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Stroke Treatment With Acute Reperfusion and Simvastatin

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01073007
Recruitment Status : Completed
First Posted : February 22, 2010
Last Update Posted : December 21, 2016
Sponsor:
Information provided by (Responsible Party):
Hospital Universitari Vall d'Hebron Research Institute

Study Description
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Brief Summary:

The purpose of this study is to determine whether simvastatin treatment started within the first 12 hours from stroke onset improves neurological and functional outcomes, evaluated at seventh day/discharge or at the third month.

Also, to demonstrate that simvastatin is safe and not associated with higher rates of hemorrhagic transformation in patients who receive thrombolysis.


Condition or disease Intervention/treatment Phase
Stroke, Acute Drug: Simvastatin Phase 4

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 104 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Multicentric, Randomized, Double-blind Clinical Trial to Evaluate the Efficacy of Simvastatin in the Acute Phase of Ischemic Stroke
Study Start Date : April 2009
Actual Primary Completion Date : June 2014
Actual Study Completion Date : June 2014

Resource links provided by the National Library of Medicine

Drug Information available for: Simvastatin

Arms and Interventions
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Arm Intervention/treatment
Experimental: Simvastatin
Simvastatin 40 mg daily for 3 months.
 Drug: Simvastatin
Simvastatin 40 mgrs daily for three months.
Placebo Comparator: Placebo Drug: Simvastatin
Simvastatin 40 mgrs daily for three months.


Outcome Measures
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Primary Outcome Measures :
  1. The primary outcome of this study is to determine whether simvastatin treatment started within the first 12 hours from stroke onset improves neurological and functional outcomes, evaluated at seventh day/discharge or at the third month. [ Time Frame: Seventh day (or discharge) and third month ]

Secondary Outcome Measures :
  1. The secondary outcome of this study is to demonstrate that simvastatin is safe and not associated with higher rates of hemorrhagic transformation in patients who receive thrombolysis. [ Time Frame: 24 to 78 hours ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients older than 18 years acute ischemic stroke (less than 12 hours from stroke onset).
  • Stroke involving MCA-ACA-PCA.
  • NIHSS score 4 to 22.
  • Previous modified Rankin Scale score of 1 or 0.
  • Patient or proxy informed consent.
  • Patients not taking statins for the past six months.

Exclusion Criteria:

  • Pregnancy or breastfeeding.
  • Clinical or radiological evidence on admission of intracranial hemorrhage, hemorrhagic infarction or tumor.
  • Seizures at the time of inclusion.
  • Complete or substantial recovery prior to randomization.
  • Patients with ipsilateral neurological deficit that may mask the evaluation of the current event.
  • Liver disease (AST or ALT more than twice upper normality limit).
  • Cardiogenic shock or relevant cardiac failure.
  • Patients with more than five times upper normality limit of CPK.
  • Myocardial infarction or any other thromboembolic event within the previous 30 days.
  • Active infection by the time of inclusion.
  • Documented hypersensibility to statins.
  • Drug abuse.
  • Expected short life-expectancy related to other systemic diseases.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01073007


Locations
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Sponsors and Collaborators
Hospital Universitari Vall d'Hebron Research Institute
Investigators
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Study Director: Joan Montaner, MD, PhD Hospital Vall Hebron Research Institute
Principal Investigator: Marc Ribó, MD, PhD Hospital Vall Hebron. Stroke Unit
Principal Investigator: Carmen Jimenez, MD Hospital Son Dureta. Stroke Unit.
Principal Investigator: Francesc Muñoz, MD Hospital de Mollet
Principal Investigator: David Canovas, MD Consorci Sanitari Parc Taulí Sabadell.
Principal Investigator: Jurek Krupinski, MD Hospital Mutua de Terrassa. Neurology Department
Principal Investigator: Maite Martinez-Zabaleta, MD Hospital de Donostia. Neurology Department
Principal Investigator: Francisco Javier De la Torre Laviana, MD Hospital Virgen del Rocio. Stroke Unit.
Principal Investigator: Marimar Freijo, MD Hospital de Basurto
Principal Investigator: Tomás Segura, MD Hospital Universitario de Albacete
Principal Investigator: Juan Arenillas, MD, PhD Hospital Universitario de Valladolid
Principal Investigator: Jose Manuel Flores, MD Hospital de Ciudad Real
Principal Investigator: Francisco Alonso, MD, PhD Hospital General de Vic
Principal Investigator: Jaime Masjuán Vallejo, MD Hospital Universitario Ramón y Cajal. Stroke unit.
Principal Investigator: Francisco Rubio Borrego, MD, PhD Hospital Universitario de Bellvitge. Stroke Unit.
Principal Investigator: Javier Tejada García, MD Hospital de Leon
Principal Investigator: Aida Lago Martín, MD, PhD Hospital Universitario la Fe. Stroke Unit.
Principal Investigator: Yolanda Bravo Anguiano, MD Hospital General Yagüe
Principal Investigator: Xavier Ustrell Roig, MD, PhD Hospital Universitario Joan XXIII
Principal Investigator: Francisco Purroy García, MD, PhD Hospital Universitario Arnau de Vilanova de Lleida
Principal Investigator: Raquel Delgado Mederos, MD, PhD Hospital Santa Creu i Sant Pau
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Hospital Universitari Vall d'Hebron Research Institute
ClinicalTrials.gov Identifier: NCT01073007    
Other Study ID Numbers: STARS07
EC07/90195 ( Other Identifier: Fondo de Investigación Sanitaria )
First Posted: February 22, 2010    Key Record Dates
Last Update Posted: December 21, 2016
Last Verified: June 2014
Keywords provided by Hospital Universitari Vall d'Hebron Research Institute:
Acute Stroke
tissue plasminogen activator
simvastatin
Additional relevant MeSH terms:
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Stroke
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Simvastatin
 Anticholesteremic Agents
Hypolipidemic Agents
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Lipid Regulating Agents
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Enzyme Inhibitors