CAVAD: Cilostazol Verse Asprin for Vascular Dementia in Poststroke Patients With White Matter Lesions
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the efficacy of PDE-3 inhibitor, cilostazol, in prevention and treatment of vascular dementia, in those with brain white matter lesions and vascular risk factors.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: 1 Cilostazol |
Drug: Cilostazol
Cilostazol 100 mg bid for 12 months
|
Active Comparator: 2 Asprin |
Drug: Aspirin
Aspirin 100 mg qd for 12 months
|
Outcome Measures
Primary Outcome Measures
- changes of the scores of MMSE, MOCA,CDR,and Blessed-Roth [one year]
Secondary Outcome Measures
- stroke recurrence, other vascular ischemic events, bleeding events [one year]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age ranging from 40 to 80 years
-
After newly ischemic stroke from 3 months to 2 years
-
Brain CT or MRI shows stroke lesions and white matter lesions, ARWMC(Age Related White Matter Change)>=4
-
Moderate or mild cognitive deficits: MMSE 12-26
-
Vascular or mixed dementia: Hachinski ischemic score>4
-
Moderate or mild disability: MRS<=4,NIHSS<20
-
Informed consent
Exclusion Criteria:
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Definitive diagnosis of dementia prior to the stroke
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Cerebral hemorrhage in the past
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Cerebral embolism result from cardiogenic embolus
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Critically ills: MRS>4,NIHSS>=20
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Bed-ridden patient who is hardly discovered newly stroke
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patient with sever cardiac, hepatic or nephric complication
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dementia caused not by vascular lesions
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other diseases disturb the cognitive evaluation
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susceptibility to varieties of allergen
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abstain from Cilostazol or Asprin
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antiplatelet treatment, anticoagulation or fibrinolysis are needed because of other diseases
-
rejected to participate by the patient or the family
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Peking University First Hospital | Beijing | Beijing | China | 100034 |
2 | Shanghai Hua Shan Hospital | Shanghai | Shanghai | China | 200040 |
Sponsors and Collaborators
- Peking University First Hospital
- Zhejiang Otsuka Pharmaceutical Co., Ltd.
Investigators
- Principal Investigator: Huang Yining, MD PhD, Peking University First Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Neurology-2008-VD