Intracerebral Hemorrhage Clinical Trial
Official title:
Fluoxetine for Motor Recovery After Acute Intracerebral Hemorrhage (FMRICH): a Randomised Placebo-controlled Trial
This is a randomized, double-blind, placebo-controlled, multicenter clinical trial that will be carried out in Mexico. The purpose of this study is to test whether a 3-month treatment with fluoxetine enhances motor recovery in non-depressed patients with acute intracerebral hemorrhage.
Spontaneous, nontraumatic intracerebral hemorrhage (ICH) is a subtype of stroke that causes
a great amount of disability, economic and social burden. This is particularly true in
developing countries where it accounts for between 20% and 50% of all strokes.
Pharmacological and surgical interventions have been attempted to diminish the mortality and
disability derived from ICH, with unsuccessful results. Recently the use of Fluoxetine in
addition to physical rehabilitation has been proven useful to improve motor recovery from
cerebral infarct. The purpose of this study is to test whether a 3-month treatment with
fluoxetine enhances motor recovery in non-depressed patients with acute intracerebral
hemorrhage.
This is a randomized, double-blind, placebo-controlled, multicenter clinical trial. This
trial will recruit 86 patients with intracerebral hemorrhage of both sexes, ages >18 years,
from four Mexican hospitals. The patients will receive either 20mg of fluoxetine or a
placebo once daily for 90 days. The primary outcome is the mean change in Fugl-Meyer Motor
Scale score between inclusion (day 0) and day 90. The secondary outcomes will be changes in
Barthel Index, Modified Rankin scale and National Institutes of Health (NIH) Stroke Scale.
The outcomes will be measured at day 45±7days and at day 90, for a total of four visits with
each subject (at screening and at 0, 45 and 90days).
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Supportive Care
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