ISRCTN ISRCTN19943732
DOI https://doi.org/10.1186/ISRCTN19943732
Secondary identifying numbers G9702465
Submission date
23/10/2000
Registration date
23/10/2000
Last edited
14/07/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Professor KR Lees
Scientific

The University Department of Medicine and Therapeutics
The Western Infirmary
Glasgow
G11 9NT
United Kingdom

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study acronymIMAGES
Study objectivesTo determine if magnesium sulphate therapy is an effective and safe treatment for acute stroke. Magnesium does not cause the same troublesome side-effects affecting many other neuroprotective compounds
Ethics approval(s)Ethics approval information added as of 19/07/2007: In the UK the study has Multicentre Research Ethics Committee approval. Local institutional review boards have approved it in centres across five continents.
Health condition(s) or problem(s) studiedStroke
InterventionThe study aims to review the efficacy of intravenous magnesium as a treatment for acute stroke when compared to placebo. Pre-clinical animal models of acute stroke show that magnesium has similar efficacy to other neuroprotective compounds. Clinical trials of magnesium show that it is safe and well tolerated.

A subgroup analysis of patients recruited within the 1-6 h, patients with haemorrhagic stroke and those with lacunar cortical events will be undertaken.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Magnesium sulphate
Primary outcome measureThe primary endpoint of the study is the proportion of patients dead or disabled at 90 days. Comparison between groups will be by intention to treat analysis. Disability will be measured by the Barthel Index. Patients scoring greater than or equal to 60 will be considered independent and those scoring less than 60 will be considered disabled. Patients who die will be allocated a Barthel score of 0. Overall mortality and disability by Rankin Score will also be carried out.
Secondary outcome measuresNot provided at time of registration
Overall study start date01/10/1997
Completion date29/02/2004

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants2700
Key inclusion criteria1. Clinically diagnosed acute stroke with limb weakness
2. Symptoms present for at least 1 h and treatment initiation possible within 12 h of onset
3. Aged 18 or older
4. Previously independent in activities of daily living
Key exclusion criteria1. Co-existing disease likely to prevent outcome assessment.
2. Known chronic renal impairment.
3. Known intracerebral pathology other than stroke e.g. intracranial abscess, subarachnoid haemorrhage, brain tumour.
4. Known indication or contraindication for magnesium therapy.
5. Coma.
6. Concomitant experimental therapy.
7. Pregnancy.
Date of first enrolment01/10/1997
Date of final enrolment29/02/2004

Locations

Countries of recruitment

  • Australia
  • Canada
  • China
  • Scotland
  • Singapore
  • United Kingdom
  • United States of America

Study participating centre

The University Department of Medicine and Therapeutics
Glasgow
G11 9NT
United Kingdom

Sponsor information

Medical Research Council (MRC) (UK)
Research council

20 Park Crescent
London
W1B 1AL
United Kingdom

Phone +44 (0)20 7636 5422
Email clinical.trial@headoffice.mrc.ac.uk
Website http://www.mrc.ac.uk

Funders

Funder type

Research council

Medical Research Council (UK)
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2000 Yes No