About this trial
This study is designed to determine the safety and feasibility of using Cerebrolysin in treating primary intracerebral hemorrhage (ICH).
This is a multicenter, prospective, randomized, open-label, blinded end-point, phase IV parallel group study done in specialized stroke treatment centers in Poland. The study objective is to evaluate if a 14-day cerebrolysin treatment initiated within 6 hours of onset of primary lobar hemorrhage in addition to the standard of care that includes early intensive rehabilitation is safe and feasible, affects hematoma growth and improves the outcome.
This study is designed to assess the early effect of using Cerebrolysin in patients after ICH, therefore 3 months of follow-up has been chosen. Patients will receive 50 ml of Cerebrolysin once daily until day 14. Subjects will be evaluated on Day 1 (baseline), Day 2, Day 7, Day 30 and Day 90.
Enrollment to the study is expected to reach 30 subjects in 12 months. The study should be completed within 15 months (the end of study).
The primary outcome measure will be change from baseline in functional independence (mRS 0-2) at Day 90 following stroke onset. The safety outcome will be the number of serious adverse events until Day 30.
Eligibility criteria
Qualifiers
Age 18-80 years
NIHSS ≥8 at randomization
Stroke onset <6h
Pre-randomization head CT demonstrating an acute, primary lobar ICH
Disqualifiers
Hemorrhage caused by head trauma
Medical history or neuroimaging findings suggestive of ruptured aneurysm, arteriovenous malformation (AVM), vascular anomaly, Moyamoya disease, venous sinus thrombosis, mass or tumor, hemorrhagic conversion of an ischemic infarct
Bilateral fixed dilated pupils
Extensor motor posturing
Trial design
Treatments tested in this trial
- 14-day Cerebrolysin treatment
- Standard of Care (SOC)