Thrombolysis Register of Acute Ischaemic Stroke in China

ISRCTN ISRCTN69801104
DOI https://doi.org/10.1186/ISRCTN69801104
Secondary identifying numbers 5
Submission date
03/08/2007
Registration date
17/08/2007
Last edited
29/10/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Yongjun Wang
Scientific

Beijing Tiantan Hospital
No.6 Tiantan Xili
Chongwen District
Beijing
100050
China

Phone +86 (0)10 6709 6699
Email yongjunwang111@yahoo.com.cn

Study information

Study designAn open, prospective, multicentre, non-randomised observational study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeTreatment
Scientific titleThrombolysis Register of Acute Ischaemic Stroke in China
Study acronymTRAIS-CHINA
Study objectives1. To evaluate the clinical status of recombinant tissue Plasminogen Activator (rt-PA) thrombolysis in acute ischaemic stroke (within a three-hour time-window) in China
2. To assess whether the safety and efficacy of thrombolysis in acute ischaemic stroke are equivalent in the settings of randomised controlled trials and during implementation into clinical routine in China
Ethics approval(s)Approval gained from the Beijing Tiantan Hospital Capital Medical University Ethics Board on October 10, 2006.
Health condition(s) or problem(s) studiedAcute ischaemic stroke
InterventionAll patients will be given intravenous (i.v.) rt-PA 0.9 mg/kg body weight (bw), 10% bolus, one-hour infusion, as part of their treatment. Patients will then be observed and followed-up for three months.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Recombinant tissue Plasminogen Activator (rt-PA)
Primary outcome measure1. Symptomatic intracerebral haemorrhage within 24 to 36 hours
2. Death (modified Rankin Scale [mRS] = 6) within three months
Secondary outcome measuresIndependence for the activities of daily living at three months defined as a modified Rankin score (mRS) of 0 to 2.
Overall study start date01/04/2007
Completion date01/06/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants330
Key inclusion criteria1. Female or male inpatients
2. Age 18 to 80 years
3. Clinical diagnosis of ischaemic stroke
4. Onset of symptoms within three hours prior to initiation of thrombolysis treatment
5. Stroke symptoms present for at least 30 minutes and has not significantly improved before treatment
6. Patients are willing to receive thrombolysis treatment and to give informed consent
7. Patients are willing and able to comply with the study protocol
Key exclusion criteria1. Evidence of Intracranial Haemorrhage (ICH), brain tumours, vascular malformation, aneurysm, Subarachnoid Haemorrhage (SAH) or major early infarct signs involving greater than 1/3 of Middle Cerebral Artery (MCA) territory on the Computed Tomography (CT)-scan
2. Severe stroke as assessed clinically (e.g. National Institutes of Health Stroke Scale [NIHSS] greater than 25) and/or by appropriate imaging techniques
3. Seizure at onset of stroke
4. Prior stroke within the last three months
5. Patients with any history of prior stroke and concomitant diabetes
6. Administration of heparin within the previous 48 hours and a thromboplastin time exceeding the upper limit of normal for laboratory
7. Platelet count of below 100,000/mm^3
8. Uncompensated hypertension at study entry or hypertension requiring aggressive treatment to reduce blood pressure to nonhypertensive limits. Uncompensated hypertension is defined as systolic blood pressure greater than 185 mmHg or diastolic blood pressure greater than or equal to 110 mmHg on three repeated measures at least 10 minutes apart
9. Blood glucose less than 50 or greater than 400 mg/dl
10. Known haemorrhagic diathesis within the last six months
11. Patients receiving oral anticoagulants, e.g., warfarin sodium, and International Normalised Ratio (INR) greater than 1.5
12. Known history of or suspected intracranial haemorrhage including subarachnoid haemorrhage
13. Pregnancy or lactation
14. Any history of severe central nervous system damage (i.e., neoplasm, aneurysm, intracranial or spinal surgery)
15. Haemorrhagic retinopathy, e.g., in diabetes (vision disturbances may indicate haemorrhagic retinopathy)
16. Bacterial endocarditis, pericarditis
17. Prolonged traumatic external heart massage, or recent (less than 10 days) obstetrical delivery or recent puncture of a non-compressible blood-vessel (e.g. subclavian or jugular vein puncture)
18. Acute pancreatitis
19. Documented ulcerative gastrointestinal disease during the last three months
20. Oesophageal varices, arterial-aneurysm, arterial/venous malformation
21. Neoplasm with increased bleeding risk
22. Severe liver disease, including hepatic failure, cirrhosis, portal hypertension oesophageal varices) and active hepatitis
23. Major surgery or significant trauma in past 10 days
24. Known serious sensitivity to Alteplase
Date of first enrolment01/04/2007
Date of final enrolment01/06/2010

Locations

Countries of recruitment

  • China

Study participating centre

Beijing Tiantan Hospital
Beijing
100050
China

Sponsor information

Beijing Tiantan Hospital (China)
Hospital/treatment centre

No.6 Tiantan Xili
Chongwen District
Beijing
100050
China

Phone +86 (0)10 6709 6699
Email yongjunwang111@yahoo.com.cn
ROR logo "ROR" https://ror.org/003regz62

Funders

Funder type

Government

The Key Scientific Research Program of the 11th National Five-Year Planning of China (China)

No information available

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 planNot provided at time of registration