistent with heat-toxin internal accumulation: at least two of high fever, flushed face, restlessness, dry mouth, or rapid pulse;

No surgical plan at the time of randomization;

Disqualifiers

Severe comorbid disease likely to interfere with trial treatment, follow-up, or outcome assessment, such as severe heart failure;

History of epilepsy or seizure-like attack;

Pregnancy or lactation;

Trial design

Treatments tested in this trial

  • ANP + Standard Care
  • Placebo + Standard Care

Treatment groups

1,100 Participants
are divided into 2 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

Fudan University

Lead sponsor

Huashan Hospital

Collaborator

Chinese PLA General Hospital

Collaborator

Beijing University of Chinese Medicine

Collaborator

Hubei College of Traditional Chinese Medicine

Collaborator

Guangdong Provincial Hospital of Traditional Chinese Medicine

Collaborator