Stroke, Ischemic Clinical Trial
Official title:
Impact of Lipoic Acid Use on Stroke Outcome After Reperfusion Therapy in Patients With Diabetes
This study aims to investigate the effectiveness and safety of alpha-lipoic acid in patients with diabetes and ischemic stroke treated with reperfusion therapy.
Despite significant advances in the prevention and treatment of stroke, it is still one of
the leading causes of death and debilitating disease. Unfortunately, several neuroprotective
strategies have failed in clinical trials. At present, it is reported that there are no
pharmacological agents with putative neuroprotective actions that have demonstrated efficacy
in improving outcomes after acute ischemic stroke (AIS) in humans. Previous stroke studies
have confirmed that oxidative stress plays a vital role in stroke and in reperfusion
following stroke. Therefore, the use of antioxidants could be a promising strategy for
treating ischemia-reperfusion injury. Alpha-lipoic acid (aLA) is a potent antioxidant
commonly used for the treatment of diabetic polyneuropathy (DPNP). The investigators
previously demonstrated the neuroprotective and neurorestorative effects of aLA, mediated at
least partially via insulin receptor activation, after cerebral ischemia in rats. Moreover,
previous observational study of the investigators showed that patients with diabetes treated
with aLA have better functional outcomes following AIS after reperfusion therapy than
patients not using aLA.
Therefore, the investigators investigate whether patients with diabetes treated with aLA have
better functional outcomes after AIS and reperfusion therapy than patients not treated with
aLA in this prospective randomized trial.
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