1-year Clinical Outcomes in Recombinant Tissue Plasminogen Activator (Rt-PA) Treated Chinese Acute Ischaemic Stroke (AIS) Patients
Study Details
Study Description
Brief Summary
The objective of the study is to find out the 1-year clinical outcomes among Acute Ischaemic Stroke (AIS) patients who were treated with intravenous (IV) Recombinant Tissue Plasminogen Activator (rt-PA) within 4.5 hours of symptom onset compared with those who arrived or were admitted to the hospital within 4.5 hours of symptom onset and did not receive any reperfusion treatment in a real-world clinical setting.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
IV rt-PA cohort Patients who received IV rt-PA within 4.5 hours of symptom onset |
Drug: rt-PA
Recombinant Tissue Plasminogen Activator
|
Non-reperfusion cohort Patients who arrived or were admitted to the hospital within4.5 hours of symptom onset and did not receive any reperfusion treatment |
Outcome Measures
Primary Outcome Measures
- All-cause mortality at 1 year (modified Rankin Scale (mRS) score =6) [up to 1 year]
The modified Rankin Scale (mRS) is used for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability. The scale runs from 0-6, from 'perfect health without symptoms' to 'death'. 0 - No symptoms. - No significant disability. Able to carry out all usual activities, despite some symptoms. - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities. - Moderate disability. Requires some help, but able to walk unassisted. - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted. - Severe disability. Requires constant nursing care and attention, bedridden, incontinent. - Dead.
Secondary Outcome Measures
- mRS score 0-2 at 1 year [up to 1 year]
- mRS score 0-1 at 1 year [up to 1 year]
- mRS score 5-6 at 1 year [up to 1 year]
- Distribution of mRS score at 1 year [up to 1 year]
Eligibility Criteria
Criteria
Inclusion criteria:
-
Patients registered in the ZSQCC platform from Jan 2017 to Mar 2020
-
≥ 18 years of age
-
Diagnosed with AIS at admission
-
Arrived or admitted to the hospital within 4.5 hours of symptom onset
-
If treated with IV rt-PA: received IV rt-PA within 4.5 hours of symptom onset
Exclusion criteria:
-
Documented Intravenous Thrombolysis (IVT) contraindication except age to IV rt-PA treatment according to the Summary of Product Characteristics (SmPC)
-
Missing any one of the key data (age, gender, baseline National Institutes of Health Stroke Scale [NIHSS], time of symptom onset, time of hospital arrival or admission, IVT or not, time of IV rt-PA treatment)
-
Received thrombolysis agents other than rt-PA (urokinase, tenecteplase, recombinant plasminogen activator, prourokinase, streptokinase)
-
Received endovascular treatment
-
Received IV rt-PA after 4.5 hours of symptom onset
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Boehringer Ingelheim (China) Investment Co., ltd. | Shanghai | China | 200040 |
Sponsors and Collaborators
- Boehringer Ingelheim
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 0135-0350